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HomeMy WebLinkAbout285 ACACIA AVE; ; CB920828; Permite. b BUILDING PERMIT Permit No: CB920828 08/19/92 10:48 Project No: A9201885 Pa<TI? 1 of 1 Development No : I JO~ Address: 285 ACACIA AV Suite : Permit Type: PLUMBING 8951 06ms 0001 01 o2 Parcel No: Lot# : Valuation: .o C-PRnT 10.00 Occupancy Group: R1 Construction Type: VN Description: REPAIR GAS LINE IN APT WtkW Reference#: Status : ISSUED Applied : Validated By: CD Apr/Issue: 08/19/92 Appl/Ownr : CHUCK'S PLUMBING 7290961 3800 WESTHAVEN DR **X Fees Required * ted & Credits *** """"""- - _. - - - - - - - - - - - - - - - - - - - Acl justments : Fees : .00 Total Fees: .00 I. 0 . 0 0 Fee description Ext fee Data - - - - - - - - - .. - - - - - - - - - Enter "Y" for Plum Gas Pipi.ng System * PLUMBING TOTAL _"""""""" 7.50 Y 2.50 1u.00 UTY OF CARLSBAD 2075 Lss pplmas h., Cd~bd, CA 92009 (619) 438-1161 APPLICATION city of Cartstad Ouildirp Dcprant 2075 LQI Palm8 Dr., C.rl.bad, u 92009 (619) 438-1161 A - U Commemal U New Bulldmg B -0 Industrial 0 New Building u Tenant Improvement OTenant Improvement C - 0 Residential 0 Apamnent 0 Condo 0 Single Family Dwelling 0 Mdition/Altmticm 0 Ouplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical wumbing OMechanical OPml 0 Spa ORetaining Wall OSolar nother 2 PRQIIXXINFORMAllON FOR OFFICE USE ONLY Bullalng or Sulte NO. Nearest Cmss Street Lot No. Subdwslon NamdNumber Unit No. Phase No. 0 2 En= Calcs 0 2 Structural Calm 0 2 Soiis Report 0 1 Mdd Envelop DESCRIPTION OF WORK USE PRO- USE SQ. FT. X OF STORIES (11 omerent rrom appllcanrl NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME u.ndF4C CITY =A=&. ZIP CODE 9200 ,p DAY TELEPHONE 729- o9k/ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ADDRESS CnY STATE ZIP CODE DAY TELEPHONE uc. dB130L LICENSE cwss C 36 cm BUslNESS uc. x 38400 NAMO CITY STATE ZIP CODE DAY TELEPHONE STATE UC. X .ArUJN Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified Workem7Compensat~on Deelarat#on: 1 hereby athrm that I have a cenlhcate 01 consent to selt-Insure issued by the Olrecforot lndustnal by the Dimtor of the insurer thereof filed with the Building Inspection Department (sstion 3800, lab. 0. INSURANCE CDMPANY CENtcate 01 k.xemDhon: I ceNIv that In the Derlormance 01 the Work tor whlch thls Dermlt s ~ssued, I shall not employ any verson m any manner mum NO. EWIRATION DATE Owner-Budder Ueelarauon: I hereby arllrm that 1 am exempt Irom the Contractors Llcense law tor the tollowlng reason: 0 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 0 I, as owner of the property, am exclusivelycontracting with licensed contractors to mnstruct the project (Sec. 7044, Business and profesaiona of proving that he did not build or improve for the purpose of sale.). We: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and mntram for such projects with contractor(s) licensed purruant IO the Contractor's License Law). 0 I am exempt under Section Business and Professions We for this reason: any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is lid pursuant to the (Sec. 7031.5 Business and Professions Code: Any City or County which quires a permit to mnsrmet, alter, impm, demdiah, or repair provisions of the Contractor's License law (Chapter 9, commencing with Section 7000 of Division 3 of the Busineas 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 [SSW]). SIGNATURE DAlE is the applicant or fUNre 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 Acmunt Act? Is the applicant or future building occupant required to obtain a permit fmm the air pollution mnml district or air quality management disuict? Is the facility IO be constructed within 1,000 feet of the outer boundary of a school site? IPANYOFTHEANSWPRSAREYff,APINAL~~~OPODCUPANCY~Y~~LSSUPDAFIWJULYI,1989UNLeSSTHE~ Hhs~ORIS~G~~~OPTHEOPPKZOF~G~SWVKPSANDTHEAIRPO~ODN1RM.~. I hereby atllrm that there IS B constructlon lendrng agency for the pellomance 01 the Work tor WhlCh thls permit IS USUeCl (W 3UY7(lI tin1 Me). 0 YES 0 NO 0 YES 0 NO om 0 NO LENDER'S NAME LENDER'S ADDRESS .AlKlN relating to building construction. I hereby autho"ze representatives of the City of Carlsbad to enter upon the above mentioned property for inspetion 1 cenlty that I have read the appllcatlon and state that the above lntormatlon 1s correct. I agree to comply wlth all Wty OmlnanceS and State laws ~~~~~~~Y~~WAY~~~~ST~(TIy~~N~~opTHEG~GOP~~. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construetion of structures over 3 stories in height. building or work authorized by such permit is not commend within 365 days from the date of such permit or if the building or work authorized by 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 such wrmit is suswnded or abandoned ar any time after the work is commenced for a period of 180 day, (Section 303(d) Uniform Building Code). purposes. IAlsoAGRE~1osAveIND~AND~HARMIpssTHE(TIyopcARlsBADAG~Au.~JuDG~oo61s i i ). CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920828 FOR 08/20/92 DESCRIPTION: REPAIR GAS LINE IN APT JOB ADDRESS: TYPE: PLUM 285 ACACIA AV APPLICANT: CHUCK'S PLUMBING CONTRACTOR: OWNER : INSPECTOR AREA TP OCC GRP R1 PLANCK# CB920828 CONSTR. TYPE VN STR: FL: STE : PHONE: 7290961 PHONE : PHONE : REMARKS: MIiH/CHUCK/729-0961 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME : CD LVL DESCRIPTION ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS