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Home My WebLink About2831 ELMWOOD ST; ; CB891486; PermitB U I L D I N G P E R M I T Permit No= CB891486 Project No= A8902591 Deuelopment No: 10/03/89 09=06 Page 1 of 1 Job Address= 2831 ELMWOOD ST Permit Type: PLUMBING Parcel No: !56 236 47 00 Valuations 0 Construction Type= NEW Occupancy Group: Class Code: Description: SEWER LATERAL CONTRACTOR CARLSBAD PLUMBING 2649-8 VISTA WAY SUITE 283 OCEANSIDE CA 92054 *** Fee~. Required *** ---------------------------- Fees: Adjustments= Total Fees= Fee description Enter "Y" for Plumbing Issue Fee Each Building Sewer * PLUMBING TOTAL *** Str: Fl: Ste: 030110/03/89 0001 01 02 C-PRMT 14.00 Status= ISSUED Applied : 10/03/89 Apr/Issue = 10/03/89 Validated By= DC L 1 c . C 46 l 842 .00 .oo 14.00 E x t fee D c:t t <::l 7.50 Y 6. ~iO 14.00 APPROVAL I ~;:..-DATE ?2·1-1 ° INS CLEARANCE---- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carl shad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT. ______________ _ VALID. BY. ___ ~,()~C-+-~-------- 1. PERMIT TYPE DATE -------'-1_0.,,z__,~c,Au'l""-L.7 ____ _ A COMMERCIAL TENAIH IMPROVEMENT B O INDUSTRIAL 0NEl,I 0TENANT IMPROVEMENT ~RESIDENTIAL 0APARTMENT 0CONDO 0S1NGLE FAMILY DWELLING 0ADDITION/ALTERATION 0DUPLE)( 0DEMOLITION QRELOCATl()tj 0MOB1LE HOME 0ELECTRJCAL '1JPLUMB1NG 0MECHANICAL 0POOL OsPA 0RETAINING WALL OsoLAR OoTHER 2. PROJECT INFORMATION PLAN CHECK NO. F Addms ;?r;B f £CM~ O a,; Id, Nearest Cross Streets :n:o -J::'tC-0 '"'f-/,ft,,#~ LEGAL DESCRIPTION Lot No. Sulx:hvision Name/NlM!lber Unit No. Phase No. CHECK BELO, If SUBMITTED: Q2 Energy Cales 02 Structural Cales Q2 Soils R:epart 01 Addressed Envelope EXISTING USE PROPOSED USE BLDG. SQ. FTG. # OF STORIES 3. CONTACT PERSON NAME ADDRESS CITY SIGNATURE 4. APPLICANT D CONTRACTOR NAME CITY STATE ZIP f':ODE D AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE DAY TELEPHONE Doi..NER D AGENT FOR OI.NER DAY TELEPHONE 5. PROPERTY OWNER OWNER -, y L/ l]LESSEE ADDRESS'70 31' ccMAH'v(J DTENANT NAME ,:;;j" IUJ /,,+.e"t,0/LJ CITY (lµ}:,J!J-14-f) STATE {1.4-ZIP cooE9,?6"tJ ,r,' DAY TELEPHONE ADDRESS ,3-f,'/''J-,f' V,~/.4 JUA--fl' *>J'3 m cooE <;,;,.u.::.-r,, DAY mmoNE '7,,>;;, -s-/ 3 I 6. CONTRACTOR , NAME (I 14-,e/ ~?/ {) !>Iv ,,t/l/,1 µ.., ', CITY O 1:::>I' pc; STATE('~ LICENSE CLASS(?.,..3b CITY BUSINESS LIC. # fi:G, lc::?&-o Tl TLE DATE ADDRESS Cl TY STATE ZIP COOE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers• Coopensation Declaration: hereby affirm that have a certifice1te of consent to self·insure issued by the Director of Industrial Relations, or a certificate of Workers• C~nsation Insurance by an actnitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the uildil"l9 Inspection Department (Section 3800, Lab. C). INSURANCE C~PANY~ POLICY NO. EXPIRATION DATE Certificate of Exeirption: 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 l.lorkers• Coopensation Laws of California. SIGNATURE DATE 8. OWNER-BUILOER DECLARATION owner-Builder Declaration: I hereby affirm that I am e;,;empt from the Contractor's License Law for the following reason: DI as owner of the property or my eirployees 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, proYided that such irnprovements are not intended or offered for sale. If, howeYer, the building or improvement is sold within one year of corrpletion, the owner-builder will haYe the burden of proving that he did not build or improYe for the purpose of sale.). D I, as owner of the property, am e;,;clusively 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 improYes thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section------------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, 