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Home My WebLink About2677 GARFIELD ST; ; CB983201; Permit~ B U I L D I N G P E R M I T )9/23/98 11:10 )age 1 of 1 Tob Address: 2677 GARFIELD ST Suite: 1ermit Type: PLUMBING 'arcel No: 203-141-14-00 Lot#: /aluation: 0 )ccupancy Group: Reference#: )escription: REPAIR GAS LINE Permit No: CB983201 Project No: A9804182 Development No: Construction Type: NEW Status : ISSUED Applied: 09/23/98 Apr/Issue: 09/23/98 Entered By: BT Appl/Ownr : HANNA PLUMBING 643 S SANTA FE VISTA CA 92083 726-2002 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumbi Gas Piping System *** Fees G llected &_ Credits **" _,.. __________ 13tELQ9/23/_9j! 0001 01 __ 02 ---1..--=------ FINAL A PROVA ,~~"'--DATE f '2 .fi:}1 ! CITY OF CARLSBAD 2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161 C-PRMT 27 .()() .00 .00 27.00 Ext fee Data 20.00 Y 7.00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. 9 g 3.Jo I CITY OF C'ARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ()7 - Plan Ck. Deposit----...----- Validated By ~ Date Q/ /2-\J'i f Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use --1 I<. ePlf II?--, tz«:1 s L-rtJ c I' Description of Work sa. FT. lot Stories I of Bedrooms I of Bathrooms Name Address :3. APPLICANT 0 Contractor • Agent for Contractor Name Address ··t 1313 Name Address 5. CONTRACTOR. COMPANY NAME . -· City o owner , .. ·o Ai,iinfior 0wnei City State/Zip State/Zip Telephone I Fax I Telephone I 8'3 Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the besis for the alleged exem tion. Anv violation)lf Section 7031.5 by any applicant for a permit subjects the applic•nt to a civil penalty of not more than five hundred dollars (95001). -f-A f/ L-1.A. n16 h _ 5t IA -1:a. e. r'1 '2..1 "! z4, .-U crz_ Name A dress City . . Stat•/Zi~ / {p J i'Jn~pne I '( State License I 7 0 5 7 C/Q License Class __________ City Business License I _V..;• ---'-----"U'-- Designer Name Address City Stete/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION .~ ::·~:-r-•~ (' .... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decl•r•tions: / O I have and will maintain e certificate of consent to self-Insure for workers' compens•tion •s provided by Sactlon 3700 of the Labor Code, for the performance of the work for which this permit is issued. ISJ/'i have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: / / Insurance Company ;JA 5 A 1< AG t;AJC., '( Policy No. A I Z--oo g '5l/ 2=Z Expiration Date I j q tj L (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLAR;IS100J OR LESS) / O CERTIFICATE OF EXEMPTION: I certify that in the perfo_rma~ce of the work for which this permit ill Issued, I shall not employ any person in any mann•r so •s to become subject to the Workers' Compensation Laws of Cahforma. WARNING: Failure to Hcure workerI' compensation coverag• Is unlawful, and shall Iubject an employer to crlmln•I pen•ltlu and clvll fin .. up to -hundred thousand doll•r1 ($100, 0 I, In -•ddltlon to the coIt of compen1atlon, d•m•g•I u provided for In Section 3706 of the Labor , lnt-•t attorney·• fNI. SIGNATURE ' DATE,.c...___."-'~-..L..L-L.J' 7. OWNE BUILDER DECLARATION .' , ·•·i ·· • "' .·, 'fr.1'' ,. ·• I hereby affirm that I am exempt from the Contractor's License Law for the following ra•son: O I, as owner of the property or my employees with weges es 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 propeny who builds or Improves thereon, and who does such work himself or through his own employ••s, provided that such Improvements ere not Intended or offered for Hie. If, however, the building or lmprovemant 11 sold within one ya•r of completion, the owner-builder will hav• the burden of proving that htt did not build or Improve for the purpoH of Hla). O t. es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Prof•sslona Code: The Contractor's License Law does not apply to •n owner of property who builds or lmprov•s thereon, and contracts for Iuch projects with contractor(s) licenHd pursuant to the Contractor's License Law). O I am exempt under Section ______ Business and Professions Coda for this re•son: 1. I personally plan to provide the major lebor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed an application for• building permit for the proposed work. 3. t have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following per1on to coordinata, supervise and provide the major work (include name / address / phone number/ contractors license number):. ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following per1ons to provide the work Indicated (Include name / address / ph-number / type of work!: _________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ 1COMPLETE THIS sEcTiolli FOR liON-liEslDEirftAi. iu1Li>iNO PERMITS oNl y.~itf:=P'"'"'~..,.,;T..,,,...,.,...' •. ,., ~7"-'l''"f?.~ ''0'L'o4:11T'<':'ll':'.-,7<* '· ' ... • ·, -· · •r -···' • · · · ·· · · · · Is the _applicant or future building occupant required to submit • business plan, acutely hazardous m•teri•ls registr•tion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley•T•nner Hazardous Substance Account Aet7 0 YES O NO ts the applicant or future building occupant required to obtain a permit from the air pollution control dlstri_ct or air quallty management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of• school site? 0 YES O 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 POUUTION CONTROL DISTRICT. [a.. CONSTRUCTION LENDING AGENCY ... '" ''"V ~n••·· •• -··-· . ..,. ~:··0·'.-r ?'l'''i'·~-·-"·'0 -"· :~ .,., .. ~-· ~··. ·. ~-,., •.•••.•.• .,..,, .•· ,,~ .. I t,ereby affirm that there is a construction tending egency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. _______________________ _ :9. APPLICANT CERTIFICATiON -, ,..--,y•· -··•".,-,m-~•···'."'"''"" •:-';·•.,.-.-.-·•,,w•=,,,-n••·•-.i~;i:"'"•"'' .. ~."''.''•,.,...'<f'f""'t· '.;, I certify that I have read the application and state that the above information is correct and that the lnform•tlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby 111thorize representatives of the Cltt of C•rlsbed to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 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 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE __________________________ _ DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB983201 DESCRIPTION: REPAIR GAS LINE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/25/98 JOB ADDRESS: 2677 GARFIELD ST APPLICANT: HANNA PLUMBING CONTRACTOR: PHONE: PHONE: STE: 726-2002 INSPECTOR AREA PLANCK# CB983201 OCC GRP CONSTR. TYPE NEW LOT: OWNER: REMARKS: C/KATIE SPECIAL INSTRUCT: PHONE: INSPECTOR ------'/J;c.......,'1)-.:..-Y _______ _ TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB920623 RAD CD 23 PL Gas/Test/Repairs -------------------------------------------------------- STATUS EXPIRED ACT COMMENTS ,l)f ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS