HomeMy WebLinkAbout1667 CEANOTHUS CT; ; CB981401; PermitBUILDING PERMIT
05/11/98 1 2'. 19
Paye l of 1
Job Address: 1667 CEANOTHUS CT
Permit Type MECHANICAL
Parcel No 215-730-05-06
Valuation 0
Occupancy Group Referenced
Description INSTALL NEW A/C UNITE W/ELECTR
Appl/Ownr CMC HEATING & AIR
1172 SUMNER AV #7
EL CAJON CA 92021
* ** Fees Required **A
Fees :
Adjustments
Total Fees•
fee description
Suite
Lot**
Permit Wo- CB981401
Project No. A980187a
Development No•
Construction Type- NEW
Status• ISSUED
Applied. 05/11/98
Apr/Issue 05/11/98
Entered By. RMA
619 447^1578
Credits ***
/ii/98 0001 01 02
C-PRWO 44-00
. 00
44 00
Ext fee Data
Enter 'Y' for MechanS
Install Furn/Ducts/
Other
15 .00 V
9. 00
20 00 ELECT FE
INSRj
CLEARANCE
APPROVAL
DATE
CITY OF CARLSBAD
2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
PROJECT INFORMATION
FOR OFFICE USE ON
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated
Date
Adrjress (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of umts
Assessor's Parcel #Existing Use Proposed Use
#of Stones # of Bedrooms of Bathrooms
!2 --CONTACT PERSON (if different from applicant)
Naffie Address
3 /APPLICANT ,', (^Contractor/ ' Q 'Agent fof_cVn^cw J'
City State/Zip Telephone #Fax tf
Name
4 nPROPERTY OWNER1
City Stata/Zip Telephone ff
Name Address City State/Zip Telephone #
5"H-.CONTRACTOR - COMPANY.NAME^ * r^-A?l ^-^l ^ ^O^X ^^f^rKS^^^
(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 Ircensed pursuant to the provisions of the Contractor s License Law
[Chapter 9, commending 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 Sectioni7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001)
CA -
Name
State License
Address
* License Class
City ' State/Zip
City Business License 9
Designer Name
Stgte License #
6 'WORKERS' COMPENSATION
Address City State/Zip Telephone
' % !* >* jt.1 tf }J <>.'"**< I ' •?> i' 2 > H-'t'Tt 1* ^l^.ii^J&.'l&Sl 'jKrM*.. ill ^WP Sj, K. - -4 r
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
D I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued
CJ I have and will maintain workers compensation as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My worker's compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS)
0" CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California
WARNlNG^^faitufeMo/flecure wort era compensation coverage » unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousanrfaollars |$TO(Wfha) inimdittp/to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
7 ' OWNER-BUILDER DECLARATION > ~ ~i ~" - / c -i'rf '" ,. u ' ' ? ^L? Jl'lvA" V' VS? ^'^V-lo &V1! -J-&-"_>_! w *"-V,J
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
Q 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
(SBC 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end 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)
Q 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!
Q I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES QNO
2 I (have / have nott signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number!
4 I plan to provide portions of the work, b'ut I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
nvimber / contractors license number) , _ , ^^__^_^^_
5 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
ot work) . . _ .
PROPERTY OWNER SIGNATURE __ DATE
'COMPLETE THIS SECTION FQR'NON-RESIDENTIAL BUILDING PERMITS ONLY^I.! ^2laX^Ji,J^ i .
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? Q YES Q NO
t$ the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO
la the facility to be constructed within 1,000 feet of the outer boundary of a school site' CI YES D NO
IP ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I,- ,- -, u i-,,. -s-iw. M-rsrpM-t— * ,",<Tt'—-V- f«iii, re.w""-r- — .Trwi" S f "" 7i XfZryTw TrH*~ /"I-." \-- i ,- —;~ " fc8_ JCONSTRUCTION LENDING AGENCY A, -, ^ 1J(l ,V£ \. . . *T ^ ^£ V^AftW^f -T* *£.?«. *% ". /L, I.Vvf ***«*> \s 'I '" .i"J,J' 1'" " >•
I hereby affirm that there is a construction lending agency lor the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER S NAME
9' ^APPLICANT CERTIFICATION
LENDER'S ADDRESS,
""•v.j-T-^p-- sr-^tAf^-'v.y^'^ri «¥"'*:
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned
property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 Officia/under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such p&fHrfTs~rbt commenced withij/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 thaX^rfk i>icom#£ncesfjor a period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATUF DATE
WHITE File YELLOW Applicant PINK Finance
CITY OF CARLSBAD4 INSPECTION REQUEST
PERMIT# CB981401 FOR 05/29/98
DESCRIPTION: INSTALL NEW A/C UNITE W/ELECTR
TYPE; MECH
JOB ADDRESS
APPLICANT:
CONTRACTOR:
OWNER:
1667 CEANOTHUS
CMC HEATING & AIR
CT
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PD
PLANCK# CB981401
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619 447-1578
REMARKS: B/BRUCE/931-5995 INSPECTOR
SPECIAL INSTRUCT: NEED INSPECTION BETWEEN 12:00 - 2:00
TOTAL TIME:
CD LVL DESCRIPTION
43 ME AirCond/Furnace Set
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
051998 AirCond/Furnace Set
051598 AirCond/Furnace Set
ACT INSP
CO PD
NR PD
COMMENTS
SEE NOTICE ATTACHED
CITY OF CARLSBAD-
BUILDING DEPARTMENT
DATE
NOTICE (760)438-3550
2075 LAS PALMAS DRIVE
LOCATION
PERMIT NO
TIME.
w//t€$
_
fe)
tiler
/4s
f
FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE1? I I YES
FOR FU/TTHEFUNFORMATION, CONTACT
PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER