HomeMy WebLinkAbout1710 VALLEY PL; ; CB931338; Permitc rt-stf-
B U I L D I N G P E R M I T Permit No: CB931338
Project No : A9301915
Development No:
12/10/93 13:12
Page 1 of 1
Job Address: 1710 VALLEY PL Suite:
Permit Type: ME CHANICAL
Parcel No: 205-080-26-00 Lot#:
Va l u ati on : 0
Con s tructio n Type: NEW
Occupancy Group: Reference#: Statu s: ISSUED
Applied: 12/10/9 3
Apr/Issue: 12/10/93
Entered By: DC
Descri p tion: LINE FROM HEAT PUMP TO ROOM
: PER KELLEY
Appl/Ownr : MEJIA, ROBERT A.
1710 VALLEY PLACE
CARLSBAD, CA 92008
*** Fees Required
Fees:
Adjustments :
Total Fees:
Fee description
***
24.00
.00
24.00
***
619 729-6 343
Fees Collected & Cr edits ***
Total Credits :
Total Payments:
Balance Du e:
Units Fee/Unit
.00
.00
24.00
Ext fee Data
---------------------------------------------------------------------------
Enter 'Y' for Me c hanical Issue Fee>
Install Furn/Ducts/Heat Pumps >
* MECHANICAL TOTAL
1 9.00
1 5 .00 Y
9 .00
2 4.00
~~ APPROVAL
!NSP . .f:.L_ DATE 7/(//~1
\cLEARANCE -----
--,
t -----
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92()()C) (619) 438-1161
PERMIT ,e.PPUCATION
City of Carlsbad Building Depart111ent
2075 Las Pal1118s Dr., Carlsbad, CA 92009 (619) 438-1161
I. PllllMI I I yP£
A -D Commercial LI New Building LI Tenant Improvement
B -LI Industrial □ New Building □ Tenant Improvement
C -Iii.Residential □Apartment □Condo □ Single Family Dwelling D Addition/ Alteration
□ Duplex D Demolition D Relocation □ Mobile Home LI Electrical D Plumbing
D Mechanical D Pool □ Spa D Retaining Wall D Solar □ Other ____ _
2. PROJECT INJ--ORMAnON
Address ~ O ,,/,,,, ~ Building or Suite No.
/ ,, '/ C/ ,r ~ ~-= y ,Pl.J4<!.c..
Nearest Cross Street
LECAL DESCHIP'i'ibN Lot No. Sulx11vis1on Name/Number
CHECK BEwW IF S08Mi 11 ED:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
SQ. FT. # OF STORIES
NAME~~~, A, ""1.i!=J /'~ ADDRESS
CITY cJ//'Rc. $ @/'h'..J STATE (}4 ZIP CODE
EXISTING USE
PLANCHECKNO. q3-/3~ g
EST.VAL'-------------PLAN CK DEPOSIT ________ _ VAUD.BY ___________ _
DATE _____________ _
FOR OFFICE USE ONLY
Unit No. Phase No.
PROPOSED USE
s. l'ltol'ffit iY OWNER
NAME 6Y/8/ L-9t11/Llz~ s ADDRESS 17/C> t/4-c.?,e..y p~,e -
CITY Cdpl//tL. $,, ;4?J STATE {Je4-ZIP CODE fZt:::>~~ DAY TELEPHONE 7.&77-d:,51/'o..-
6. mN"ntAt101t
NAME ADDRESS
CITY STATE
STATE UC.#
ZIP CODE
LICENSE CLASS
AJJDllESS
DAY TELEPHONE
CITY BUSINESS UC. #
DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOllkllltS' mMP£NSAl1ON
Workers' Compensauon Oeclara11on: I hereby alhrm that I have a ceruhcate of consent to sell-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. EXPIRATION DATE
Ceruiicate of Exemption: I ceruly that in the performance of the work for which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE s. oWNEit-fi0IIDEit OEUARA11oN
Owner-Builder Oeclarauon: I hereby affirm that I am exempt from the Contracto?s License Law tor the lollowmg reason:
la"' 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 nor 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 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 _______ 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 licant to a civil penalty of not more tha~ve hundred dollars [$500]).
SIGNATIJR.E ,. -' f7t..i DATE _3
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? □ YES m-"NO
Is the applicant or future building occuP9t1t required to obtain a permit from the air pollution control district or air quality management district?
D YES llYNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ~O
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx;uPANCY MAY Nar BE ISSUED AFTER JULY 1, 1989 UNlF.SS 1lIE APPLICANT
HAS MET OR IS MEEHNG 11-IE REQUIREMENTS OF 11-IE OFFICE OF EMERGENCY SERVICES AND THE AIR POlllJTION CDNTitOL DISllUCT.
9. mNSllt0CIION LENDING AG.ENCY
I hereby alhrm that there 1s a construction lending agency lor the perlormance of the work lor which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME ~fin/[,,.
1 o. APPUc:AN I CER'ill·
LENDER'S ADDRESS
I cerufy that I have read the apphcauon and state that the above mlormauon 1s correct. I 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 AL'iO AGREE 10 SAVE INDEMND---Y AND KEEP I IARMLF.SS nm CTIY OF CARL<;BAD AGAINST AU. UABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSF.S WIUCII MAY IN ANY WAY ACX:RUE AGAINST SAID CTrY IN OONSEQUENCE OF 11lE GRANTING OF nus 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 Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: /Z·/6 •'73
Applicant PINK: Finance
.,. .
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