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HomeMy WebLinkAbout2745 BERKELEY AVE; ; CB972541; Permit4- c BUILDING PERMIT Permit No: CB972541 09/09/97 09:58 Project No: A9703234 Page 1 of 1 Development No: Job Address: 2745 BERKELEY AV Suite: Permit Type: PLUMBING Valuation: 0 Construction NEW n40 Occupancy Group: Reference#: Status: ISSUED Description: COPPER REPIPE Applied: 09/09/97 Apr/Issue: 09/09/97 1 Parcel No: 167-561-45-00 Lot#: wl.8 wA)9n? oo0101 02 Entered By: JM Appl/Ownr : ARS 619 566-4533 8580 PRODUCTION AVENUE SAN DIEGO, CA 92121 *** Fees Required *** llected & Credits *** Adjustments: .oo Total Fees: .oo ........................ ........................ Fees : 27.00 Fee description Ext fee Data ------------------ ------------------_ Enter "Y" for P1 20.00 Y Each Install/Repa 7.00 27.00 * PLUMBING TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 PERM IT APPLl CAT1 0 N ~TY 'OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (61 9) 438-1 161 FOR OFFICE USE 0 Y PLAN CHECK NO. V&W/ EST. VAL. A79 IR Plan Ck. Deposit AG t+uu Validated By Jw/ / Date Tq/% 2 II I/ Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units 0 Proposed Use .. A- ,/&!.!m. SQ. FT. .. #of Stories X of Bedrooms t of Bathrooms Description of Wo?rr CONTACT PERSON Uf diffmt frmi, 8pplicmtl Fax # Name Address statemp Telephone # (so~. 7031.5 Business and Professtons Code: Any Ctty 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, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he IS exempt therefrom, and the basts for the alleged State L~canse # Designer Name city statemp Telephone State bcense I City Business bcense # MIIBRKULs:EDmPENSAnO k. 4-. em' Compensation Doclanti of the f I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Lobor Code, for the performance I have and will maintain workers' compnaation, as required by Secuon 3700 of the Labor Code, for the 0 work for which thm permit is lasued. C. ued. My worker's com Inrurance Comp Policy No. VHlS SECTION 0 CERTIFICATE OF EXEMPTION: 1 certify that in the performance of the work for which this permit IS issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Fdum to recum.workws' compo~~~tion coverage is unlawful. and shall aubject an employer to crbnlrul ponr)tiu and dvil fines up to om hundred thouund dollars (9100.000). in addition to the cost of compensation. damages as provided for in Section 3706 of tha L.bpr cod., htemst and attorney's fur. DRED DOLLARS [$lo01 OR LESS) P ' I. I hereby affirm that I am exempt from the Contractor's License Law for the following reason. 0 1, as owner of the property or my employws 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 improvw 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 mhin one year of completion, the ownor-builder will have the burden of proving that he did not build or improve for the purpose of ule). 0 1, as owner of the property, am excluaivdy contracting with licensed contractora to construct the prom (Sac. 7044, Bwineaa and Profusions Code: The Contractor's bcenne Law dow not apply to an owner of property who builda or improves thereon, and contnCU for ouch projects with contractorW licensad pursuant to the Contractor's bcenw Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I addrur I phone number I contractors license number): Buaimss and Professtons Code for this reason: 4. number / contractors license number): 5. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (include name / address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include nema / address / phone number I type PROPERTY OWNER SIGNATURE DATE Is program under Sections 25505, 25533 or 25534 of the Presley-Tenner Huardoua Substanca Account Act? 0 YES 0 NO Is the applicant or future buldng 0ccup.nt fequirod to obtain a permit from the air pollution control &strict or rir quality mansg8mmt district? Is the facilrty to be ~~n~t~cted within 1 ,OOO femt of Eh. outer boundary of a school aim? EQUIREMENTS OF THE OFFICE OF EMERGE a2plrcont or future building wcupant rcqtirrd 10 submit a bubineas 0 YES 0 NO 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL cuITlflcm OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE NSIRUCTION LENDING AGENCY affirm that there is e construction le LENDER'S NAME LENDER'S ADDRESS e. APPUcANt I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building Construction. I hereby authorize reprasentatives of the City of Cerlsbad to enter upon the above mentioned propem for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AWINST SAID CITY IN CONSEQUENCE OF THE GWNTING OF THIS PERMIT. OSHA: An OSHA parmtt is required for excav eep and demoliiion or construction of mucturea over 3 stories in height. EXPIRATION: Every permit issued by the B work authorized by such permit IS not co or abandoned at any time after the work is APPLICANT'S SIGNATURE f this Code shall expire by limitetion and become null and void if the budding or of such permit or if the building or work authorized by such permit is suspended mion 106.4.4 Uniform Building Cod ! DATE PERMIT# CB972541 DESCRIPTION: COPPER TYPE: PLUM JOB ADDRESS: 2745 APPLICANT: ARS CONTRACTOR: OWNER: REMARKS: C/KATHY/? SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION CITY OF CARLSBAD INSPECTION REQUEST FOR 10/16/97 INSPECTOR AREA REPIPE PLANCKX CB972541 OCC GRP CONSTR. TYPE NEW BERKELEY AV STE : LOT: PHONE: PHONE : PHONE: 619 566-4533 1 INSPECTOR 17 ST Interior Lath/Drywall 24 PL Rough/Topout ACT COMMENTS , w ***** INSPECTION HISTORY ***** DATE DESCRIPTION 101597 Rough/Topout ACT INSP COMMENTS CA PK RESET FOR 10/16/97