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Home My WebLink About2840 STATE ST; ; CB950769; PermitB U I L D I N G P E R M I r 0b/0~/•3r., 11:UI Page 1 of 1 ,;;>~40 .Job A<l<lres~: ~ '-,TATE ST Permit TypP: PLUMBING Pc,rce.!. No : 203-181-13-llU Valuati(,n : u ronstrurt1on Type: NEW Suite: Lot#: Occupancy Group : R,:>terence#: Description: REPAIR GA~ LINE ,3 SEP METER3 Perm:t No: rsqsL7f P1oiect No: A9SU11ll3 Development :\lo: StatLtS: ISSI E[, Applie~: 06/t9/ ~ Ape/Issue: Ob/0=!/•~s Entere<'i By: RMA Appl/Ownr : ARTHUR BROWN PLUMBING 2697 STATE S'I' CARLSBAD , CA 92008 t:Jl'➔-729-4914 Fees Required Fee::;: Adiustments : Tot-=tl Fees : .OU .uo 27,00 y 2245 06/09/95 0001 01 02 C-PRHT 27-00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION PLAN CHECK NO. City of Carlsbad Building Depart.nt 2075 Las Pal-Dr., carlsbad, CA 92009 (619) 438-1161 I. PPJlMll hPE From Ust I (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Ust 2 (see back) give Code of Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Unhs 2. PRnlECI" INFORMATION OFFICE USE ONLY [] 2 Structural calcs [] 2 Soils Report [] I Addressed Envelope (tN-r"'P'Pi.Y -3 SQ.FT. # OF s-lJruES # F BEDROOMS # OF BATiiROOMS I NAME (last_ name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE D ADDRESS ....__C;;I;.;TY STATE ZIP CODE DAY TELEPHONE STATE UC. #)yf.).fl} LICENSE CLASS C 3& CITY BUSINESS UC.* DESIGNER NAME (last name tlrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# INSURANCE COMPANY POUCYNO. EXPIRATION DATE Cerntlcate of Exempllon: I certify thac m the perlonnance of the work for which this permit lS issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE a: owNm-nonnm Dl!CLARAIIDN [] [] □ uwner-tsuuaer uec1arafion: I hereby afhrm ffiat I am exempt from the Confractofs license Law)or ffie fodowmg reason: I, as owner of the property or my employees with wages as cheir 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. lf1 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. 70441 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 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 to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that 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 dolian ($5001). SIGNATURE ' DATE WMPLE!IE IAiS Sf:C'lldN FOR NON-RESIDENilAL S0IIDING PEkMil'S 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 25S05, 25S33 or 25S34 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management district? I] YES □ NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARI! YES, A FINAL CER1U'ICATE OF OOCUPANCY MAY NCJf BE 1SSIIEI) AFTER JULY I, 1989 UNU!SS nm APPLICANT HAS MET OR JS MEIITING nm REQUlREMl!NTS OP nm OFFICE OF EMERGENCY SERVICES AND nm AIR POLLUTION OONlllOL DJSTRlCI'. 9. WNSIRDCIION LENDING XCENCY I hereby affirm that there IS a consfructton iendmg agency for the performance of the work tor which tfils permit is wued (Sec 3097(1) CivU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI ORJ&ICAIJON I certllY that I have read the appbcafion and state that the afxive miormauon 1s correct. I agree lo comply wllh ail City ordmances and Slate laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the aOOve mentioned property for inspection purposes. I AISO AGREJ! TO SAVI! INDl!MNlFY AND Kl!l!P HARMU!SS nm Cl1Y OP CARISBAD AGAINSf AU. 1IAIIIU11ES, JUDGMENTS, CXlSl'S AND l!XPENSES WIIlCII MAY IN ANY WAY Aa:RUE AGAINSf SAID Cl1Y IN OONSPQUENCE OF nm GRANTING OP nus PERMIT. OSHA: An OSHA pennit 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 shalt expire by limitation and become null and void if the building or work authorized by such permit is nor commenced withm 36S days from the date of such permit or if the building or work authorized by such pennil is suspended o bandoned at an ti e ter the work is commenced for a period of 180 days (Section 303(d) Uniform Bu"1iing~:--- APPUCANTS SJGNA DATE:f,::: r::!(J YELLOW: App 1cant PINK: Fmance 0 --------·· ·---- • CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950769 FOR 06/15/95 DESCRIPTION: REPAIR GAS LINE,3 SEP METERS TYPE: PLUM JOB ADDRESS: 2832 STATE ST APPLICANT: ARTHUR BROWN PLUMBING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB950769 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-729-4914 REMARKS: MW/JUNE/729-4914 SPECIAL INSTRUCT: INSPECTOR _/"-?~7 _______ _ I TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB950767 CB950768 23 PL Gas/Test/Repairs TYPE PLUM PLUM --------------------------------------------------- STATUS ISSUED ISSUED ACT COMMENTS Jf_ ________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS