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Home My WebLink About2016 SUBIDA TER; ; CB983954; PermitB U I L D I N G P E R M I T Permit No: CB983954 Project No: A9805154 Development No: 11/17/98 11:22 Page 1 of 1 Job Address: 2016 SUBIDA TERRACE Permit Type: PLUMBING Suite: Lot#: Parcel ijo : 21b-481-10-00 Valuation: 0 Occupancy Group: Reference#: Description : GAS LINE REPAIR Appl/Ownr : ARS 6162 NANCY RIDGE DRIVE #100 SAN DIEGO CA 92121 619 3495 11/17/98 0001 01 Construction CF-1?": Status: Applied: Apr/Issue: Entered By: 677-5445 02 VN 27-00 ISSUED 11/17/98 11/17/98 MDP * ,A Jr. Fees Required *** ~ Collected & Credits *** Fees: Adjustments: Total Fees: F'ee description Enter "Y" for Pl Gas Piping System CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 .00 .00 27.00 Ext fee Data 20.00 Y 7.00 f ·~fa737 I FOR OFFICE USE ONLY PLAN CHECK NO. qe...-~ q_s-t.t .>ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ 1. Address (include Bldg/Suite I) Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units / -OU.. tlaJ-Existing Use Proposed Use SO. ~T. lol Stories I of Bedrooms I of Bathrooms :2i ,;tTA::JJ;:i11:,nittiom~i ~rt·'~s~~~;rJ~•rry:,;;;:;?~rJ~i:J~H,~r;i;~~r•·: 1l/<f_-0g/ef Name Address City Stata/Zlp Teleph ne I Fax I CA '"}-~:;riwaia;~~~~r~~~ilit?□.,~o:;6'1;" .,,~~~~,~'Zlt: ; 1 ' 1 .~~~ ~ z·dj, Address City State/Zip alephone I .....,,b"""'"""',,. .. u -.-i,, .. ,r.,.._..,....,,~,.-•.,.·--,,;-1•·-"·-•~~,,· ... ..,-''""'"""",..._·ti•,--....... ..,. • ...,_..., t"''·'l•r.··• ., •:·• •· i· • • 'i/i t?~":.i",·;.'1",.;·•;· ... -···~•;···•,,·s;;;;;:;;. .. .,!-'2 s· .· '"n ;v:e_'· ~·•···, ,_ ........... , •µ ••. ,., ........... ~ ....... , ... ~,,. .. ",.;, .. ,1,,.,.;,.,..,,...... .,., -.. . Name (j Addre■s City State/Zip Telephone , f&!11~~•--CONTRAi:Tbfi•! CoMPAN\': MAME~~~;.~r~";1;!"1,:q·\~~!A.P.'fli.-r-!'l'~)--t';1'~;,, ,rr ··:.(.'•~'till ,'"~·'t~ll<l!;'~~i;ia:,'f"··:r~--;i.t ~T-'1i<1'.foi~,:~::a;-.~~}f~V~;tJ~~~"-'5!f(ll~f~~,~~;~,1'~'+ · ,~· "'; ~ · ~ i. (Sec. 7031.5 Business and ProfeHions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or rapalr eny structure, prior to Its issuance, also requires the applicant for such permit to file a ■lgned statement th■t he Is licensed pursuant to the provlalons of the Contrector's LlcenH Law (Chapter 9, commending with Section 7000 of Division 3 of the Business ■nd Profession• Code) or that he Is exampt therefrom, end the b11is for the alleged ption. Any violation of Section 7031.5 by 1n1 applicant for a permit subjects the appllcent to" civil penalty of not more then five hundred dollars lt5001). I f.t,Z 'A>X-I :Ji, It).::) $'!) ~ IP19, t, 7 .. Name State License I --'-1--'-lf._,Z.:;__u..;;3::..7...:..,_ __ _ Address Vt:, City State/Zip T lephone I License Cl11s C!-2,.:::> y--· 3h City Buaineas License I /t:)32']0:) I Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' .COMPENSATION Workers' Compensation Decleretion: I hereby affirm under penalty of perjury one of the following declarations: O I have end will maintain a certificate of consent to self-insure for workers' compensation H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. Ql] I have_ and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's compensation j~Jlurence arrier and policy number are: , /J o I'/, /1L) Insurance Company ,,J 11( I\. +IA,.A . Policy No. tNeJ:(1(-il96oZ{JB3 Expiration Date T-, -r, (THIS SECTION NEED NOT BE PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (t100) OR LESS) D • I certify that in the performance of the work for which this permit is issued, I ahall not employ eny person in any manner so es mpens■tion Laws of California. en' c:ompenAtion coverage la unlawful, 111d 1h11 ■ubject an employer to crlmklal penlltle■ and clvll fine■ up to -hundred o the co■t of compenntlon, dlmagea u provided for In Section 3708 of the Labor code, lntare■t 111d attomey'a f-. DATE /I-/ 7-15 the Contractor'• License Law for the following reason: 0 r perty my employees with wages H their sole compensation, will do the work and the structure Is not Intended or offered for sale ISec. 7044, Busineea and 1iona Code: The Contractor'• Ucanse Law does not apply to an owner of property who builds or Improves thereon, and who don such work himself or through his own amployees, provided that such Improvements are not Intended or offered for Hie. If, however, the building or Improvement la sold within one year of completion, th• owner-bullder will hava the burden of proving th■t he did not build or improve for the purpose of ■alel. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businese and Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor ls) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Profe11iona Code for this reason: 1. I personally plan to provldt the major labor and m■t■rlals for construction of the propoa■d property Improvement. 0 YES ONO 2. I (have/ have not) signed ■n application for a building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the proposed construction (include name / address / phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the fohowing person to coordinate, supervise and provide the major work (Include name / addre■s / phone number/ contractors license number): _______________________________________________ _ 5. I will provide some of the work, but I hava contracted (hired) the following persons to provide the work Indicated (include name / address / phone number I type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ icoMPLETe :titis ·sEctiOr.l F<>if NoN-RESIDiNffAL'liUltoiHif:Hiiiilti'oMi.·filiff.iJ:iil!'t'.rit~!.~f.IDm~~~Of~~11"':lt , '~'Y.1?''1:i~l:':r-?f' 11 the applicant or future building occupant required to ■ubmit a bu■lnn■ plan, acutely hazerdou■ material■ registration form or risk management and prevention program undar Sections 25505, 25533 or 25534 of the Presley-Tanner Hezerdou■ Subatanc;e Ac:count Act? 0 YES O NO Is the applicant or future bL>ilding occupant required to obtain a permit from the ■Ir pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of• 1chool slte7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETIN0 THE REQUIREMENTS OF THE OFFICE OF EMEA0ENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. la.~i.cONSiiUcTioN:UNDINijlAQENCV,~rf.7•:~·;~,'~~~~:i:~~,~1,::ir~~.t~f~:\~'t~t~~'J'!r:~:r~,:~::~TTf\~~1(J";~;s,~~r.;!!.~~,:/~:~r:· ft ~Ti'7'.;';'; ("'~,~~::1 ,. ·. J~ ,· ·~:•ft ;~:~,,s)' ~;·,•~·$. l'ti ~ • I hereby affirm that there is ■ construction lending agency for the performance of the work for which this permit la l■sued (Sec. 3097(1) Civil Codel. LENDER'S ADDRESS ________________________ _ LENDER'S NAME _____________ _ 19: ·;· "APPUcANl' CBlTli=ICA iioff,-;'l"r~;:·r,".:~rr.:,,'.i.'l;'r.;".J:l;,i~•~:;:p,i,~,~~•,..:r-lrn;!•ll=~·~~i~•~~~'.:•JilJ"'!l',~.!lflW,lli,,,,,lrwm:;i;~~~~,~~-:;w;:t:-;,:;;:ryc:--•,:n: '':"'~• ,•;, I certify that I hav■ rnd the application and at■ta that the above information 11 correct end that the Information on the plans 19 accurate. I ■grae to comply with all City ordinance• and Stata law■ relating to building construction. I hefeby authorize reprnentatlve■ of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purpoaaa. I ALSO A0REE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTIN0 OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" dnp end demolition or construction of structuraa over 3 stories In height. EXPIRATION: Every permit i■aued by th Buildi Official under the provialon■ of this Coda ehall explra by limitation end become null end void if the building or work authorized by such permit Is n within 365 days from the date of ■uch permit or If the building or work authorized by such permit Is suspended or abandoned at any time 1,ru~~a..lf!I enced for a period of 180 days (Section 108.4.4 Uniform Building Code). 0 DATE /I-I 7 -1"C) ,.,, ,,..,.~. e :1... v~• I rrri,11. ,. __ ,: .. ti.... [')l"IV• Cj,.,~..,,." PERMIT# CB983954 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 11/18/98 SUBIDA TERRACE STE: INSPECTOR AREA PLANCK# CB983954 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2016 APPLICANT: ARS CONTRACTOR: PHONE: 619 677-5445 OWNER: REMARKS: C/DOUG/619/677-5455 SPECIAL INSTRUCT: TOTAL TIME: CD 23 29 LVL DESCRIPTION PL Gas/Test/Repairs PL Final Plumbing ------------------ ------------------ ------------------ PHONE: PHONE: INSPECTOR ___ 0~1/_V _____ _ ACT COMMENTS ~----- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS -------····-·"·. ------