HomeMy WebLinkAbout1739 SORREL CT; ; CB941012; Permit08/12/94 12:13
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B U I L D I N G
Job Address: 1739 SORREL CT
Permit -Type: PLUMBING
Parcel No: 215-516-12-00
Valuation: 0
Construction Type: NEW
P E R M I T
Suite:
Lot#:
C/r=#-177
Permit No: CB941012
Project No: A9401432
Development No:
Occupancy Group : Reference#:
8199 08/12/94 0001 01 02
Sta&i~MT ISSUEo27-00
Applied: 08/12/94
Apr/Issue: 08/12/94
Entered By: MDP
438-9207
Description: INSTALL 2 3 INCH LINES
Appl/Ownr : HUSS , WILLIAM
1739 SORREL CT.
CARLSBAD, CA. 92009
619
Fees Required
Fees :
*** Fees Collected & Credits
Adjustments:
Total Fees:
Fee description
27 .00
.00
27.00
Enter "Y" for Plumbi n g Issue Fee
Each Plumbing Fixture or Trap * PLUMBING TOTAL
Total Credits:
Total Payments :
Balance Du e:
Units Fee/Unit
7.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
.00
.00
27.00
Ext fee Data
20 .00 Y
7.00
27 .00
PERMIT APPLICATION PLAN CHECK NO. '7 L{ -Lo \'1.__,
City ol Carlsbad Building Department
2075 Las Pal'""s Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _
I. PEkMli hPE
PIAN CK DEPOSIT _______ _
VAIID.BY __________ _
F~o-~ ~~t-1 :s_e~ -b~ck! -~ve_ c_°'.1~ ~'. ~e"."_i~ ~'. ___ ~~~9 f ! ~ ?'. -~'-()~
DATE
For Residential Projects Only: From Use 2 (see back) give
Code of Structure-Type: -----='5:....:.F....:::D ____________ _
Net Loss/Gain of Dwelling Units
2. PRUJF.Cr INFORMATION FOR OFFICE USE ONLY
Address 1-=r,39 45'.J,.-e.,I Col,\,r---t
1
el;'ln~,'b~ No.
Nearest Cross Street A-1 G::,
LEGAL DESCRlMION Laue= Su6d1V1s1on Name/Number 0mt No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE
DEscruPTioN oF woRK ~5-hi._ t J d--~" lA,n~ C!.trOiM'"ld 5 .e,we.,r5
PROPOSED USE
SQ. FT. # OF STORIES U # OF BEDROOMS # OF BA TIIROOMS
3. WNIACI PfiltSON (H duferent from appJJcant)
NAME (last name first) '.:,~ ADDRESS
CilY STATE ZIP CODE , DAY TELEPHONE
4. APPilCANI UCONIRACIOR OAGENi FORCONIRACIOR 7\fOWNER DAGEN I FOR OWNER
NAME (last name firr,tu I \" Ji•,•, ~s. w :irr~~ I ~3'9 So ~..---e...-1 C, +
CilY \ STATE ZIP coDi" '1-Z..OO DAY TELEPHONE '5 ~-92-0---:t
NAME (last name first) '$W\'V'\.L--ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE
6. OON iltACiuk (fW)\.t.,Y'
NAME (last name first) 1-ttA,& S
I
VJ: l I } ltW\ ADDRESS 1--:::i--39 Sc,y re, I c__+
cilY CA,rlc; bo-.o. sTATEcA-zIPCODE a,1009 DAY TELEPHONE <-t-sR-9 2.07-
STATE LIC. # LICENSE CLASS CilY BUSINESS LIC. #
DESIGNER NAME (last name hrst) ":)~e_ ADDRESS
CilY STATE ZIP CODE DAY TELEPHONE STATE UC. #
7. WOkRERS' WMPENSAIIUN
Workers' COmpensat10n Declarat10n: I hereby affirm that I have a ceruhcate of consent to self-msure 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 Department (Section 3800, Lab. C).
POLICY NO. EXPIRATION DATE INSURANCE COMPANY
C!ert1hcate of Exempt10n: I certify that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner
so as to become subject to the W rkers' Compen tion ws of California.
□
D
I hereby arhrm that I am exempt from the Confradofs license Law for the ioliowmg 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 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.).
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).
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 Llcense 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 pennit
subjects the ap~licant to a civil penalty of not m re than five hundred dollars [$500]).
SIGNA1URE • ----------DATE V/,;2.. '7'
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES □NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCYMAYNOT BE~ AFTER JULY 1, 1989 UNIBSS THE APPLICANT
HAS MET OR IS MEETING THE REQUlREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION OONTROL DISI1UCT.
9. WNSIR0CIION 1£NDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the work for which ffi1s permit 1s issued (Sec 3097(1) CIVIi Ccxle).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCANI CERIIFICAIION
I certify that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply wnh all City ordmances and Stace 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 AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINST AIL LIABIIJTIES, JUDGMENTS, CDSfS
AND EXPENSES WIIICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE OP TIIE GRANTING OF Til1S PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
PINK: Finance
0
PERMIT# CB941012
DESCRIPTION: INSTALL 2 3 INCH
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/14/94
LINES
INSPECTOR AREA
PLANCK# CB941012
OCC GRP
JOB ADDRESS: 1739 SORREL CT
APPLICANT: HUSS, WILLIAM
CONTRACTOR:
STE:
CONSTR, TYPE NEW
LOT:
PHONE: 619 438-9207
PHONE: ~yf__ OWNER:
REMARKS: MW/BILL
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
22 PL Sewer/Water Service
*****
DATE DESCRIPTION
PHONE:
INSPECTO ~ '
ACT COMMENTS
INSPECTION HISTORY
ACT INSP