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Home My WebLink About2325 CAMINO VIDA ROBLE; ; CB900082; PermitBUILDING PERMIT 01/19/90 11:48 Page 1 of 1 Job Address: 2325 CAMINO VIDA ROBLE Str: Permit Type: PLUMBING Parcel No: Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Description: GAS LINE FOR HEATERS Permit No: CB900082 Project No: A9000104 Development No: Fl: Ste: OWNER CONTRACTOR * * MONTANO, EDDIE 2325 CAMINO VIDA ROBLE CARLSBAD, CA 920O9 CLIMATE CONTROIi 1161 OPAL STREET SAN DIEGO CA 92109 Fees Required *** Lie. Status: ISSUED Applied : 01/19/90 Apr/Issue : Validated By: DC 619 276-5424 Li'cl'. C 353227 619 276-5424 ***& Credits * * * Fees: 10.00 Adjustments: . 00 Total Fees: 10.00 Fee description Total Credits Total Payments Balance Units . 00 . 00 10.00 Ext fee Data Enter "Y" for Plumbing Issue Fee > Gas Piping System > * PLUMBING TOTAL 1,00 7.50 Y 2. 50 10.00 INSP. FINAL/Ufa**, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (BIS) 438-nei 1. PERMIT TYPE A- [] COMMERCIAL DNEU G TENANT IMPROVEMENT B - Q INDUSTRIAL DNEW [JTENAWT IMPROVEMENT c - PRESIDENTIAL DAP«B™ENT QCONDO QSINGLE FAMILY DWELLING QDUPLEX QDEMOLITION QRELOCATION QMOBILE HOME QELECTRICAL np°°t. OSPA QRETAINING WALL QSOLAR QOTHER EST. VAL PLAN CK DEPOSIT VALID. BY DATE z.PROJECT INFORMATION PLAN Address o -7 -^ ,- ^^^vM,^r -Y^c^€"- MC7 '~J -s Nearest Cross Streets CHECK No. WlfoC FOR <rf<£— Building or Suite No. OFFICE USF ONI Y LEGAL DESCRIPTION Subdivision Name/ Number CHECK BELOW IF SUBMITTED: DZ Energy Calcs D? Structural Calcs D? Soils Report f~| 1 Addressed Envelope ASSESSOR'S PARCEL DESCRIPTION OF UORk EXISTING USE PROPOSED USE BLDG. SO. FTG.* OF STORIES 3. 4. 5. 6. 1. CONTACT^ PERSON NAME&^^ 7>t^v^1S-W cinQ^V^^- SIGNATURE AEfLICANT , ^CONTRACTOR PROPERTY O^R NAME CITY CQfclWACTOR r ^ y NAME ^ .^^, j,l-trpo-f''<- C(X^ — ^V-o.-<- ClTY^J-'cL^^ /1-L^^- STATE LIC. « "j SIGNATURE (_^yl ^,^^V"VcfevvVV> DESIGNER NAME ^X CITY WORKERS' COMPENSATION /" - - /3_VX-ADDRESS 9^3-/S ^^W^t^v- V^V^^ /tr-^C STATE <3-^ ZIP CODE DAY TELEPHONE n AGENT FOR CONTRACTOR QoWNER . QAGENT FOR OWNER ADDRESS / Jtf / Cjfa^f^f* , STATE^ec.,. ZIP CODE / >T ^ ^ DAY TELEPHONE OWNER P LESSEE Q TENANT ADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS / 1 *f f <^)T>^'^^' ' STATED-— ZIP CODE ? ^-/ ^ *? DAY TELEPHONE "^ !) Cf~ji~t^^- <-/ J 5~3 9">!7 LICENSE CLASS C-— ~)~ <> CITY BUSINESS LIC. # HTLE ^C<^-V^M_ 0*TE / // •? /V £X ADDRESS STflTE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: 1 hereby affirm that 1 have a certificate of consent to self- insure issued by the Director of Industrial 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, Lab. C). INSURANCE COMPANY POLICY NO. //6*EXPIRATION DATE *7 & Certificate of Exemption: 1 certwy 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. 8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for 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 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.). Q 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 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). f~) 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 repair any structure, prior to its issuance, also requires the applicant for such permit to file 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 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 COMPLETE THIS SECTION FOR NUJJ-RESIOENTIAL BUILDING PERMITS 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' Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' DYES DNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AMD THE AIR POLLUTION COHTROi DISTRICT. 9. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30°7( i ) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AKD KEEP HARMLESS THE CITT OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH HAT IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by I imitation .ind become null and void if the building or work authorized by such permit is not conmenced uitnin 180 days from the date of such permit or if the building or uork authorized by such permit is suspended or abandoned at any time after the work is commenced tor a period of 180 days (Section 303(d) Uniform Building Code). LLT-4JJT'5 SIGNATURE 6 •€^^^^T/ cfew^v»-> APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance