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Home My WebLink About2247 PASEO SAUCEDAL; ; CB983880; PermitB U I L D I N G P E R M I T 11/12/98 U9 :38 Page 1 of 1 Job Address: 2247 PASEO SAUCEDAL Suite : Permit Type : PLUMBING Parcel No: 255-260-28-00 Lot#: Valuation: O Occupancy Group : Referen ce#: Description: GAS LINE TO BBO Permit No: CB98388U Pro;ect No: A980506b Development No: 3321 U/12/98 0001 01 02 C-PRMT 27-00 Construction Type : NEW Status : ISSUED Applied : 11/12/98 Apr/Issue: 11/12/98 Entered By : BT Appl/Ownr : CYNTHIA JOHNSON 2247 PASEO SAUCEDAL CARLSBAD CA 92009 942-6842 Fees Required Fees : Adjustments: Total Fees: Fee description Enter "Y" for Plu Gas Piping System *** SECT,J1~ h.lu.4.4 Collected & Credits .00 ,00 27 .00 Ext fee Data 20.00 Y 7.00 • • • • -'-' 11:.,,c WITH U.B.C. DATE ____ SIGNATURE - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY(} '1. O co PLAN CHECK NO. q 15 :.:x> 6 I __..__----,-?r-1-=- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.-------~~,.,_...,.__ Plan Ck. Deposit -~~,4-;..~~---- ~:~=--a-te_d_B_y=====~¾;,,._ ,.,_J.. "'"'-/ +++:e:tj=:=9~:.2-r' 1. PROJECT INFORMATION ?-,._ 4 'l ?c, SPo ;;.a.u <.e de I Address hnelude B!d'\/Su1te I) O _ ;;.. ( '!'i 1(6 + f'./0-'i{i·03·L Lo-t Ju r Lo L}.,:+ Legal Description Z 5<c" Subdivisron N1me/Num Ph1se No. Total I ot units Lot No. " Sf'2-. Asserfr's Parcel I f: (:-fa 5 L , ,., e... or-0 histing Un VY'e-il" -· :±n Proposed UH Descri0t1on of Work sa. FT. , of Bedrooms I of Bathrooms 2. C00NTACT PERSON flt dltt .... t from ai,s,ilcani:1 >\o~ Name Address 3. APPLICANT D Contractor O Agent for Contrlctor Name Address City State/Zip Telephone I Fu:11 ell. Owner --0 Agent ior Owner Chy St■telZip Telephone I ,too (t 0-l't) ~Ct.uCPcj I Ca.f\Jl->-d (A Cj 20 O'] '1'-1 l -(o 'r'-/ L. 'cnv State/Zip Telephone I 5. CONTRACTOR • COMPANY NAME -~---•--.... _,,.........,.....,.__..,,...,. ________ ,..._...,....., --.. ·-·~ ..-----,-·· -.--.....,.. (Sec. 7031 .5 Business end Professions Coda: Anv City or County which requires ■ permtt to construct, ■her, improve, demolish or repair any structure, prior to its issuance, also raauiras the applicant tor such permit to file a signed at■tament that he is licenNd purau■nt to the provtlions of the Contr■ctor's License Lew (Chapter 9, commanding with Section 7000 of Division 3 of the Business and Prot ... ions Code) or thlt he ia exempt therefrom, ■nd the b111s tor the alleged exemption. Any violation of Section 7031.5 by any appUcant tor• permit subjects the applicant to a civil penalty of not more than five hundred dollars 195001). Name Address City St■t■/Zip T_.ephone I State License I _________ _ License Cl11s _________ _ City Business Ucen1■ I _______ _ Designer Name Address City State/Zip T .. ephone State License I _________ _ 6. WORKERS' COMPENSATION __ ~ . Workers· Compensation Declaration: I hereby affirm under penahy of perjury one oty,e--rollowing decl■rettons: D I have and will maintain e certificate of consent to Hit-insure for work of the work for which this permit is issued. compenution as provided by Section 3700 of the Labor Coda, for the performance D I have and will maintain workers' compensation, ■s r · ad by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier olicy number are: Insurance Company----------,-"-------------Policy No. Exs,iration Data _______ _ !THIS SECTION NEED NOT BE COM IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IUOOJ OR LESS) R1• CERTIFICATE OF EXEM N: I certify that in the performance of the work tor which this permit is issued, I ahllll not employ eny person in any menn■r so H ~ecoma subJact 10th orkars' Compensation Lews of California. WARNING: Failu o ucure worken' COmpenNtion cov■rag11 la unlawful, and shall aubject an employ..-to criminal penaltlu and dwll tines up to OM hundNcf ft 0,0001. In addition to the of compenut6on, dllmagn u provided for In Section 3708 of the Labor code, Int.,.., and ■nomey•• •••· •. DATE 1/-/,l.'J',( ,71•:·.