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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