HomeMy WebLinkAbout1560 JEANNE PL; ; CB911479; PermitB U I L [, I N C,
:L/ lO;') L.:42
h:llJ'' 1 of
.Job Addre_::;: 1r,to ~TEANl\:E p:;:,,
i-'Prrr it I'Yt e: MEC'HAN ICA!,
,.,tlr c,•.._ Ne : , 07-1 ~0-4·, ,r
v<1 1 t1on: l,
~onstr~ct1cn Type: NEW
PERM["'
Str:
t·r•1pc.1nc:y .;1 0 tp: l l~; '-,, JP:
Dc~cri~tion: CHANGE OU~ FURNACE
PP(ffilt N(•: t 8911471
Pr>jPc-t Ne•· All
F/
1
•vel >p:~~~ c/c 30 3)_
~tat-u..;: I • JE. >
Arp'!. 1 t' ,1 : 1 , / > / lJ •
11~>.t/lssu,,: ~G/!J/ ~
V'-i" icH.tt•r] P,1• [,c•
Apt~ :1 >wt.r : FIRE "TUNDE-.R AND ! :c,H:'NING
lJCb BARNE~T AVNEUE
r:,:c, ,:,:;2~3611
SAN D4EG), CA 9~:~
1 t.>E•G Requited le* ·------------------~---~
ff•e..,:
A, I ;u~ t:...ner1 t:.:
1t 11 foee<:::
tnter 'y' for Mech r
.::r ..... ta 1::. Furn;Duc-t.,
* MECHANICA~ TOTAL
' ~
CITY OF CARLSBAD
5041 10/30/91 0001 01 02
C-PRHT 24-00
. L'il
•J
.24 .GU
Ext tee J<. t .. i
1 "> • l j y
'l • ( (I
._ 4 • ( I
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. q/-/l/7Cf
City of Carlsbad Building Departllleflt
207S Las Pal-• Dr., carlsbad, CA 92009 (619) 438-1161
I. P£RMl I liPE I
ESf. VAL PLAN CK DEPOSIT _______ _
VAIID. BY __________ _
DATE
A -U Commercial LI New Bmldmg Li I enanr Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address
Nearest Cross Street
LEGAL DEsCRIV'I ION Lot No.
BuUdmg or Suite No.
SulX:hVJs1on Name/Number
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
Omt No. Phase No.
ASSESSOR'S PARCEi. EXISTING USE PROPQSED USE
NAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPllCAN I
NAME
UCONIRACIOR OXGENI FORWNiRACIDR DOWNER UAGENI FOR OWNER
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
S. i!{?"IYJ?~~fil( ~ ,e." t..e,P.,I\C,,H ADDRESS '54' D .J CA 11,}AJ E. PJ,....
CITY CAtt.(~61\1') STATE C.." ZIPCODE jU708 DAY TELEPHONE
6
. ~F;!t.-r1111Noe,, il ut.1t1A11~DREss 3otlt,
1z.1-1z..· ez...
/\VE.
I ~-t). STATE Cl\ ZIPCODE qi,110
sTATE uc. # sBo &,1,,{ ucENsE cI..ASs a -z.o
CITY DAY TELEPHONE 'l,,'Z,;Z, • 3(., \ \
CITY BUSINESS UC. # I I Gt 1 Z. Z. I
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. Wullk£RS' WMPENSAIWN
workers' compensatton uec1aratton: I hereby aUlrm that I have a cen1f1cate of consent to self-msure issued by the Ulrectorof 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 1T£D PN..ltil. POUCY NO o !RATION DATE
I
rt1 1cate o xempuon: cert1 t at m t e per ormance o e wor or w 1c t 1s permit 1s 1ssu , s a no emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNffi-801ID£1l DECLARAliON
Owner-Builder Deciaratton: I hereby affmn that I am exempt from the Contractor's Llcense Law for the following 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JRE DATE
COMPLEIE I HIS SECI ION FOR NON-RESIDEN I IAt BUILDING PERMI I's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous 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 OF THE ANSWERS ARE YES, AFINALCER11FICATEOFCXDJPANCY MAYNITTBEJ5.5UED AFIBRJULY 1, 1989 UNLESS THEAPPIJCANT
HAS MIIT OR IS Ml!IITING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLUITION CDNTROL DISllllCT.
9. WNSIROCIIUN LENDING AGENCY
I hereby athrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued. (Sec 3097 (I) dvU Code).
LENDER'S NAME LENDER'S ADDRESS
lb. APPUCANI CEkfuiiCA:IKJN
I cerufy that I have read the apphcauon and state that the above mformatmn IS correct. I agree fo comply wttii 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISI1AD AGAINST AIL lJABILl11ES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSF.QUF.NCE OF THE GRANTING OF TIDS 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 pennit issu
building or work authorized
such permit is suspended ab
APPUCANTS SIGNATURE
uilding Official under the provisions of this Code shall expire by limitation and become null and void if the
r it is not commenced within 365 days from the date of such permit or if the building or work authorized by
any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: _____ _
YELLOW: Applicant PINK: Fmance
..
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911479 FOR 10/22/92
DESCRIPTION: CHANGE OUT FURNACE
TYPE: MECH
JOB ADDRESS: 1560 JEANNE PL
APPLICANT: FIRE THUNDER AND LIGHTNING
CONTRACTOR:
OWNER:
PHONE: 619
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB911479
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
222-3611
REMARKS: MH
SPECIAL INSTRUCT:
TOTAL TIME:
'l L
INSPECTOR --fr-'_
1
~'-;,-------
CD
49
LVL DESCRIPTION
ME Final Mechanical
------------------
----------------------------------------
ACT COMMENTS ,, ()
M -------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS