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Home My WebLink About2415 LA COSTA AVE; A; CB940499; PermitB U I L D I N G 05/02/94 14:56 1 Page 1 of 1 Job Address: 2415 LA COSTA AV Permit Type: PLUMBING Parcel No: 216-240-55-~3'3 Valuation: O Construction Type: NEW P E R M I T Suite: Lot#: k Permit No: CB940499 Project No: A9400710 Development No: Occupancy Group : Reference#: Status : ISSUED 05/02/94 05/02/94 DC Description: INSPECT GAS LINE FOR METER INS Applied: Appl/Ownr : PRATTE, FRANK 2415-A LA COSTA AVENUE CARLSBAD, CA 92009 * ** Fees Required *** *** Fees: Adjustments: Total Fees: 27 .00 .00 27.00 Apr/Issue: 619 Entered By: 259-7000 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 27 .00 *** Fee description Units Fee/Unit Ext fee Data Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL 1 CITY OF CARLSBAD 7 .00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 20,00 Y 7.00 27 ,00 PERMIT APl(LJ.CATION ~ ~ PLAN CHECK NO. City 0: Carlsbad Building Department 2075 Las Pahaas Dr •• Carlsbad. CA 92009 (619) 438-1161 EST.VAL, __________ _ l. PERMI I 1'VPE PIAN CK DEPOSIT, ________ _ VAIID.BY. __________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Ccxle of Structure-Type: ______________________ _ Net Loss/Gain of Dwelling Units 2. PRUJECT INtURMATION FOR OFFICE USE ONLY Address ) . .'-f 15"·4 Nearest Cross Street mt o. ase o. □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope DESCRIPTION OF WORK SQ. IT. # OF STORIES j.,.',.<--k, ,'.-,5, {r. I I # OF BEDROOMS ;a ... f> ,-,,,,<,~ # OF BA TilROOMS 3. WN IACI PERSON (II dnferenl from applicant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPllCANi OWNIRACIOR OAGENI FORCONIRACIOR ADDRESS 0 OWNER □ AGEN I FOR OWNER 5. 1. NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE PkdPPJtli OWNmt 'J?r,-th: ... fr~-1:::, NAME (last name first) ADDRESS )..1-/15-,4 M 4,5,}e. 4vL CITY 6. rls h"lcrf STATE ZIP CODE DAY TELEPHONE ),.5"",- NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # DESIGNER NAME (last name hrsl) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # woruams WMPENsA I ION Workers' Compensation Dcclarat1on: I hereby affirm that I have a certificate of consent to self-msure issued by the b!fector 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). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ccrr1hcace of Exemptmn: I certify that m the performance of the work ior which chis permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE I. OWNkit-BUllDRk DPil.XRAiiuN □ □ Owner-BuUder Deciarahon: I hereby afhrm that I am exempt from the Contractors License Law for the followmg 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 permit 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 th~plicant to ~ivil f not more than five hundred dollars [$500]). SIGNATURE -r ~ DATE 1/-J_ -Cj Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIEAN~WERS ARE YES, A FINAL C::Effllt1CATEOF oa::uPANCY MAYNITT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPUC.ANT HAS MET OR IS MEIITING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POU.UTION OONTilOL DISfRICT. 9. WNSIRUCIION LRNDING AGENCY I hereby afhrm ihat there 1s a construction lendmg agency for ihe performance of the work for which this permit 1s issued (Sec 3097(1} Civil Ccxie). LENDER'S NAME LENDER'S ADDRESS IO. APPUCAN i CERIIFICAIION I certify that I have read the appl1cat1on and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and Stale 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 TO SAVE INDEMNIFY AND KEEP HARMLESS TilE Cl1Y OF CARISllAD AGAINST AIL UABIIITIES, JUDGMENTS, CDSfS AND EXPENSES WIIICII MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN OONSEQUENCE OF TIIE GRANTING OF TIUS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after ork is commenced for a period of 180 days (Section 303(d) Uniform Building Code). L} APPLICANTS SIGNATURE DATE: f-:I,). •7 / YELLOW: Applicant PINK: Finance C, • .. ' CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB940499 FOR 05/10/94 DESCRIPTION: INSPECT GAS LINE FOR METER INS TYPE: PLUM JOB ADDRESS: 2415 LA COSTA AV APPLICANT: PRATTE, FRANK CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB940499 OCC GRP CONSTR. TYPE NEW STE: A LOT: 619 259-7000 REMARKS: MH/JUNE/729-4914 SPECIAL INSTRUCT: r(A.rl INSPECTOR __ r • 1 --~~-------- TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs -------------------------------------------------------- ACT COMMENTS j}f)_ ___ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS