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HomeMy WebLinkAbout2629 SUTTER ST; ; CB983173; PermitB U I L D I N G P E R M I T Permi No: CB983173 Project No: A9804136 Development No: 09/21/98 14:51 Page 1 of 1 Job Address: 2629 SUTTER ST Permit Type : PLUMBING P reel No: 167-511-26-00 Valuation: 0 Occupancy Group: Description: COPPER REPIPE Appl/Ownr : WALTER ANDERSON 1150 N MARSHALL EL CAJON CA 92020 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumbi Each Install/Repair 27,0 Suite: Lot#: Reference#: 619 Construction Type : Status: Applied: Apr/Issue: Entered By: 449-3852 llected & Credits NEW ISSUED 09/21/98 09/21/98 JM .00 .00 27.00 Ext fee Data 20.00 Y 7.00 13 9 09/21/98 0001 01 02 C-PRMT 27-00 ------rn= • FINAL ~PPROVAL INSP,,....-_,,,___DATE %?JJ/9<t CLEARANCE _________ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. qs 3{/,) 7J;Ztl/ EST. VAL. Plan Ck. Depo . CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated By_~~........,--+----1-- 1; PROJECT INFOR ~TIO ~ . A Business Name lat this address) Lot No. Subdivision Name/Numbef Unit No. Phase No, Total II of units Assessor's Parcel II Existing Use Proposed Use C~Pe.r ipo,\ of Work Cep1pe,, SQ, FT. llof Stories II of Bed,ooms II of Bathrooms 2. CONTACT PERSON Of different from applicant) Name State/Zip Telephone II Fax II 4f2uffiL?J:!:t!Jnar It's cl:/Q:) q Name Address .Su tfel-Ga.rlsh:JA 0Ji(XJ5 1bOJ?3~,7d- City State/Zip Telephone # 5, CONTRACTOR • COMPANY NAME Name State License 11 _LJ_,_q~O.._._}~{Q~3~_ Designer Name State License # ~~-------- 6. WORKERS' COMPENSAT1ON License Class ___ c~.,,_,.,.,_·~--&~--- Address Cny Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self.insure for worke,s' compensation as provided by Section 3700 of the Labor Code. for thn performance ,of the wofk for which this permit is issued. ~ I have end wilt maintain workefS' compensation, as required by Section 3700 of the Labor Code, for the perfofm&nce of the work for which this permit is issued. My worker's c°?::~:tion insurance carfier and policy number are: Insurance Company ~ IJ{.Lt) C-R d Policy Na. [JJ q ]It ltt, s~os:3 Expiration Date !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as the Workers' Comp nsation Laws of California. WARNING: mpenntlon coverage is unlawful, and shall subject en employer to criminal penalties end civil fines up to on11 hundred UW'''"'"""·,,O the cost of compensation, damages es provided for in Section 3708 of the L11bor code, lnte,ut and attomay·s fees. DATE 9-:it,"il I hereby affirm that I am exempt from the Contractor's License Law tor the following reason: 0 I, as owner of !he property or my employees with wages as their sole compensation, will do the work and the strncture is not intended or offered for sale (Sec, 7044, Busmess and Professions Code: The Contractor's License Law does not apply to an owner of prnperty 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, howevef, the building or improvement is sotd 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). 0 I, as owner of the property, am exclusively contJacting 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 contr■ctor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan 10 provide the major labor and matefials for construction of the proposed property improvement, D YES ONO 2. I (have I have not) signed an applicat,on for a building permit for the proposed work, 3. I have contracted with the following person Oirml to provide the proposed construction !include name / address I phone number I contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coofdinate, supervise and provide the major work Hnclude name / address/ phone number I contractors license numberl: ________________________________________________ _ 5. I wilt provide some of the work, but I have contracted 1hiredl the following persons to provide the work indicated I include name / address / phone number / type of work): ___________________________ ~-----------------------------~- PROPERTY OWNER SIGNATURE _______________________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINO PERMITS ONLY ls 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 Preslev•Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dis1rict or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 30971i) Civil Code!. LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\> of Carlsbed to enter upon the above mentioned property lor inspection purposes, I ALSO AGREE TO SAVE, INOEMNIFY 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 GRANTING OF THIS 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 . ' . . ' work authorized by such per or abandoned at any time af APPLICANT'S SIGNATURE nder the provisions of this Code shall expire by limitation and become null and void if the building or 5 days from the date of such permit or if the building Of work authorized by such permit is suspended period of 180 days {Section 106.4.4 Uniform Building Code), DATE s ~~I -Cf S' PINK: Finance PERMIT# CB983173 DESCRIPTION: COPPER REPIPE TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 09/30/98 STE: INSPECTOR AREA PY PLANCK# CB983173 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2629 SUTTER ST APPLICANT: WALTER ANDERSON CONTRACTOR: PHONE: 619 449-3852 PHONE: OWNER: REMARKS: C/MICHAEL/619/449-3852 AM PLS SPECIAL INSTRUCT: AM PLEASE TOTAL TIME: CD LVL DESCRIPTION PHONE: INSPECTOR -:+,:;0-~~Cz._ _______ _ ACT COMMENTS A .,c? 24 PL Rough/Topout K'/ L _Ll __ ~w~ ~-7-~--~-------- _i2_ -~t,:2-,h=~-J~7_. ____________ I---------------------------------r DATE DESCRIPTION 092598 Rough/Topout ***** INSPECTION HISTORY***** ACT INSP AP PY COMMENTS