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Home My WebLink About2627 KREMEYER CIR; ; CB910176; PermitB U ! L D I N G P E R M I T Permit Project Development No: C'R~lUl/f> No: A910022: 02/06/91 13: 5,. 1-• 'l:1 Page l of • :;J,IJ,y Job Address: ~ ~< ~~Y~R CR Permit Type: . 1B1NG Parcel No: 1~·-110-:3-~U Valuation: o Construction Type: NEW Occupancy <..roup: Description: GAS LINE REPAIR Class Code: Appl/Ownr : ARTHUR BROWN PLUMBING 2697 STATE ST CARLSBAD, CA 92008 CONTRACTOR ARTHUR BROWN PLL BING 2697 STATE S'.C CARLSBAD, CA l40rr8 OWNER WARSHAWER, LL *** Fees Required *** -------- Fees: Adjustments: Total Fees: Fee description ------------------------------~ Enter "Y'' for Plumb nr.-lss e Fee > Gas Piping System ~ * PLUMBING TOTAL No: Str: Fl: Ste: n7r:ry 02/06/91 000~ :atus: Applied: Apr/Issue: Validated By: 619-729-1737 ISSUED 02/0b/9 02/06/91 KZI-J C 248290 619-729-4914 Credits *** .00 ,00 10.00 Ext fee Data 7,50 Y 2.50 10.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 11\ • City of Carlsbad Buil'l:ling,l)epartment EST. VAL~--------------2075 Las Pal mas Dr., Carl shad, CA 92009 (619) 438·1161 1. A ' PERMIT TYPE COMMERCIAL 0 INDUSTRIAL TENANT IMPROVEMENT □TENANT IMPROVEMENT PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ DATE _______________ _ C □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION OouPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL ~PLUMBING □MECHANICAL □POOL □SPA QRETAINING WALL □SOLAR PLAN CHECK No. (!,a_c/e. BuHding~~ /4 Subch ?J. ion Name/Nuit>er Un1t CHECK BELCII If SUBMITTED: (d t}l2J5c'${2 3. Q2 Energy Cales 02 Structural Cales D 2 Soi ls Report 01 Addressed Envelope BLDG. S0. FTG. CONTACT PERSON NAME /9-;-f/c1.,1e_., /)_ CITY C,,h-12-L ~&AJi> SIGNATURE EXISTING USE # OF STORIES 6120 /A.),-,/ Ph!!?. ADDRESS STATE t,.ff.-ZIP COOE PROPOSED USE S--:r~--.W. DAY TELEPHONE 7~9-'7911/ 4. APPLICANT CONTRACTOR 0 AGENT FOR CONTRACTOR QOWNER 0 AGENT FOR OlolNER 7. 8. NAME lt-rf/V?..-)9, 81<..tJ().),c/ f) lkr, ~ ' ADDRESS CITY STATE ZIP CODE DAY TELEPHONE OWNER ~ESSEE QTENANT ADDRESS /.f,3 7 //JP <I 'P 17JPJL )" s:/. t!I}.. ZIP CODE STATE DAY TELEPHONE CITY Phis J>_ ADDRESS STATE ~ZIP COOE ..;?._ 1t:, 17 9 ,/;),:J)(! y-· ~- DAY TELEPHONE STATE LIC. # cP i;g,~ LICENSE CLASS C!, 2 ~ CITY BUSINESS LIC. # SIGNATURE DESIGNER NAME Cl TY CUv A. • £~ STATE WORKERS' COMPENSATION TITLE O t.f?r-/1/41/R_. ADDRESS I l,;;.I DATE ZIP COOE OAY TELEPHotlE 1/9) J/ STATE LIC. # Workers' Compensation 0eclarat1on: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of lolorkers' Compensation Insurance by an act.ii t ted insurer, or an e11act copy or dupl i cate thereof certified by the 0i rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of E11errption: I certify that in the performarice of the work for which this permit is issued, I shall not errploy any person in any manner so as to become subject to the lolorkers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my eirployees 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 eq>loyees, provided that such improvements are not intended or offered for sale. If, however, the building or irrprovement is sold within one year of COfll)letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose of sale,). 0 I, as owner of the property, am e11clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who b.Jilds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D J am e11errpt under section ____________ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuarice, 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, corrmenci ng with Section 7000 of Division 3 of the Business and Professions Code) or that he is e11empt therefrom, and the basis for the alleged e11errption. 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 OATE COMPLETE THIS SECTION FOIi: NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a b.Jsiness 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? Ons □,m Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quatity management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer bouidary of a school site? QYES If ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of QC(ll)ANCY NAY IOT IE ISSlED AFTER JUU 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE RECIJIRENEIITS OF THE OFFICE Df ENERCEIICY SERVICES AND THE AIR POLLUTIOII 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 ls issued (Sec 3097(i) Civil Code). LENDER'S NAME LENOER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that J have read the application and state that the above information 1s correct. I agree to comply with all City ordinances and State laws relating to bui [ding construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, Jll>GMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. E11piration. Every permit issued by the Building Official under the provisions of this Code shall e11pire by \imitation and become nu\l and void if the building or work authorized by such permit is not conmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is conmenced for a period of ,80 days (Section 303(d) Uniform Building Code). □ OWNER CONTRACTOR D BY PHONE APPROVED BY: _______ _ DATE:: WHITE: File YELLOW: Applicant PINK: Finance