HomeMy WebLinkAbout2212 RECODO CT; ; CB940174; PermitB U I L D I N G
02/17/94 15:01
1 Page 1 of 1
P E R M I T
Suite:
Lot#:
Permit No: CB940174
Project No: A9400247
Development No:
5 "'i
Job Address: 2212 RECODO CT
Permit Type: PLUMBING
Parcel No: 216-493-11-00
Valuation: O
Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
02/17/94
02/17/94
DC
Description: REPLACE WATER HEATER
Appl/Ownr : MAIO PLUMBING
9333 TRADE PLACE
SAN DIEGO, CA 921267
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
27.00 .oo
27.00
***
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
Applied:
Apr/Issue:
619
Entered By:
566-1234
Fees Coll ected & Credits
Total Credits: .00
Total Payments: .00
Balance Due: 27.00
Units Fee/Unit Ext fee
20.00
7.00 7.00
27 .00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
***
ii
Data
y
PERMIT APPLICATION 4\
\f:I
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
A
•
C
2.
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL □NEW
□RESIDENTIAL □APARTMENT
□DUPLEX □DEMOLITION
0 MECHANICAL O POOL
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY D.IELL!NG OADDITI0N/ALTERATI0N
□RELOCATION OM0BILE HOME □ELECTRICAL □PLUMBING
□SPA QRETAINING WALL □SOLAR □OTHER
PROJECT INFORMATION PLAN CHECK No.
Addms 2']. / 2 Building or Suite No.
Nearest cross Streets
PLAN C1C DEPOSIT ____________ _
VALID. BY ______________ _
DATE _______________ _
F
LE~L DESCRIPTION Lot No. Sub:livision Name/Nl.fflber Unit Mo. Phase No.
3.
BLDG. sa. FTG.
CONTACT PERSON
NAME
CITY
SIGNATURE
# Of STORIES
STATE
ADDRESS
ZIP CODE
PROPOSED USE
DAY TELEPHONE
4. APfiICANTr;, _ QcoNTRACTOR
NAME 1 lX)J..e) _ ~ l>I~
0 AGENT FOR CONTRACTOR
ADDRESS
Ooi.NeR 0 AGENT FOR 01.JNER
CITY~ 0 ST A TE c....1\-Z!P CODE
5. PR,OPERTY O~~;;". ,..I O , • ,
NAME~ ~l,.,l-,'~
OWNER □TENANT
CITY STATE DAY TELEPHONE
6. CQNl8ACToOR D _ ·
NAME J l )0-..J..v '{IJ.J.-rY\Dl ~ PL
7.
8.
CITY ~ ~L) ns STAT,f_fl,
STATE l!C. ,3'13:5'17
SIGNATURE
DESIGNER NA:E '
CITY l\._}
WORKERS' COMPENSATION
STATE
ZIP COOE 0(.}1-;}le
LICENSE CLASS C~"·d::~
TITLE
ADDRESS
ZIP CODE
DAY TELEPHONE ::::,l..1..,-l '2. 1/--/
CITY BUSINESS uc. # c./'53 too
DATE
DAY TELEPHONE STATE LIC. #
Workers• COITl)ensat1on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Jndustr1at Relations,
or a certificate of Workers• COl!l)ensation Insurat"ICe by an acknitted insurer, or an e11act 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./
SI GNAT
Certificate of hefll)tion: I certify that in the performance of the work for which
to becooie subject to the 'workers' Coo-pensation Laws of California.
DATE Ot
OWNER-BUILDER DECLARATION
not
Owner·Builder Declaration: I hereby affirm that I am eJ<empt from the Contractor's License Law for the following reason:
in any manner
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, pro¥ided that such impro¥ements are not intended or offered for sate. If, however, the building
or improvement is sold within one year of completion, the owner·builder will have the burden of pro¥ing that he did not build or improve for the purpose
of sale.).
0 I, as owner of the property, am eKclusi¥ely 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 impro¥es thereon, and contracts for such projects with contractor(s)
licensed pursuant to the contractor's License Law).
D ! 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, impro¥e, 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 tc the provisions of the
Contractor's License Lai. (Chapter 9, coomencing i.fth Section 7000 of 0lvision 3 of the Business and Professions Code) or tha~ he is eJ<empt therefrom,
and the basis for the alleged eJ<emption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicar,t to a civil penalty of not
more than five hundred dollars [S500] ).
SIGNATURE DATE •
COMPLETE Hl!S 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 risl( 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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANT OF THE AN5'oERS ARE TES, A FINAL CERTIFICATE OF OCOJPANCT MY NOT Bf ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR JS MEETING TNE REQUIREMENTS
OF TNE OFFICE OF ENERGEWCT SERVICES AND THE AIR POLLUTION CONTROL DISTRICT_
9. CONSTRUCTION LENDING AGENCY
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 IS ADDRESS
10. APPLICANT'S SIGNATURE
l certify that I have read the application and state that the above information is correct. I agree to comply 1oith all City ordinances and State laws relating
to building construction. l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE IN0ENNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUJG'IENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
EKpiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation ;ind become null and void if the building
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or 1oork authorized by such permit is suspended
or abandoned at any time after the i.ork is COIIYll('nced for a period of 180 days (Section 303(d) Uniform Building Code).
□ 0.JNER □ CONTRACTOR OBY PHONE mg_ CC>~'T/2.A-C.TDR____ DI
WHITE: File YELLOW: Applicant PINK: Finance
APPROVED BY;
DATE: