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Home My WebLink About175 PINE AVE; ; 64-7694_MISC; PermitCmr OF CARLSBAD BUILDING DEPARTMENT 729-1 181 .£x+. 36 A^licant to Fill In)r Ai^licant t( Owner's Nome Mail Address /7^ Contrac+o Contr. Address I To Const. □ To Add Move From Application for BUILDING Pormli 769^ Building Permit Fee 0CT19-6M Building DepjUJse Only To Alter □ Convert □ I (1 Type of Consf. framo, Maspnr^ e^ To Be Used For ■ * ■»Kind of Foundation StorIe£_yj^ Floor Space (Sq. Ft.) / Garage Floor Space (Sq. Ft.)Attached- Detached Legal Descriptic Lot Blocic Subdrvisic or Sectio No. of Existing Building Township Range Will this const^ctlon include plumbing installation or alteration? Yes □ No Signature of Applicant I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONAND STATE THAT THE ABOVE IS CtS^RRECT AND AGREE tSbS^lo'ing'!^'™ REGa^TlUi 1 CERTIFY THAT I AM PROPERLY REGISTERED AMD/ORLICENSED AS REQUIRED BY CITY OF CARlSbaD ' AnDSTATE OF CALIFORNIA OR THAT I AM THE^^L OWNEROF THE ABOVE DESCglBED RESIDENTIAL SIGNATUREOF PERMITTEE QESCBIBED RESIDENT!. Building Address (Zi'St. Near Set Back Front P.L. Side P.L Rear P.L Group a -L,' . ^ ■^-3 BIdg. Valuation Main BIdg, Garage Other Approv] Contractor City Bus. Lie. No. Water M^ter j , Sewage Disoosal System Inspection Record Utility Qornpany Notified Final Dafe_By- Permit void if work Is not commenced within 60 days of Issuance. If a check is tendered for payment fpr the above fee and thecheck IS not honored when presented for payment, yourbuilding permit will be Immediately revoked.City of Carlsbad Building Dept. CITY OF CARLSBAD BUILDING DEPARTMENT 729-1 181 -Ext. 36 Owner's Name Moil Address Contractor For Applicant j;o Fill In Contr. Address To Const. Add □ To Move From Type of Const. To Be Used For Klnd^ Foundation. a Frame, Masonry, etc. No. of Stories- / Garage Floor Space (Sq. Ft.) Legol Description _ Attached- Detached Lot Bjodc Subdivision Section No. of Existing Building Will this construction includ. otion? Yes O No Signature of Applicant Township _Z_ Range Application for BtHLDHK Permit Building Permit Fee (J ^ ^ To Alter Q Convert □ ny plumbing installation or alter- I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALL CITY AND STATE LAWS REOULATINO BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND STATE OF CALIFORNIA OR THAT I AM TH4 ItGAL OWNEROF THE ABOVE DESCiPHMD RES!DENTIAL^^P^TY. SIGNATURE ^ OF PERMITTEE JAN 25-66 !^2513*******4.50 Building Dept. Use Building Address St. Near Set Back /BIdg. Valuation Front P.L /Main BIdg. Side P.L /Garage Rear P.L Other Group "^3 Contractor City Bus. Lie. No. Water Meter Sewage Disposal System Inspection Record Utility Qompany Notified — Date- Final By- Permit If a check is tendered for payment for the above fee and thecheck is not honored when presented for payment, yourbuildiqg permit will be immediately revoked.-ity of Carlsbad Building Dept. if work is not commenced within 60 days of i^uce. »• ^ BUILDING PERMIT 01/09/92 08:55 pjige 1 of 1 Job Address: 175 PINE AV Str: Permit Type: PLUMBING Parcel No: Valuation: 0 Construction Ty^'e : NEW Occupancy Group; Description: GAS REPAIR Class Code Permit No: CB920021 Project No: A9200088 Development Wo: Fl: Ste: 5862 01/09/92 0001 01 02 C-PRMT 10-00 Appl/Ownr : BOB'S PLUMBING P O BOX 1815 CARLSBAD, CA 9 2 0,(18 St'3i:u"s': ISSUED Applied: 01/09/92 Apr/Issue: u1/09/92 Validated By: DC 619 729-2055 * *Fees Required ' — '\ f* V. r;-i- Fees ; Adjus tments: Total Fees: 'T .o^ile'c.ted & Credits U' * * .V \; 'ofeal "T?re_dd''l>s,.--v\00 v' \ n X— n lui dl) /' //Y\T'6^1 Pa\meiVtrt: \ A Balance^ \Fee'/Uuit' ' ? i \ .■-A _A_u<A_I x;—""Aa—"7 ?A-T TEnter "Y" for PlumpinA.>'^s|ue Fee • AA' /$]'Gas Piping System ' 1 /A//v, A^" A ,-'l<A / ' Ar-SO ■k PLUMBIN(3 TOTAL Fee description . 0 0 . 0 0 10.00 Ext fee Da-! 7.50 Y 2 . 50 10.00 INCORPORATfcD 1952 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 DATE UNSCHEDULED INSPECTION INSPECTOR PERMIT f PLANCK # JOB ADDRESS / 7^ ^ ^ pQ TIME ARRIVE:TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS 23 _/T ^;2.aJLM~4 ■/i^cvdLl ^ y-- <s. V yrf I PERMIT APPUCATION * m City of Carlsbad Building DepartiBent 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT'IVPE T U ComraerdaJ U New Building U Tenant Improvement B - □ Industrial □ New Building □ Tenant Improvement C - □ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/Alteration□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical ^J^Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other INPORMATIC»i PLAN CHECK NO. EST. VAL o;{l PLAN (X DEPOSIT_ VALID. BY DATE FOR GPnCE USE ONLY Suite No.I7S- Nearest Cross Street LEGAL DESCIUPTION f-l Lot No. Subdivision Name/Number Unit No.Phase No. CHECK BELOW IF' yUBMi'lTED: □ 2 Energy Caks □ 2 Structural Gales □ 2 Soils Report □ 1 Addressed Envelope za:ASSESSOR'S PARCEL FjgSTING USE PROPO.SE.n USE SQ. FT. 3. uuw iAt;i PEiuiUfii tu aitterenl trom applicantj NAME # OF STORIES ADDRESS CITY 4. APPLICANT HPPl STATE ZIP CODE □ AGENT FUR CUN'i'RAL'iUUOINTRACIUK Ki-4J /vv6l ls\(? ADDRESS STATE ZIP CODE DAY TELEPHONE UOWNER □ AGENT FUR CITY5. PROi^iR"lY OWNER OWNERo, Box \ eu" 2.009 DAY TELEPHONE 72-9 CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 6. OONTRAOIUR^NAME /^ADDRESS "p. O . STATE C./\ ZIP CODE 9'2-0<?§. DAY TELEPHONE 'f'Z-Q— '2-C>S''S^ STATE Lie. UCENSE CLASS 34. CITY BUSINESS UC. # —DESIGNER NAME ADDRESS CITY 7. WORKERS'OUMPENSATVIN STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensation Declaration: 1 hereby attirm that 1 tiave a certiticate ot consent to selt-lnsure issued by the Director of IndustrialRelations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certifiedby the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q. INSURANCE COMPANY POUCY NO. EXPIRATION DATE Certiticate ot Exempnon: 1 certity that In the performance ot the work tor which tnis permit Is issued, 1 shall not employ any person in any mantisso as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE S. OWNEII.BUILDER DECLARATIONOwner-Builder Declaration: 1 tiereby attirm that 1 am exempt trom the Contractor's license Law tor the following 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 oroffered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildsor improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intendedor offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burdenof proving that he did not build or improve for the purpose of sale.). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessionsCode: The Contractor's license Law does not appiy to an owner of property who buiids or improves thereon, and contracts for such projectswith contractor(s) ikensed 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 repairany structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he te licensed pursuant to theprovisions 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 therefnim, and the for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permitsubjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE 97 COMPLEIE THIS SEC'IION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management andprevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NOIs the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NOIs the fadiity to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL (IRnnCATE OF OOCUPANCY^ MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANTHAS MET OR IS MEETING THE REQUIREMENTS OF THE CHTICE (X EMERGENCY SERVICES AND THE AIR POLUmCW CI»rniDL DISTRICr. cuNymucilUN lending agencv 1 hereby attirm that there is a construction lending agency tor the performance ot tne work tor which this permit Is Issued (Sec 3097(1) Cml GodeJ. LENDER'S ADDRESSLENDER'S NAME 10. APPUCANT UiRllEKjA'nON 1 certity that 1 have read tne application and state ttiat the atxive intormanon is correct. 1 agree to comply with all City ordinances and State lawsrelating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspectionpurposes. I ALSO AGREE TO SAVE INLffiMNIFY AND KEEP HARMLESS THE CITY Cff CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTSAND EXPENSES WHIGH MAY IN ANY WAY AGOIUE AGAINST SAID CITY IN CCH4SEQUEN(X OF THE GRANTING CSF 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 Buiiding Offldai under the provisions of this Code shall expire by limitation and become nuR and void if thebuilding or work authorized by such permit is not commenced within 365 days from the date of sudi permit or if the buildingjir work authorized bysuch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (SectionSggj^dTUniform Building Code). DATE: _I_2L_22Z_^ tTnle YELLOW: Applicant PENK: Finance