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Home My WebLink About2422 LA PLANCHA LN; ; CB911273; Permit.. B U I L D I N G P E R M ! T Permit No: CB911Z7 ProJect No: A9::..u1s~· Development No: ' 09/10/91 08:37 Pag~ 1 of 1 Job Addre3s: 2422 LA PLANCHA LN Permit Type: PLUMBING Str: Fl: Ste: 4337 09/10/91 0001 01 02 C-PRMT 10°00 Cfl }()Cf~. P~rcel No: 255-091-25-CO Valuation: 0 Constructi0n ~ype: NEW Occupancy Group: Cla.ss Code: S l J ' Description: GAS REPAIR Appl/Ownr : PLOTKE PLUMBING P.O. BOX 231186 ENCINITAS, CA 92024 * * * FE'es Required E-'ees: AdJustments: Total Fees: Fee description Gas Piping System * PLUMBING ~OTAL *** .le Fee > ) (619) AppJ. 1 eo: 0 9 / 1 o / J::.. A~r/Issue: 09/10/i Validated By: SBB 632-04bl .uo .uo :o.ou Ext fee Datu ~----------------7. ':,( y 2.~(J 10. Ol ~PPPfiVAL tNSP.~DA'i"i: ~ CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. 9/-IJ7.3 City of carlsbad Building Departaent 2075 Las Pal.,.. Dr., C&rlsbad, CA 92009 (619) 438-1161 I. PFJtMi I IYPE l!A. ~ PIAN CK DEPOSIT I EST. VAL I =-BY~/ A -0 COmmerc1al Li New Build mg Li I enant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling D Addition/ Alteration D Duplex □ Demolition D Relocation D Mobile Home □ Electrical D Plumbing D Mechanical □ Pool □ Spa D Retaining Wall D Solar D Other 2. PRCllECT INFORMATION FOR OFFICE USE ONLY u1 mg or u1te o. L,-J. Lot No. Su&i1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMI 11 ED: □ 2 Energy C.alcs □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PABCEJ: EXISTING USE PROPQSED USE DESCRIPTION OF WORK GA.r rep A ',. (,:;;.,r ~ ~# OF STORIES 3. WN IACI PPllSON (tr dlHereni from plcanO NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE •· APPUCANI NAME UCONIRACIUR UAGENI FORWNIRACIUR DOWNER DAGENI FUR OWNER ADDRESS CITY STATE ZIPOODE DAY TELEPHONE NAME ADDRESS ZIP OODE CITY STATE DAY TELEPHONE STATE STATE UC. # S° 2. ADDRESS p. 0. /!>o.lf 2 ~ /f I:', (;, zIP mDE q Z.oZ-'-/ DAY TELEPHONE b.3 2. 0 4 6 I /ICf BoB I ucENsE cLASs c -> "" CITY BUSINEss uc. # s-& es , ., , CITY STATE ZIP OODE DAY TELEPHONE STATE UC.# 7. WUkkRRS' WMPENSAIION Workers' Compensation Oeclarat1on: I hereby affirm chat I have a cert1hcate 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). INSURANCE COMPANY POUCYNO. EXPIRATION DATE Certthcate of Exemption: I certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNEK-BOllDEk Df!COOlA:liuN bwner-Butlder Declarat1on: I hereby affirm that I am exempt from the Contractor's license Law for the following reason: D 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: T1te 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 pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLEIE IHIS SECIION FOR NON-RESIDENIIAt B0IWING PERMIIS 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 □NO Is the applicant or future building occupant required to obtain a pennit 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 THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NUf BE ISSUED AFfER JULY 1, 1989 UNU!SS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of TIIE OFFICE Of EMERGENCY SERVICES AND THE AIR l'OIJ.UTION CONTROL D15fRICT. 9. WNSIR0CIION IENDING AGENCY I hereby afhnn that there 1s a construction lend mg agency for the performance of the work for which chis penn1t 1s issued (Sec 3097 (IJ Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CPJtllFICAIION I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with ail City ordinances 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 TO SAVE INDEMNIFY AND KEEP IIARMIBSS THE QTY Of CARISBAD AGAINST AIL UA111U11F.S, JUDGMENTS, CDSTS AND EXPENSES WJDCH MAY IN ANY WAY AlilUIE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of TIIlS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 pennit is suspended or abandoned at any time after the work· commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: f-/o-e, I PINK: Finance PERMIT# CB911273 DESCRIPTION: GAS REPAIR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/11/91 INSPECTOR AREA PY PLANCK# CB911273 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2422 LA PLANCHA LN APPLICANT: PLOTKE PLUMBING CONTRACTOR: PHONE: PHONE: STR: FL: STE: (619) 632-0461 OWNER: REMARKS: MH/ SPECIAL INSTRUCT: TOTAL TIME: CD 23 DATE LVL DESCRIPTION PL Gas/Test/Repairs DESCRIPTION PHONE: ~ INSPECTOR--~ I)-"'-~-____:=-'------- ACT COMMENTS IP---------- ***** INSPECTION HISTORY***** ACT INSP COMMENTS