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Home My WebLink About155 CHERRY AVE; ; CB901262; PermitBUILD 08/02/90 14:30 Page 1 of 1 Job Address: 155 CHERRY AV Permit Type: PLUMBING Parcel No: 204-232-17-00 Valuation: 0 Construction Type: NEW Occupancy Group: Description: GAS REPAIR ING PERMIT Str: Permit No: CB901262 Project No: A9001401 Development No: Fl: Ste: Class Code:Status: ISSUED Applied: 08/02/90 Apr/Issue: 08/02/90 Validated By: RS OWNER CONTRACTOR ** LINCOLN COAST MANAGEMENT 2550-5TH AVENUE SAN DIEGO, CA 92103 CHUCKS PLUMBING 3800 WESTHAVEN DR CARLSBAD, CA 92008 Fees Required *** *** Lie OWNER Lie. C 287306 619-239-1776 619-729-0961 Fees Collected & Credits *** Fees: 10.00 Adjustments: .00 Total Fees: 10,00 Fee description Total Credits: Total Payments: Balance Due: Units Fee/Unit . 00 . 00 10. 00 Ext fee Data Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL 1.00 2. 50 7. 50 Y 2. 50 10. 00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (eis) 438-iisi 1. PERMIT TYPE I A - O COMMERCIAL QNEW QTENANT IMPROVEMENT B - D INDUSTRIAL QNEW ^TENANT IMPROVEMENT c - [^RESIDENTIAL DAPARTMENT QCONDO OSINGLE FAMILY DUELLING ^ADDITION/ALTERATION DDUPLEX DEMOLITION DISLOCATION QMOBILE HOME QELECTRICAL DMECHANICAL QPOOL DSPA QRETAINING WALL QSOLAR 2. PROJECT INFORMATION PLAN CHECK No. EST. VAL PLAN CK DEPOSIT_ VALID. BY DATE FOR OFFICE USE ONLY ^Address - Nearest Cross Streets Bunding or Suite No. LEGAL DESCRIPTION Subdivision Name/Number CHECK BELOU IF SUBMITTED: D2 Energy Calcs Structural Calcs _ Q2 Soils Report Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE BLDG. SO. FTG.# OF STORIES CONTACT PERSON NAME t> 5. ^ 6. CITY ^ SIGNATURE ^APPLICANT \NAME CITY STATE ZIP CODE DAY TELEPHONE rj CONTRACTOR n AGENT FOR CONTRACTOR Q OWNER Q AGENT FOR OWNER ADDRESS STATE ZIP CODE DAY TELEPHONE PROPERTY OWNER 'NAME ^ fsi/Cl* L^S C,£< fr$1 CONTRACTOR NAME flsll U xj /^ OWNER ._ -. - _ n LESSEE QTENANT STATE^jJ(V ZIP CODE V>o? 7 /} ?* DAY TELEPHONE t^. § **f *- / *7 "7 to ^,^ ADDRESS ^g-.e. L^cST^^^^ «^/e* STATE LIC.LICENSE CLASS Lx""' 3-fe DAY TELEPHONE CITY BUSINESS LIC. #<*£ 3 C$ SIGNATURE t^-/ DESIGNER NAME CITY 7 . WORKERS ' 7<£i/^ - /^ fijp&w COMPENSATION ^f^^C^-^, TITLE 62^~/s*~t _J ADDRESS STATE ZIP CODE ^_^ DATE jf^^L-^C? O DAY TELEPHONE 1 STATE LIC. # Workers' Compensation Declaration: 1 hereby affirm that I have a certificate of consent to self-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 POLICY NO.EXPIRATION 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' Compensation Laws of California. SIGNATURE 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following 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 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.). f~| 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). 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? DYES QNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES QNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil 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 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 purposes. 1 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. 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 180 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). TRACTOR PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT* CB901262 DESCRIPTION: GAS REPAIR CITY OF CARLSBAD INSPECTION REQUEST FOR 08/03/90 TYPE: PLUM JOB ADDRESS: APPLICANT: CONTRACTOR: OWNER: 155 CHERRY AV CHUCKS PLUMBING CARLSBAD CHUCKS PLUMBING LINCOLN COAST MANAGEMENT PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB901262 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619-729-0961 619-729-0961/ 619-239-177< REMARKS: T3/MH/CHUCK INSPECTOR SPECIAL INSTRUCT: WILL CALL WHEN PRESSURIZED - HOLDS WILL BE PM 15 MINUTES TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs AC A IT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS