HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; CB911507; PermitBUILDING PERMIT11/05/91 12:26
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Job Address: 2605 CARLSBAD BL Str-
Permit Type: PLUMBING
Parcel No:
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code:
Description: GAS LINE REPAIR/TEST LINE
Permit No: CB911507
Project No: A9101907
Development No:
Appl/Ownr : ARMY & NAVY ACADEMY
2605 CARLSBAD BLVD
CARLSBAD, CA 92008
619
Status'
Applied: 11/05/91
Apr/Issue: 11/05/91
Validated By: SBB
729-4914
***Fees Required ******Fees Collected & Credits ***
Fees: 10.00
Adjustments: ,00
Total Fees: 10.00
Fee description
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
10.00
Ext fee Data
Enter "Y" for Plumbing Issue Fee
Gas Piping System
* PLUMBING TOTAL 2.50
7.50 Y
2.50
10*00
FINAL APPROVAL
DATE
CLEA
PERMIT APPLICATION
Cltr of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (sis) 438-nei
1. PERMIT TYPE
A - n COMMERCIAL D"EWQTENANT IMPROVEMENT
B - n INDUSTRIAL D«EW QTENANT IMPROVEMENT
C - PRESIDENTIAL Q APARTMENT QCONDO QSINGLE FAMILY DUELLING Q ADDI T ION/ALTERATION
DDUPLEX QDEMOLITION OELOCATION QMOBILE HOME QELECTRICAL [^PLUMBING
QMECHANICAL QPOOL DSPA PRETAINING WALL QSOLAR QOTHEH.
2.PROJECT INFORMATION PLAN CHECK No.FOR OFFICE USF ONLY \c&- i-i i
t~
J
EST. VAL
PLAN CK DEPOSIT
VALID.
DATE
Address
Army & Navy Academy
LEGAL DESCRIPTION Subdivision Name/Number
CHECK BELOU If SWW1TTED:
D2 Energy Calcs Q2 Structural Calcs Qg Soils Report~Addressed Enveope —\ /} / I
-"*>/ ^
ASSESSOR'S PARCEL
DESCRIPTION Oh UURK
Test on Gas line
EXISTING USE
}/*-
BLDG. SO. FTG.# OF STORIES
3. CONTACT PERSON
NAME Bill in maintenance
CITY
SIGNATURE
STATE ZIP CODE
2605 Carlsbad Blvd.
DAY TELEPHONE
4. APPLICANT [^CONTRACTOR D AGENT FOR CONTRACTORNAME ARTHUR A. BROWN PLMBG. CO. ADDRESS
CITY STATE
QOUNER QAGENT FOB OWNER
2697 State St., Carlsbad, Calif.
ZIP COPE DAY TELEPHONE 729-4914
5. PROPERTY OWNER
MAMEARMY & NAVY ACADEMY
CITY Carlsbad
ADDRESS
ZIP CODE q?nnR
DLESSEE PTENANT
Blvd.
DAY TELEPHONE 7?Q-?^RS Ryf. . ?4 ?
6. CONTRACTORNAME ARTHUR A. BROWN PLMBG. CO.«">RESS SAME AS ABOVE
ZIP CODE DAY TELEPHONE
STATE LIC.LICENSE CLASS C-JU cm BUSINESS L1C. #.
7.
SIGNATURE L-t {, ,
DESIGNER NAME
CITY
WORKERS '
*£r ,-/ . • \y\ <&'*^^—' (/
COMPENSATION
TITLE cfeMf \mADDRESS ft (
STATE ZIP CODE
/I/l/f DATE ///ff - /
DAY TELEPHONE
vr/tl f
STATE LIC. tt
Uorkers' Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an actnitted 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 of Exemption: 1 certify thai in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following 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 ard 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.).
PI 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).
[~] [ 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 7051.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred dollars C$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENT I AL BUILDING PERMITS 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?
QYES QNO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES DNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
IF AMY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCOJPWICY KAY t(OT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS HEET1HC THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AMD THE AIR POLLUTION CONTROL DISTRICT. _
9. CONSTRUCTION LENDING AGENCY _
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that 1 have read the application and state that the above information is correct. 1 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 CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH KAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 180 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 comenced for a period of 180 days (Section 30i(d) Uniform Building Code).
Q OWNER QCONTRACTOR APPROVED BY:
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB911507 FOR 11/06/91
DESCRIPTION: GAS LINE REPAIR/TEST LINE
TYPE: PLUM
JOB ADDRESS: 2605 CARLSBAD BL
APPLICANT: ARMY & NAVY ACADEMY
CONTRACTOR:
OWNER:
REMARKS: RS/729-4914/ EARLY A.M.
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
23 PL Gas/Test/Repairs
PHONE
PHONE
PHONE:
INSPECTOR AREA PY
PLANCK* CB911507
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 729-4914
INSPECTOR
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS