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HomeMy WebLinkAbout281 ACACIA AVE; ; CB911722; PermitBUILDING PERMIT Permit No: CB911722 12/27/91 16:06 Project No: A9102220 Page 1 of 1 Devel~opment No : Job Address: 281 ACACIA AV Str: F1: ste: & 3w3 Fermit Type: PLUMBING Parcel No: 204-240-56,-00 Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: St.atus: ISSUED Description: GAS REPAIR 281/285 ACACIA Applied: 12/27/91 Apr/Issue: 12/27/91 Validated By: DC Appl/Ownr : RHODES, THEODORE 281 ACACIA AVENUE CARLSBAD, CA 920.1 619 729-0961 CONTRACTOR : cnucu's P 3800 WEST *** Fees Required Adjustments: Fees : Total Fees: ""_"""""""- Fee description _""""""""" Gas Piping System Enter Y * PLLJMBING TOTAL 619-72 !9 -0961 " **x I00 .00 13.00 Ext fee 7.50 5.00 1 3 . 0 (1 c " Y lata CITY OF CARLSBAD 2075 Les pplmss Dr., Cblsbsd, CA 92009 (619) 438-1161 PERha AF'PLlcAnoN M?5 Las Palmas Dr., Carlsbed, U PMOP (619) kY)-1161 City of Carlsbad Building Department e A - U Commerclal U New Building B - 0 Industrial 0 New Building U Tenant Improvement OTenant lmpmvement C - 0 Residential 0 Apartment OCondo 0 Single Family Dwelling 0 AdditionfAlteratiol 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home Electrical 0 Plumbing 0 Mechanical OPmI 0 Spa ORetaining Wall OSolar OOther FOR OFFICE USE ONLY aumng or sulte NO. Nearest Cmss Street Unit No. Phase No. lumber Unit No. Phase No. 0 2 Energy Gals 0 2 Structural Cals 0 2 Sails Report 0 1 Addressed Envelope G USE USE it OF FTnRlFS I A (11 anferent trom appllcantl . , -. -. -. " NAME ADDRESS ZIP CODE DAY TELEPHONE 2,2 & ZIPCODE 92OOF DAY TELEPHONE 724 / Dg d/ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. X 3pIRIN Relations, or a certificate of Worken' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified Workers'Compensatlon Declaratlon: 1 herebyathrm that 1 haveacertlkmteot consent toselt-msurewum by the ulrectorot lndustnal by the Director of the insurer thereof tiled with the Building lnspfftion Department (Section 38W, Lab. C). INSURANCE COMPANY Certlklcate ok I%emptlon: 1 ceNty that nn the pertormance 01 the work tor Which thw permlt IS WUW, I shall not employ any person In any manner so as to bme subject to the Worken' Compensation Laws of California. WUCY NO. U(P1RATION DATE SIGNATURE DATE 0 I, as owner of the property or my employefs with wages as their sole compensation. will do the work and the structure is not intended or Owner-Burlder Declaratlon: I hereby altlrm that I am exempt trom the Contractor's License law tor the lollow~ng reason: offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law dm not apply to an owner of property who builds or improves thereon, and who dm such work himself or through his own employ-, 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.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (k. 7044, Business and Professions Code: The Contractor's License law dm not apply to an owner of property who builds or improves thereon. and contracts for such projects with contractor(s) licensed punuant to the Contractor's license Law). 0 I am exempt under Section Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or Caunty which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, alsn requires the applicant for such permit to tile 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 [SSOO]). SIGNATURE DAlE COa prevention program under Sections 25505, 25533 or 25534 of the PreslepTanner Hamrdous Substance Acmunt Act7 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and Is the applicant or future building mupant 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 schml site? IPANYOF7HEANSWUISARE~A~~~~~~OFODCUPANClMAYNOTBElSSlWAPlWJULY1,1989UNlPSS~~ HASMETORIS~G~I(EQIRREkIENTsOF~~OPPICZOFEME8GENCY~~~AND~AIRPO~OD~DISIRICI: I hereby att~rm that there IS a constructmn hang agency lor the perkormance 01 the work tor Whxh thls permlt IS ~ssum (see 309nlJ CIWI CCdeJ. 0 YES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS 1 certlty that I have read the appltcatton and state that the above lntormatton 1s correct. I agree to comply Wlth all uty ordmances ana xate laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection AND FXPENSFS WIUffI MAY IN ANY WAY ACCRUE AGAIN= SAID CITY IN ODNSEQUENCZ OF THE GRANTlNG OF THIS PERMIT. purposes. IAlsoffi~TOSAVEINDE"AND~HARMIESTTHECITYOFCARISBADAGAIN~AU.~~J1IDG~cIsls OSHA: An OSHA permit is required for excavations over SO" 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 180 days (Section 303(d) Uniform Building Code). M: /2-.?7-4/ f WHITE File YELLOW Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST FOR 02/05/92 INSPECTOR AREA PY 281/285 ACACIA PLANCK# CB911722 OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS :-.& APPLICANT: RHODES, THEODORE CONTRACTOR: CHUCK'S PLUMBING OWNER: REMARKS: MH/729-0961 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs STR: FL: STE : PHONE: 619 729-0961 PHONE: 619-729-0961 PHONE : INSPECTOR ACT COMMENTS & " " " ***** INSPECTION HISTORY ***** DATE DESCRIPTION 010392 Gas/Test/Repairs ACT INSP PA PY METER #81 OK/#85 FAILED TEST COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911722 FOR 01/03/92 INSPECTOR AREA PY DESCRIPTION: GAS REPAIR 281/285 ACACIA PLANCK# CB911722 OCC GRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 281 ACACIA AV STR: FL: APPLICANT: RHODES, THEODORE PHONE: 619 729-0961 STE : CONTRACTOR: CHUCK'S PLUMBING PHONE: OWNER : PHONE : REMARKS : RS/CHUCKS PLUMBING INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs ACT COMMENTS .I ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS