The URL can be used to link to this page

Home My WebLink About2650 KREMEYER CIR; ; CB941272; PermitB U I L D I N G 10/11/94 11:19 1 Paqe 1 of 1 Job Address: 2650 KREMEYER CR Permit Type: PLUMBING P E R M I T Suite: Lot#: Permit No: CB941272 Project No: A9401822 Development No: 9040 10/11/94 0001 01 C-PRMT 02 27-00 Parcel No: 155-170-04-00 Valuation: o Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED 10/11/94 10/11/94 MDP Description: GAS REPAIR UNIT #5 Appl/Ownr : DONALDSON , WILLIE P.O. 1621 OCEANSIDE, CA. 92054 "** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumb:img Gas Piping System * PLUMBING TOTAL *** 2 . 00 . 0 . '21 .00 Applied: Apr/Issue: 619 Entered By: 722-8402 Fees Collected & Credits Total Cr,?di ·s: ;ro al Payments: Balance Du&: .00 .00 27.00 *** Units Fee/Unit Ext fee Data > > 1 CITY OF CARLSBAD 7. 0..0 20.00 Y 7.00 27.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT .f,PPUCA11ON l1-7'L- PLAN CHECK NO. q'--(-~ ~ty of Carlsbad Building D-rtEllt Z075 Las Pal..,. Dr., tarlsbad, CA 92009 (619) 438-1161 FSI". VAL,_ _________ _ I. PkkMII fiPR PLAN CK DEPOSIT _______ _ VAUD. BY ____ 77/-;-;-f,~-- DATI! ( •1 From Llsc 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRCllECf INFORMATION FOR OFFICE USE ONLY LEGAL DEsCRuYIION Lot No. Su6C1lvis1on Name/Number Unit No. Phase No. CHECK Bf:WW IF SOBMl 11 ED: O 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PROPOSED USE DESCRIP110N OF WORK SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN IAC:1 PERSON (tf dtfferenf from appHcant) NAME (last.name first) ADDRESS CI1Y ZIP CODE ADDRESS t' r '@0AY TELEPHONE · NAME (last name first) /)')/Jd CI1Y Oct 19,J S, 'c/ (" ZIP CODE ADDRESS P. {). OX /t,..?( f,20->t/ DAY TELEPHONE 7",...2..2_-e t.(OA CI1Y BUSINESS UC. # ._51/ 7 ,rtt:J 7 STATE UC.# DESIGNER NAME (last name hrst) UCENSE CLASS ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WdkkERS' WMPENSA'ilON Workers• Compensat10n OCclarauon: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the 01rector of lndustnal 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). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Ceruhcate of Exemption: I cerufy that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNE:k-B0tmml DRCOOtAlluN Owner-Builder Declaration: I hereby afnrm that I am exempt from the Conlradofs License Law for the iollowmg reason: D 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.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Ccxle: 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 pennit 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 Ccxle) 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 co a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATI! COMPD.:IE I HIS SEEi ION FUR NUN-RESI0EN I IAL BOIWING PERMI IS 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 district 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 CER11FICATI! OF oa:t/PANCY MAY NOT BE ISSUED AITER JULY 1, 1989 UNU!SS THE APPUCANT HAS MET OR IS MEKTING THE RF.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POtLUTION mNTROL DISl1UCT. 9. OONS I KOCI ION LRNUING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the perfonnance of the work for which thIS penmt 1s lSSUed (Sec 3097(1} Civil Ccxie}. LENDER'S NAME LENDER'S ADDRESS 10. APPIICXNI CEki1FICAiiUN I cerufy that I have read the apphcation and state that the above mfonnatlon 1s correct. I agree to comply with 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 AI.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CfIY OF CARlSBAD AGAINST AIL UABIIJ11ES, JUDGMENTS, <XlSTS AND EXPENSES WIIlCH MAY IN ANY WAY AaJlUE AGAINST SAID CfIY IN illNSF.QUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 36S days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned ny time after the work is co ced for a period of 180 days (Section 303(d) Unifonn Buil~g Cod~ APPUCANT'S SIGNATURE t...,,'l-''f -DATE:A f-V • • YN$SBIPYL&P IN$Plc:tIQM OATZ_....;.LC>_\,,__(_l.,._l_~_r......___ INSPECTOR _________ _ PERMIT t q G(-\ --Z.. lL--PLANCJt t ____ _ J'OII .u>CRESS _ _,2_,..;zc:;...,s .... b __ ~...;..;...r_e..-_M_uf-+-e_, __ % __ $""";i__ ____ _ TIM!: URIVl: _____ TIMJ: LEAVI: ____ _ CC LVL OESCRIPTION PINIIff 1/15/19 - C, As r--ef A-cL-- ) () cL✓ . :, J. (t.L . \ ' (. L/ . ACT COIGCINTS -