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Home My WebLink About2016 SUBIDA TER; ; CB983940; PermitB U I L D I N G P E R M I T 11/16/98 15:29 Page 1 of 1 Job Address: 2016 SUBIDA TERRACE Suite: Permit Type: PLUMBING Parcel No: 216-481-10-00 Lot#: Valuation : O Occupancy Group: Reference#: Description : REPAIR GAS LINE Permit No: CB983940 Project No: A9805137 Development No: 3460 11/16/98 0001 01 02 C-PRMT 27 .oo Construction Type: NEW Status: ISSUED Applied: 11/16/98 Apr/Issue: 11/16/98 Entered By: BT Appl/Ownr : BOYD ROGERS PLUMBING 2525 FORTUNE WAY 727-7040 VISTA CA 92083 A** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plu Gas Piping System **A Collected & Credits .00 .00 27.00 * * A Ext fee Data 20.00 Y 7.00 -·--------.. ~----- FINAL APPROVAL ~-_____ DATE _____ _ 'l t:knANCE ---~--__ -,::.::=.:-==- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 . PERMIT APPLICATION 0 . . PLAN CHECK NO. 9 f' §Jifa City of Carlsbad Building Depart:Rnt F.sT. VAL ;;.,7 2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161 I. PkkMll tiPR DATE From Llst 1 (see back) give code of Pennie-Type: ___________ _ --------------------------------------------------------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRQJECf INFORMATION FOR OFFICE USE ONLY Address 8u1ldmg or Suite No. 2~.1,it@~~d~ Terrace WiAL DESCRIPI;N Loe No. Carlsbad Subd1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK ~ OF SIDRIES SQ. FT.KJ • # OF BEDROOMS # OF BATIIROOMS 1 1 eren rom app 1can NAME (last.name first) ADDRESS Boyd Rogers Plumbing 2525 Fortune Wav,_ Vista, CA 92083 (760) 727-7040 CITY STATE ZIP CODE DAY TELEl>HONE 4. APPLICXNI JdCONIRACIOR UAGENI FORWNIRACIUR DOWNER OAGENI FOR OWNER NAME (last name first) ADDRESS BB¥fl Rogers Plumbi11f-fATE2525 ~WctilliP-e Way 92083 (760) 727-7040 NAME (last name first) sBwe Ahranj ani ADDRESS 20\~A~ubida z'li/f65-l1Ce, CA.DAYWRi%NE 6. WNIRACIOR NAME (last name first) Boyd Vista Rogers CA STATE Plumbing 92083 ZIP CODE ADDRESS 2525 Fortune DAY TELEPHONE ( 7 6 0 ) Way 727-7040 CITY STATE IJC. # 442247 IJCENSE CLASS C36 CITY BUSINESS IJC. # 443400 DESIGNER NAME (last name ftrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WOIOO'.lts WMPENSAIION Workers' Compensation Deciarauon: I hereby aihrm that I have a ceruhcace of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Deparnnent (Section 3800, Lab. C). INSURANCE COMPANY El camino Ins. POIJCY NON 3046512B EXPIRATION DATE 1-1-99 □ □ Certthcate of Exemption: I ce fy that m the performance of the work for which ifos perrmt IS JSSued, I shall not employ any person m any manner so as to become subject to rk Compensation Laws of California. 11-16-98 m er ere y a 1rm a am exemp rom e w or e o owmg 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 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.). 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 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 snucture, 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt the f , and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to penalty of not more than five hundred dollars [$500]). filGNATIJRE~/,,,,-r,,~ DATE 11-16-98 Is the applicant or cure 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 ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFTER JULY I, 1989 UNIBSS TIIEAPPIJCANT HAS MET OR IS MEIITING TIIE REQUIRl!MENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLLUTION OONTROL DISTRl<:r. 9. WNSIROCIK.JN LRNDING AGENCY I hereby affirm that there ts a construction lending agency for the perfonnance of the work for which this permit 1s issued (Sec ;J097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPDCAN I CEkliFICXIION I certllY that I have read the apphcat1on and state that the above information 1s correct. I agree to comply with all Ctry 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. I ALSO AGREE m SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CA1USIIAD AGAINSf ALL IJABIIITIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CTIY IN a>NSEQUENCE OF TIIE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 permit is not commenced within 365 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 commenced for a period of )80 days (Section 303(d) Uniform Building Code). APPIJCANTS SIGNATURE DATE: 1-1· Tf WHITE: File YELLOW: Applicant PINK: Finance 0