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HomeMy WebLinkAbout2605 CARLSBAD BLVD; ; CB911507; PermitBUILDING PERMIT11/05/91 12:26 Page 1 of i 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