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Home My WebLink About2750 CIRCULO SANTIAGO; ; CB951737; PermitBUILDING PERMIT 11/27/95 15 51 Pacre- i of 1 Job Address 2750 CIRCULO SANTIAGO Permit Type PLUMBING Paicel No ° Permit No CB951737 Proiect No A95Q2519 Development No Suite Lot* Valuation Aool/Ownr ^ „„,..*.. & REPLACE SPA-METER LOCATED AT NEXT RESCOM SERVICES INC 5835 AVENIDA ENCINAS,STE 114 CARLSBAD, CA 92008 4829 11/27/95 0001 01 02 C-PRMT 27 CC Construction Type NEW Status ISSUED Applied 11/27/95 -2750 CIRC Apr/Usue 11/27/95 Entered By RMA b!9-930-3900 Fees Required ******Fees Collected & Credits *** 27 00 od 27 00 Fees Adjustments Total Fees Fee description Enter Y for Plumbing Tssue Fee > Cas Piping System' x > * PLUMBING TOTAL ^ \ ^ }/ Totlal Credj.txs Total Payments Bal^nc-e ^Due Fee/Unit 7 001 \ 00 00 27 00 Ext fee Data 20 00 Y 7 00 27 00 11/3 t // CITY OF CARLSBAD 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438 1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438 1161 1 PERMIT TYPE From List 1 (see back) give code of Permit Type For Residential Protects Only From List 2 (see back) give Code of Structure Type Net Loss/Gain of Dwelling Units PLAN CHECK NO (\ *?1 EST VAL PLANCK DEPOSIT VALID BY DATE 4±£S 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address i 4 Nearest Cross Street LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW Ir SUBMII ri.L> D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT <&0$ # OF STORIES # OF BEDROOMS # OF BATHROOMS 3 UUNIAL.1 FfcHNUiM (it different from applicant^ NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE APPLICANT UCONTRACIOR LIAGtNl 1-OR CUNIRACTOR U OWNER LJ AGENT FOR OWNER NAME (last name first)/ CITY STATE ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER ^^ NAME (last name first) O&Z4*/C^Ss ADDRESS 6 CITY CONTRACTOR NAME (last name firs CITY STATE STATE STATE LIC # '-i ZIP CODE ZIP CODE LICENSE CLASS DAY TELEPHONE ADDRESS DAY TELEPHONE CITY BUSINESS LIC # ^""-^ r-^^ UEMGNhR NAME (last name rirstj CITY STATE ZIP CODE DAY TELEPHONE STATE LIC\ 7 WORKERS^ COMPENSATION Workers Compensation Declaration f nereby affirm that 1 have a certificate ot consent to self insure issued by trie Director ot fndustnal 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 NO ^9 5 EXPIRATION DATE -~ / •- Certificate of Exemption I certify that in the performance ot 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 SIGNATURE DATE 8DWNER BUILDER DECLARATION Owner builder Declaration I hereby affirm that 1 am exempt from the Contractor's License Law tor the following reason 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 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 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 D I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Profes ions Code The Contractor's License 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 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 commencing 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 I'Hlii 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 nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1 1989 UNLESS THE APPLICANT HASI METOB.IS MEETING THEREQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 OUNbTHUCTHJlM LENDING AGENCY 1 hereby affirm that there is a construction lending agency tor the performance ot the work tor which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME LENDERS ADDRESS 10 AfflJCANl I certify that f 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit is required for excavations over S 0 deep and demolition or construction of structures over 3 stones 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 permins nor^omaCenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abapdortad aOTny^he^fter the^work is commenced for a period of 180 days (Section 303 (d) Uniform Buildmg,Code APPLICANTS SIGNATURE S/jW # ///TrT^ DATE WHITE File YELLOW Applicant PINK. Finance * /* CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB951737 FOR 11/29/95 DESCRIPTION REPAIR & REPLACE GAS LINE FOR SPA-METER LOCATED AT NEXT BLDG-2750 CIRC TYPE PLUM JOB ADDRESS 2750 CIRCULO SANTIAGO STE APPLICANT RESCOM SERVICES INC PHONE 619-930-3900 CONTRACTOR PHONE OWNER PHONE INSPECTOR AREA PLANCK# CB951737 OCC GRP CONSTR TYPE NEW LOT REMARKS MW/MARK/930-3900 SPECIAL INSTRUCT INSPECTOR TOTAL TIME CD LVL DESCRIPTION 23 PL Gas/Test/Repairs COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS