HomeMy WebLinkAbout2690 SUTTER ST; ; CB970437; PermitV
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FINAL APPROVAL
CL~ARANCE ____ _ --------------~
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las PalAEs Dr., tarlsbad, CA 92D09 (619) 438-1161
I. PllllMI I IYPR
From List 1 (see back) give code of Permit-Type: --~S-·~F' __ j)_i ~------
For Residential Proiects Only: From Llst 2 (see back) give
Code of Structure-Type: ______________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
"f"Jfess ~ s t.-L-U-ie. s-+ d--W4fJ~ -.
Bu1ldmg or SUJte No.
LEGAL DESCRIP I ION Lot No. Subd1v1S1on Name/Number Omt No. Phase No.
□ 2 Energy caJcs □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE
DESCRIPTION OF WORK CD{Jfl C)\.) Jr-~~__,) PROPOSED USE
SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WN IACI PERSON (II duferent from appJlcant)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME (last name first) P~'\_µ /I '-( Cf
CITY c, ca STATE o1 ZIP co 2 c:.::i 2 ., DAY TELEPHONE 4 LJ-2 (,., •:,, ;;:--
NAME (last nam."first) ~umM11-<·~ -ADDRESS --21,,c,o t .. rrt.e.,,, 1)-r
CITY c_a... (' 1-::: Ba. l STATE ✓' ZIP CODE DAY TELEPHONE '-13 '-i 7 )--s 7
NAME (last name first) q'J (JC!' c,( p Lf6f; ADDRESS / L/ fc; b-0 //i 177'\ ec r L,,) 0--(
CITY/_;?/ Ca_..,._:;--,,_ STATEC-4 ZIP CODE 0/),.0U} DAYTELEPHONE Lil/2(:;-J ',f
STATE uc. # ::,C:Ah'i 1 ucENSE c1A,s C 36 cnY BUSINESS uc. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. Wbltkf:lts' WMPF:.NSAIION
Workers Compensation Dcclarat1on: l hereby afl1rm that I have a certil1cate of consent to self ~insure 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 Department (Section 3800, Lab. C).
INSURANCE COMPANY
□
□
□
rt1 ,cate o xempt1on: cert1
so as to become subject t<?.,!he
e per onnance o t 1s permit 1s issue , s a not emp oy any person m any manner
pensation Laws of California.
L ·If _C;7
I hereby afbrm that I am exempt from the Contractor's License Law !or the loliowmg 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 ofrhe 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 License 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 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 Code)
or that he is 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 of not more than five hundred dollars [$500]).
SIGNATURE DATE
WMPLEIE I 111S SECIION FOR NON-RESIDEN I !AL BUILDING FERMI 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?
0 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?
0 YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF TIIEANSWERS ARE YES, A FINAL CERTIFICATE OF oa:!JPANCY MAYNITT BE ISSUED AITERJULY 1, 1989 UNLESS 111E APPUCANT
HAS MET OR lS MrillTING TIIE REQUlREMENTS OF THE OFFICE OF EMERGENCY SERVlCES AND TIIE AIR l'Oll.UTION ffiNTilOL DIS111.ICT.
9-WNSIROCIRJN LENDING AGENCY
I hereby allmn that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVli Code).
LENDER'S NAME LENDER'S ADDRESS
10_ APPUCANI CilltliFICAIIDN
I certify that I have read the apphcat1on and state that the above mlormat1on 1s correct. I agree to comply wnh 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. I A.ISJ AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CflY OF CARISBAD AGAINSf All. IJABIII!lES, JUDGMENTS, CDSfS
AND EXPENSES WJUCH MAY IN ANY WAY ACXJUJE AGAINSf SAID CflY IN ffiNSEQUENCE OF THE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" 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 commenc~ ___ ".'.-'._~thin 365 days from the date of such permit or if the building or work authorized by
such permit is suspendtd or a_band~at-any tim1:n1~~l:(.!1'J.~_J:YQ~ed for a period of 180 days (Section 303(d) Uniform Building Code).
APPUCANTS SIGNA'l'YIU;___ .. .. ~ 2 _ ff ,'/) DATE: __ _
WHIT!p-file YEU.O)N_: Applicant PINK: Finance
l} rrf\ //¾:>"COL v<{,-&
PERMIT# CB970437
DESCRIPTION: COPPER RE-PIPE
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 03/10/97 INSPECTOR AREA
PLANCK# CB970437
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2690 SUTTER ST
APPLICANT: PEPPARD PLUMBING
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: RS/CHRIS/442-6558
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD
29
LVL DESCRIPTION
PL Final Plumbing
PERMIT# TYPE
CB951070 PLUM
--------------------
PHONE: 619 442-6558
PHONE:
PHONE:
INSPECTOR-,;...-----------
STATUS
EXPIRED
ACT COMMENTS
4 ,J' ,, &
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS