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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 ;...;:· l;:t ACT COMMENTS /Ji