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HomeMy WebLinkAbout2810 AVENIDA VALERA; ; CB930553; PermitBUILDING PERMSIT Permit No: CB930553 06/07/93 14:50 Project No: A9300818 Page 1 of 1 Development No: 4 Job Address: 2810 AVENIDA VALERA Suite: I Perrnit Type: PLUMBING Parcel No: 216-460-07-00 Lot#: 2645 05/07/93 Oool 01 Valuation: .o Construction Type: NEW Occupancy Group: Reference#: s t a%-&'!&?' Description: GAS LINE FOR FUTURE BBQ Applied: Apr/Issue: Entered By: Appl/Ownr : NALCO PLUMBING 619 480-9900 325 N. MARKET PLACE ESCONDIDO, CA 92 *** Fees Required * ed ti Credits ____------____-------- Fees : Adjustments: .o Total Fees: .o 27.0 Fee description Ext fee Enter "Y" for Plum 20.0 Gas Piping System 7.0 * PLUMBING TOTAL 27.0 ---------- __--_-------------- 02 I s SUE^^^=^ 0 6/07/ 9 3 06/07/93 DC *** JCLE~RANCE 'I *, moF~ 2075 La PJmeS Dr., Cddd, CA !X2009 (619) 438-1161 i 1' PEXh5lT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, U 92009 (619) 438-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 AdditioiVAlteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing 0 Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other 2. PRQIECIINFORMATION I EST. VAL I PIANCKDEPOSIT FOR OFFICE USE ONLY Address uilding or Suite No. Nearest Cross Street LEGAL DESCZPTION Lot No. Subdivlsion NamdNumber Unit No. Phase No. 0 2 Enerw Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope SQ. FT. # OF STORIES (it dittetYnt trom applicant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS CITY STATE DAY TELEPHONE NAME ccz&LPgfa- @fl ADDRESS UAP UA- CITY STATE ZIP CODE DAY TELEPHONE A NAME /CJRLtO PLncj. ADDRESS 3ts 4. &44?T pas CITY L5C- STATE LIC. &39JZ LICENSE CLASS a- 36 CITY BUSINESS LIC. # //q AuUPEs STATE LIC. # CITY STATE ZIP CODE DAY TELEPHONE Workers' Compensation Declaration: I hereby attirm that I have a certificate ot consent to selt-insure issued by the Director of Industrial 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 ther filed with the Building Inspection Department (Section 3800, Lab. C). / INSURANCE COMPANYMA b' vs rc B ULICY NO. p(4s'f6 EXPIRATION DATE j6 '/* 5 3 Certiticate ot Exemptlon: I certity that in the pertormance of 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 Owner-Builder Declaration: 1 hereby atfirm that I am exempt from the Contractor's License Law tor the tollowing 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.). I, as owner of the property, am exclusivelycontracting with licensed contractom 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). 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 [$500]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE TIM B-: 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 facilitv to be constructed within 1.000 feet of the outer boundarv of a school site? 0 YES 0 NO 0 YES 0 NO 0 YES 0' NO IF ANYOF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE ISSUED AFlERJULY 1.1989 UNLESS THEAPrmcANT HAS 1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit IS issued (Sec 309x I) Uvll Code). OR IS MICITING THE m- OF THE OFFICE OF EMERGENCY SERWCIS AND THE AIR WmON CONTROL DISlRICX. LENDER'S NAME LENDER'S ADDRESS I certity that 1 have read the application and state that the above intormation is correct. 1 agree to comply with all Lily 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 TD SAVE INDEMNIFY AND KEEP HARMLESS THE CITYOF CARISBAD ACAlNSAU.LIABIUIlES, JuDGMENlX, COSTS AND EXPENSES WHICH MAY IN ANY WAY MXXUE AGAIN= SAID CITY IN CONSEQUFNCE OF THE GRANTING OF "IS PERka. 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 abandoned at any tim? after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YFUO WLkpplicant PINK: Finance .- a PERMIT# CB930553 CITY OF CARLSBAD INSPECTION REQUEST FOR 05/06/94 DESCRIPTION: GAS LINE FOR FUTURE BBQ TYPE: PLUM JOB ADDRESS: 2810 AVENIDA VALERA APPLICANT: NALCO PLUMBING CONTRACTOR: OWNER: REMARKS: MH/DAVE SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 23 PL Gas/Test/Repairs INSPECTOR AREA PY PLANCK# CB930553 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 619 480-9900 PHONE : PHONE : INSPECT ACT COMMENTS U ***** INSPECTION HISTORY ***** DATE DESCRIPTION 061493 Gas/Test/Repairs ACT INSP COMMENTS co PY ND METAL RISER