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Home My WebLink About2020 PLAYA RD; ; CB920381; Permit04/17/92 15:31 Page 1 of 1 B U I. L D .I N G Job Address: 2020 PLAYA RD Petmit Type: PLUMBING Parcel No: 215-130-29-00 Valuation: U Construction "'ype: NEW P E R M .,. T Str: Pe1mit No: CB920381 ?roject No: A92010S8 Development N· : Fl : 7283 04/17 J~ 0001 01 02 C-PRMT 10 -00 Occupancy Group: Class Code: Status: TSSUF.D Applied: 04/17/92 Apr/rEsue: 04/17/9l Validated By: MOP Description: GAS REPAIR Appl/Ownr : BROWN , ARTHUR 2897 STATE ST CARLSBAD CA 92008 Gas Piping System * PLUMBING TOTAL b19 729-4914 ANAL APPROVAL .00 .00 10.00 Ext fee Dat:t 7.50 Y 2.50 10.00 iNSP. ___ DATE __ CL~RANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 9200CJ (619) 438-1161 PERMIT APPLICATION 4\ • City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 {619f 43B-l"l6t 1. A B 2. • PERMIT TYP COMMERCIAL 0 I NDUSTR I Al TENANT IMPROVEMENT □TENANT IMPROVEMENT 0RES10ENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING 0ADDITIC}"/ALTERATION OouPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL [0'PLUMBING □MECHANICAL □POOL □SPA □RETAINING WALL □SOLAR □OTHER PLAN CHECK No. Bu1tdmg or Suite No . Sutx:li VI si on Name/NUTber PLAN CK DEPOSIT ___________ _ VALID. BY _____________ _ DATE _______________ _ Unit No. Phase No. CHECK BELCM If SlllNITTED: Q2 Energy Cales Q2 Structural Cales pz Soils Report Q1 Addressed Envelope EXISTING USE PROPOSED USE BLOG. SQ. FTG. # OF STORIES 3. CONTACT PERSON NAME CITY SIGNATURE STATE ADDRESS ZIP COOE DAY TELEPHONE 4. APPL.ICANl.. CONTRACTOR IIA w. b1 "'5 , 0 AGENT fOR CONTRACTOR C.0, ADDRESS OD"wNER 0 AGENT FOR OWNER NAME ltc-t~\,,l\(' i'J'< ovJ~ Cl TY G..<h\:,q,{ STATE(.:a. ZIP CODE DAY TELEPHONE 7Vl-4'il <I 5. PROPERTY OWNE8 ,IA NAMED<. {._j2,.,(°1 ~'-""'\ CITY Cc. ,kbaq O'wNER STATE CP. -,0 -, ,-. />j::.c,q ~ _ 0 LESSEE ADDRESS <..,,, VJ t L,A; • □TENANT m coo, quoq DAY TELEPHONE 6. CONTRACTOll_ . NAME 0<{\.\\,\< o-i·O-.JVI. \>IU '""'\.I\~ ..:...0. ADDRESS z:!Jn ~;~ :n- 7. 8. CITY ca,\-;, bGtc.l STATE 0. ZIP COOE C-{Z.OO"!f STATE LJC. # "2'/'[L-'iO CITY STATE WORKERS' COMPENSATION LICENSE CLASS _____ _ TITLE '::<2< V '1 L-~ \ I (A , ·" ADDRESS ZIP COOE DAY TELEPHONE CITY BUSINESS LIC. # ATE DAY TELEPHONE STATE LIC. # Workers• Compensation Declaration: hereby affirm that have a certificate of consent to self·msure issued by the Director of Industrial Relat1ons, or a certificate of Workers' Coq:>ensati on Insurance by an actni tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EKPIRATION DATE Certificate of Exemption: 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 Workers' Coopensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner·Bu1lder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following 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 iffl!rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of lompletion, the owner·bui Ider 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 (icensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of prf)perty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exerrpt 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, i,rprove, demolish, or repair any structure, prior to ; ts issuance, al so requires the app\ i cant for such permit to f i le a signed statement that he is licensed pursuant to the prov; s ions of the Contractor's License Law (Chapter 9, conwnencing with Section 7000 of 0ivision 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 l'\Ot more than five hundred dollars [S500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·R:ESIDENTIAL 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? □YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □,o I~ the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY OF TIE ANS\ERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED AFTER Jlll.Y 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF TKE OFFICE Of EMERGENCY SUVICES ANO TIE AJA POLLUTION CDNTROI. DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby at firm that there is a construction lending agency for the performance of the work for which this permit is issued ( Sec 3097( i ) Ci vi I Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to coo-p\y 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 purposes. I ALSO AGREE TO SAYE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.D~ENTS, COSTS AND EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire by limitation and become null and void if the building or work authorized by such permit is not c011111enced within 180 days from the date of such permit or if the building or work authorfzed by such permit is suspended or abandoned at any time after the work is c011111enced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE □ O'wNER □ CONTRACTOR OBY PHONE APPRO'/ED Bl: ______ _ 0ATE: WHITE: File YELLOW: Applicant PINK: Finance -•-•, ! ! I UNSCHEDULED INSPECTION ~ ~ DATE ~ / ~ q 2..... INSPECTOR. ____ \_ ---L.L_-___ _ PERMIT# _____ _ PLANCK # _____ _ JOB ADDRESs___.20~"'-'2LJ===--«--------'f--"l4"--'-0.:.:..?4-~j\K)...,.,..,::;__ ________ _ TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION 23 Pl--b/-J> t PERMITS 6/15/89 ACT COMMENTS