HomeMy WebLinkAbout154 REDWOOD AVE; ; CB920160; PermitIJ I L D 1 N G P E R M I
(2/11/~2 L.:lC
Pa<Je l of /
Job Address· y ~ ~lJWOOD
Per1111 t Type: LI ""BING
Parcel No: ~u4-252-Db-OO
Valuation:
Construct on TYt•e : NE.W
)ccUl)ancy Group:
AV
Cl<.1ss '..>le:
Description: REPAIR GAS LINE TO HTR/PURNArE
Appl/Ownr : BROWN, ARTHUR PLUMBING
~l197 STATE STREEl'
CARLSBAD, CA
A Ir A Pees Required
----------------------
fees:
Adjustments:
Total Pees:
Fee description
Enter 'Y" foL Plumbing Issue Fe~
Each Wc-tter Heater. ma/o Vent
Gas Piping System
~ PLUMBING TOTAL
r
619
CITY OF CARLSBAD
Permit No: CB9201 o
ProJect N >: A9 0l45
f)P.vPlooment No:
te:
6328 02/11/92 0001 01 02
C-PRMT 13-00
CAsh_
'?'\Lt :
Appl ed:
Apr/ l ·sue:
Vctlillated By:
729-4914
,.:.>LIED
02 11/92
02/11 92
[>('
. l) (l
.00
13.00
Ext fee D1t
7 . 5 I y
2 .50
2.511
13.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
PLAN Cl( DEPOSIT C:::::::::::::
VALID. BY ...----?::
DATE .............--
""'" A COMMERCIAL TENANT IMPROVEMENT
B O INDUSTRIAL QNEII QTENANT IMPROVEMENT
C • QRESIOENTIAL □APARTMENT QCONOO QSINGLE FAMILY DI/ELLING QADDITl,911/ALTERATION
□DUPLEX □DEMOLITION □RELOCATION QH08ILE HOME QELECTRICAL (!jPLUHBING
Q MECHANICAL QPOOL QSPA □RETAINING I/ALL QSOLAR QOTHER _____ _
2. PLAN CHECK No.
Bu1 d1ng or SUI te No.
Nearest Cross Streets
LEGAL OESCII I PTI OIi
vQ..
~d -Sbqd ewd
Lot No. Sutxhv1sion flame/Nlllt>er Umt No. Phase No.
CHECK BELOII IF SUIIIIITTED:
02 Energy Cales 02 Structural Cales 0 2 Soi ls Report 0 1 Addressed Envelop!
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
BLOG. SQ. FTG. # OF STORIES
3. CONTACT PERSON
NAME ADDRESS
ZIP CODE CITY
SIGNATURE
STATE
0 AGENT FOR CONTRACTOR
ADDRESS
QDIINER
sTATE Ca . z1p cODE 9wo
DAY TELEPHONE
D AGENT FOR O\INER
DAY TELEPHONE
5. PROPERTY OWNER . 0 0 NAME tl(--Q.~ Gn ·n-iV\5 OIINER 7,1-/0 ~1/\.o,a
ADDRESS
CA-QLESSEE QTENANT
CITY c.a:r: Vo bad STATE Ca ZIP CODE DAY TELEPHONE
6. CONTRACTOR
NAME u.c---thur t'{"C\WV\ :PlWMbi-1:5, (..o
7.
CITY UJt.C-1"':)\,o..d SWE ~-
ADDRESS
ZIP CODE
SIGNATURE
DESIGNER NAME
CITY
STATE LIC. # z. 4fzqo
STATE
WORKERS' COMPENSATION
LICENSE CLASS _____ _
TITLE miut
ADDRESS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS LIC. #
DATE
DAY TELEPHONE STATE LIC. #
Workers• Coq,ensat1on Declaration: I hereby affirm that I have a cert1f1cate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of \Jorkers I Corrpensat ion Insurance by an adni tted insurer, or an exact copy or duplicate thereof cert if; ed by the Di rector of the
insurer thereof f iled with the Building Inspect ion Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Ex...,tion: I certify that in the performance of the work for which this permit is issued, I shall not ...,toy any person in any 111anner
so as to become subject to the \lork.ers• CC>Cll)ensation laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner·Butlder 0eclarat1on: I hereby affirm that I am exeffl)t from the Contractor's License law for the following reason:
0 I as owner of the property or my ...,toyees with wages as their sole coo-pensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's license Lew does not apply to an owner of property who builds or i"l)roves thereon,. and who
does such work himself or through his own ...,Joyees, provided that such i~rovements are not intended or offered for sale. lf, however, the building
or iq,rovement is sold within one year of c°""letion, the owner-builder will have the burden of proving that he did not build or i~rove for the purpose
of sale.).
0 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 iq::,roves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
0 I am ex...,t under Section ___________ Business and Professions Code for this reason:
(Sec. 7031.5 Bush-.ess and Professions Code: Any City or County which requires a permit to construct, alter, in-prove, demolish, or repair any structure,
pdor 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, conmencing with Section 7000 of Division 3 of the Busi ness and Professions Code) or that he is ex...,t therefrom,
and the basis for the alleged ex...,tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
..,re than five hundred dollars [S500J).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to sub'nit 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?
Ores 0No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Ores □No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
Ores
IF ANY Of THE ANS\ERS ARE YES, A FINAL CERTIFICATE OF OCClJPANCY IIAT NOT BE !SSU:D AFTER JULY 1, 1989 UNLESS THE APl'LICANT IIAS IET OR IS IEETING THE REClJIREIENTS
OF THE OFFICE OF EIER!BICY SERVICES ANO THE AIR POI.LUTIOII CONTROi. 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'S ADDRESS
10. APPLICANT'S SIGNATURE I cert1fy that I have read the appl1cat1on and state that the above information 1s correct. I agree to c~ly w1th all City ordinances and State laws relat1ng
to building construction. I hereby authorue representat1ves of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO 1::EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. Jl.llGIIENTS, COSTS ANO EXPENSES WlllCH HAY IN ANY 1/AY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Building Offic,al 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 conrnenced within 180 days from the date of such permit or if the building or work authorized by such permi t is suspended
or abandoned at any time after the work is corrrncnced f or a period of 180 days (Section 303(d) Uniform Building Code).
D 01/NER D CONTRACTOR QBY PHONE APPROVED BY: ______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
DATE 2 -/3 -9 2-
PLANCK # _____ _
fl VE
TIME ARRIVE: _____ TIME LEAVE: _____ _
CD LVL DESCRIPTION
;;3 GA-S RE ~A It<..
PERMITS
6/15/89
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ACT COMMENTS
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