HomeMy WebLinkAbout2858 CARLSBAD BLVD; ; CB930208; PermitSuite:
03/01/93 16:26 Bt->lLDlNG PERMIT
Page l of i
Job Address: 2858 CARLSBAD BL
Permit Type: PLUMBING
Parcel No: 223-240-30-00
Valuation: , 0 Lot#:
Construction Type: NEW
Occupancy Group: D _
Description: REPLACE WATER HEATERReference*:
Permit No: CB930208
Project No: A9300306
Development No:
1346 03/01/93 0001 01 02
C-PRHT 27.1
Appl/Ownr : COAST PLUMBING, INC
509 S. CEDROS AVENUE
SOLANA BEACH, CA
Status
Applied
Apr/Issue,
619 755-1888
Entered By: DC
ISSUED
03/01/93
03/01/93
***Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "y" for Pl
Gas Piping System
* PLUMBING TOTAL
& Credits ***
.00
.00
27.00
Ext fee Data
20.00 Y
7.00
27.00
2075 Us Palmas Dr., Cfciabid,(619)438-1161
PERMIT \PPLICATION
City of Carlsbad Building Department
2075 Las PaI mas Dr., Carlsbad, CA 92009 (619) 438-1161
I. PERMIT TYPE
~A~ - U Commercial U New Building D Tenant Improvement
B - D Industrial D New Building D Tenant Improvement
C - D Residential D Apartment DCondo D Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home O Electrical D Plumbing
D Mechanical Q Pool D Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.»
EST.VAL
PLAN CK DEPOSIT.
VALID. BY
DATE
FOR OFFICE USE ONLY
Address 2858 Carlsbad BTvd.
Nearest Cross Street Grand AV6.
Building or suite No.
LEGAL DESCRIPTION
N/A
Lot No.bubaivision Name/Number Phase No.
N/y
iLOWCHECK BELOW it SUBMII ILL):
O 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USEDESCRIPTION OF WORK Replace Water Heater
SQ. FT. # OF STORIES
3. CUNTAUT
NAME
CITY
(.it diiiereni irom applicant;
STATE
ADDRESS
ZIP CODE DAY TELEPHONE
4. APPLICANT ETCUNTRACTUK Q AGENT FOR CONTRACTOR UOWNER OAGENT FOR OWNER
NAME Coast Plumbing, Inc. ADDRESS 509 S. Cedros Ave.
CITY Sol ana Beach STATE CA Z.PCODE 92075 DAY TELEPHONE 755-1888
5. PROPERTY OWNERNAME Ko Ko Beach Club
CITY Carlsbad STATE CA
ADDRESS 2858 Carlsbad Blvd.
ZIP CODE 92009 DAY TELEPHONE 434-6868
O. CONTRACTOR
NAME Coast Plumbing, Inc. ADDRESS See Above
CITY STATE ZIP CODE DAY TELEPHONE
STATE LIC. # 280123 LICENSE CLASS C-36 CITY BUSINESS LIC. #
UtMUNbK NAMt
CITY N/A STATE
AIJLJKESS
ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOHKEKS' ULIMFENSATIUN
Workers Compensation Declaration: I hereby atlirm that I have a certificate or consent to sell-insure issued by the Director of Industrial
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 Sf.at.P Fund POLICY NO.3331:r which
EXPIRATION DATE 1Q/Q1/93
tJertihcate or Exemption: I certiry that in the performance ot the work tor whicr
so as to become subject to the Workers' Compensation Laws of California.
tnis permit is issued, 1 shall not employ any person in any manner
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Bunder Declaration: I hereby attirm that I am exempt from the Contractors License Law tor the following reason:
D 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
of proving that he did not build or improve for the purpose of sale.).
D 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(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
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 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?
Q YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
Q YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT
HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE Am POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency lor the performance ot the work tor which this permit is issued (Sec 30970J Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
1 certify that 1 have read the application and state that the above information is correct. T agree to comply 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
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLI DATE:
WHITE: File >W: Applicant PINK: Finance