HomeMy WebLinkAbout2615 STATE ST; ; CB900634; PermitI •
B U I L D I N G P E R M I T
04/24/90 12:45
Permit No: CB900634
Project No: A9000750
Development No: Page 1 of 1
Job Address: 2615 STATE ST Str: Fl: Ste: ~ o5 vt ;r ,J ('"11 01 02 Permit Type: PLUMBING
Parcel No: 203-054-18-00
Valuation: 0
Construction Type: NEW
,-. • ,1-<T
0... n .:t1 d l/ to 7 10-00
Occupancy Group: Class Code: Status: ISSUED
Description: GAS LINE TO CLEANING UNIT
OWNER
CONTRACTOR
PAUL'S AUTO
2615 STATE STREET
CARLSBAD, CA 92008
*** Fees
A & R SERVICE COMPANY
2579 STATE ST
CARLSBAD, CA 92008
Required *** ***
Fees:
Adjustments:
Total Fees:
Fee description
10.00
.oo
10.00
Applied 04/24/90
Apr/Issue
Validated By: DC
Lie . 619 729-1222
Lie. C 284031 619-729-1178
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
10.00
Ext fee Data
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Enter "Y" for Plumbing Issue Fee >
Gas Piping System >
* PLUMBING TOTAL
1.00
INS
2.50
7.50 Y
2.50
10 .00
11 • .----..... ROVAL
&--"---'.....,.;;.-DATE q ' I g · f
CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION 4\ V
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
A
PERMIT TYPE
COMMERCIAL
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
DATE _______________ _
TENANT IMPROVEMENT
B O INDUSTRIAL ONE'w □TENANT IMPROVEMENT
C QRESI0ENTIAL □APARTMENT OC0N00 □SINGLE FAMILY DWELLING OADDITI0N/ALTERATI0N
Q0UPLEX □DEMOLITION □RELOCATION □MOBILE Hc»4E □ELECTRICAL )(PLUMBING
□MECHANICAL □POOL QSPA QRETAINING WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK No.
A ress ;J-.t. I 'i STl4 T £
Nearest Cross Streets
s. ;--Building or Suite No.
LEGAL DESCRIPTION lot No. Sulxhv1s1on Name/N!Slber Unit No. Phase No,
PROPOSED USE
m£'Te-t. To
BLOG. 50. FTG. # OF STORIES
3. CONTACT PERSON
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
SIGNATURE
4. APPLICANT ~ONTRACTOR
NAME
D AGENT FOR CONTRACTOR 0 O',,INER
ADDRESS
0 AGENT FOR OWNER
CITY STATE ZIP CODE DAY TELEPHONE
5~ . PROJ' ERTY OWNER
~' NAME r11tvu /4-VTo O'wNER □LESSEE □TENANT
ADDRESS ;f;l:>I 15 s TJ4-1-£
CITY C#{)J.S BM "' cooE <ja-oog DAY TELEPHONE l'd-1 · / ;;.;;;.;i....._
6. CONTRACTOR
NAME /ttfL. 5:,e1»((..b Cc ADDRESS / 5,.:; So /111/jJ /cJ>V
7.
(/
8.
CITY f,4-V.,Bfl.oo,{__ ST A TE {,,,f-"' ,ooE c, ~-,. it "' TELEPHONE 7 c1-1. 11 7 s
L JCENSE CLASS CITY BUSINESS LJC, #
SIGNATURE T [TLE DATE '-·lrJ-0
DESIGNER NAME ADORES
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers• C~sat,on Declaration: hereby affirm that have a cert1f1cate of consent to self·rnsure issued by the 01rector of Industrial Relations,
or a certificate of Workers' Corpensat ion Insurance by an aa!li tted insurer, or an exact copy or dupt ; cate thereof certified by the D; rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY N□. Pwc.ob J.I.( ,,,..,... EXPIRATION □ATE
Ex~tion: I certify that in the performance of the work for
to the Workers' COIIJ)ensation Laws of California.
DATE -ro
DECLARATION
not employ any person 1 n any manner
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
DI as owner of the property or my employees with wages as their sole c~nsation, 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 i"l'roves 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 i"l'rovement is sold within one year of c~letion, the owner·builder will have the burden of proving that he did not build or i"l'rove for the purpose
of sa\e.).
D 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 in-proves thereon, and contracts for such projects with contractor(s)
t icensed pursuant to the Contractor's License Law).
D I am ex~t under Section ____________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professioos Code: Any City or County which requires a permit to construct, alter, i,,..,rove, demolish, or repair any structure,
prior to its issuance, al so requi res the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the
contractor• s License Law C Chapter 9, conmenc i ng 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 Sectioo 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
COMPLETE THIS SECTION FOR NON·RESIOENTIAL BUILDING PERMITS 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-Tamer Hazardous Substance Account Act?
Ons □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?
Ons
IF ANY OF THE AIISUERS ARE YES, A FINAL CERTIFICATE OF OCClJPANCT MY NOT BE ISSUED AFTER JUlT 1, 1989 UNLESS THE APPLICANT HAS tl:T OR IS tl:ETING THE RECIUIREMEIITS
OF TME OFFICE OF Etl:RGEIICT SERVICES AND THE AIR POLLUTION CONTROL OJSTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a constructioo lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J 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. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO
AGREE TO SAVE INOENNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD A~INST ALL LIABILITIES, JLOQIJENTS, COSTS AND EXPENSES l,IHICH MAY IN ANY WAT ACCRUE A~INST SAID
CITT IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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
not conmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
~Y•"'--'O~Sl);!k._1';,,...,,,..,.,,,sol<c,ed for a period of 180 days (Section 303Cdl Uniform Building Code).
DOWNER OcONTRACTOR □ BY PHONE
I
I
PERMIT# CB900634
DESCRIPTION: GAS LINE TO
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/25/90
CLEANING UNIT
INSPECTOR AREA PD
PLANCK# CB900634
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2615 STATE ST
APPLICANT: A & R SERVICE COMPANY
CONTRACTOR: A & R SERVICE COMPANY
STR: FL: STE:
PHONE: 619 729-1178
PHONE: 619-729-1178 L£
PHONE: 619 m ~ OWNER: PAUL'S AUTO
REMARKS: T3/MH
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB880025 ELEC
INSPECTO~'--'-~~'--=::=-=------
STATUS
ISSUED
ACT COMMENTS
'fd_ ..PL _F·_in_a_1_P_l_u_inb_1_n_g _______ t1:l. t2.ov~fl---,Alo 'r /:, N A-L
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
L_