· I hereby affirm t I am exempt from the Co ctor's License Lew tor the following r■Hon: D I, ■s owner of the property or my emploveas with wages IS their sole compensation, will do the work end the atructur• IS not intended or offered tor ... e (Sec. 7044, Business and Professions Coda: The Comractor'a Lic..,.e Law don not apply to en owner of property who bwlds or Improves thereon, ■nd who doN such work himself or through his own emi,toyees, provided that such Improvements are not lmended or off•ed for ..... If, however, the building or lmproveffllftt ti sotd within one year ot completion, the owner-builder will have thll burden of proving thlt he dtd not build or Improve tor tha purpou of Ula). g !, as owner of the property, am exclusiv_.y contractrng with licensed contractors to construct the project CS.c. 7044, BusiONa and Profusions Code: The Contractor's License Law does not apply to ■n owner of property who builds or improves thereon, ■nd contract■ tor auch pro;ects wtth contr■ctorls) licennd pursuant to the Contractor's License Lew). D I am exempt under Section ______ Business end Prot■Hions Code tor this reason: I personall~ ~o provide the major_ labor and materials tor construction of the proposed property Improvement. lg( YES ONO I !have / ~• n I signed an application tor a building permit tor the proposed work. 1. 2. 3 J hav contracted with the following person lfirm) to provide the proposed construction !include name / addrns / phone number / contractors hcenae number): I 4. I plan to provide ponions ot the work, tu,LI va hired the following person to coordinata, 1uperviae end provide the m■,Or work tindude name/ address/ phone number/ contractors license number):,...:+--1-_;;,4,..J.. ___________________________________________ _ 5. I will provide aome of the work, but I have contracted thired) the following pereons to provide the work indicated Onclude name I addrus / phone number / type of workl: __________ .,,:;;,._ ______ ..,.o;,,,,.----------------------r------------------ PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR DATE __ l_---'-/_;;i._-_5',_._Y __ ·:~-. .,.-.,,.-,-,-a.,,,.-:r:;~•P.~, :-. . . '. •·-•· Is the applicant or future buildi ccur:,ent r~red o • mn ■ businns pl■n, acutely heurdous mat■rillt■ regiatretiOn form or Mk men■gement end preventtOn program under Sections 25505, 25533 or 25534 oft PrHlay•T■nner Huardous Substance Account Act7 D YES D NO ts the applicant or future building occupant required to obtain e permit from the ■ir pollution control district or air quality management district1 D YES O NO Is the facility to be constructed within 1,000 teat of the outer boundary of a school •R• 7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT . . 8. CONSTRUCTION LENDING AGENCY I hereby 11ff1rm that there is • construction landinp agency tor the performance of the work tor which this permit Is issued ISac. 3097(i) Civil Coda). LENDER'S NAME _____________ _ '9. APPLICANT CERTIFICATION LENDER"S ADDRESS. _______________________ _ I certify that I have read the application and state that the above information is correct and that the ffltormation on the ~ans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit rs reQu1rad tor excavations over 5•0-deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code ahllll expire by limitation and become null and void if the building or work authorized by such permit is not commam:ed within 365 days from the data of such permit or If the building or work authorized by such permit 1s suspended or abandoned et any time after the work is com,,,an period of 180 days (Section 106.4.4 Uniform Building Codal. ~-1' .,_.__.,,..___~ DATE I,--,:;:, -i ~-APPLICANT'S SIGNATURE , / / WHITE: File V YELLOW: Applicant PINK: Finance PERMIT# CB983880 DESCRIPTION: GAS LINE TO BBQ TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 11/19/98 STE: PASEO SAUCEDAL JOHNSON PHONE: 942-6842 INSPECTOR AREA PLANCK# CB983880 ace GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2247 APPLICANT: CYNTHIA CONTRACTOR: OWNER: REMARKS: B/CYNTHIA/942-6842 SPECIAL INSTRUCT: PHONE: D PHONE: ~~ INSPECTO ~u,O~L\A,,=~~===- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _2 3-_PL _G_a_s_f_T_es_t_f_R_ep_a_i_r_s -----i ___:o:....,,Jc:._____.IL..!.(_-_(c..__:__f_-----'-f--'f;__ ___ _ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS