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Home My WebLink About2625 KREMEYER CIR; 5 | 12; CB950182; Permit.. 02/01/95 14:23 Page 1 of 1 B U : L D I N G Job Address: 2625 KREMEYER ~R Permit ~ype: PLUMBING Pc1rcel No: 155-170-09 OIJ Valuation: o Construction Type: NEW P E R M I T Permit No: cg9c;,1:a2. P:roject No: A95ori244 Dee >pment No: Suite: 5 f ,,._, Lot#: uccupancy Group: Reference#: Status: ISSUED Applied: 02;01/9S Apr/Issue: 02/01/9~ Entered By: PD 619-729-4344 Description: GAS REPAIR ON UNITS 5 AND 12 Appl/Ownr : PENA,DONNA 2600 KREMEYER CIR CARLSBAD,CA.92008 Fees Required *" Fees: Adjustments: Total Fees: Fee description Fees collected & Credits Total Creal s: Total Pay.merit".: Balance Due : Units Fee/Ur1:t .00 . 0 t) 34,00 Ext fee Dat,, ------------------------~------------------------------------------------- Enter "Y for Plu bincr ssue Fee > 20.uo Y Gas Piping System > 2 7.01 14.00 * PLUMBING TOTAL 34,00 FINALf PPROVAL A INSP. ~l-ATE J-/'07 1~ CLEAR1NCE ;1(?:/2 \-&vw~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building D-rt...t 2075 Las PalES Dr., carlsbad, CA 92009 (619) 438·1161 I. PRAMi I IYPE From Llst I (see back) give code of Permit-Type: __ f.,__L..--'-V __ W\_.,__ ___ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROIECf INFORMATION FOR OFFICE USE ONLY CHECK BEIDW IF SOBMI 11 ED: O 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEi EXISTING USE PROPQSED USE DESCRIPTION OF WORK SQ. FT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN iACI P£RSON (tf duferenf from applicant) NAME (last name first) ADDRESS CITY STATE ex. &,DO ZIPCODE f~ NAME (last name first) .,_, llJ.i r..s:Jz<f&() tr $ /(/ CITY d. STA TE ZIP CODE ADDRESS If- • NAME (last name first) D011f/t_ sa,,.JA ~ l()l/t /e CITY (DCc_,4,\J,S't cf(_ STATE (_J{ ZIP CODE ADDRESS P,f;, lJ o,(° /(,.;? ~ DAY TELEPHONE 7.-ZC,Z •.Pf"tJ.J...... STATE IJC. # LlCENSE CIASS CITY BUSINESS IJC. # ~ 27 / ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. Woltk£kS' WMPENSAI10N Workers' Compensation Declaratton: I hereby afhrm that I have a ceruhcare of consent to seit-msure issued by the b1rector of lnduscnal 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 38001 Lab. C). INSURANCE COMPANY POLlCY NO. EXPIRATION DATE Certthcate of Exemption: I certify that m the performance of the work for which this permit ts issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0IIDkk 0£CtAltA:IIUN □ □ Owner-Builder DeciaraUon: I hereby afhrm that I am exempt from the ConfradoPs license Law for the followmg 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 Llcense 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.). 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 License Law). 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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLE'IE IBIS SECI10N FOR NON-RESIDENIIAL B0IWING PERMIIS 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? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control districc or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDJPANCY MAY NOT Bl!~ AFTER JULY 1, 1989 UNLF.SS THEAPPIJCANT HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POl1.IJ110N WNTII.OL DIS'I111CT. 9. WNS'IHUCIION Q:NDING AGENCY I hereby afhrm that there 1s a construcuon lendmg agency for the performance of the work for wfoch this permit ts lSSUed (Sec 3097(!) CIVl.i Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I C£RI MCAIION I certtfy that I have read the apphcat1on and scale that the a&ive mformat1on 1s correct. I agree to comply wtth all City ordmances 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 A1SO AGREE TO SAVE INDEMNIFY AND I<EEP HARMLESS THE CflY OF CARJSBAD AGAINST AIL LlABILlTIES, JUDGMENTS, CDSTS AND EXPENSES WIUCH MAY IN ANY WAY AaJUJE AGAINST SAID CflY IN WNSF.QUENCE OF THE GRANTING OF TIIIS 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 D 'TE ___ k_.,__ __ /~,-1~_5 __ w_ s CH:: ou w::r~ r ?;{ s P:: cr r o 11 ~ VI!' .,SPECTOR--:----"--++------ ? ERM IT # __ q_,_6=--_/--"'&:...::c_=-?L\llCK JOB ADDRESS ____ 2-...::&;c..:2.:::.=~__,/(J~(<,=G=-:.._M~ec...::")+G~V-__ c.____:_I ~'< ______ _ TIME >.RRIVE: _____ TIKE LEAVE: _____ _ CO LVL DESCRIPTION t-2.. fh-____:::G:::..L45~------ PJ:RJUTS 6/1!5/89 ACT C0!111El/TS AL ~ 6' $1·2- ., ,