HomeMy WebLinkAbout2749 GLASGOW DR; ; CB920776; Permit,. .. .
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION
4\ V
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. ______________ _
PERMIT TYPE
A 0 CCJillHERCIAl
8 0 INDUSTRIAL •NEW
C D RESIDENTIAL 0 APARTMENT •DUPLEX 0 DEHOLI T ION •MECHANICAL •POOL
TENANT IMPROVEMENT •TENANT IMPROVEMENT •CONDO •SINGLE FAMILY DWELLING OADDITl_9N/ALTERATI0N •RELOCATION •MOBILE HOME •ELECTRICAL ~PLUMBING •SPA •RETAINING WALL •SOLAR •OTHER
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
DATE ______________ _
2. PROJECT INFORMATION PLAN CHECK No.
Addcm 2, G,lc:cs5ow
Nearest Cross Streets
Building or Suite No.
LEGAL DESCRIPTION Lot No. Sulx:Hvision Name/Nunber Unit No. Phase No.
CHECK BE.UM If SlllNITTED:
p2 Energy Cales 02 Structural Cates 02 Soi ts Rep0rt D 1 Addressed Envelope
ASSESSOR IS PARCEL EXISTING USE PROPOSED USE
BLDG. SQ. FTG.
3. CONTACT PERSON
NAME
CITY
SIGNATURE
# OF STORIES
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLlCANT n ifcoNwCTOR • • AGENT FOR CONTRACTOR
NAME O.<tli\u, o,c o ll.) "-1;l'-IMb1"'\ Go ADDREss
OowNER •AGENT FOR OWNER
cm Ca.,~"'t>PM STATE G:?. ZIP coo, 9Wo"i? DAY TELEPHONE
s. PROPERTY owNF.~,-1. -1.i o""' 7,-,<tc, a; k:i-sqow •LESSEE
NAME ~<UV\K \,l)"-01} Q.< A~D,lss' J
m, ~rkbad STATE G::i. ZIP coo, qw~o DAY TELEPHONE
•TENANT
6. CONJRA,C.TOR • ,,., _ 7 ,._ -< 1 =-1 n L+
NAME U<tl-lu< B.-ro l-0V\, "lu'1-\b l "':5 '--V. •00"" c.,uq 7 ...,,c,_,.... -..., •
CITY Cta.c-~ ~a slATE CR. Z!P CODE 17.19<:ff' DAY TELEPHONE
s,m '"· , Z4?zqo LICENSE CLASS c· ,316 CITY BUSINESS LIC. #
SIGNATURE
DESIGNER NAME
CITY
WORKERS' COMPENSATION
STATE
TITLE
ADDRESS
ZIP CODE
DATE "8'ito 1v
DAY TELEPHONE STATE LIC, #
Workers' CCJll1)ensat1on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director o strial Relations,
or a certificate of Workers' C~nsat ion Insurance by an aa!li tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Cl.
8.
INSURANCE Ca..PANY POLICY NO. EXPIRATION DATE
Certificate of Exemption: I 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 becooie slbject to the Workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner·Buflder Declaration; I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I as owner of the property or my employees .iith .iages as their sole compensation, will do the .iork 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 employees, provided that such i~rovements are not intended or offered for sale, If, however, the building
or improvement is sold .iithin one year of cOOl)letion, 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 ard Professions Code:
The Contractor's License La.i does not apply to an owner of property who builds or improves thereon, ard contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
D I am ex~t 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, al so requires the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provi s I ens of the
Contractor's License Law (Chapter 9, coomencing 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
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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?
Ons •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 •,o
Is the fee il i ty to be constructed within 1,000 feet of the outer boundary of a school site?
•YES D•o
IF ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCa.PANCY NAY NOT BE ISSUED AFTER JUt.Y 1, 1989 UNLESS THE APPLICANT HAS MET DR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION COIITRCN. DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for .ihich this permit is issued (Sec 3097(1) Civil Code).
LENDER I S NAME LENDER IS ADDRESS
10. APPLICANT'S SIGNATURE
J certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances 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 ALSO
AGREE TO SAVE INDENNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jll)QIIENTS, COSTS ANO EXPENSES IJHICH NAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN COISECIUENCE OF THE GRANTING OF THIS PERMIT.
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 c«rmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
oc abaodoned at any,;~ ~k ;, ,-nce~f:,;,pe~:0::,::;0:•Y< (Sec~o:Y 3::::: Undoc, SuHd;ng Code>. ~
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:.~VED BY,---------
YELLOW: Applicant PINK: Finance
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PERMIT# CB920776
DESCRIPTION: REPAIR GAS LINE
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/11/92
JOB ADDRESS: 2749 GLASGOW DR
APPLICANT: ARTHUR BROWN PLUMBING CO
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
STR:
7294914
INSPECTOR AREA PY
PLANCK# CB920776
OCC GRP
CONSTR. TYPE NEW
FL: STE:
REMARKS: MH/JUNE/729-4914
SPECIAL INSTRUCT:
a.\\ INSPECTOR--~~·-+--------
1 \
TOTAL TIME:
CD
23
DATE
LVL DESCRIPTION
PL Gas/Test/Repairs
DESCRIPTION
ACT COMMENTS
***** INSPECTION HISTORY*****
ACT INSP COMMENTS