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Home My WebLink About285 JUNIPER AVE; ; CB940426; PermitB U I L D I N G 04/18/94 16:27 1 Page 1 of 1 Job Address: 285 JUNIPER AV Permit Type: PLUMBING Parcel No: 204-240-3S-oo Valuation: o P E R M I T Suite: Lot#: Permit No: CB9 40426 Project No: A94 00598 Development No: Construction Type: NEW Occupancy Group: Reference#: Status : ISSUED 04/18/94 04/18/94 DC Description: REPLACE GAS LINE Appl/Ownr : PIPES PLUMBING 258 JUNIPER AVENUE CARLSBAD, CA 92008 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 27.00 .00 27.00 *** Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL Applied: Apr/Issue: 619 Entered By: 434-3067 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 27.00 *** Units Fee/Unit Ext fee Data 1 7.00 20.00 Y 7 .00 27,00 ~ /FJl~AL PPROVAl,t IN''~ D~::i ·1 r.~. .. .. ,J;:r jf}r, r: fw CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ) .,. . :' !:::;: ,'\l'd1I".rE : _____ T IH..E L£./\ VE : _____ _ CD LVL DESCRIPTION Zf2. &7 Ir$ ft IJ--tfL-- PE1't.TIT3 G/l!J/0'.') '-.~. - ., ' ,\CT CCllllEIITS J PERMIT APPUCATION PLAN CHECK NO. City of carlsbad Building Depart-,t l ~V~DEPOSIT _______ _ 2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 I. PHKM.11 typ£ VAUD. BY __________ _ DATE From List 1 (see back) give ccxle of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Units 2. PRClJECT INFORMATION FOR OFFICE USE ONLY Address :,J C JV/,Npen, ,HVa-Building or Suire No. Nearest Cross Street ,f}f~t1::-ZP ,;l,,IN} 7?/n"1 ~K LEGAL DESCRIP I ION Lot No. Subd1v1S1on Name/Number 0mt No. Phase No. CHf:CR BEWW IF SOBMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOB'S PARCEi EXJSTING JJSE PBOPPSED JJSE # OF BATIIROOMS CITY NAME (last name first) ~ ,!g;c.., J VM I'",=?"- CITY &-e!/,.£,"....;?tJ STATE &,f ZIP CODE 9tooe, DAY TELEPHONE ~& 1/~o/3,t:,6 7 5. PkOPEkN oWNF!k ~ NAME (last name first) ,/.-,~e7Z-C,,,,.,,S,ZWZ ADDRESS t;.3& ,ltflt,Jln?a5;4 CITY~~O<l-r STATE ~ ZIP CODE 9t71I DAY TELEPHONE 6" ~E (last name first) /?~ ~#;,.a,A/? ADDRESS ~ # ~ ✓v.N,r-'~ /4yt> CITY~~ STATE ~' ZIPCODE t:/7CoeJ DAYTELEPHONE ~ L/3~~7 STATE uc. #m.$!!1':J IJCENSE CLASS c CITY BUSINESS !JC. # CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WORkkltS' OOWWWSAIIUN Workers' Compensatmn beclaratmn: I hereby affirm that I have a cert1hcate of consent to self-msure JSSued by the Director oi lndustnal 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 thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY -:5'.n.,:~,,-,,= POIJCY NO. EXPIRATION DATE □ □ □ teruhcate of ExemptJon: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to bee me subject to the orkers' Com~nsation Laws of California. DATE ,~1'7'( ner-er ere ya 1rm am exemp rom e n ac o s cense w or e o owmg 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 Llcense 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 Professions Code: The Contractor's Llcense 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 Llcense Law). 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 provisions of the Contractor's Llcense 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]). SIGNATIIRE DATE WMPL£1£ IHiS SECIION FUR NON-RESIDEN IIAt BUILDING PERMII'S 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? □YES □NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TilE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCilJPANCY MAY NOf BE ISSUED AFrnR JULY I, 1989 UNIBSS TilE APPIJCANT HAS MET OR JS MEETING TilE REQIJIJIEMENTS OF TilE OFFICI! OF EMERGENCY SERVICES AND TilE AIR POLLUTION ffiNTROL DISTRICT. 9. OONSIRUCIIDN LENDING AGENCY I hereby affirm that there ts a construction lend mg agency for the performance ot the work for which this penmt 1s issued (Sec 3097 (I) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPDCAN I CFJUIFICAiiON I certUY that I have read the apphcatton and state that the above miormat1on lS correct. I agree to comply w1ffi alt dty 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 AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMU!SS TilE Cl1Y OF CAIUSilAD AGAINST AIL IJABIUTIES, JIJIJGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACXllUE AGAINST SAID CITY IN ffiNSEQUENCI! OF TilE GRANTING OF TIIlS PERMIT. 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 aband ned at any ti e aft the wo · commenced for a period of 180 days (Section 303(d) Uniform Buil~n,~ APPIJCANTS SIGNATURE ~ DATE: ~,L l.f WI-DTE: File YEU.O . plicant PINK: Finance