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 proYisions of the Contractor's License Law (Chapter 9, c011111encing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e;,;eirpt 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 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO fs the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCClPANCY MAY NOT RE ISstED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE RECIJIRENENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S '-!AME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that! haYe read the application and state that the aboYe information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatiYes of the City of Carlsbad to enter upon the aboYe mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlllGMENTS, COSTS AND EKPENSES I.IHICH MAY IN ANY MAY ACCRUE AGAINST SAID CITY IN CON WENCE Of THE GRANTING OF THIS PERMIT. he Building Official under the provisions of this Code shalt e;,;pire by limitation ;md become null and void if need within 180 days from the date of such permit or if the building or work authorized by such permit cOll1llenced for a period of 180 days (Section 303(d) Uniform Building Code). D oi..NER f mHRACTOR D BY PHONE ITE: File YELLOW: Applicant PINK: Finance APPROVED BY; DATE: the building is suspended PERMIT# CB891486 DESCRIPTION: SEWER IATERAL CITY OF CARLSBAD INSPECTION REQUEST FOR 10/05/89 INSPECTOR AREA PD PLANCK# CB891486 ace GRP JOB ADDRESS: 2831 ELMWOOD ST APPLICANT: CARLSBAD PLUMBING CONTRACTOR: CARLSBAD PLUMBING OWNER: LARSON, JOHN REMARKS: T3/RS/VERNE/722-5131 SPECIAL INSTRUCTIONS: TOTAL TIME: CD LVL DESCRIPTION 22 PL Sewer/Water Service CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 722-5131 ~:~:~: 619~-j73\h INSPECTO~fl~ ACT COMMENTS ff ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS • C I T Y 0 F C A R L S B A D DEVELOPMENT PROCESSING SERVICES APPLICATION AND COST ESTIMATE OF SANITARY SEWER LATERAL CONNECTION WORK ORDER NO,: PART I -TO BE COMPLETED BY DPS SEWER LDC AT ION: BUILDING PLAN CHECK NO.: ----· ADDRESS: 283 I <,;w:moe APN: _______ _ LEGAL DESCRIPTION:------------------------ CONTACT PERSON: JON b&J2UW PHONE NO.: '/!if-!/1~ -S/0/3 I :--YMi'NIMUM £INCH ABS SEWER PIPE IN PLACE -NOT ~, ··-10 FEET DEEP AND 30 LINEAL FEET HORIZONTAL TO EXCEED DISTANCE. ADDIITONAL CHARGES FOR ANY DISTANCE EXCEEDING 30 LINEAL FEET HORIZONTALLY FEET AT PER FOOT ---- ADDITIONAL CHARGES FOR ANY DEPTH EXCEEDING 10 FEET ----FEET DEEP AT PER FOOT ADDITIONAL CHARGES FOR PLUGGING EXISTING SEWER LATERAL TOTAL CHARGES FOR CONSTRUCTION ADDITIONAL CHARGES FOR CITY OF CARLSBAD SERVICES AT 50% OF ABOVE CHARGES TOTAL CHARGES 1911 ACT A,D, NO.: DWG. NO.: RECT. NO.: PART II -TO BE COMPLETED BY UTILITIES DEPARTMENT FOR SEWER LOCATION $ $ $ $ $ $ 69(2'2---- BY: Main Depth: ___ _ Lateral Depth at Property: ___ _ DPD2: FORM: DPD8 'SEWER PERMIT APPLICATION Development Processing Services Division 2075 Las Palmas Drive Carlsbad, CA 92009-4859 (619) 438-1161 APPLICANT TO FILL IN SHADED AREA BUILDING ADDRESS: 2831 £LHluDO[) 5T. C4'2.Lsis4~~ c;:z..oo8 OWNER: ;:;oJ t S41'1bi?4 Ltfi2.S.ON MAILING ADDRESS: '5A r--,1,£_ CONTRACTOR: MAILING ADDRESS: ( LEGAL DESCRIPTION: ASSESSORS PARCEL NUMBER: COMMENTS: G2~1IWSi06! a20.-,,., Sf;.PTI C 5Yf..,F.:M ~ \ -- CASHIER'S VALIDATION 9310 08/25/89 0001 01 04 Sanitn ·1940.00 SEWER PERMIT NUMBER: SE 890/08 BUILDING PLAN CHECK NUMBER: PC BUILDING TYPE: /C/2si0/?rl7t4L NUMBER OF EDU'S: /.O CALCULATIONS: !. uo ""' J eoJ CONNECTION FEE f;J. uU COST PER UNIT /'2!;;(.)_ >--x L, D. ~2 ~ UNITS -5:) LATERAL CHARGE: 'ro rz o ::!E- TOTAL CHARGES: ~ /<?L/o tJ.'!- PREPARED BY: ~~£-Ev,(}J,,:i (PRINTED NAME) l[) c,,1 6F~16f2. WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant