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Home My WebLink About2605 CARLSBAD BLVD; ; CB970895; PermitPermit No: CB970895 Project No: A9701167 Development No: 4220 3V17/97 0001 01 02 * BUILDINGPERMIT 04/17/97 08:23 Page 1 of 1 'Job Address: 2605 CARLSBAD BL Suite: Permit Type: PLUMBING Parcel No: Lot#: Valuation: 0 Construction Typgt-PRiWEW 27-00 Occupancy Group: Referenced: Status: ISSUED Description: GAS LINE REPAIR-ARMY/NAVY ACAD Applied: 04/17/97 : Apr/Issue: 04/17/97 Entered By: RMA 760 941-9171Appl/Ownr : ERIK'S PLUMBING 1725 CAMEO VISTA CA 92083 * * * Fees Required * **ollected & Credits Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plumbi Gas Piping System * PLUMBING TOTAL 27. *** . 00 , 00 27.0 0 Ext fee Data 20.00 Y 7 . 00 27.00 CITY OF CARLSBAD 2075 Us Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION j>*-CITY OF CARLSBAD BUILDING WPARTMlNt 2075 Las Palmas Dr., Carlsbad CA 92009 (619)438-1161 FOR OFFICE USE PLAN CHECK NO. EST. VAL. _____ Plan Ck. Deposit Validated By ¥ AddfewOndudaBldg/Sulta,*)Business Name tst thto sddrees) Lsgsl Description Lot No.Subavisktn Name/Number Unit No.PIMM NO.Totet * of units Assessor's Parcel *ExfningUM PrepoMdUw Description of Work 9 DTBsjdfoonts V of Bsuuooins Name Address Ctty Steteffip Telephone*Fix* Name Address Otv Stats/Zip.Telephone* N«TM Address Oty Stats/Zip Tatophone* (S«c. 7031.6 Businsss SIM! Professions Code: Aiiy City or County which requires • permit to construct, attar. Improve, demolish or repair any structure, prior to to issuance, also requires the sppHeant for «uoh permit to fB» a signed statement that ha to licensed pursuant n tho provtoions of trw Contractor's Uconw Uw [Chaptw 9, commanding wWi Soetion 7000 of DMaton 3 of tha Bustnou and ProfaMtora Coda! or that ho )• mMnpt tharofrom, and ttw bast* for tha sflagod axamption. Any vtolitton of Section 7031.5 by any applicant for a permit subjacts tha applicant to a dvH panarry of not men than fiva hundrad doHara 1*6001). Nama Stats Uaanaa 9 Addraas UcsflsaCtaa* City StatWZip CKy BuaJnaaa Uoanaa * TataphoMf DasionarNarM St»|a Lioanw * Addrass City Tataphona i Oadaratton: t harobyaMrffl undar panatty of parjury ona of tha foHowtng daotaratibns:Workers' Compon Q t haya and wW maintain a oarUfieata *f eenaant to oatlMnaura for workers' uOmnanaaUmi at prowW*d by Saction 3700 of tha Labor Coda, for tha part ormanea Of ttw work for which thta parmtt is iaauad. Q I hav* and wW maintain, workara' oompansation. as faojuirad by Saetion 3700 of tha Labor Coda, for tha pafformanoa of tha work for which «Na parmH is issuad. My workor's compensation inauranca csrrisr and poftey number are: Insurance Company _ '.__.:---- -.''"' _ Woy No.___ _ Expiration m«S SECT10M HBD NOT K (XMMPIE^ B*"OTrr«CATE OF DOMFTION: I certify that in the pert ormanea of tha 'work for which this permit to Issuad, I shaH not employ any person In any menner so sa to become subject to the Workers' Compensation Laws of Caftfomla. WfAftfNNQ: FaMurs to secwe*wwiiara' oonpensaoon cevsnga Is unlawful! and aheR eubjeet an esnplsyer to oisMlnsJ penaMea and oMI Unas up to one hondnd thoi«Mnd dosan (tlO^rxwi^aolcniMitt tto eo^ SMMATURg *7 SlTJn ^^^I^Lf^L^ _ DATE l*^I hsraby affirm that I am exempt from tha Contractor's License Law for the following reason: Q t, ss owner of tha property or my employees with wages as their sola compensstton, w« do the work and the structure to not intended or offered for sale (Sac. 7044, Business snd Professions Code: The Contractor's License Law toes not apply to an