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Home My WebLink About2413 LA COSTA AVE; C; CB951689; PermitB U I L D I N G P E R M I T Permit Project Development Nu: C'B~51b89 No: A9502464 No: 11/16/95 15:56 Puge 1 of 1 Job Address: 2413 LA COSTA A Permit Type: PLUMBING Parcel No: 216-240-55-34 Valuation: o Occupancy Group: Description: REPAIR GAS LINE Appl/Ownr : COAST PLUMBING 509 S CEDROS AV SOLANA BEACH, CA A*I< Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y' for Plumbing Gas Piping System * PLUMBING TOTAL * * /( Suit.,. l)NJ--c__. Lot#: Construction Type: Reference#: Status: NEW ISSUED 11/16/95 11/16/95 RMA 92075 > > Applied: Apr/Issue: Entered By: 619-755-11::S88 Fees Collected & Credits Total: r.ea· ts: .00 Total Pavments : .00 Bal nee Due : 27 .00 Units e/Unit Ext fee 20 .00 1 :1. 00 7.00 27,00 4715 !.1/16/95 0001 ,1. C-CI 'I"" ~~ "'· .. , ~ ... C CITY OF CARLSBAD "'** Data y 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . pJ!RMIT APPLICATION ~ ~ PLAN CHECK NO. 9 s I LP · City of Carlsbad Building D-rtaent 2075 Las PalES Dr., carlsbad, CA 92009 (619) 438·1161 EST. VAL:-::::==-------PLAN CK D VAIID.BY DATE I. PkkMII IYPR From Llst I (see back) give code of Permit-Type: JJ?/'1!, b1•9. ___________________________________ :_: ______ ~----------- For Residential Projects Onlv: From Llst 2 (see back) give Code of Structure-Type: tr JJi.:_ I • Net Loss/Gain of Dwelling Units 2. PRCllECT INFORMATION FOR OFFICE USE ONLY Address ,;JI(/ 3 La C osf<t 411-(... Bu,ldmg or Su11e No. fl-2.._ ~ C'a mt o. CHECK BEIDW IF SOBMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ l Addressed En elope DESCRIPTION OF WORK -r~ t'~--/l""f (I,(A- SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN IACI PERSON (U dlIIerent from apphcant) NAME (last name first) ADDRESS CilY DAY TELEPHONE NAME (last na e ,rst) Ccasf-Yeritt b,~.~(!.ADDRESS c01 CilY 5c; c, &e.c /,i STATE C4, ZIP CODE u;,7~-DAY TELEPHONE 7 ;s'r-/~ • NAME (last name first) Cl,'tij.P-kfeeJ, ver1ry ADDRESS :Z.2{0 E'e,,s'f-S<.J71v .... IJJo.t CilY ½den/0 STATE. 2.. ZIP CODE DAY TELEPHONE o· -7cl 00 NAME(lastnamefirst) C!.,oQst (., .... hi:,1 ::r;i~. ADDRESS _5q,.,.__._ ~ q la:,v-€.._ CilY STATE ZIP CODE DAY TELEPHONE STATE IJC. #,l_'il;)f :Z °3 IJCENSE CLASS c->G CilY BUSINESS IJC. # :lpi) ~~t Jame 1rst _ --CilY (/r STATE ZIP CODE DAY TELEPHONE STATE IJC. # Workers• Compensation beclarat1on: I hereby afhrm that I have a certificate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified. by the Director of the insurer thereof filed with the Building Inspection Department {Section 3800, Lab. C). ~JciNB_-03r~-<2fu>1RATION DATE SIGNATURE DATE 8. oWNrut-BOllDEll DF.CLMlAIION Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confradofs license Law for the foliowmg reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLE i£ I HIS SEGtlON FOR NON-RESIDEN IIAL BUILDING PERMil's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management disaict? □YES ONO Is the facility to be constructed. within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY NITT BE ISSUED AITER JULY 1, 1989 UN1J!SS nm APPUCANT HAS MET OR IS MEITING nm RF.QIJIREMENTS OF nm omCE OF EMERGENCY SERVICES AND nm AIR POILUTION illNTilOL DISTRICT. 9. OONS'IRUCIIDN LENDING AGENCY I hereby afhnn that there IS a construction lendmg agency for the perfonnance of the work for which this permit 1s issued (Sec 3097(1) C1VII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I CEkiMCAIJUN I certify that I have read the apphcat1on and stale that the above mformat1on ts correct. I agree to comply with all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS nm CflY OF CARISBAD AGAINST AIJ. UABILITIES, JUDGMENTS, <XlSTS AND EXPENSES WHICH MAY IN ANY WAY Aa:RUE AGAINST SAID CflY IN illNSEQUENCE OF nm GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such it · not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or aband at y rim a ter e work is commenced for a riod of 180 days (Section 303(d) Unifonn Building e). APPIJCANl"S SIGNATURE f:,r,,4~ y DATE: 'f; INK: Fmance • PERMIT# CB951689 DESCRIPTION: REPAIR GAS LINE UNIT "C" TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 11/20/95 INSPECTOR AREA PLANCKI CB951689 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 2413 LA COSTA AV APPLICANT: COAST PWMBING CONTRACTOR: PHONE: 619-755-1888 PHONE: OWNER: PHONE: REMARKS: RS/COAST PUIG/755-1888 INSPECTOR ~P"--L-________ _ SPECIAL INSTRUCT: REQUESTING A.M. INSPECTION TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMITjl TYPE CB890963 PLUM STATUS EXPIRED ACT COMMENTS _23 __ PL _G_a_s_J_T_e_st_J_R_e_p_ai_r_s ______ J;!E f: B:$JE; ~ l/v LL ---------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS