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Home My WebLink About1158 OAK AVE; ; CB911609; PermitB U I L D I N G :1/27/91 12:16 Pag~ 1 of 1 Job Address: 1158 OAK AV Pennit Type: MECHANICAL Parcel No: 156-180-43-00 Valuation: O Construction Type: NEW P E R M I T Str: Occupancy Group: Class Code: Description: FIREPLACE ICBO REPT #3195 : METAL/0 CLEARNCE TLC-42 MODL#UL MH10105 Permit Project Development Fl: Ste: No: CB91 '1 hi)"' No: ~ci L. c)z_ , <{?-1 Status: ISSUED ........ .,,,,~/91 5441111'27/91 ~l 01 A C-PRHT - Appl/Ownr : COLE, ANNE. 1158 OAK AV CARLSBAD, CA 619 729-6348 22.00 * * * Fees Fee description Enter 'Y' for Mech Each Hood/Fireplac * MECHANICAL TOTAL FIN~ I lMSP. _., .. J_J\. \_ .00 .00 22.00 *** Ext fee Datu 15.00 Y 6.50 22.00 CL[ARANCE ____ _ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION t,ty of carlsbad Building Departllent ~ V .--PLAN_CH_E_C_K N_o_. ___ 9:_/-__,-/ 6 CJJ 2C75 Las Pal..s Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL;._ __________ _ • PLAN CK D~,__,,.... _____ _ VAIJD.BY~ DATE }]. ,-, .~ = / 1. PF.JtMI I IYPE A -LI Commercial LI New Building LI Tenant Improvement B -D Industrial LI New Building D Tenant Improvement C -LI Residential D Apartment D Condo LI Single Family Dwelling LI Addition/ Alteration LI Duplex LI Demolition LI Relocation LI Mobile Home LI Electrical D Plumbing ~ Mechanical D Pool D Spa D Retaining Wall D Solar C Other ____ _ 2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY Address \ l ') {/} / Nearest Cross Stree"V LEGAL DESCRIPTION 0 {L k A v-e:utlding or Suite No. Lot No. Suixhvts1on Name/Number Unit No. Phase No. CHECK BEWW IF sOsMll lill: D 2 Energy Cales a 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ~iillu5Th~L¥~ trv-trf ~w _p:; ~r;~E Co ~~o~~~E ~p01-r ~ ~ \ t; 5) SQ. rr. # oF sroruES :r1cc... -.L/J.. Ko D6L 01.-AFM H 1 01 o5 3. WN IACI P£RSON (11 dtfterenf from apphcant) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ~E 0A+1.E ADDRESS STATE ZIP CODE DAY TELEPHONE Cl1Y 6. OON'l'lW:luR NAME ADDRESS CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# LICENSE CLASS CITI BUSINESS LIC. # DESIGNER NAME ADDRESS CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. Wullx£RS' wMPENSAnbN Workers' Compensauon Oeclarauon: I hereby alhrm that I have a cert1itcate of consent to sell-insure 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). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruftcate of Exempuon: I cerufy that in the perlormance 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 Workers' Compensation Laws of California. SIGNATURE DATE 8. oWR£R-B0llDER OF.fi.AltA'l1oN Owner-Builder Oeclarauon: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: / D 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.). D 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). D 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 SEcMON FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required co 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? C YES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa;upANCY MAY NITT BE ISSUED AFI'ER JULY 1, 1989 UNLESS TIIE APPUCANT HAS MET OR IS MEETING TIIE RF.QUIREMENTS OF TIIE omCE OF EMERGENCY SERVICES AND THE AIR POILUTION OON1ROL DISJRICT. 9. wRS'IROcnON LENDING Ar:ENCY I hereby all1rm that there 1s a construction lending agency lor the performance of the work for which this permit ts issued (sec 3097(1) C1vtl Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANT C£1trn1cA'l10N 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMLF.SS TIIE QTY OF CARISBAD .AGAINST ALL UABIIIl1ES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY .ACX:RUE .AGAINST SAID QTY IN OONSEQUENCE OF TIIE GRANTING OF nns 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 30~ Uniform Building Code). ~CANTS s1GNATIJ~E~ () , Vom, l I/ Z-5 / '1 I ~<' ~ u-t.e.. Wl-IlTE: File YE.Ll..OW: Applicant PINK: Finance ) CITY OF CARLSBAD 1 INSPECTION REQUEST PERMIT# CB911609 FOR 02/14/92 DESC.RIPTION: FIREPLACE ICBO REPT #3195 INSPECTOR AREA PY PLANCK# CB911609 OCC GRP METAL/0 CLEARNCE TLC-42 MODL#UL MH10105 TYPE: MECH JOB ADDRESS: 1158 OAK AV APPLICANT: COLE, ANNE. CONTRACTOR: OWNER: REMARKS: MH/ANNIE/729-6348 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 47 ME Fireplace/Chimney ***** DATE DESCRIPTION 020792 Final Mechanical 011092 Fireplace/Tie Straps 011092 Interior Lath/Drywall 122391 Fireplace/Chimney PHONE: 619 PHONE: CONSTR. TYPE NEW STR: FL: STE: 729-6348 PHONE: 0 j__ _ INSPECTOR +f!\.~-cr[1-~~~~~~~~~~- ACT COMMENTS ~ flAd INSPECTION HISTORY ***** ACT INSP COMMENTS co MP HEARTH TOO SMALL AP PY AP PY AP PY