HomeMy WebLinkAbout152 REDWOOD AVE; ; CB900503; PermitB U I L D I N G P E R M I T Permit No : CB900503
Project No: A90 00603
Development No :
03/26/90 13:41
Page 1 of 1
Str : Fl: Ste:
( V.:,1 .6, \, l 01 02
T 10-00
(!fo:J/L
Job Address: 152 REDWOOD AV
Permit Type: PLUMBING
Parcel No : 204-252-06-00
Valuation: O
Construction Type: NEW
Occupancy Group: Class Code: Status: ISSUED
03/26/90
03/26/90
JPY
Description: RE-PIPE GAS LINE
CONTRACTOR BROWN, ARTHUR PLUMBING
2697 STATE ST
CARLSBAD, CA 920 08
*** Fees Required *** ***
Fees:
Adjustments:
Tot al Fees:
Fee description
10.00
.00
10.00
Enter "Y" for Plumbing Issue Fee
Gas Piping System
* PLUMBING TOTAL
Applied
Apr/Issue
Validated By:
Lie. C 248290 619-729-4914
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
INS
CLE
.00 .oo
10.00
Ext fee Data
7.50 Y
2 .50
10.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ w
City of Carlsbad Building Department
2075 las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
EST. VAL ______________ _
1.
A
B
C
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
PERMIT TYPE DATE _______________ _
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL □TENANT IMPROVEMENT
□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING OADOITION/ALTERATION
□DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL ~PLUMBING
□MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK No.
Address Js.::i.. IPedtvoo j)
Nearest Cross Streets
LEGAL DESCRIPTION lot No. Subdi vis 1 on Name/Nurbe:r Um t No. Phase No.
CHECK BELOII l F SUBMITTED:
02 Energy Cales 02 Structural Cales
ASSESSOR IS PARCEL
BLOG. sa. FTG.
3. CONTACT PERSON
NAME ff r fkR.. l]IJ.ew<A pj_~.
CITY ~/lJs!} IJj
SIGNATURE
4. APPLICANT CONl A.CTOc:to
NAME lfl'Ji1.!/L ~/ulJ,v &IY) ~ •
CITY &912.-LS/3'9'!)
0 2 Soils Report 0 1 Addressed Envelope
EXISTING USE
# OF STORIES
STATE
ADDRESS
ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE e,}-ZIP CODE
DAY TELEPHONE
OOIINER
.J.iP?7 ~e ~~NT FOR 0\/NER
f).t,_"()p-" DAY TELEPHONE
PROPOSED USE
7.;;9. L/9Jf/
5. PR¾ERTY ow~ . . 0\/NER □LESSEE □TENANT
NAME r.?es-tz:>111 /rr/AI'> ADDRESS ~ L/08' t.XJNC)/VI-(J:/-.
6 .
7.
CITY 0 STATE olO D t?' DAY TELEPHONE (,,
CONTRA7AOR ~/}~ sl. NAME fir ~ B12.1>N,.., iJLm t.5 do~ ADDRESS ~1'17
cm Onru>/J ,9..P STATE th-ZIP CODE f,)&JfY DAY TELEPHONE 7.;Jf-t-ff 11/
STATE llC. # .)lL<f.2 '!llJ. LICENSE CLASS f!.-.:J~ CITY BUSINESS llC. #
SIGNATURE TITLE DATE
DES! GNER NAME ADDRESS
Cl TY STATE ZIP CODE DAY TELEPHONE STATE llC. #
WORKERS' COMPENSATION
Workers• Compensation Declaration: hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial Relat1ons,
or a cert Hi cate of Workers I C~nsat ion Insurance by an aciTli tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Bui lding 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 ~loy any person in any manner
so as to become subject to the Workers ' Corrpensation laws of California.
SIGNATURE DATE
8. OWNER -BUILDER DECLARATION
Owner·Builder 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 errptoyees 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 i~rovements are not intended or offered for sale. If, however, the building
or iff1:)rovement is sold within one year of completion, the owner·builder will have the burden of proving that he did not build or ill,.:>rove for the purpose
of sale.).
0 I, as owner of the property, am exclusively contracting wi th 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 ill,.:>roves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor I s License Law).
0 I am ex~t under Section ___________ Business and Professions Code for this reason:
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, i"l)rove, 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, corrmencing with Section 7000 of Division 3 of the Business and Professions Code> or that he is exen1)t therefrom,
and the basis for the alleged exerrption. 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 [$5001 ).
SIGNATURE DATE
COMPLETE THIS SECTI ON FOR NON·RESI0ENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a bus iness 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
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
OYES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES
lf ANY Of THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCWPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENnING 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 'S ADDRESS
10. APPLICANT'S SIGNATURE
1 certify that 1 have read the appllcation and state that the above information 1s correct. I agree to cOOl)ly 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 ANO EXPENSES WHICH NAY IN ANY IIAY ACCRUE AGAINST SAID
CI TY IN CONSEQUENCE OF THE GRANT! NG OF TH l S PERM IT.
Expiratlon. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if
or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the bu1ld1ng or work authorized by such permit
or abandoned at any time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code).
the building
is suspended
APPL~ SIGNATURE £3: D OWNER ~ON TRACTOR D BY PHONE APPROVED BY: _______ _
ti ~ 1/11>-':'."'-: , DATE:
WHITE: File YELLOW: Applicant PINK: Finance
I _., .
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB900503 FOR 03/29/90
DESCRIPTION: RE-PIPE GAS LINE
TYPE: PLUM
JOB ADDRESS: 152 REDWOOD AV
APPLICANT: BROWN, ARTHUR PLUMBING
CONTRACTOR: BROWN, ARTHUR PLUMBING
OWNER:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK# CB900503
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
729-4914
619-729-4914
REMARKS: T2/MH/729-4914
SPECIAL INSTRUCT: INSPECTOR --~Aq------,'f------
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
23 PL Gas/Test/Repairs ~ ________ )U'--------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS