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HomeMy WebLinkAbout2802 CARLSBAD BLVD; ; CB931050; PermitBUILDING 09/29/93 11:41 Page 1 of 1 Job Address: 2802 CARLSBAD BL Permit Type: PLUMBING Parcel No: 203-173-01-00 Valuation: ' ° Construction Type: NEW ^#_ SUMP PUMP IN BASEMENT PERMIT Appl/Ownr PLUS BACKFLOW PER KELLEY NORTH COUNTY PLUMBING P O BOX 1758 VISTA, CA 92083 Permit No: CB93105Q Project No: A9301491 Development No: 4088 09/29/93 0001 01 02 C-PRHT 34-00 Status: ISSUED Applied: 09/29/93 Apr/issue: 09/29/93 Entered By: DC 619 940-1112 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plum Each Plumbing Fixt Each Install/Repai * PLUMBI'NG TOTAL ted & Credits .00 .00 34.00 Ext fee Data 20.00 Y 7.00 7.00 34.00 CfTYOFCA*L38AD 2075 Las ftdims Dr., CWsWd. CA 9M09 (619) 438-1161 PERMIT APPLICATIONCity of Carlsbad Building Department2075 Las Palnas Dr., Carlsbad, CA 92009 (619) 438-1161I. PERMITTYPEA - O Commercial Q New Building tiYenant ImprovementB - D Industrial D New Building D Tenant ImprovementC - D Residential D Apartment D Condo D Single Family Dwelling D Addition/AlterationQ Duplex D Demolition D Relocation D Mobile Home O Electrical D PlumbingO Mechanical D Pool D Spa Q Retaining Wall D Solar D Other2. PROJECT INFORMATIONAd sJress, "o^ o O £ C_Nearest Cross Street Building or suite NO.PLAN CHECK NO.EST.VALPLAN CK DEPOSIT.VAUD. BYDATE ____FOR OFFICE USE ONLYLEGAL DESCRIPTION > 04-PLot fJcn Sutxtivision Name/Number Unit No.Phase No. CHECK BELOW It bUBMll ILL): n 2 Energy Calcs D 2 Structural Calcs O 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING PROPOSED USE DESCRIPTION OF WORK 3. UUNTAtri PEHSUN I* NAME CITY ditterent rrom appncantj STATE ADDRESS ZIP CODE 4. APPLICANT t^ONTKAUIUK U AGfcN i 'FOR CUM IKAUiUK NAME /^t (f) &_"j— J-Jfc- CJL? if /-77-~7 P( /i^DRESS CITY 5. FKUKtK'IT UWNKH NAME w\ D ± S.t Y ' r™ CITY b. UUH 1HAU1UK CITY r*^\stT STATE -,U-fL, ->T-,r^-/ STATE £*£>£*' )-)\ — / 1/4? hi® STATE STATE LIC. ^^//^ ZIP CODE ADDRESS -2_ ZIP CODE aADDRESS O1 ZIP CODE /1J CENSE CLASS (/ <J DAY TELEPHONE UUWNtK UAUtNl FUK OWNtK & 0 X / ^ && t^J ^Y-^7 ^^-A DAY TELEPHONE 5,^2. £-*-p-*.B G **> &*-<->£> DAY TELEPHONE cr* L-7 S~£ cs/J~r~-K DAY TELEPHONE *7/r\ — // / -^ ^—1 £ CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # COMPENSATION Workers' Compensation Declaration: I hereby affirm that 1 have a certificate of consent to self-insure issued by the Director oflndustriaT 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 POLICY NO.EXPIRATION DATE Certificate of Exemption: 1 certify that m the performance or the work tor which this permit is issued, I snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARA11ON Owner-Builder Declaration: I hereby atiirm that I am exempt from the Contractors License Law for the following 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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D 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 THIS SECTION FOfiTJON-RESlDENTIAL 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? 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 P 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 OP TI ffi ANSWERS ARE YES, A FIN AL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.9. ouNsruucnuN LENDING I hereby affirm that there is a construction lending agency tor the performance of the work tor which this permit is issued t»ec 309/UJ Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT ChRTIFICAnuN I 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSIIA: 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 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 of l&O days (Section 303(d) Uniform Jiuilding Code). APPLI'6/A FUe YELLOWT DATE: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB931050 FOR 10/04/93 DESCRIPTION: INSTALL SUMP PUMP IN BASEMENT PLUS BACKFLOW PER KELLEY TYPE: PLUM JOB ADDRESS:2802 CARLSBAD BL APPLICANT: CONTRACTOR : OWNER: NORTH COUNTY PLUMBING PHONE: PHONE : PHONE: INSPECTOR AREA PLANCKtf CB931050 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 940-1112 REMARKS: MH/940-1112 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 22 PL Sewer/Water Service INSPECTOR ACT COMMENTS /n DATE DESCRIPTION INSPECTION HISTORY ***** ACT INSP COMMENTS