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HomeMy WebLinkAbout2836 STATE ST; ; CB950768; PermitB lJ 1 L D I N (, P E R M I i' Pe1m1t N<: \.,8~'lU7t)l.i Proj~ct N~: A95Ui1 Dev@lopment No: lb,'•/~ 10:r.~ Paqe 1 c.,f 1 .l.S-3 v .,,:,Ji Addre::;s: ""t,:J--2 .1IA'lE ST Perrn1 t Type: f'Lllfv1BING Pc1r.·cel Nn: 2UJ-181-13-011 Valuation: o Con::: t nwt 1 un ·rype: NEW Suite : Le., t It: occupancy GroLtp: Ref et encL"'#: St:1tu:;: I3~UED Applied: Ob 1 1 9/:'.J:, ApL/Issue: lb/09/9S Enter c•d By: RMA 619-729-4914 Desc1ipt1on: REPAIR GAS LINE, J SEP METER : TOTAL Appl/Ownr : ARTHUR BROWN PLUMBING 2o97 STATE ST CARLSBAD, CA 920U8 Fees Required Fee;:;: Adju~tments: Total Fees: Pee description Enter 'Y for Plu GciS P1p1ng System * PLUMBING TOTAL .uo ,uo 27.0U Ext fPt' Dat1 20.Ull Y 7. U 0 27,00 2245 06/09/75 0001 01 02 C-PRMT 27-00 "APPROVAL 1 !NSP. L DATE l,/4J,-- jCLEAR CE I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ ~ PLAN CHECK NO. City of Carlsbad Building D-rtROt 2075 Las Pal_. Dr., Carlsbad, CA 92009 (619) 438-1161 I. PEkMtl hPE From Ust I (see back) give code or Permit-Type: ___________ _ For Residential prgiects Only: From Ust 2 (see back) give Code or Structure-Type: ___________________ _ Net Loss/Gain of Dwelling Units POR OPPICE USE ONLY s. m o. ase o. CHECK BEWW IF SOBMil IED: 7. □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ I Addressed Envelope I NAME (last name first) NAME (last name first) CITY CllY ,~ t<r,PA',y -3 # OF sr6RJES STATE STATE ADDRESS DAY TELEPHONE t,/·er, ~~"s~" DAY TELEPHONE ADDRESS €/Y S" .Su t}f'tl11 0> DAYTELEPHONE ADDRESS ZIP CODE DAY TELEPHONE UCENSE CLASS C 2/ii CilY BUSINESS UC. * ZIP CODE DAY TELEPHONE INSURANCE COMPANY POUCY NO. EXPIRATION DATE # OF BATIIROOMS D STATE UC.# Cerahcate of Exempuon: I cenUY that an the performance of the work for which this penmt IS 1SSued1 i shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNPJt-B0IWilll .DPliAkA'iiuN Uwner-Budder Declaration: I hereby alllnri that I am exempt from ffie Contractors Ucense iaWJor the foiiowmg feason: □ I, as owner of the propeny or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered f'or sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 Ucense 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.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish. or repair any sttUcture, 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 Ucense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he ls 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 or not more than five hundred dollars [$500)), SIGNATURE ~ DATE WMPLkJI! 'I HIS SEC'l@N FOR NON-ij£SIDEN l lAL B0lilliNG PEkMI IS 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 ~_pant required to obtain a pennit 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 ou[er boundary of a school site? □ YES □ NO IF ANY OF111l!ANSWERS AREYES, AFINALCER'llFICATEOF OOCUPANCY MAYNCJf BE IliSlfl!D AFTER JULY I, 1989 IJNIBSS 111l!APPIJCANT HAS MK!' OR IS Ml!lmNG 1111! Rl!QIIDU!MENTS OF 1111! OFFICI! OF l!MERGENCY SERVICES AND 1111! All\ POLLlfl10N <DN11lOL D!S'1111Cl'. 9. WNSIRUCIION 1.F.NDINU ACF.Net I hereby athrm that there 15 a consfruc6on Jendmg agency for the performance of the work for which this penmt IS 1SSued (Sec 3097(1) CivU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN l O!RUFICAUON I certify that I have read the appbcafion and state that the above miormahon IS correct. I agree to comply with ail City ordinances and Stale 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 AI.SO AGREI! 10 SAVI! 1ND1!MN1FY AND KEEP HARMLESS 1111! QTY OF CARlSBAD AGAINST AU. UABIUTIES, JUDGMENTS, <Xllml AND EXPENSES WlilCII MAY IN ANY WAY N:x:RUE AGAINST SAID QTY IN CONSEQUENCE OF 1111! GRANTING OF TIDS PERMIT, OSHA: An OSHA permit is required for excavations over S10" deep and demolition or construction of structures over 3 stories in height. ExP,iration. Every permit issued by the Building Official under the provisions or this c.ode shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced withm 36S days from the date of such permit or if the building or work authorized by such permit is suspended o bandoned at an ti e ter the work is commenced for a period or 180 days (Section 303(d) Uniform Bui!lling~·- APPUCANT'S SIGN!. DATE:c;E:z._--~,._=J e YELLOW: App 1cant PINK: Fmance 0 PERMIT# CB950768 DESCRIPTION: REPAIR GAS TOTAL TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 06/15/95 LINE, 3 SEP METER JOB ADDRESS: 2832 STATE ST APPLICANT: ARTHUR BROWN PLUMBING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB950768 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-729-4914 REMARKS: MW/JUNE/729-4914 SPECIAL INSTRUCT: INSPECTOR _..._v~---------- TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# CB950767 CB950769 23 PL Gas/Test/Repairs TYPE PLUM PLUM --------------------------------------------------------- STATUS ISSUED ISSUED ACT COMMENTS fd_ _______ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS