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Home My WebLink About2418 TORREJON PL; ; CB980877; PermitFOR OFFICE USE ONLY PERMIT APPLICATION ·r ·, '/77 PLAN CHECK NO._(~· 1..,._Y_,,_G_· __,_)_,~' ~t CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlstiad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit _____ ,.,_-r-- Validated. Y+---,---trj_,: ,..£ ... • _· -(760) 438-1161 Date_....,._._l ,f--t:,1-++t-"'P>--~-"' __ _ ~ Business Name lat this address} legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of umts Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. lot Stories # of Bedrooms II of Bathrooms Name Address /' .3. APPLICANT 0 Contractor D Agent for corltracior D owner. Name Address 4. PROPERTY OWNER J Name S. CONTRACTOR • COMPANY NAME City □ Aglnt ;or Owner City State/Zip State/Zip Telephone# Fax# Telephone# (Sec. 7031.5 Business end 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 tor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged ex}'5"ption., Anv violatio of Sect"on 7 1 5 by ny applicant for a permit subjects the appll nt t civil penalty of no more than five hundred dollars lt500J). _ ra. • • 'c ' , ,_, , . . t : oo -ltJ · Name State License I license Class __ _._(_., -_~.,~~6~-- City State/Zip " City Business License I __ '_/_-""-+I-+-- Designer Name Address City State/Zip Telephone State license I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance o.f the work for which this permit is issued. My worker's COfn""lfl"u•tion ini;uranr.e carr\er and oolicv number are: Rllti. J:fnl:IP. , 9 :a· a!IIM'&ete.~.,__...~-~-'- ITH_J§ SECTION NEED NOT BE COMPLETED IF THE PERMIT rs fOR ONE HUNDRED DOLLARS 1$100) OR LESS) i;2f' 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' comp•na■tlon coverage Is unlawful, and ahan subject an employer to crlmlnel penehlea and ch,11 tines up to one hundrad :.;;~:ll•r,s 1$100,0001, tn addition to the(._ ~I compe , damages u provided lat tn Section 3708 o! the~ n• ~t•rer:d lttomey's fNS, 7. " • ON • -• • ~ • • • • •• """':,~.-,1"<q • · •· ~ f!.'r. • ONl!ft-duiLbCn Ul:1.,;LARATI I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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, Businesa and Professions Code: The Contractor's License Law does not appty to an owner of property who bullda or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for Hle. If, howeva,, the building or Improvement la sold within ona year of completion, the owner-builder will have th■ burden of proving that he did not build or Improve for the purpose of sslel. D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Profes■iona Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such project• with eontractorlal licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I {have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction !include name / addreu / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following perlon to coordinate, supervise and provide the ma}or work (Include name/ address/ phone number I contractors license number): ________________________________________________ _ 5. I will provide some of the work, but I have comracted !hired) the following persons to provide the work indicated !Include name/ address / phone number / type of work): ___________________________________________________________ _ Is the applicant or future building occupant required to submit • business ~an, •cutely hazardous materi•I• r■uistratlon form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a perrnit from the air pollution control distrl_ct or air quality management district? O YES D 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 QF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. :S .• coNsTRUCT10Ni..EN0INGAGENCY ,, ,-,., ..... ,.." ~ ·-· , ':"~···?-·,··· .. :-t··r·•· .... ·,.., ..... ,,....,.,, ., •• ,,,-.. -........ ·-·•w•• .,..., ••• ~-.,.., ,,~· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30971i1 Civil Code). LENDER'S NAME _____________ _ :9, APPLICANT CERTIFICATION l 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 ot the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void it 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 euthorized by such permit is suspended or abandoned at any time after the work is comm~nced to\ eriod of 1 !Section 106.4.4 Uniform Building Code). ~ APPLICAIII r~m,;(URE \ ~ -~--·~3~_-__ i,.._':}_,_-__ 9...,.f~-- WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB980877 CITY OF CARLSBAD INSPECTION REQUEST FOR 03/27/98 DESCRIPTION: GAS LINE REPAIR INSPECTOR AREA PLANCK# CB980877 OCC GRP TYPE: PLUM JOB ADDRESS: 2418 APPLICANT: PACIFIC CONTRACTOR: OWNER: TORREJON PL POINTE PLUMBING REMARKS: C/PACIFIC POINTE PLUMB/ STE: CONSTR. TYPE NEW LOT: PHONE: 800 410-4410 ::~~~; /] ' ~ J# SPECIAL INSTRUCT: SAID SOMETHING BY METER INSPECTO~~ TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 23 PL _G_a_s_f_T_e_s_t_f_R_e_p_a_i_r_s _______ l -~n~/~p)~A-z--.-~---------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS