HomeMy WebLinkAbout2810 ESTURION CT; ; CB901202; Permit. '-k .n
BUILDING PERMIT
07/19/90 11:22
Page 1 of 1 ' • .
Job Address: 2810 ESTURION C.T ' n Str: .
Permit Type: PLUMBING '
Parcel No: 215-380-19-00 ,
•Valuation: 0
Construction Type: . NEW
Occupancy Group:
Description: GAS LINE FOR BBQ
Class Code:
-Permit No: CB90i202
Project No; A9001316
Development No
Fl: Ste: ' ' ' . \
n n •6883 07/19/90 0001 01 ' 02 ' n
n n C-PR^IT n . 10-00
6^
Status
Applied
Apr/Issue
Validated By
ISSUED
07/19/90
07^9/90
RS
CONTRACTOR Lie. C NO
OWNER
* * *
GOODMAN, KENNETH
. 722 GENEVIEVE ST, STEUP-
SOLANA BEACH, CA^9'2075
. : FISHMAN,' OWNER o
Fees Required . **'* .- /'^VFeC%'ColTected & Credits
: , A N
6
6
19-792-5959
19-438-0113.
* * *
Fees:
Adjustments:
Total Fees:
. Fee description / /
Enter "Y" for Plumbijng jls/sue' Fe^^>
ing System " AtaGas P/dping Sy
/ 10. 0.0^ , V■■(V.OO ' 'fo^l,'(Srldd'^ts ;
Balanc^e^jie^: ^Fe^/Uni^
* PLUKBING TOTAL
2V50
. 0,0
' . 00
10.00; Ext'fee Data
7.5 0 Y
2.50 •
10.00 -
PPROVAL
CLEARANCE
crry OF CARLSBAD
2075 135 Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLIC?(tION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (eis) 438-116I
Permit Type
A - □ COMMERCIAL □new Gtenant IHPROVEHENT
B - □ INDUSTRIAL DnEW GTENANT IMPROVEMENTC - ^RESIDENTIAL G^PWTHENT GCONDG ^SINGLE FAMILY DWELLING GWDITION/ALTERATION
□ duplex GDEMOLITION GRELOCATION GWOBILE home Gelectrical ^plumbing
□ mechanical GPOOL GsPA GRETAINING wall GSOEW
Project Information Plan Check No.ilding or hjite Ho.■■
EST. VAL
PIAN CK DEPOSIT
VALID. BY
DATE
FOR OFFICE USE ONLY
Address \o cM- ,
Subdivision Nonie/Nunber
Nearest Cross Streets
Unit No.Phase No.LEGAL DESCRIPTIGN
CHECK BELOU IF SUSHITTB):□ 2 Energy Calca D2 Structural Gales □ 2 Soi Is Report Qj Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCftlPTlOMriWi OF UOftkJ , . J _ ^
BLDG. 5Q. FTG.# OF STORIES3. CoNTACj Person^ a
4. APPLI
NAHE
CITY
^^^.^S^onTractor"
STATE
ADDRESS
ZIP CODE noys— DAY TELEPHONE
□ AGENT FOR CONTRACTOR
ADDRESS
□ owner
ZIP CODE
□ agent for owner
DAY TELEPHONE
NAME
CITY
PR^^TY OW
STATE^
ADDRESS
ZIP CODE
ZS/o oAP™""
DAY TELEPHONE
6. CONTR
NAME
■' STATE ZIP CODE
^ TiCENSE CLASS ^
S GNATURE
DESIGN HT
TITLE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
7r-^W0RKERS' COMPENSATIONWorkers' Conpnuatlon Dccloroti^: I hereby offim that I have a certificate of consent to self-insure Issued by the Director of InAratrlal Relations,
or a certificate of Workers' Ccwpensation Insurance by an admitted insurer, or an exact copy or duplicate thereof oertlfled by the Director of theinsurer thereof filled uj^h the Building Inspection Department (Sectio^ZBOO, Lab. C).
/J? NO. EXPIRATION DATEINSURANCE COMPANYCertificate of Exemption: I certify niat in the perfomance of the work for which this permit it issued, I shall not erploy any person in any nramer
80 as to becorte subject to the Workers' Conpensation Laws of California.
SIGNATURE
8. OWNER-BUILDER DECLARATION ^Owner-Builder Declaration: I hereby affirm that I am exefBpt froti the Contractor's License Law for the following reason;
I I I as owner of the property or my enployees with wages as their sole corapensation, 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 whodoes such work himself or through his own employees, provided that such IfBprovements are not intended or offered for sale. If, however, the buildingor 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 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(8)
licensed pursuant to the Contractor's License Law).
□ I am exefBpt under Section Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or Cointy 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 theContractor's License Law (Chapter 9, conrntencing with Section 7000 of Division 3 of the Business end Professions Code) or that ho is exef^t 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 FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applic«it or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventionprogron under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ yes □«□Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manegejitnt district?
□yes □hoIs the facility to be cormtructed within 1,000 feet of the outer boundary of a school site?
□ yes □no
IF A»fY OF THE ANSUERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY »WT NOT BE ISSUED AFTER JULY 1, 19B9 UNLESS THE APPLICAIfT HAS KEY OR II »CETING THE REQUIREMENTS
Of THE OFFICE OF B(ERGEMCT SERVICES A0 THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for uhich this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE ,I certify that I have read the application and state that the above information is correct. I agree to cooply 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
AiaffiE TO SAVE INDEMHIFT 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.
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 buildingor work authorized by such permit is not ccftmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspendedor abandoned at any tirte after the work is cofmienced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S IGNATURE □ by phone APPROVED BY!
DATE; -■
WHITE: File YELLOW: Applicant PINK: Finance