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Home My WebLink About2832 STATE ST; ; CB901693; Permit10/22/90 13:4 0 Page 1 of 1 B U I L D I N G P E R M I T Str: Permit Project Development Fl: Ste: 8913 0/2..I 0 0 No: CB901693 No: A90019 26 No: Job Address: 2832 STATE ST Permit Type: PLUMBING Parcel No: 203-181-13-00 Valuation : o Construction Type : NEW Occupancy Group: Class Code: t'fi. I Q. 5 d-.... Status: ISSUED Description : GAS TEST METER Appl/Ownr : THE VILLAGE REALTORS 500 GRAND AV CARLSBAD, CA 92008 OWNER WARD, CLIFFORD, *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumbi!ng Gas Piping System * PLUMBING TOTAL Applied: Apr/Issue: Validated By: 619-434-6858 OWNER Credits Total Credits: 10/22/90 10/22/90 KZH *** Total Payments: .00 .oo 10.00 INS Balance Due : Units fee1/Un1t Ext fee Data 7.50 Y 2.50 10.00 ~PPROVAL .,,~~DATE t(r:t~ __ ! CLEARANCE _____ l CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 11\ V City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A C PERMIT TYPE COMMERCIAL TENANT IMPROVEMENT D INDUSTRIAL □RESIDENTIAL □TENANT IMPROVEMENT □APARTMENT □CONDO □SINGLE FAMILY DWELLING QDUPLEX □DEMOLITION □MECHANICAL □POOL □RELOCATION QSPA □RETAINING \.IALL 0 ADD IT I ON/AL TE RAT I ON □PLUMBING PLAN CIC DEPOSIT ___________ _ VALID. BY _______________ _ DATE _______________ _ 2. PROJECT INFORMATION PLAN CHECK No. Addcess ~J .3 d ,:S T1'r T1f ,S.TR. c;-e-, Nearest Cross Streets G n A-nJ D Av t:,,,Jt) 114-C LEGAL DESCRIPTION Lot No. Subdivision Name/NISllber Unit No. Phase No. CHECK BE LCM IF SUBMITTED: 3. 4. 5. 6. 7. 8. Q2 Energy Cales D2 Structural Cales qz Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE orneR1P,1oN of woRKd e-r BLDG. SQ. FTG. #OF STORIES CONTACT PERSON~., ~•!£S NAME b' "'p ~ lJ IV ADDRESS ,S~tJ CiJ/..+fo/ L) fl,t/C.. CITY C A-IL~ Ir .I) C!-~ STATE ZIP CODE t µ 0 8 DAY TELEPHONE ,; ~ 4-(., K ..!,~ ~ CITY IT7J/9-{!_A ~we.. CITY STATE LIC. # FOR CONTRACTOR □OWNER GENT FOR OlJNER ADDRESS .so--o G 12..$>,--,v J:J /If-" t: STATE ZIP CODE DAY TELEPHONE 01.'NER ~ lF OR...[) bUAflO □LESSEE □TENANT STA<:!A' STATE ADDRESS ZJP CODE ADDRESS ZIP COOE LICENSE CLASS DAY TELEPHONE DAY TELEPHONE CITY BUSINESS LIC. # SIGNATURE TITLE DATE DESIGNER NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof cert if i eel by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of EKemption: I certify that in the performance of the work for which this permit is issued, I shall not efllllOy any person in any manner so as to become subject to the \Jorkers' Corrpensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION owner·Bu1lder Declaration: thereby affirm that I am eKempt from the contractor's License Law for the following reason: 0 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. 7D44, 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.). 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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, irrprove, 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, conmencing 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 do l l ars [$500] ) . 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? Ons □,o 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 ot a school site? □YES If ANT Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY HAY NOT 8E ISSUEO AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES: AND TYE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LEN~ING 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). LENO ER IS NAME LENO ER IS ADDRESS 10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. l hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE JNDE"NIFY AND KEEP HAR"LESS THE CITY OF CARLSBAD AGAINST All llA81llTIES, JWGMENTS, COSTS ANO EXPENSES \ltllCH MY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall e~pire by limitation and become null and void if the building or work authorized by such permit is not corrmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrmenced for a period of 180 days (Section 303(d) Uniform Building Code). □ OI.INER O CONTRACTOR □ BY PHONE APPROVED SY; _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB901693 DESCRIPTION: GAS TEST METER CITY OF CARLSBAD INSPECTION REQUEST FOR 10/30/90 INSPECTOR AREA PD PLANCK# CB901693 OCC GRP TYPE: PLUM JOB ADDRESS: 2832 STATE ST APPLICANT: THE VILLAGE REALTORS CONTRACTOR: OWNER: WARD, CLIFFORD, JR. REMARKS: Tl/RS/480-9292 SPECIAL INSTRUCT: Ta' BA TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs CONSTR. TYPE NEW STR: FL: STE: PHONE: 619-434-6858 ~:~~~: /J fl"' 1l I INSPECToll Zµ& )?L_ ACT COMMENTS Bf 6 µ /Yl,, ***** INSPECTION HISTORY***** DATE 102490 102390 DESCRIPTION Gas/Test/Repairs Gas/Test/Repairs ACT INSP AP PY CO PD COMMENTS NO TEST