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Home My WebLink About1301 FOREST AVE; ; CB960632; PermitB ll I L D I N G , • ., ., : 19 >dge 1 of 1 rob Address: 1301 FOREST AV •ermi t Type: PLUMBING •arcel No: 156-110-09-00 7aluation: O P E R .M I T Suite: Lot#: Permit No: CB'l6uf>32 Project No: A960L8~3 Development No: 6895 {)4/05!.'.96 00()! .OL O) Construction Typ-e. Nt:;W ~ lccupancy Group: Reference#: Stat~: ISSUED Appl i e'tl~'RM:T4 IO c; / i&J. • (){' Apr/Issue: 04/05/9b Entered By: RMA 619-757-3729 >escription: KITCH-ELEC&PLUM,BATH-ADD SHOWR : NEW FAU Appl/Ownr : DRAY, MICHAEL 1212 CALIFORNIA ST OCEANSIDE CA 92054 * ~ * Fees Required Fees: Adjustments: Total Fees: Fee description Enter ''Y" for Plumbi Each Plumbing F1xtur Each Install/Repair Each Water Heater Other * PLUMBING TOTAL *** .00 .00 101.00 *** Ext fee Data 20.00 Y 14.00 7.00 7.00 53.00 ELEC'&MECH 101.00 'I~ f~~R~-'------------ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. . City of Carlsbad Building Depart.nt 2075 Las Pal .. s Dr., carlsbed, CA 92009 (619) 438-1161 I. PERMI I IYPR From List 1 (see back) give code of Permit-Type:------------- For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address (.:55\ ~--(Ave.-Bu1id1ng or Suite No. --.-:,, nit o. CHECK BEWW IF SUBMI 11 £0: LI 2 Energy Cales D 2 Structural Cales [J 2 Soils Report D 1 Addressed Envelope 4. APPllCANI ?[fCONIRACIOR UAGENI FO,tt.CONIRACIOR OOWNERr' OAG£N;4•utt.OWNER NAME (last name first)~ k.,._i_~\ ADDRESS \ °L \L.---'-.__C..\ ~ ~I"-\ C-~ CilY ~ STATE Cl,<\_ ZIP CCDE9-1.G6:'\ DAY TELEPHONE t20 'e,Q<!.-S ~, 5. PkuPEklY oWNER NAME (lastnamefirst)°+'"-'-t*~"'--I l:::>,c~ ADDRESS \~o\ ~ A.-0 ' CilY~C:U-~ STATE CA._ ZIP CCDE 92...cO-'t:, DAY TELEPHONE -r~-9_ ~'4 't::,L) . NAME (last name first) 1:)c--~ ~"-'-..,c_l lC<oEc-\,_ ADDRESS \"2.-\ t-0_.c..__\,~f"'.(C..... ~ CilY ~"""'-~~ STA~ ZIP CCDE9.."2.C>S,'+-DAY TELEPHONE LS') ('.:)IL~ (cl.--LLD~ ", STATE UC. #(,,SC\ \6t-tJCENSE CIASS -P::, CilY BUSINESS UC.# DESIGNER NAME (last name fu'St) ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORKElts' CDMP£NSAIION Workers' Compensation Deciarat1on: I hereby affirm that I have a ceruhcate 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 De$ment (Section 3800, Lab. C). <..r .L_ 22...Ci-Sb,--10,~.:::::.._ INSURANCE COMPANY ~ POLICY ~O. EXl'!RAT!oN DATE 1c t 1s permit 1s issue , s a not emp oy any person 10 any manner SIGNATURE DATE 8. oWNER-BOnnmt bffiARAIIUN Owner-Builder Declaration: I hereby affirm that I am exempt from the Confracfofs Llcense Law for the ioliow1ng reason: D 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 Llcense 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.). D 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 Llcense 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). Cl I am exempt under Section --------Business and Professions Ccxl.e 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 co the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Ccxl.e) 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 COMPlllE IHIS SECl10N FOR NON-RES1DEN'l1AL BOlilllNG PERMll'S 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? Cl YES Cl NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl YES Cl NO Is the facility co be constructed within 1,000 feet of the outer boundary of a school site? Cl YES Cl NO IF ANY OF TIIEANSWERSARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY NOT BE l!iSlJEll AITERJULY I, 1989 UNLESSTIIE APPLICANT HAS MET OR IS MEETING 1llE REQUlllEMENTS OF 1llE OFFICE OF EMERGENCY SERVICES AND 1llE AIR POILUTION OONTROL DISl1UCT. 9. WNSIROCIIUN lliND1NG AGRNCY I hereby aftlrm that there ts a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vH Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I cmttFICAliUN I certHY that I have read the application and state that the above 1nformat1on 1s correct. I agree to comply with 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 AI.<;O AGREE TO SAVE INDEMNIFY AND KEEP HARMIBSS 1llE CTlY OF CARISBAD AGAINST AIL UABILITlES, JUDGMENTS, <DSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDlUE AGAINST SAID CTlY IN OONSEQUENCE OF 1llE GRANTING OF 11lIS 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 Ccxle 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 aba don~t a ea te work is commenced for a pericxl of 180 days (Section 303(d) Uniform Bui!~ APPLICANTS SIGNATURE DATE~~ PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960632 FOR 05/16/96 DESCRIPTION: KITCH-ELEC&PLUM,BATH-ADD SHOWR NEW FAU TYPE: PLUM STE: INSPECTOR AREA PY PLANCK# CB960632 OCC GRP CONSTR, TYPE NEW LOT: JOB ADDRESS: 1301 FOREST AV APPLICANT: DRAY, MICHAEL CONTRACTOR: PHONE: 619-757-3729 OWNER: REMARKS: MW/MIKE/PG 720-8045 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# TYPE CB960405 RAD PHONE: PHONE, :idL_ INSPECT~~ STATUS ISSUED ACT COMMENTS _1_1~ _s_T ~I_n_t_e_r_i_o_r~La~t-h_;_o_ryw~_a_1_1~~~~~~~~~~~~~~~~~~~~ DATE 042296 042296 041796 041596 041596 041596 ***** INSPECTION HISTORY***** DESCRIPTION Const. Service/Agricultural Shear Panels/HD's Insulation Underground/Under Floor Rough Electric Rough/Topout ACT INSP AP PY PA PY PA PY AP TP PA TP AP TP COMMENTS DOWNSTAIRS ONLY LOWER LEVEL EXISTING WALLS WALLS KIT fc REST RELOC