HomeMy WebLinkAbout1659 JAMES DR; ; CB930911; Permit...
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CITY OF CARLSBAD
3759 09/03/9 ~ ' c, 0
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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-ll61
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Depart.ent
2075 Las PalllllS Dr., C&rlsbad, CA 92009 (619) 438·1161 EST.VAL. __________ _
PIAN CK DEPOSIT _______ _
VAJJD.BY. __________ _
DATE
I. PFJtMI i IYPE
A -U Commercial D New Bu1ldmg U lenant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -D Residential □ Apartment □ Condo □ Single Family Dwelling D Addition/ Alteration
□ Duplex D Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other
2. PRCllECf INFORMATION FOR OFFICE USE ONLY
Address f {p 5_9
BuUdmg or Suite No.
Nearest Cross Street
mt o. ase o.
CHECK BEWW IF S0BMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCTI. EXISTING USE PROPQSEP USE
DESCRIPTION OF WORK lrvS1At,..1.. A1/l.'O.Vll>1"l1o,v1,Jc, vlv',7
SQ. IT. # OF STORIES
3. WNIACI PFJ(S()N (11 dnierent irom apphcani)
NAME ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
UWNIRACiOk UAGENI FORCONIRXCIOR DOWNER UAGENI FOR OWNER 1-. APPIJCAN I
NAME ADDRESS
CllY STATE ZIP CODE DAY TELEPHONE
5. PROPERl'Y OWNER ADDREss /c,,f;"I T Al'-1 l:S [)A.iv£. NAME DA\/1 I\ Ml-1'-1 IV Lf..,'(
ZIP CODE "fU)O~ DAY TELEPHONE '("3i• 3~-0 CI1Y 4\/l,1,S/3,4 () STATE 4'\-
NAME
CllY STATE
STATE LIC. #
ADDRESS
ZIP CODE
LICENSE CLASS
DAY TELEPHONE
CI1Y BUSINESS LIC. #
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORkF.RS WMPENSA:IION Workers' Compensat10n Declarat1on: I hereby afiirm that I have a cert1hcate 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 POLICY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that m the performance of the work for which this penn1t 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNER-BOllDER bFl!OOtA.iiON Owner-Builder Declarahon: I hereby afhrm that I am exempt from the Contracto?s License Law for the foilowmg 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. If1 however, the building or improvement is sold within one year of complecion, the owner-builder will have the burden
of proving chat 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.S 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 chat 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
CUMPLEIE IHiS SEGIION FOR NON-RESIOEN IIAt B0IIDING PERMilS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely ha:zardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha:zardous 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?
CJ YES CJ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO IF ANYOFTIIEANSWERS ARE YES, A FINAL CERTIFICATE OFoa:uPANCY MAYNUf BE ISSUEDAFfERJ\ILY I, 19891JNLESS TIIE APPIJCANT
HAS Mfil OR IS MEI!TING TIIE REQUIREMENTS OP TI-IE OFFICE OP EMERGENCY SERVICES AND TIIE AIR POLLU11ON CDNTROL DISTRICT.
9. WNSIRUCIIUN IENDMG AGENCY I hereby afhrm that there 1s a construcnon lending agency for the performance of the work ior which this permit 1s issued (Sec 3097(i) C1vlJ C&le}.
LENDER'S NAME LENDER'S ADDRESS
IO. APPilCAN I antlMCA211UN
I cen1fy that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply with all 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 1U SAVE INDEMNIFY AND KEEP IIARMIESS TIIE Cl1Y OP CARISBAD AGAINST AIL IJABIUl1ES, JUDGMENTS, CX>STS
AND EXPENSES WIIlCI{ MAY IN ANY WAY ACDUJE AGAINST SAID Cl1Y IN CDNSEQUENCE OP TIIE GRANTING OP TIDS PERMIT.
OSHA: An OSHA pennit 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 limitacion 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: 9-"3 ·Cf 3 APPLICANT'S SIGNATURE
plicant PINK: Finance
PERMIT# CB930911
DESCRIPTION: A/C UNIT ALREADY
TYPE: MECH
JOB ADDRESS: 1659
APPLICANT: MCKINLEY,
CONTRACTOR:
OWNER:
JAMES DR
DAVID
REMARKS: MH/DAVID/931-3503
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/09/93
INSTALLED
STE:
INSPECTOR AREA PD
PLANCK# CB930911
OCC GRP
CONSTR. TYPE NEW
LOT:
PHONE: 619 434-3750
PHONE:
INSPECTOR V
SPECIAL INSTRUCT: PLEASE CONTACT HIM WITH
PHONE: ~
TIME SO HE CAN--B-E~-.,_RE ______ _
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
43 ME AirCond/Furnace pet
____ ------~f'._'v_i"•~c_:& .... ~---~A~1~0
__
A[ _____ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS