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Home My WebLink About2804 CACATUA ST; A; CB940717; PermitBUILDING PERMIT Permit No: CB940717 06/14/94 09:13 Project No: A9400999 Job Address: 2804 CACATUA ST Suite: Permit Type: PLUMBING Parcel No: 215-370-29-04 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: RECONNECT BROKEN SEWER LINE Applied: 06/14/94 Apr/Issue: 06/14/94 , Page 1 of 1 Development No: Entered By: DC Appl/Ownr : DRAIN PATROL 619 755-4165 35 tf 20 15 35 --- *** .oo R .00 .oo ee Data .oo Y .oo .oo -------- APPROVAL INS & DATE CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1 PEI&lTAPPLICATION City of Carlsbad Building Departmmt 2075 Las Palm Dr., Carlsbad, U 92009 (619) 438-1161 From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give ......................................................... I PLANCHECKNO. 9u-7/7 It I Esr. VAL PLANCKDEpomT VALID. BY DATE Code of Structure-Type: Net WGain of Dwelling Units 2. PRWECTINFoRMATlON FOR OFFICE USE ONLY Building or Suite No. 280~) cac~+u~ Nearest Cross Street ,~fii CBCQ;~ AL DESCRIP~ON Lot No. Subdivision NamdNumber Unit No. Phase No. 0 2 Energy Calcs DESCRlPTlON OF WORK 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope # OF STORIES # OF BEDROOMS # OF BATHROOMS \ (gt' N (it ditterent rrom applicant] NAME (last name first) ADDRESS sQ.FT. 2 CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE UdFmTRAcTaA UAS STATE C fi ZIP CODE 421 38 DAY TELEPHONE 7 5s.- 1 b& ,- STATE LIC. # 42a3Lp LICENSE CLASS G+&C CITY BUSINESS LIC. # 5 0 NAME (last name tirst) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Comwnsatjon Declaration: 1 hereby affirm that I have a certiticate ot consent to selt-insure issued by the Director ot Industnal Relations, or a' certificate of Workers' Comp&sation Insurance by an admitted insurer, or an exact copy or &plicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY 1;F- cOrvl(f* POLICYNO. u2-3 IS21EXPIRATIONDATE 2- I-qv Certiticate of Exemption: I certib that in the performance ot the work tor 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 Uwner-Builder Ueclaratlon: I hereby affirm that 1 am exempt trom the ContraCtOI-S hcense Law tor the rollowing reason: 0 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions We: 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 (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 [$5001). 0 0 Business and Professions Code for this reason: SIGNATURE DATE CO- FOR 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCYMAY NOT BE Issvn, AFIERJULY 1,1989 UNLEES THE APPIJCANT HAS MET OR IS MEEI'ING THE REQ- OF THE OF'FICE OF EMERGENCY !3ERVICES AND THE AIR POLLUTION CONTROL DISIRICL. I) Civll We). I hereby attirm that there IS a construction lending agency tor the performance ot the work tor which thls permit IS issued [Sec 3097( 0 YES 0 NO 0 YES 0 NO om 0 NO LENDER'S NAME LENDER'S ADDRESS 1 certity that 1 have read the application and state that the above intormation 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 AIS0 AGREETO SAVE INDEMNIFY AND KEEP HARMLEssTHECIlYOFcARlsBAD ACAINsTALLLIABILlTlES, JUDGMENTS, OOSIS AND EXPENSES WIIM MAY IN ANY WAY ACCRUE MAINS SUD CITY IN CONSEQUL?NCE OF THE GRANTING OF nIlS PERMIT. OSHA: 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 is commenced for a period of 180 days (Section 303(d) Uniform Building Code). OW Applicant PINK: Finance WHITE: File YELL DATE: APPLICANT'S SIGNATURE 0 , 5 PERMIT# CB940717 DESCRIPTION: RECONNECT BROKEN TYPE: PLUM JOB ADDRESS: 2804 CACATUA APPLICANT: DRAIN PATROL CONTRACTOR: OWNER: CITY OF CARLSBAD INSPECTION REQUEST SEWER LINE PLANCK# CB940717 OCC GRP CONSTR. TYPE NEW FOR 06/15/94 INSPECTOR AREA ST STE : LOT: PHONE: 619 755-4165 - n REMARKS : SPECIAL ;:::E @)>A, BJN/ALEX/969-4563 BEEPER INSPECT0 INSTRUCT: REQUESTING AN A.M. INSPECTION TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS / ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS