HomeMy WebLinkAbout2625 KREMEYER CIR; 6; CB900025; PermitB U I L D I N G P E R M I T Permit No: CB90002 5
Project No: A90 00024
Development No:
01/09/90 15:44
Page 1 of 1
Job Address: 2625 KREMEYER CR
Permit Type: PLUMBING
~{p Str: Fl: Ste:
01/ v. .1vl 01 02
~ #-jL/ J 3-I Parcel No: 155-170-09-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code: Status: ISSUED
Description: GAS REPAIR
CONTRACTOR BROWN, ARTHER PLUMBING
2697 STATE ST
CARLSBAD CA 92008
*** Fees Required *** 1'**
Fees: 10.00
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
Applied 01/09/90
Apr/Issue 01/09/90
Validated By: JPY
Lie, C 248290
Fees Collected & Credits ***
Total Credits:
Total Payments:
.00
.00
10.00
.,. '
Balance Due:
Units Fee/Unit
1.00 2.50
--r,.u•"••• .. ..... -..
Ext fee Data
7 .50 Y
2.50
10.00
,.M~ PROVAl
~....,_-DATE---•
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
·-·------PERMIT APPLICATION 11\ V
City of Carlsbad Building Department EST. VAL. ______ T'_~-----2075 Las Palmas Dr., Carlsbad, CA 92009 1619) 438-1161
PLAN CK 0EPOSJT, __ -l,f--1.-/,_r:J..-l-;~----
1. •
' C
2.
PERMIT TYPE 0 COMMERCIAL
0 INDUSTRIAL
□RESIDENTIAL □APARTMENT
□DUPLEX ODEM0L!TJ0N
0 MECHAN J CAL O POOL
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
QC0ND0 □SINGLE FAMILY DWELLING OADDITl~ALTERATI0N
OREL0CATI~ □MOBILE HOME □ELECTRICAL i0'"PLUMBING
OSPA □RETAINING WALL □SOLAR □OTHER
PROJE T INFORMATION PLAN CHECK No.
Nearest Cross Streets
VALID. ev_,.~F-~t----1/'--;.,,,,_ __ o:..: ___ _
DA.TE ---1~-------------
F
LEGAL DESCRIPTION Lot No. Sutx:livision Name/Nunber Unit No. Phase No.
CHECS: BELOW IF SUBMITTED:
3.
4.
5.
Q2 Energy Cates 02 Structural Cales
BLOG. S0. FTG.
CONTACT PERSON
NAME "J"'A,-.l L-e"'-115
CITY C,4-IU.81!,40
SIGNATURE
APPLICANT
NAME ~t.,I!,~
CITY C<wtl..AM:P PROPERTY OWNER
NAME
CITY
02 Soils Reeort 0 1 Addressed Envelope
EICISTING USE
# OF STORIES
STATE (4-ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE C+: ZIP CODE ~
OWNER
STATE
ADDRESS
ZIP CODE
PROPOSED USE
DAY TELEPIIONE
0 AGENT FOR OWNER
DAY TELEPHONE
□LESSEE □TENANT
DAY TELEPHONE
6. CONTRACTOR U>t:t7 s~s,
7.
8.
NAME ~E~
CITY CJ.!-12.,L-$BA,-p
ADDRESS
STATE CA--ZIP CODE 'iz..ooe., DAY TELEPHONE
SIGNATURE
DESIGNER NAME
CITY
STATE LJC •• Meil.5lo
STATE
LICENSE CLASS
TITLE~c...t;__
ADDRESS
ZIP CODE
C!TY BUSINESS LIC. #
'i
DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
workers' Corrpensation Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations,
or a certificate of Workers• Coq:,ensation Insurance by an adnitted insurer, or an e)(act 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 hemption: I certify that in the performance of the work for which this permit is issued, I shall not elll)loy any person in any manner
so as to become subject to the Workers' Corrpensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: ! hereby affirm that I am exempt from the Contractor's License Law for the folloi.'ing reason:
0 I as owner of the property or my errployees with i.'ages as their sole compensation, i.'ill 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 oi.ner of property i.'hO builds or in-proves thereon,, and who
does such i.ork himself or through his olo'n employees, provided that such improvements are not intended or offered for sale. If, however, the building
or in-provement is sold lo'ithin one year of c~letion, the owner-builder will have the burden of proving that he did not build or in-prove for the purpose
of sale.).
0 I, as owner of the property, am exclusively contracting i.ith licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Lalo' does not apply to an owner of property i.ho builds or improves thereon, and contracts for such projects i.ith contractor(s)
licensed pursuant to the Contractor's License la.i).
0 I am exerrpt 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 Lai. (Chapter 9, C(l(mlencing lo'ith Section 7000 of Division 3 of the Business and Professions Code) or that he is e)(errpt 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 do l l ars [$5001 ) .
SIGNATURE 0ATE
COMPLETE THIS SECTION FDR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sub'nit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 255D5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Oves
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'
□YES 0NO
Is the facility to be constructed lo'ithin 1,000 feet of the outer boundary of a school site'
Ores 0,0
IF MIT Of THE AJISWERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POt.LUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30Q7(i) Civil Code).
LENDER'S NAME LENDER'S ADO RESS
10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply i.ith all City ordinances and State lai.s relating
to building construction. l hereby authorize representatives of the City of Carlsbad to enter upon the .ibove mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEIINIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jl.l)GMENTS, COSTS AND EXPENSES WHICH NAY 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
or i.ork authorized by such permit is not C(l(mlenced within 180 days from the date of such permit or if the building or i.ork authorized by such permit
or abandoned at any time after the i.ork is COlllllenced for a period of 180 days (Section 303(d} Uniform Building Code). □ OONER ¥a NTRACTOR D BY PHONE
YELLOW: Applicant PINK: Finance
APPROVED 8'f
DATE:
the building
is suspended
PERMIT# CB900025
DESCRIPTION: GAS REPAIR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/28/90
TYPE: PLUM
JOB ADDRESS: 2625 KREMEYER CR
APPLICANT: BROWN, ARTHUR PLUMBING
CONTRACTOR: BROWN, ARTHER PLUMBING
OWNER:
PHONE:
PHONE:
PHONE:
STR:
729-4914
INSPECTOR AREA PD
PLANCK# CB900025
OCC GRP
CONSTR. TYPE NEW
FL: STE:
REMARKS: TJ/MH/729-4914
SPECIAL INSTRUCT:
INSPECTOR ___________ _
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
23 PL Gas/Test/Repairs
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS