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Home My WebLink About1781 BLACKBIRD CiR; ; CB960904; Permitc * BUILDING PERMIT Permit No: CQ960904 05/21/96 10~37 Praject No: R96012131 Page 1 of 1 Development No: Job Rddress: 1781 BLRCKGIRD CR Suite: Permit Type: PLUMBING Ua 1 uat i on : 0 Corrstri~ction TyMN aCClJFlanCy GI" OLIFI: Reference#: Status: ISSUED Description: GClS LINE FOR PI-8-QUE Flpplied: 05/21/96 Ap r/I ss~le: 05/2 1/96 p Farce1 NO: 215-602-73-00 Lot#: 7609 05/W% mlQ1 02 47.00 EriCerclj By: MDF' Qpp 1/Uwnr : BRTCHELLER, JERRY 619 ?29-'b569 1781 BLACKBIRD CIRCLE CRRLSGRD, Cc1. 92005' Fee description Enter "Yl' for Plumb Gas Piping System Other * PLUMBING TO'T'RL !L 1 1 CrrvoFCARuBgAD 2075 Las palrmur B., OlrESbed, CA 92009 (619) 438-1161 I' Pd AbpLlcAnON City of Carlsbad Building Departlent 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 433-1161 I From List I (see back) give code of Permit--: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: PLAN CHECK NO. Net WGain of Dwelling Units I 2 PRCNECXINFORMATION FOR OFFICE USE ONLY fl t 0. u- nit No. Phase No. SQ. m. # OF STORIES # OF BEDROOMS # OF BATHROOMS (ir airrerent trom applicantj NAME (last name first) ADDRESS \c\s\ &\q&b;{a (?-jrdf- DAY TELEPHONE 739 -@&q NAME (last name first) 3WP q\yGcIQ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) ADDRESS CITY /- STATE ZIP CODE DAY TELEPHONE STATE LIC. # LICENSE CLASS CITY BUSINESS LIC. # [last name tirst) CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby aftirm that I have a certiticate 01 consent to selt-insure issued by the Director ot 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, Iab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certiticate ot Exemption: I certi so as to become subject to the Wzrkers' qmpensation $qvsvfornic that in the pertormance ot the work tor which this permit IS issued, I shall not employ any person in any manner SIGNATURE DATE 5--2i-% 8luWNCn I;I- .. Uwner-Builder Declaration: 1 hereby i3tRnn th at rsltl exempt trom the mntractors LlcenSe law tor the rollowing 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.). 1, as owner of the 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 (Sec. 7031.5 Busings 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 tile 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 exemDt therefrom. and the basis for the allened exemdon. Anv violation of Section 7031.5 bv anv amlicant for a wrmit 0 0 Business and Professions Code for this reason: . - .. re than 6ve hundred dolla tely hazardous materials registration form or risk management and preveniion program under Sections 25505, 25533 or 25534 of [he Presley-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANY OFTHE ANSWERS ARE YES. AFINALCERTTFICATEOFCXXXJPANCX MAY NOT BE &SUED AFTERJULY 1,1989 UNLESSTHE APPIKXNT HAS MET OR IS MEElwG THE REQ- OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR PoLLunON CONTROL DISIRICI= 1 hereby attirm that there LS a construcuon lending agency tor the pertormance ot the work tor which this permit is mued (Sec 309r I) tin1 Code). - UYES 0 NO 0 YES 0 NO 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS To. I certiiy that 1 have read the application and state that the above intormation is correct. 1 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 ALSO AGREE10 SAVE INDEMNIFY AND KEEP HARMLESS THE CITYOF CARISBA0 AGAIN~AUUABILITES, JUDGMENTS, msls 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 AND EXPENSES wnm MAY IN ANY WAY ACCRUE AGAINST SAID cr~~ IN CXMSEQUENCE OF THE GRANTING OF THIS PEIU.UT. 65 days from the date of such permit or if the building o ommenced for a period of 180 days (Section 303(d) Uni CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960904 FOR 11/20/96 INSPECTOR AREA DC DESCRIPTION: GAS LINE FOR B-B-QUE PLANCK# CB960904 TYPE: PLUM CONSTR. TYPE VN JOB ADDRESS: 1781 BLACKBIRD CR STE : LOT: APPLICANT: BATCHELLER, JERRY PHONE: 619 929-0569 CONTRACTOR: PHONE : OWNER: PHONE : OCC GRP REMARKS: MW/TERRY/658-7007/929-0569 INSPECT0 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 29 PL Final Plumbing -- -- - -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 071696 Gas/Test/Repairs AP PD NOT FINAL 071696 Rough Electric AP PD 070996 Gas/Test/Repairs CO PD 061996 Gas/Test/Repairs CO PD 061996 Electric/Conduit/Wiring CO PD 060496 Gas/Test/Repairs CO TP 052996 Underground/Under Floor CO DC ND PRESSURE/ND TO SEE 052996 Underground/Conduit-Wiring AP DC