HomeMy WebLinkAbout2606 EL CAMINO REAL; B; CB951186; Permit•' BUILDING P E R M I T Permit No: CB951186
Project No: A9500914
Development No: 08/30/95 15:41
Page 1 of 1
Job Address: 2606 EL CAMINO REAL
Permit Type: PLUMBING
Parcel No:
Valuation: 0
Construction Type: VN
Suite: B 34.:'.8 06 • .iO .. '5 YYC ... v... 02
C-PRMT 7-00 Lot#:
Occupancy Group: Reference#: Status:
Applied:
ISSUED
08/30/95
08/30/95
RMA
Description: INSPECT AND/OR REPAIR GAS LINE
: ADD GAS TO ORIGINAL PLUMB PERMIT-GOLD SP Apr/Issue:
Appl/Ownr : KNEISLEY COCITA CONSTRUCTION
540 S PACIFIC ST STE 102
SAN MARCOS, CA 90621
Entered By:
619-591-4744
*** Fees Required *** *** A Fees Collected & Credits *** --------------------------------------------
Fees :
Adjustments:
Total Fees:
7.00
.00
7.00
Total Credi ts: . oo
Total Payments : .00
Balance Due: 7.00
---~==-~==~~~~:~~~----------~ --------~~~==---~==~~~~:----~~~-:==--~~=~ Gas Piping System
* PLUMBING TOTAL
CITY OF CARLSBAD
7.00 7 .00
7.00
-. n L I \,..,
INSP.'23~~ ~. TE _:f-.:z-:L-
CLEARANCE Cf-I-p < AM.J
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. • City of Carlsbad Building Department
2075 Las Palms Dr •• carlsbad, CA 92009 (619) 438-1161 FST.VAI.,__ __________ _
1. PERMIT TYPE
From List 1 (see back) give code of Permit-Type:-------------
PLAN CK D·-,,,,--·;·---------
VAUD. BY-4"""''-'--~+,,--,----
DATE'--------H-l--4-off-1'-'1,-....,4-----....;;;;:=
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: _____________________ _
Net Loss/Gain of Dwelling Units------------------
2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY
Address JJ);j{p 2-L MIi\ ( t.,10 Jl~~~[or Suite No"_/3
Nearest Cross Street l'\Uf
CECAL DESCRIPTION Lot No. Subd1VJs1on Name/Number Omt No. Phase No.
CHECK BE11JW IF SOBMII IEb:
D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE
(7 pf S. (, f ,i.:>(£, /Zo-FG
# OF BEDROOMS
DEScruPTI..!f):ll.//:J'r; €> e I A.P~fA.u,~
SQ.Ff. #OFSTOR1ES # OF BA TIIROOMS
3. WN IACI PEtsON (if dllferent from applicant)
NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCAN I D CON I RAGIUR LI AG£N I FOR WN I RACIOR
ADDRESS
DOWNER OACENI FOR OWNER
NAME (last name first)
CI1Y STATE ZIP CODE DAY TELEPHONE s. PRdPER1Y OWNER
NAME (last name first) ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
6. OON'l1tAC108
ADDRESS ~~ S ?,1-e:.,A'=JC t f .5~ /ZJ ~
DAY TELEPHONE SC/ t -L.I 7 e; 4 NAME (last ~ "57£.(-<:UJ../ \. CO~ l m t"o A..if
CI1Y -. ( STATE ZIP CODE
N H STATE UC. UCENSE ClASS .6 CI1Y BUSINESS UC. #
ast name 1rst
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORKERS OOMPENSATION
workers' Compensation Ueclarauon: I hereby all1rm that I have a ceruftcare of consent to sell-insure issued by the Dtrector of lndusrnal
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).
EXPIRATION DATE
ere ya 1rm a am exemp e n ac o s cense e o owing 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 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.).
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 Llcense 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 Llcense 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 Llcense 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)).
SIGNATIJRE DATE
COMPLETE rnls SECTION FOR NON-RESIDENTIAL 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?
DYES ONO
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERllFICATE OF cxx:uPANCY MAY NOT BE~ AFfER JULY 1, 1989 UNLES.5 nm APPUCANT
HAS MET OR IS MEIITING nm R.F.Qum.EMENTS OF nm omCE OF EMERGENCY SERVICES AND nm AIR POILUTION CDNTilOL DISI1UCT.
9. OONS11tOCl10N I.ENDING AGENCY
I hereby affirm that there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) C1VJI Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CERl1FICXl10N
I certify that I have read the apphcauon and state that the above mformat1on ts 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 AI.50 AGREE ID SAVE INDEMNIFY AND KEEP HARMLFSS 1llE 01Y OF CARISBAD AGAINST AIL UABIUI1FS, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY 1N ANY WAY ACX:RUE AGAINST SAID 01Y 1N OONSF.QUENCE OF nm GRANTING OF nos PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
PINK: Finance
... . .
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TIMI AUIV'l: ____ TIMI t.&AW: ____ _
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