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Home My WebLink About2804 CACATUA ST; C; CB970565; PermitBUILDING PERMIT Permit No: CB970565 03/13/97 12:14 Project No: A9700739 Page 1 of 1 Development No: Permit Type: PLUMBING Parcel No: 215-370-29-04 Valuation: 0 Construction Type Occupancy Group: Ref &rence# : Status: ISSUED Description: REPAIR GAS LINE- UNIT C Applied: 03/13/97 Apr/Issue: 03/13/97 1 Job Address: 2804 CACATUA ST Suite: 5299 03/13/97 m1. 01 02 Lot#: &-FFMkEW 27-00 Entered By: RMA Appl/Ownr : NORTH COUNTY PLUMBING 619 940-1112 P.O. BOX 1758 VISTA CA 92085 *** Fees Fees Adjustments Total Fees Fee descr Enter "Y" f Gas Piping * PLUMBING Required -------- ,ipt ion or Plumb System TOTAL -------- FINAL APPROVAL CLEARANCE CcTvQFCARLgAAo 2075 Las palmes Dr., carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING 2075 Las Palmas Dr., Carlsbad (61 9) 438-1 161 -I DEPARTMENT CA 92009 FOR OFFICE USE ONLY PLAN CHECK NO. 970 ,shs4 EST. VAL. Plan Ck. Deposit Date # --c, e-/# Address (include 6ldglSuite I) Logal D.rcriplion Lot No. Subdiviaion Name/Numb.r unit No. phur No. Total # of units Business Nom (at this 0dd.u) A.psslor's Parcel I Wng Use WUI. Descnption of Work sa. FT. #of stories X of Bathrooms ci StBtORb Taleohone X (hc. 7031.5 Business and Professions Code: Any ci or county which mqUireS a permit to WiUtNct, alter, impnm, domdiah or repair any structure, prior to It. issuance. ab requires the applicant for such permit to file a signed statement that he is licensed pursuant to the pmvisionc of the Contractor's License Law IChamer 9. commending with Section 7000 of Division 3 of the Business and PrOfMaiOM Codel or that ho ir empt thwofrom, and the basis for the allwed -. . Section 7031.5 by any applicant for a pa re than five hundred dollars 185001). - I - 'ci icm c Titv ' StatelZip . ci Burinoas licenw X Nom6 State License X City statmp Telephone 0 of the work for which this permit is *rued. 0 issued. My workor's comp.nrFtion insurance carrier and policy number are: lnurnnca Company '> q/--*= 7 policy NO.=-eeDzy Expiration Dot (THIS SECTION NEED NOT BE COMPUTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. I have and will maintain a certificate of wnunt to d-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the petformonce I have and will maintain workers' compomation, an required by Section 3700 of tho Labor cod., tor the portonnmnce of tho work for which this rmit u & CERTIFICATE OF EXEMPTION: I cenify that in the performance of the work for which thio permit b bud, I 8tull not employ any person in any manner M aa I hereby affirm that I am exempt from the Contnctor's Licenae Law for the following mason: 0 I, as owner of the property or my employees with wages as their sole compenution, will do the work and the structure is not intended or offered for ule ISec. 7044, Busineas and Professions Cod.: The Contractor's License Law dm not apply to an ownu of propeftv who builds or improves them, and who doas such work himself or through his own employees, provided that such improvernants are not intanded or offered for role. If, however, the building or improwmmt is sold within om yoar of complation, the owner-builder will havo the burdon of proving that he did not build or improve for tha purpow of rk). 0 1, as owner of the property, am exclu*vdy contracting with liconsd contractom to cowtruct the pmirct (s.O.7044, Bwlruu and Profmadona Cado: Tho Contnctor'a License Law does not apply to an owner of propwty who builds or improvu thueon, and mWmct8 for wch projects with comractor(s) licanad pursuant to the Contractor's Liwnso Law). 0 1. 2. 3. I am exempt under Section I personolly pien to provide tho major labor and materials for construction of tho proposed plop.rty imprornmm. 0 YES ON0 I (have I have not) signed an a~ffiation for 8 building permit for the fmposad work. I have contrected with the following person (fin) to provide the proposed construction (includa rum / addrmm I phone number / contractors licmae number): Business Md Profraions Cod. for thiu reason: 4. number I contractors license numberl: 5. I plan to provide portions of the work, but I have hired the following person to coordinote, supervise and provide the major work (include neme / address I phona I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indicated (includa name I addrer / phone number I IYPO PROPERTY OWNER SIGNATURE DATE hnuREIEa)llSS€cTlobkFQUI--N k 9n agplicsnt 0: futwe tbild.rg tccupant r.qr*rd iu dmt a hi- program under Sutiom 25505,25533 or 26534 of tho RIJoy-Tannu Hazardous Subatam Account Act? Is the applicant or future buildmg occupun requid to obtain a wmit from tha air pollution comrd dimict or air qudlty marugomnt dutnct? 1sthef~lrtyto~connruct~w~hin1,~f..totthe~u~ryofatchodrka~ 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CLRTIRCAE OF OCCUPANCY MAY NOT BE ISSUED UNL!ESS THE APPLICANT HAS MI3 OR IS MEEIING THE REQUIREMENTS OF THE OFFICE ~WNtONOING I heraby affirm that them is a construction lending agoncy for the performance of the work for wh~ch this pumk is uawd (S.C. 3097(i) Civil cod.). LENDER'S NAME LENDER'S ADD a YES 0 NO 0 YES 0 NO I cow that I have read the application and state that the above information is correct and that the information on tho plans is accurate. 1 agree to comply with all CIW ordrruncu and State laws relating to building constrw%on. I hereby authorize roprosontativoa of the City of Carlsbad to enter upon the above mentioned propuhl for mnsPeCUon purposos. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST W UABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAlNST SAID CITY IN CONSEQUENCE OF THE GRANTINQ OF THIS PERMIT. OSHA: An OSHA permn is reqtnrod for excavations ovar 6'0' ~MP Md domoution or cor\.tNctlon of .tructwu over 3 atd in h*ght. EXPIRATION: Evw permn luued by the BUild~ng OffiiaOl VldW the pronoion8 of this Code shall emre by limitation and b.com null and void if the building or work ruthonred by such permn u not commoncod wtthin 365 daw from the date of such permlt or if the buildrng or work authoriud bv ouch wntt IS auspdd or abandoned at any tim APPLICANT'S SIGNATU DATE 106.4.4 Uniform Building Code). - f WHITE; File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970565 FOR 03/14/97 DESCRIPTION: REPAIR GAS LINE- UNIT C TYPE: PLUM APPLICANT: NORTH COUNTY PLUMBING CONTRACTOR: OWNER: JOB ADDRESS: 2804 CACATUA ST REMARKS: BJN/940-1112 SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs INSPECTOR AREA PUCK# CB970565 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 619 940-1112 PHONE : PHONE : ms PEc&P ACT COMMENTS n ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS