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Home My WebLink About2445 OCEAN ST; ; CB901697; Permit., B U I L D I N G P E R M I T Permit Project Development No: CB901697 No: A9001931 No: 10/22/90 14:46 Page 1 of 1 Job Address: 2445 OCEAN ST Pernit Type: PLUMBING Parcel No: 203-021-01-00 Valuation: O Construction Type : NEW Occupancy Group : Description : REPLACE GAS LINE Appl/Ownr : A & R SERVICE CO 1561 S . MISSION CORONA DEL MAR, CA OWNER CONTRACTOR FORD , JOHN A & R SERVICE CO. 2579 STATE ST CARLSBAD, CA 92008 *** Fees Required **" Fees: Adjustments : Total Fees: Fee description Enter "Y" for Plumbing Gas Piping System * PLUMBING TOTAL Str: Fl: Ste : Class Code: 9262-S CITY OF CARLSBAD 8921 0/2 /9() cl< 300 '?- Status: Applied: Apr/Issue: Validated By: 619-729-1178 IssuED 10/22/9 0 10/22/90 KZH OWNER C 284031 Paymen s: Due: ee/Uni 2.50 619-729-1178 .00 .00 10.00 *** Ext fee Data 7.50 Y 2.50 10.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL ______________ _ PLAN CK DEPOSIT ____________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A O COMMERCIAL TENANT IMPROVEMHH 0 TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DIJELLING 0 INDUSTRIAL □NEW " )(.RES! DENT I Al O APARTMENT □DUPLEX QDEM0l!T!ON □RELOCATION OM08ILE HOME □ELECTRICAL QADDI TION/AL TE RAT ION t,,!PLUMBJNG • QMECHAN!CAL QPOOL QSPA QRETAINING WALL QSOLAR 2. PROJECT INFORMATION PLAN CHECK No. Address ;;;i '-f y 5 o e,,e~ .s T Nearest Cross Streets C-8 A:t? B {M, LE~L DESCRIPTION Lot No. Subdlvis,on Name/Ni.Slber Unit No. Phase No. Structural Cales 1 Addressed Envelo Ori 01 oo EXISTING USE PROPOSED USE ~ L--L BLDG. sa. FTG. # OF STORIES I ;;?--ov1lv71 3. '.t'!!13Kie-ADDRESS ). 7,? I C..4rl-l.5 I) '10 STATE c:./.l-ZIP COOE q J.O() g DAY TELEPHONE SIGNATURE 4. APPLICANT ~ON TRACTOR 0 AGENT FOR CONTRACTOR ADDRESS □AGENT FOR 0\./NER NAME Cl 1Y STATE ZIP COOE DAY TELEPHONE 5. PROPERTY OWNER -I) NAME JC>t-lrV "Fo-(l ~ AODRESS ,,, "'fi Bu /l.orv 6. 7. CITY L l'VJAfL-STATE ZIP COOE A-'1-(L 5 en.-v I LE:;, LO, ADDRESS CITY frU,\.1:,/l.,ro/,{.., ST A TE C-:,i'\--ZIP COOE SIGNATURE T!TLE > ADDRESS DESIGNER NAME CITY STATE ZIP CODE WORKERS' COMPENSATION er br DAV TELEPHONE 15(,;,t So n,, I .5 5 I 0,,--V ~ ,-0 ').. ,g DAY TEIEPHO,E 7,;.. 'o/ · / t 7 &' CITY BUSHIESS # / 'fOO DATE 0 DAY TELEPHONE STATE LIC. # l,lorkers• COfll)ensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of industrial Relations, or a certificate of 'workers' Compensation Insurance by an aaTiitted 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.le, EXPIRATION OATE Certificate of E11emption: I certify the performance of the work for which is issued, I shall not efll)loy any person in any manner so as to become subject to the 'workers' Compensation Laws of California. SIGNATURE <Sirl(JOO ~\:-bbC DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e11empt from the Contractor's License Law for the folloi.ing reason: 0 I as oi.ner of the property or my employees i.ith i.ages as their sole compensation, i.ill do the i.ork and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lai. does not apply to an oi.ner of property i.ho builds or improves thereon., and who does such .,_ork himself or through his own employees, provided that such improYernents are not intended or offered for sate. If, however, the building or improvement is sold within one year of c~letion, the oomer·bui\der will have the burden of pro1,1ing that he did not build or improve for the purpose otsale.). 0 I, as oi.ner of the property, am e11clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions code: The Contractor's License Law does not apply to an oi.ner of property who builds or improves thereon, and contracts for such projects i.ith contractor(s) licensed pursuant to the Contractor's License Law). 0 I am e11errpt under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County i.hich 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, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e11errpt therefrom, and the basis for the alleged e11emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hurdred dollars ($500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occL.p3nt 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? QYES ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO ts the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCaJPANCY MAY MOT BE ISSLED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROl DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the i.ork for i.hich this permit is issued (Sec 3097(i) Civil Code). LENOER 'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE 1 certify that I have read the application and state that the above 1nformat1on is correct. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JtllC1'ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. or abandoned at any t 1 me APPLICANT'S SIGNATURE uitding Official under the provisions of this Code shall expire by limitation and become null and Yoid ff ed within 180 days from the date of such permit or if the buildir.' or i.ork authorized by such permit need !or a period of 180 days (Section 303(d) Uniform Building Code). the bui \ding is suspended 0 Q\.INER ~NT RAC TOR □ BY PHONE APPROVED BY; ______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB901697 DESCRIPTION: REPLACE GAS LINE TYPE: PLUM JOB ADDRESS: 2445 OCEAN ST APPLICANT: A & R SERVICE CO CONTRACTOR: A & R SERVICE CO. OWNER: FORD, JOHN REMARKS: T2/MH/729-1178 SPECIAL INSTRUCT: TOTAL TIME: CITY OF CARLSBAD INSPECTION REQUEST FOR 10/24/90 PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB901697 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619-729-1178 619-729-1178 CD 23 LVL DESCRIPTION PL Gas/Test/Repairs 1R._OMMENTS -------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS