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Home My WebLink About1374 SPARROW RD; ; CB960661; Permit-----~ _____ ., ______ ,. ___ .,. ____ iiiiioiiiii!iWiiiiiiiiiiiiliiiii-iililliiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii-iililiiiill- B U I L D I N G P E R M I T Permit No: CB960661 Project No: A9600924 Development No: 04/.1.0/9b 13:32 Page 1 of 1 1 Job Address: 1374 SPARROW RD Suite: Permit Type: PLUMBING Parcel No: 215-641-04-00 Lot#: Valuation: O Occupancy Group: Reference#: Description: GAS LINE FOR BBQ AND FIREPIT Appl/Ownr : WALSH , JAMES 1374 SPARROW ROAD CARLSBAD, CA 92009 * * * Fees Required Fees: Adjustments: Total Fees: Fee description Enter ''Y" for Plumbi Gas Piping System * PLUMBING TOTAL "*" 619 Construction Type: Status: Applied: Apr/Issue: Entered By: 929-9801 NEW ISSI ED 04/10/96 04/10/96 DC .00 .00 27.00 Ext fee Data r-.,.-om-oo--vr-ui ---02 2~RR Y 27-oo 7.00 27.00 PROVAL IN ~P~-~~-DATE 5-f/ · 1. CL~ARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ ~ PLAN CHECK NO. City of C.rl,fbed lulldi,. De.,ertaent 2075 _L• Palas Dr., C.rlat.t, CA 92009 (619) 438·1161 ESJ'.VAL:_.. _________ _ i. PERMI"t ffl£ PLAN CK DEPOSIT _______ _ VAIJD. BY __________ _ DATE From List 1 (see baclc) Jive code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give c.cxle of Sttuc:ture-Type: ____________________ _ Net Loss/Gain of Dwelling Units _________________ _ 2. PRWECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street ('j-t.""-1' nit o. CHECK B£wW IF sOBMII IED: □ 2 Energy calcs O 2 Structural calcs O 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE · eaoposm USE # OF BAlliROOMS NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICAN I O CON I RACIOR □ AGEN I FOR tnN lltACIOR ADDRESS □OWNER OAG£NI FOR OWN£R NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE s. PROPERIY OWNER NAME (last name first~ 1 I CITY w~t <::itt, ADDRESS ~ 2,fi DAY TErhHoNl 6. OON"i1lAC'luk NAME (last name first) ADDRESS CITY STATE STATE UC.# ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS UC. # DESIGNER NAM£ (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRXERS" WMPENSAl1ON . Workers' Compensauon Dcdarauon: I hereby ali1rm iha1 I have a cenihca1e or consent 10 sell-insure issued by ihe D1rec1or ol lndustnal Relations, or a cenilicate of Workers' Compensation Insurance by an admiued insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate ol £xempuon: I c:erufy ihat in the performance of ihe work for which this permit as tssued, l shall not employ any person tn any manner so as to become subject to the Workers' Compensation Laws of califomia. SIGNATURE DATE I. OWRER-BOuDEk Ow.ARXnOM □ □ a Owner-Builder Declaration: I hereby alhrm that I am exempt lrom the eonfrador's Ucense law for the ioilowing reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sttucture ls not intended or offered for sale (Sec. 7044, Business and Professions c.cxle: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himselr 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 compledon, the owner-builder will have the burden or proving that he did not build or improve for the purpose of sale.). l I, as owner of the propeny; am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions c.cxle: The Contractor's License Law does not apply to an owner of property who builds or Im prows 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 Qxle for this reason: (Sec. 7031.S Business and Proressions c.cxle: Any City or County which requires a permit to consttuct, 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 c.cxle) or that he is exempt therefrom, and the basis fot the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars [SSOOJ). SIGNA1URE DATE eoMPLEfi: TA ls s£C't10N FOR NON-RESIDEN MAL BOlilliNG PEltMn's ONLY: Is the applicant or ru1ure building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 2553◄ or lhe Presley-Tanner Hazardous Substance Account Al:.t? C 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? a YES a NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 C YES □ NO IF ANY OF TI{E ANSWERS ARE~ A FINAL CERlmCATE OF CXDJPANCY MAY Nor BE ISSUE> AFim JULY I, 1989 UNLESS 1llE APPLICANT H~ MET OR lS MEITTING TI IE REQum.EMENTS OF nm OFFlelt OF EMERGENCY SERVICES AND nm AIR POUlJTION CDNTROL msnucr. 9. OORSI R0Cl1OR LENDING ACENct I hereby alhrm that there IS a construcuon lending agency for the performance ot the work for which this permit is issued (Sec 3097(1) dvu Code). LENDER'S NAME LENDER'S ADDRESS IO. APPUCXN I C£R l1F ICA 110N I cemfy that I have read the appln:auon and state 1hat !he afuve inlormauon 1s correct. I agree to comply with ail city ordinances and State laws relating to building construction. I hereby authorize representatives of the City of cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGRF.E 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE ClTY OF CARLSIW> AGAINST ALL UABllJTIES. JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACX:RUE AGAINST SAID ClTY IN CDNSF.QUENat Of 1llE GRANTING OP nos PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of sttuctures over 3 stories In height. PINK: Fmance 03/27/97 DATE 10/30/96 10/30/96 10/30/96 10/30/96 INSPECTION HISTORY LISTING FOR PERMIT# CB962076 INSPECTION TYPE Underground/Under Floor Underground/Under Floor Underground/Conduit-Wir Underground/Conduit-Wir INSP ACT RI RI PD AP RI RI PD AP HIT <RETURN> TO CONTINUE ... COMMENTS BJN/EDWARD/985-8126 CONDUIT BJN/EDWARD/985-8126 GAS