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Home My WebLink About245 ACACIA AVE; ; CB920233; PermitF 1 ~ ' BUILDING-PE-RMIT Permit No: CB920233 02/26/92 15: 52 Page 1 of 1 Develooment No: Project No: A9200580 Job Address: 245 ACACIA AV Permit Type: PLUMBING Parcel No: 204-240-08-00 Valuation: 0 Occupancy Group: Construction Type: NEW Description: GAS LINE REPAIR Class Code: Appl/Ownr : HEYWORTH, BETH Applied: 02/26/92 Status: ISSUED Apr/Issue: 02/26/92 619 431-9354 Validated By: DC CARLSBAD, CA *** Fees Required Fees : Adjustments: Total Fees: """"""_ **x Fee description Ext fee Data """""""""_ Enter "Y" for Plum Gas Piping System * PLUMBING TOTAL 1 0 . 0 I1 -"""""""_ 7.50 Y CITY OF CARWAD 2075 h pnlmas Dr., cprlsbad, CA 92009 (619) 438-1161 PERlvnT APPI.IcATlON A E A - U Commerclal U New Bulldlng U Tenant Improvement B -0 Industrial 0 New Building OTenant Improvement C -0 Residential 0 Apartment OCondo 0 Single Family Dwelling 0 Additio~VAlteratior OMeehanical DPool 0 Spa ORetaining Wall OSalar OOther 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical Wlumbing 2 PR~~TlON Address a Y5 f WLaLir, Bulld~ng or butte NO. FOR OFFICF. USE ONLY Nearest Cmss Street lot No. subdlns~on Name/Numkr Unit No. Phase No. 0 2 Energy Calcs 0 2 Structural Cala 0 2 Sails Report 0 1 Add& Envelope F,EillN USE PROPQSW) USE STATE LC\ ZIP CODE 9&00q DAY TELEPHONE y-z/ F 9 7,5y NAME 54mc A5 RfpI ILWC ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS WC. # CITY STATE ZIP CODE DAY TELEPHONE STATE WC. # m Workers' Compensatlon lkclararlon: 1 hereby alllrm that 1 have a certlllcate Ot consent to sell-lnsure lssued by the Dmctorot 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 CDMPANY mum NO. EXPIRATION DATE 0 I, as owner of the proper?. or my employees with wages as their sole cornpensarion, will do the work and the StrucNre is not intended or Owner-Butlder Declaratton: I hereby arhrm that 1 am exempt trom the contractor's hcense law tor the tollowmg reason: 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.). 0 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 toan owner of propeny who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law), 0 I am exempt under Section Business and Professions Code for this reason: any SUuCNre, prior to its issuance, also requires the applicant for such permit to tile a signed statement that he is licensed pursuant to the (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to mnsmct, alter, improve, demolish, or repair 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 [SSOO]). SIGNATURE DAIE CO": Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regisrration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IPANYOFTHEANSWERSAREYE$APINAl~~~IEOFOCCUPANCYMAY~~issun,-JULy1,1989~3HE~~ HAS Ml?T OR IS MJSIlNG THE REpUEEMDTE OF llE OFFICE OF EMERGENCY SERVI- AND 3HE AIR -ON CONlRol DMlU(T. 1 hereby all~rm that there IS a constructtan lending agency lor the pertormance 01 the worK lor WhlCh thls permlt IS ~ssued I& 3097111 Unl Me). 0 YES 0 NO 0 YES 0 NO DYES 0 NO LENDERS NAME LENDER'S ADDRESS relating to building construction. I hereby authorize representatives of the City of Carlsbad IO enter upon the abave mentioned property for inswtion 1 certlty Ihat 1 have read the applrcatlon and State that the above lntormatlon IS correct. 1 agree to comply wltn all Clty OrdmanCeE and Sale laws purposes. IAlsoAGRFETOSAVEINDF~ANDKEFPIvuuaFss3HEEOFCARISBADAGAIN~AU.~~JUDGMENTScosls AND EXPENSES WHIQI MAY m ANY WAY ACCRUE AGAINST SAID CITY m ~NSF.QUDICE OF THE GRANTING OF nus PERMIT. 06HA: An OSHA permit is required for excavarions over SO" deep and demolition or construction of struc~res aver 3 stories in height. APPLICANT'S CD LVL DESCRIPTION ACT CORRECTION NOTICE ADDRESS: 2 'si/ /4a+r. 1 'T BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT-GUNITE 0 APPROVED PLANS SHALL BE ON JOB SITE 0 FLOOR AND CEILING FRAME I 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PLICO. 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 UFER GROUND 0 G.F.I. 0 SMOKE DETECTOR MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 CONDITIONED AIR SYSTEMS 0 SOLAR 0 GRADING 0 POOL 0 PATIO 0 SIGN 0 OTHER TIME \-I / DATE .- .. INSPECTOR BUILDING INSPECTION DEPARTMENT CITY OF CARLSBAD PHONE. 4383550 Note: Flnel lnspectlon Required ~~ ~ ~