HomeMy WebLinkAbout2832 STATE ST; ; CB950767; PermitB U I L D I N G P E R M I T Permit No : <'Bq507r 7
Project N,,: A-=l:i0111l
D~velopment No :
llb/09/~5 11:08
Pa<JP 1 of 1
Su1te :
Lot#:
Job Address : 28J2 STATE ST
Permit Type: PLUMBING
Pa.reel No: 203-lHl-13-nO
Va.1.uat on: o
ConsttltCtl<Jtl Type : NEW
Occupancy Group: Rt-=>ference#: St-c, tus: l :iSl JED
Applit=-1: 06 09;9r1
Apr /ISSUE': llb/O~l/ I
Entered By: RM/..
619-729-4914
Descript1on : REPAIR GAS LINE
Appl/Uwnr : ARTHUR BROWN PLUMBING
2697 STATE ST
CARL~-BAD I CA
A '• \ Fees Requi1.ed
Fees:
Ad1ustments :
Total Fees:
Fee d.Pscr1ption
Enter Y" for Plu
Gas P1p1nq System
* PLUMBING TOTAL
CITY OF CARLSBAD
• (l ()
.Oll
27.00
Ext fee Data
20.U(J Y
7. 0 0
2 7 . J 0
2245 06/09 /95 0001 01 02
C-PRMT 27-00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION CD . . PLAN CHECK NO. qso 7 6 7
City of Carlsbad Building D-rtaent
2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438·1161
i. PERMI I ftPE PIAN CK DEPCfITj.,a--,-------
VAUD. BY~/>, ,
From List l (see back) give code of Pennit-Type: ___________ _ l
l!ST. VAL
_DATR "'/'1 I~
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Nee Loss/Gain of Dwelling Units
2. PRCllECT INFORMATION FOR OFFICE USE ONLY
Address ;;;z. 't' 3 ~
Nearest Cross Street
CHECK BEWW IF SOBMII IED:
□ 2 Energy Cales O 2 Structural Cales □ 2 Soils Report
(~ f'o-p'"" y,--3
# OF SJ'6RIES SQ. FT.
1 1 eren rom app 1can
NAME (last name first) ADDRESS
CI1Y STATE ZIP ffiDE DAY TELEPHONE
mt o.
# OF BATilROOMS
•-=~1~!1 name first) Sf,;_+e St• /kS OC, ADDRESS '7'(J So t'(i(n Gfl>lf. p ,~ 5""fe {)
CI1Y ~ <A/11/:1 STATE IPCODE 0> DAYTELEPHONE 1'/, -/;>{){:,
1.
CI1Y STATE
STATE UC.#
as name 1rst
STATE
INSURANCE COMPANY
ADDRESS
ZIP ffiDE
LICENSE CLASS C 3,:;;
ZIP CODE
POLICY NO.
DAY TELEPHONE
CllY BUSINESS UC. #
DAY TELEPHONE STATE UC.#
EXPIRATION DATE
I
Cerahcate of Exempt10n: I cernfy that m the performance of the work for which tfos penrnt IS issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNltll-B0tmml DRCIAltA'llUN
□
□
□
Uwner-BuUder Declaration: I hereby afnrm that I am exempt from the Contractors Llcense Law for the foilowmg 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 Llcense 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 to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Llcense 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 dollars [$500]).
SIGNATURE DATE
COMPQ:IE IHIS SECIION FOR NUN-RESIDENIIAL BDIWING PERMII'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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO 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 ANY OF THE ANSWERS AREYES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE JliSUED AFTRRJULY 1, 1989 UNIBSS THE APPLICANT
HAS MET OR IS MEIITING THE REQUillEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION OONTROL DISTIUCf.
9. WNSIRUCIION 1£.NDING XGRNCY
I hereby afhrm that there as a construction lendmg agency for the performance of the work for which thas permit 1s issued (Sec 3097(!) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPilCAN I CFJlliFICAIION
I cefbfy that I have read the apphcatton and state that the atxive mformatton 1s correct. I agree to comply with ali 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 AISO AGREE 1U SAVE INDEMNIFY AND KI!EP HARMLESS THE Cl"IY OF CARISBAD AGAINST AIL IJABILITII!S, JUDGMENTS, CDSfS
AND EXPENSES WlllCH MAY IN ANY WAY A[x:JU!E AGAINST SAID Cl"IY IN ffiNSEQUENCE OF THE GRANTING OF TillS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" 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 pennit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such pennit is suspended o bandoned at an ti cer the work is commenced for a period of 180 days (Section 303(d) Uniform Bu~ing~~e :---
APPLICANT'S SIGNA DATE:tz-':/:::]..__I -
YEU.OW: App icant PINK: Finance
0
•
PERMIT# CB950767
DESCRIPTION: REPAIR GAS LINE
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/15/95
JOB ADDRESS: 2832 STATE ST
APPLICANT: ARTHUR BROWN PLUMBING
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
INSPECTOR AREA
PLANCK# CB950767
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-729-4914
REMARKS: MW/JUNE/729-4914
SPECIAL INSTRUCT:
INSPECTOR __ ...£:....:..J. _______ _
TOTAL TIME:
--RELATED PERMITS--
LVL DESCRIPTION
PERMIT#
CB950768
CB950769
CD
23 PL Gas/Test/Repairs
TYPE
PLUM
PLUM
------------------------------------------------------
STATUS
ISSUED
ISSUED
ACT COMMENTS
At-------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS