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Home My WebLink About1010 LANDS END CT; ; CB961139; PermitB U I L D I N G 06/21/::lb 09:48 1 Paqe 1 of 1 Job Address: 1J1U LANDS END C7 Permit Type: MECHANICAL Purce! No: 214-5J1-14-00 Valuation: o P E R M I T Suite: L,Jt#: Occupancy Group: R~ference#: Description: INSTALL J1;2 TGN A/CW; ELECT E' P rm i t N c : C B 9 b 11 J 9 Proiect No: A9b0lt,,rn D<:"vel0pment No: 8163 06/21/96 COO! Ol c~ C~PR/'fT Ct•nstruction Type: Status: Appl1ec3: Apr/Issue: Appl/Ownr ; ACTION AIR COND:TIONING Entered By: 619-727-41">.: NEW ISSL:ED 06/2.1/'lt) 06/21/9c RMA 1232 JEYSTONE WY VISTA CA 9208j *** fees Required fees: AdJustmen+-s: Total Fees: Fee de$c.r:iption Enter 'Y' fur Mecha Install Furn/Ducts/ Other * MECHANICAL TOTAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ,JO • () l, 44.00 Ext fee Data ... 5. uo Y 9.00 20.00 ELEC FEE 44.08 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Depart--.t 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 I. PP.RMI! NP.I! PIAN CK DEPOSIT _____ ,,.-,t-_ I EST. VAL VAIJD 8,\'-pk- From list I (see back) give code of Permit-Type: __ :-,Fi,...;,c:.J,D,..:c_ _____ _ DATE. )I \'.lr.'. Cf 'I For Residential Projects Only: From Llst 2 (see back) give axle of Structure-Type: _M!.!-~C!..·..!c-Jtlu ___________ _ Net Loss/Gain of Dwelling Units 2. PRClJECI" INFORMATION FOR OFFICE USE ONLY Nearest Cross Street i'.l::GAL DESCRiP'I ION Lot No. CHECK BEWW IF S0BMI I I Eb: Bu1ldmg or Suite No. Subd1vis1on Name/Number □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope DESCRIPTION OF WORK I~ ';:, l-#<U-. P., 'hO,-j C +' SQ. Ff. # OF STORIES 3. WN IACI PFJlSlJN (1£ dlIIerenf from apphcanO NAME (last name first) ADDRESS -..,,., 'Z. 't-c::>t.l # OF BEDROOMS 0mt No. CilY STATE ZIP OODE DAY TELEPHONE 4. APPUCXNI UCONIRACIOR iOAGENI FORCONIRACIUR DOWNER OAGENI FOR OWNER NAME (last name first) C,., ._._ "l:::, <2-V'L. ADDRESS \ '2.-"> 7-,-,. Cy S. ·1dN"-~I Phase No. # OF BATIIROOMS CilY (/';-,.r,,. STATE C/1-. ZIP CODE '7'2c)~'.!) DAY TELEPHONE tL-,-'-(rS-Z 5. PROPEklY OWNER ['\ NAME (last name first) 1-<..yl\-t-J ADDRESS \C)\.C t.../1,.i-JQ~ t:,,JC, u., cilYWL::\•:!,>,D sTATE c.11-zIP coDE <t -i.oc:,i DAY TELEPHONE er '.3.1.'1211-s 6. WNiilAC'luk A NAME (last name first) 1-~.;~·l<)"-l IA.<f2. C.0.v.O ADDR£SS l "2...~ 2-Kt.,( S·1t1:-J£._ UA-'f CllY vrs·rA STATE CA ZIP OODE C::C?OE'.c DAY TELEPHONE t 2... 'l-4, S 2. STATELIC.#..."5Cf18;)S LICENSECLASS C-2o CllYBUSINESSLIC.# 4/~ DESIGNER NAME (lase name hrst) ADDRESS CilY STATE ZIP CODE DAY TELEPHONE STATE I.IC.# 7. WUkkEkS4 UJMPF.NSA:t ION Workers' Compensation Declaranon: I hereby affmn that I have a cert1hcate of consent to selt-msure issued by ilie 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). 8. OWNER Uwner-BuUder Declaration: I hereby afhnn that I am exempt from the Confracfofs license Law for fie ioilowmg 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.). □ 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPlllE 41HIS SEC I ION FOR NON-RESIDEN IIAI. B0IWING PERMII'S ONLY: 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 permit 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? □ YES □ NO IF ANY OP TIIE ANSWERS ARE YES, A PINAL CERTIFICATE OP OOCUPANCY MAY NUf BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPIJCANT HAS MET OR JS Mllln'IIIG TIIE REQUIREMENTS OP TIIE OFFICE OP EMERGENCY SERVICES AND TIIE AIR FOIL\JTION OONTII.OL DISTRICT. 9. WNSIROCIIDN lliNDING AGENCY I hereby afhnn that there LS a construction lend mg agency for the performance of the work ior which this penmt 1s issued (Sec 3097 (I) C1vU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPDCAN 1 CERJIFICAIIDN I certtfy that I have read the appltcatton and state that the above mformauon 1s correct. I agree to comply with ail City ordmances 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 AI.50 AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS TIIE CfIY OF CARISBAD AGAINSf AIL UABIUl'IES, JUIJGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACXJUJE AGAINST SAID CfIY IN OONSEQUENCE OP TIIE GRANTING OP TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. , CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961139 FOR 06/25/96 DESCRIPTION: INSTALL 31/2 TONA/CW/ ELECT TYPE: MECH JOB ADDRESS: 1010 LANDS END CT APPLICANT: ACTION AIR CONDITIONING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB961139 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-727-4152 REMARKS: MW/JANICE/931-9245 SPECIAL INSTRUCT: INSPECTOR _ ..... e~7-+-------- TOTAL TIME: CD 49 LVL DESCRIPTION ME Final Mechanical ACT COMMENTS ~-------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS