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Home My WebLink About2604 COLIBRI LN; ; CB930100; PermitSuite :" BUILDING PERM01/25/93 15 42 Page 1 of 1 Job Address 2604 COLIBRI LN Permit Type PLUMBING Parcel No 215-*5J4-r><, .v)o Lot# Valuation •.-, Construction Type NEW Occupancy Group Reference* Description GAS REPAIR Appl/Ownr BROWN, ARTHUR PLUMBING 2697 STATE STREET CARLSBAD, CA 9200 *** Fees Required 6ly 729-4914 Permit No CB930100 Pi eject No A930U113 Development No 0947 01/25/93 OOOi 01 02 C-PRMT 27.00 Status JbSL-Ej Applied 01/2S •-<-;., Apr/Issue 01/25/-J3 Entered By DC Fees Adjustments Total Fees Fee description Enter "Y" for PI Gas Piping System * PLUMBING TOTAL ected & Credits * A * 00 00 27 00 Ext fee Data 20 00 Y 7 00 27 00 FINAL APPROVAL IMSP ^Z IMF CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Pains Dr., Carlsbad. CA 92009 (619) 438-1161 1 PEKMTl A - LI Commercial U New Building U Tenant Improvement B - O Industrial D New Building D Tenant Improvement C O Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing D Mechanical DPool D Spa D Retaining Wall D Solar D Other 2. PROJECT INFORMATION PLAN CHECK NO. EST VAL PLAN CK DEPOSIT. VALID BY _ DATE _ FOR OFFICE USE ONLY Address Nearest Cross Street Co Lot No or ouue wu Subdivision Name/Number Unit No Phase No CHECK BKLUW IF SUHMTITH) D2 Energy Gales D2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESfiOB*S PAPfBf EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT # OF STORIES (JLHMIAL.1 NAME CITY eni rrom appucanu ^STATE ADDRESS ZIP CODE DAY TELEPHONE y^/y 4 APPLICANT NAME CITY LJCUN1KAU1UH U ACiEN 1 tUK CUNIKAdUK ADDRESS LJUWNKK LJ AUEN 1 fUK OWNER STATE ZIP CODE DAY TELEPHONE 5 PHDPEK1T NAME CITY STATE UC CITY BUSINESS LIC # TDESIUNEK NAME CITY STATE ZIP CODE DAY TELEPHONE STATE LIC # 7 WOKKlvK2f COMPENSATION Workers Compensation Declaration I hereby attitm mat i nave a ceruncate ot consent to self-insure issued by the Director of Industrial 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 Certificate ot Exemption i certiiy that in the performance 01 me wonc tor wmcn mis permit is issued, i snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE 8 UWNEK-BUILUKK UfgCLAKATKJN Owner-Builder Declaration I hereby aftirm that I am exempt rrom the contractors 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 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 bis 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 ) D 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) D 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 the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE rs SECitQf fu NUN-RESIDENTIAL BUILDNG PERM11T> ONLY 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?a YES a NO IF ANY OP THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE BSUED AFTER JULY 1, 1989 UNI4K THE APPIJCain1 HAS »^ OR IS I^ETjMGTlft REQUIREMENTS OTTrffiOlTKIOT EMERGENCY SERVKZSAN^ 9 CONST I nereoy aninn war tnere is a construction lending agency tor tne penormance ot the wonc tor which this permit is issued isec 3Oy/OJ Civil code) IXNDEffSNAMELENDER'S ADDRESS i certify mat i nave read me application and state tnat tne aoove information is correct i agree to comply with all 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE OTY OF QSRHBAD AGATNST ALL LIABILnTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) APPLIi IIGNATURE DATE YELLOW Applicant PINK. Finance DATE PERMIT # JOB ADDRESS UNSCHEDULED INSPECTION INSPECTOR PLANCK TIME ARRIVE:TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS