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HomeMy WebLinkAbout152 REDWOOD AVE; ; CB900503; PermitB U I L D I N G P E R M I T Permit No : CB900503 Project No: A90 00603 Development No : 03/26/90 13:41 Page 1 of 1 Str : Fl: Ste: ( V.:,1 .6, \, l 01 02 T 10-00 (!fo:J/L Job Address: 152 REDWOOD AV Permit Type: PLUMBING Parcel No : 204-252-06-00 Valuation: O Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED 03/26/90 03/26/90 JPY Description: RE-PIPE GAS LINE CONTRACTOR BROWN, ARTHUR PLUMBING 2697 STATE ST CARLSBAD, CA 920 08 *** Fees Required *** *** Fees: Adjustments: Tot al Fees: Fee description 10.00 .00 10.00 Enter "Y" for Plumbing Issue Fee Gas Piping System * PLUMBING TOTAL Applied Apr/Issue Validated By: Lie. C 248290 619-729-4914 Fees Collected & Credits *** Total Credits: Total Payments: Balance Due: Units Fee/Unit INS CLE .00 .oo 10.00 Ext fee Data 7.50 Y 2 .50 10.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ w City of Carlsbad Building Department 2075 las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL ______________ _ 1. A B C PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ PERMIT TYPE DATE _______________ _ COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL □TENANT IMPROVEMENT □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING OADOITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL ~PLUMBING □MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Address Js.::i.. IPedtvoo j) Nearest Cross Streets LEGAL DESCRIPTION lot No. Subdi vis 1 on Name/Nurbe:r Um t No. Phase No. CHECK BELOII l F SUBMITTED: 02 Energy Cales 02 Structural Cales ASSESSOR IS PARCEL BLOG. sa. FTG. 3. CONTACT PERSON NAME ff r fkR.. l]IJ.ew<A pj_~. CITY ~/lJs!} IJj SIGNATURE 4. APPLICANT CONl A.CTOc:to NAME lfl'Ji1.!/L ~/ulJ,v &IY) ~ • CITY &912.-LS/3'9'!) 0 2 Soils Report 0 1 Addressed Envelope EXISTING USE # OF STORIES STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE e,}-ZIP CODE DAY TELEPHONE OOIINER .J.iP?7 ~e ~~NT FOR 0\/NER f).t,_"()p-" DAY TELEPHONE PROPOSED USE 7.;;9. L/9Jf/ 5. PR¾ERTY ow~ . . 0\/NER □LESSEE □TENANT NAME r.?es-tz:>111 /rr/AI'> ADDRESS ~ L/08' t.XJNC)/VI-(J:/-. 6 . 7. CITY 0 STATE olO D t?' DAY TELEPHONE (,, CONTRA7AOR ~/}~ sl. NAME fir ~ B12.1>N,.., iJLm t.5 do~ ADDRESS ~1'17 cm Onru>/J ,9..P STATE th-ZIP CODE f,)&JfY DAY TELEPHONE 7.;Jf-t-ff 11/ STATE llC. # .)lL<f.2 '!llJ. LICENSE CLASS f!.-.:J~ CITY BUSINESS llC. # SIGNATURE TITLE DATE DES! GNER NAME ADDRESS Cl TY STATE ZIP CODE DAY TELEPHONE STATE llC. # WORKERS' COMPENSATION Workers• Compensation Declaration: hereby affirm that 1 have a certificate of consent to self-insure issued by the Director of Industrial Relat1ons, or a cert Hi cate of Workers I C~nsat ion Insurance by an aciTli tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Bui lding Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exemption: I certify that in the performance of the work. for which this permit is issued, I shall not ~loy any person in any manner so as to become subject to the Workers ' Corrpensation laws of California. SIGNATURE DATE 8. OWNER -BUILDER DECLARATION Owner·Builder Declaration: 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 errptoyees 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 i~rovements are not intended or offered for sale. If, however, the building or iff1:)rovement is sold within one year of completion, the owner·builder will have the burden of proving that he did not build or ill,.:>rove for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting wi th 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 ill,.:>roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor I s License Law). 0 I am ex~t under Section ___________ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, i"l)rove, 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, corrmencing with Section 7000 of Division 3 of the Business and Professions Code> or that he is exen1)t therefrom, and the basis for the alleged exerrption. 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 [$5001 ). SIGNATURE DATE COMPLETE THIS SECTI ON FOR NON·RESI0ENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a bus iness 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? □YES ONO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES lf ANY Of THE ANS\IERS ARE YES, A FINAL CERTIFICATE OF OCWPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER 'S NAME LENDER 'S ADDRESS 10. APPLICANT'S SIGNATURE 1 certify that 1 have read the appllcation and state that the above information 1s correct. I agree to cOOl)ly 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. 1 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH NAY IN ANY IIAY ACCRUE AGAINST SAID CI TY IN CONSEQUENCE OF THE GRANT! NG OF TH l S PERM IT. Expiratlon. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the bu1ld1ng or work authorized by such permit or abandoned at any time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code). the building is suspended APPL~ SIGNATURE £3: D OWNER ~ON TRACTOR D BY PHONE APPROVED BY: _______ _ ti ~ 1/11>-':'."'-: , DATE: WHITE: File YELLOW: Applicant PINK: Finance I _., . CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900503 FOR 03/29/90 DESCRIPTION: RE-PIPE GAS LINE TYPE: PLUM JOB ADDRESS: 152 REDWOOD AV APPLICANT: BROWN, ARTHUR PLUMBING CONTRACTOR: BROWN, ARTHUR PLUMBING OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB900503 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 729-4914 619-729-4914 REMARKS: T2/MH/729-4914 SPECIAL INSTRUCT: INSPECTOR --~Aq------,'f------ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 23 PL Gas/Test/Repairs ~ ________ )U'-------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS