HomeMy WebLinkAbout1617 STARLING CT; ; CB940497; PermitB U I L D I N G
05/02/94 14: 0 3 //,/
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Job Address: ~811--STARLING CT
Permit Type: PLUMBING
P E R M I T
Suite:
Lot#:
Permit No: CB940497
Project No: A9400708
Development No:
Parcel No: 215-590-66-00
Valuation: 0
Construction Type: NEW
Occupancy Group : Reference#: Status : ISSUED
05/02/94
05/02/94
MDP
Description: INSTALL GAS LINE
Appl/Ownr : KIMOS LANDSCAPE
P.O. 866
ENCINITAS, CA. 92023
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbing
Gas Piping System
* PLUMBING TOTAL
***
27 .00
,00
27 .00
Applied:
Apr/Issue:
619
Entered By:
740-0218
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
27.00
***
Un its Fee/Unit Ext fee Data
7.00
20.00 Y
7.00
27.00
~lAPPROVAL
INSP~DATE -.S:rl-fv
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PErud!T APPLICATION PLAN CHECK NO. q, l{,.. c(_ 1
City of Carlsbad Building DepartEnt
2075 Las PalEs Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL'-----------
I. JiEkMll fiPE
PIAN CK DEPOSIT. _______ _
VALID.BY _________ _
From List I (see back) give code of Pennit-Type: __ 6-_;~c:..::>;_ _______ _ DATE
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROIECI" INFORMATION FOR OFFICE USE ONLY
Address 18' 1 l ~j!..L1"_j' .::..+.
Nearest Cross Street
Bu1idmg or Suite No.
LEGAL DESCRIP'I ION Lot No. Subd1V1s1on Name/Number Omt No. Phase No.
CHECK BEIDW IF S0BMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PBOPQSED USE
DESCRIPTION OF WORK
SQ. Ff. G-t\-.> ~<. # OF BEDROOMS # OF BATHROOMS
I
NAME (last.name first) ADDRESS f.o, (1.,,._ %°lo'
CI1Y 9 Z..~AY TELEPHONE /
NAME (last na1;1e first) C:::..1 ~ " '5:, ~RESS
CI1Y~O::. ~ I/JI~ ZIP CODE DAY TELEPHONE
5. Pi!OP£k(y U O ~UL \. ADDRESS ( ~ I 7 NAME (last name first) r O'\.j .,. _,
CllY C u't-L<:, 1,,cJ..._ STATE (4-ZIP CODE DAY TELEPHONE
NAME (last name first) ~' M..~ '_i
CITY STATE ZIP CODE DAY TELEPHONE
STATE Lic. ll/'i:'7W LICENSE CLASS <::_ -z_ 7 CI1Y BUSINESS LIC. #
DESIGNER NAME (last name hrst) ADDk£SS
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOltlffiRS' WMPENSAIION
Workers' Compensanon Declaration: I hereby affmn that I have a cert1hcate of consent to seif-msure issued by the Director of lndustnal
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).
POLICY NO. '2-(!)'f-"JS:-EXPIRATION DATE
SIGNATURE DATE
8. OWNER-B0ilDEk DfiilRAllON
□
□
□
Uwner-BuUder Declaration: I hereby afhrm that I am exempt from the Confraciofs License Law for the lollowmg 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.).
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 Llcense Law does not apply co an owner of property who builds or improves thereon, and concraccs for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense I.aw).
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 co the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or chat 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
WMPLEIE IHIS SECIION FOR NON-RESIDEN IIAt BOILblNG PERMIIS 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?
□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 □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BEJs.slJED AFTER JULY I, 1989 UNU.SS TIil! APPLICANT
HAS MET OR IS MEETING TIil! REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND TIil! Aill POLLUTION OONTI!.OL DISl'RJCT.
9. WNSIRUCIIUN IENDING AGENCY
I hereby afhrm that there is a construction lendmg agency for the peiformance of the work for which thts penntt ts issued (Sec 3097(1) Civti Code).
LENDER'S NAME LENDER'S ADDRESS
JO. APPllCAN I CRklfiJICAIIDN
I certify that I have read the apphcatton and state that the above mformatJon ts correct. I agree to comply with all City ordmances 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. I AlSO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIil! CI1Y OF CARISllAD AGAINST AIL LIABILITIES, JUDGMENTS, <XlSTS
AND EXPENSES WlllCH MAY IN ANY WAY ACXJUJE AGAINST SAID CI1Y IN OONSEQUENCE OF 11IE GRANTING OF 11IlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
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 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aba oned at any time a r t ork is commenced for a period of 180 days (Section 303(d) Uniform Building
APPLICANT'S SIGNATURE • DATE: ..._
WHITE: phcant PINK: Fmance
'i
•
PERMIT# CB940497
DESCRIPTION: INSTALL GAS LINE
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/10/94 INSPECTOR AREA PD
PLANCK# CB940497
ace GRP
CONSTR. TYPE NEW
STE: LOT: JOB ADDRESS: 1817 STARLING CT
APPLICANT: KIMOS LANDSCAPE
CONTRACTOR:
OWNER:
REMARKS: MH/KEN/740-0218
SPECIAL INSTRUCT:
PHONE: 619 740-0218>;/J_
PHONE: /J. l -PHONE: ~
INSPECTO~ '
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
_2_3 __ P_L _G_a_s_J_T_e_s_t_l_R_e_p_a_i_r_s _______ 11::f) ______________ _ ------------------±
------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
050494 Gas/Test/Repairs
ACT INSP
CO PD
COMMENTS
NO TEST