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HomeMy WebLinkAbout2719 ATHENS AVE; ; CB930098; PermitBUILDING PERMIT F>errnit Ncn: C'B93li:l!4H 01/22/93 12:16 Project No: AY301112tr Parje 1of 3 Development No : Job Address: 2719 ATHENS AV Suite: Permit Type: PLUMBING Parcel No: 167-392-39-00 Lot#: 0920 01/22/93 0001 01 02 Valuation: 0 C-WT 27.00 C:onstruction Type: NEW IJcuupancy Group : Reference#: Status: ISSIJED Description: CONVERT RANGE TO GAS Applied : C 1,;2 2 ./S 3 Apr/I s sue : <I 1/ 2 %./ '3 3 Entered By: DC Appl/Ownr : CHUCK'S PLUMBING 619 729-11961 ClTy OF CARLSBAD 2075 Lkp pllmss Dr., Carlsbd, CA 92009 (619) 438-1161 FmMlT APPLICAnoN City of Cilrlstad hildiw Deprtrnt 2075 La8 Palms Dr., Carlsbd, U 9Mo9 (619) 636-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential OApartment OCondo 0 Single Family Dwelling OAdditioWAlteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other ~ 2 ~INPORMAIION ClTY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS PLANCHECKNO. 03-p 71 FOR OFFICF. USE ONLY CITY STATE ZIP CODE DAY lELEPHONE STATE LIC. # Workem' Compensation lkclaration: I hereby atlirm that 1 have a cmticate 01 consent toselt-insure wued by the uirectoro! induma1 Relations, or a cerrificate 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 (Won 3800, Lab. 12). INSURANCE COMPANY POLICY NO. EWlRAllON DATE Ceruheate ot Uempuon: 1 CeNty that In me pertormance ot the worl tor Which mis permit ui Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Law of California. SIGNATURE DATE Uwner-Builder Oeclarahon: I hereby attirm that 1 am exempt trom the Cimracto<s Ucense Law tor the tollowmg mn: 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 ContractoZs license Law does not apply to an owner of propeny who builds or improves thereon. and who does such work himself or through his own employees, provided that such improvemen- 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 exclusivelycontracting with licensed contractors to construct the project (Sec. 7044, Business and Pmfessions Code: The Conmctots lrcense Law does not apply to an owner of property who builds or improves thereon, and mnmcts for such pmjse with conmctor(s) licensed pursuant to the Contractol's License Law). I am exempt under Section U 0 0 Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which rrquirea a permit to CONOUC~, alter, impmn, demolish, or vir any strumre, prior to ita issuanw. also require the applicant for such pennit to file a signed rtatemeni that he is lirmsed pursuant to the provisions of the Cmtractots license Law (Chapter 9, commencing with Section 7000 of Division 3 of the hsiness and Pmfessions Code) or that he is exemot therefrom. and the basis for the allesed eremotion. Anv violation of Section 7031.5 hv anv aaalicant for a Dcmit ~~~~~~~~~~ ~~ ~~ ~ ~~~~~ ., -~~, ~~~..~ -... ... - -...... 0~~ ~~~~~-~~ ~ ~~~~ ~~~~~ . ~~~~ ~~~~ r ~ ~~~~~ sub$xCi the ap&& to a civil'penalty of not more than five hundred dolla1a'[S5001). SIGNATURE MTZ ls 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 hunt Act7 Is the applicant or future building occupant required to obtain a permit from the air pollution control disuict or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a xhml site? 0 YES 0 NO 0 YES NO n VFF n m I .- - ,.- WANT OF IWEANSWXRS ARE YPS, A FlNAL(pR1IpC4lE WoocLlpANCY MAY "BE lssLw AFlw JULY 1,1989 UNlpSs IWEMPlK" H~ME7ORIS~C"1!~~OF~lEOPPI(ZOFLMERCWOI~ANDIWEAIRpolLulxmoDHlRoL~. I hereby allirm that there 1s a construction lending agency lor IhC periormance 01 the work tor which 11116 permit 8s isued 1% 30~7~ ij ciwi we) LENDERS NAME LENDERS ADDRESS 1 cenitv that I have read the aPPllcatiOn and state that the above intormation IS correct. 1 spree Io comDlY with all LiN ordinances and state law dating to building construction- 1 hereby authorme representatives of the City of Carlsbad io &iter upon l'h; abow mentioned pmpq for inspection PU- 1~~9o~~p~m~s~v~~~~~~~~u~w1pss~~(11y~c~~ls~~~ffi~1~~~u.~~~uocwms,o~srs AND pxpwws woai MAY IN ANT WAY mm AGAINST SAD an IN ODNSE~UENCE OF THE c~~~lplc OF nns m. OSHA: An OSHA permit is required for excavations over SO" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Ofticial 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 365 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 commenced for a period Ot 180 daya (Section 303(d) Uniform Building code). DATE: /C2$4 3 WHITE: Pile YEtU) W: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930098 FOR 01/25/93 DESCRIPTION: CONVERT RANGE TO GAS TYPE: PLUM JOB ADDRESS: 2719 ATHENS AV CONTRACTOR: APPLICANT: CHUCK'S PLUMBING OWNER : REMARKS: MH/729-0961 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs INSPECTOR AREA PY PLANCK# CB930098 OCC GRP CONSTR. TYPE NEW STE : LOT : PHONE: 619 729-0961 PHONE : PHONE : INSPECTOR ACT COMMENTS ***** INSPECTION HISTORY ***** ACT INSP COMMENTS DATE DESCRIPTION