HomeMy WebLinkAbout2817 AVENIDA VALERA; ; CB961542; PermitI P-’ r e u I L r) I N G P E R M I rr .Permit No: CE951542
i)B/’j/9f) I(:]: 57 Project No: A9692226
Jub Address: 2(34-5. AVENIljA VALEHA Suite:
Permit Type : PLUMBING
Parcel No: 216-460-36-00 Lot#:
Valuation : 0 Construction Type: NEW
Occupancy Group : Reference# : !:tatus: ISSUED
I Page 1 c>f 1=(7 De v e 1 c) pmeri t N (:) :
Descri!>tion: GAS LINE TO BEQ-NOT F’LACED A pp 1 1 er? : IY 8 /’ 2 3 ,/ ‘If 6
: UNDER ANY STRUCTIJRE Aprilssue: 08/23/36
:‘.5B “ 3Q Appl/Ownr : UNLXMITED LANDSCAPE
11374 CAMINITO CORRIENTE
! FINAL APPROVAL
’CLEA i ANCE
/M~AK. DATE
CITY OF CARLSBAD
2075 Las palmas Dr., Carlsbad, CA 92009 (619) 438-1161
P- APPLICATION
2075 La8 Palms Dr., Carlsbd, U 92009 (619) 438-1161 -"City of krlsbd Uuildiw Dcpwtmnt
Gu5 LIMP.
Code of Structure-Type:
Net WCain of Dwelling Units
2 PRClJECXINFoRMAnoN FOR OFFICE USE ONLY
Building or Suite No. Address 285 f-kwh K&ra
Nearest Cross Street
LEG- Lot No. Subdivision NamdNumber Unit No. Phase No.
0 2 Energy Calo
DESCRIPTION OF WORK
SQ. FT.
0 2 Structuxal Calcs 0 2 Soils Report 0 1 Addressed Envelope
# OF BEDROOMS # OF BATHROOMS
E 92 2 s DAY TELEPHONE
LICENSE CLASS C2 7 + C 3 3 CITY BUSINESS LIC. x -- ~
-1' ..~
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #.
Workers' Compensation Declaration: I hereby attirm that I have a certlticate of consent to selt-insure issued by the Director ot lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
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 Profgsions Code: The Contractor's License Law does not apply to an owner of property who builds or improws thmon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law).
I am exempt under Section
0
0 Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demdkh, 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 basiki 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 dollan [SSOO]).
SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matetials 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?
IFANYOFTHPlANSWERSAREYES,ARNAL&RTIF(CATEOPO(XNPANCYMAYNOTBeISSUEDAFLWJULY 1.1989uNLEssTHENTLICWT HAS MEI'OR IS MEEIPK; THEW- OFTHEOFRce OF EMERGENCY SERVKES ANDTHE AIR WLLunoN CONTROLDISIWCX.
1 hereby attinn that there LS a construcuon lending agency tor the pertormance ot the work for which ths permit is lssued (Sec 30971 I) LIVII Code).
DYES 0 NO
OYES 0 NO
OYES 0 NO
LENDER'S NAME LENDER'S ADDRESS
I certily that I nave read the applicauon and state that the above information is correct. 1 agree to comply with all City ordinances and State laws relating to building consuuction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposg. IALSOkcREETOSAVEI"MANDKEEPHARMLESSTHE~OFcARIsBhD~AINSTAU.~~~MENTS,a3sIs AND EXPENSES WHIa MAY IN ANY WAY ACCRU'EAGNN~SND CITY IN CONSEQUENCE OFTHE GRANTING OFTHIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
building or work a such permit is suspen APPLICANTS SIGN
fficial under the provisions of this Code shall expire by limitation and become null commenced within 365 days from the date of such permit or if the building or wor
c
CITY OF CARLSBAD
INSPECTION REQUEST *
PEWWIT# CB961542 FOR 01/21/97
DESCRIPTION: GAS LINE TO BBQ-NOT PLACED UNDER ANY STRUCTURE TYPE: PLUM JOB ADDRESS: 2817 AVENIDA VALERA
APPLICANT: UNLIMITED LANDSCAPE
CONTRACTOR: OWNER:
REMARKS: MW/DEBRA/485-1620
SPECIAL INSTRUCT: GATE CODE #OS05
TOTAL TIME:
CD LVL DESCRIPTION
29 PL Final Plumbing
INSPECTOR AREA DC
PLANCR# CB961542
OCC GRP
CONSTR. TYPE NEW
STE: LOT: PHONE: 619-485-1600
PHONE : PHONE :
INSPECTOR >
ACT COWNTS
v
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
011597 Final Plumbing CO DC NO ACCESS 120596 Final Plumbing CO DC ND SHUT OFF AT BBQ
082896 Underground/Conduit-Wiring AP DC
082896 Gas/Test/Repairs AP DC
082796 Gas/Test/Repairs CO DC NO TRENCHES
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insure for = A. workers' compensation as provided by section 3700 of the Labor Code, for
the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by section 3700 = B. of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the = C. workers comaensation laws of California.
Signature Date ThThb
Warning: Failure to secure workers' compensation coverage is unlawful, and shall be
subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars ($100,000). in addition to the cost of compensation, damages as provided for
in Section 3706 of the Labor Code, Interest and attorney's fees.
March 3, 1995
@ 2075 Las Palmas Dr. - Carlsbad, CA 92009-1576 - (619) 438-1161 - FAX (619) 438-0894
.. WED 11:38 FAX 619 187 2597 HARTAN INSURANCE la002
Lm
TANENBAUM-HARBER OF CA. INC.
11610 IBERIA PL.r SUITE 200
SAN DIEGO, CALIFORNIA 92128
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Lmm roOcvr- roucT#IInATK)N ~~(UMIPlwm O*R(MWBDIYI) TYCt OF INSURWtt P0I-W EUkOLR
[IENW WUXTI eC-AmREGAlE 8
UNLTMITED LANDSCAPE, INC.
11374 CAMXNXTO CORRIENTE
SAN DIEGO, CA 92130
- OWNER'S I CONTRILcTOR'6 ?ROT
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-- MowcTII~cwpKsp~ I
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~OCCURRINOC s .r
CITY OF CARLSBAD
207s LAS PALMAS 'DRIVE
CARLSBAD, CA 92009