owner of property who buUs or Improves thereon, end who doss such work himself or through his own employees, provided that such improvements era not intended or offered for ssta. rf, however, the bufhttng or irnprovemsnt ie •old within ona year of completion, the ownor*buNdor wsl have the burden of proving that he did not buHd or improve for the purpose of sole), Q I, as owner of tha property, am exclusively contracting wtth Koensed contractors to construct tha project (Bee. 7044, Business end Professions Coda; The Contractor's License Law does not apply to sn owner of property who buBds or Improves thereon, and contracts for ouch projects with eontraeterM Moinaid pursuant to tha Contractor's License Law). Q t am exempt under Section Business and Professions Cods for this reason: 1. I personally plan to provide the major labor snd massfWs for cotwtnjetbn of trie piopo*^ preparty Nnprovstnsnt. Q YES QNO 2. I (have / have not) «pned an appticstion for a buSoTng permit for the proposetf work. 3. I have contracted with the following parson (firm) to provide the proposed construction dnduds name / address / phone number / contractors fcosnse Humbert: 4. I plan to provide portions of the work, but t have Mrad the following parson to Coordinate, supervise snd provide tha major work (include name f address / phone number/contractorsHcenssnumbsr): .._...., • 6. i will provide some of the work, but I hsve contracted (hired) the following persons to provide tha work indicated (include nema / address / phone number / type of work): . : ' PROPERTY OWNER SIGNATURE DATE to the applicant or future building occupant required u submit a buwness pton, acutely hazardous materials registration form or risk management and prevention program under Sections 28SOS, 26633 or 25634 of the Presley Tanner Haiardous Substance Account ActT Q YES O NO to the afipHcam or futura building OMBIM Q YES O NO to the faetttyto be constructed wtthki 1,000 root of the outer boundary of a school aha? D YES Q NO V ANY OF THE AHSWBU ARC YH, A HMAL CfJO>K*T* OF OCCUPANCY MAY NOT BE 1 I hereby affirm that there is s construction tending agency for the performance of the work for which Ms permit to tosusd CSec. 3O97ff CMI Code). LENDER'S NAME LENDER'S ADDRESS I certify that (have read the appfieation and state that «a abow fnfomujtieti to correct and ihet tiia triform I agree to comply wtth all City ordinances end Stste tows rotating to butWno construction. I hsraby suthorfeu representatives of die City of Csrtobad to enter upon trie above mentioned property for inspection purposes. I ALSO AOREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF TTflnlMnJP AOAMST ALL UAEIUTIES, JUOOMENTS, COSTS AND EXPENSES WMCH MAY IN ANY WAY ACCRltt AuJUWT SA» CTTY IN MWEQUW* OF THE OR^ OSHAi An O8HA permit to required for excavations over *'0* deep end onnoWon or cc<Wnjetien M structuras ever 3 stones in height. EXPIRATION: Every permit tosusd by the BuHdaig Official under the provisions of this Code shall expire by limitation and become nuH and void If the buMing or work authorized by such permit to not commenced within 366 dir^ from the o%t» of such permh or If the baNdh« or abandoned at any time after the work to commsfWfjLfor a period of 180 days (Section 108.4.4 Uniform BuMng Code). APPLICANTS SIGNATURE f*Z>^J«C- SZ**~f-£-*-*^ \ ' pATE _ WHrffc FHn YELLOW: AjipHcant PWK: Finance UNSCHEDULED BUILDING INSPECTION DATE *f/n/f? INSPECTOR /{[ PERMIT # 7 /- Y75 PLAN CHECKS JOB ADDRESS DESCRIPTION TIME ARRIVE: TIME CODE DESCRIPTION ACT COMMENTS