HomeMy WebLinkAbout2424 LA COSTA AVE; ; CB950807; Permit~.ff
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06/19/95 14:15
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B U I L D I N G
Job Address: 2424 LA COSTA AV
Permit Type: PLUMBING
P E R M I T
Suite:
Lot#:
Permit No: CB950807
Project No: A9501161
Development No:
Parcel No: 216-160-07-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
06/19/95
06/19/95
RMA
Description: GAS LINE REPAIR
Appl/Ownr : COAST PLUMBING
509 S CEDROS
SOLANA BEACH, CA 92075
*** Fees Required *** ***
Applied:
Apr/Issue:
Entered By:
619-436-4567
Fees Collected & Credits ***
------------------------------------------------------------------------
Fees:
Adjustments:
Total Fees:
Fee description
27.00
.00
27.00
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
27.00
Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
CITY OF CARLSBAD
1 7.00
20.00 Y
7.00
27.00
2367 06/19/95 0001 01 02
C-PRHT 27-00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departllent
2075 Las Pal.,,. Dr., carlsbad, CA 92009 (619) 438-1161
I. PEllMI i IYP.i!
From Llst 1 (see back) give code of Pennit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PRUIF.Cf INFORMATION FOR OFFICE USE ONLY
Aadr°"bi4-";J, t/_., I.A c?osm B,t:n&>'g-""• No.
Nea~ross srrlet
LEGAL DESCRIPI ION Lot No. Subd1V1s1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMl 11 Eb:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D l Addressed Envelope
EXISTING USE PBOPQSED USE
SQ. # OF BEDROOMS # OF BATI!ROOMS
1 1 eren rom app ,can
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCANI OWNIRACiOR DAGEN! FORWNIRACIOR
ADDRESS
DOWNER DAGEN I FOR OWNER
NAME (last name first)
CITY STATE ZIP CODE DAY TELEPHONE
5. PkOP£kiY oWNEit ~t:'),,, r ,A)
NAME (last name first) ~ /"'4 ADDRESS ~¢$ Li dism-Ave
DAY TELEPHONE 9 -3 3 CITY
NAME (last name first) C.04ST' 'M/3 UJG ADDRESS 6() "7 S,. ~a-os
CITY~('L,lMl,4-~ STATE (½ ZIP CODE 9:;ll) 7 $DAY TELEPHONE ~34 ~Sct:z 7
STATE I.IC.~ {.;)..°1:JCENSE CLASS CITY BUSINESS I.IC. #
DESIGNER NAME (last name brst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE I.IC.#
7. WOitkEkS' CDMPENSAIION
SIGNATURE DATE
8. OWNEk-BUlllli:ll tmCCARAiiuN
□
□
□
Owner-Builder Deciarafion: I hereby afnrm that I am exempt from the Confracfofs Llcense 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 cons eruct the project (Sec. 7044, Business and Professions
Code: The Contractor's Llcense 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 tile 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 [$5001).
SIGNATURE DATE
COMPLEIE IHIS SECIION FOR NON-RESIDEN liAt BOIWING PERMil's ONLY:
ls 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?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control disaict or air quality management district?
□YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF TIIEANSWERS AREYES, A FINAL CERTIFICATE OF OOCUPANCYMAYNOT BEJli51lEDAFl1!RJ\ILY 1, 1989 UNIJlSSTIIE APPLICANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TilE AIR POLLUTION CONTilOL DISllllCT.
9. WNSIRUCIION IENOING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this penmt ts issued (Sec 3097(1) dvU Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPIICAN I CEklll'ICAIION
I certUY that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I AL'iO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CfIY OF CARISBAD AGAINSf ALI. LIABILITIES, JUDGMENTS, CDSfS
AND EXPENSES WlilCH MAY IN ANY WAY A£DlUE AGAINST SAID CfIY IN CONSEQUENCE OF TIIE GRANTING OF THIS 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 Buildin
building or work authorized by su rmit i
such permit is suspended or aban at
APPLICANT'S SIGNATURE
PINK: Fmance
12/~i/95 INSPECTION HISTORY LISTING
FOR PERMIT# CB950807
DATE INSPECTION TYPE
06/21/95 Gas/Test/Repairs
06/21/95 Gas/Test/Repairs
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