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Home My WebLink About1755 KIRK PL; ; CB901548; PermitB U I L D I N G P E R M I T Permit Project Development No: CB901548 No: A90017 29 09/21/90 12:16 Page 1 of 1 Job Address: 1755 KIRK PL Permit Type: MECHANICAL Parcel No: 207-260-73-00 Valuation: O Construction Type: NEW Occupancy Group: Class Code: Description: REMOVE/INSTALL FURNACE GRAY, EARL OWNER CONTRACTOR C & C AIR CONDITIONING 1255 STONE DRIVE *** Fees SAN MARCOS, CA 2069 Required ** Fees: Adjustments: Total Fees: Fee description Enter 'Y' for Mech n Install Furn/Ducts * MECHANICAL TOTAL 4 .00 . 0 i) 24.Q0 Str: No: Fl: Ste: 8252 ~;~1 o coo1 01 F •"f'" (_£3 )/3 tatus: Applied: Apr/Issue: Validated By: ISSUED 09/21/90 09/21/90 DC Lie. OWNER Lie. C 542323 619-471-0871 .oo .00 24.00 *** Ext fee Data 15.00 Y 9.00 24.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ·---•"· PERMIT APPLICATION A w City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161 1. A ' C 2. PERMIT TYPE 0 COMMERCIAL 0NEI.I 0 INDUSTRIAL □RESIDENTIAL 0 APARTMENT □D~X □DEMOLITION ~CHAN I CAL □POOL Nearest Cross Streets TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □RELOCATION 0M081LE HOME □ELECTRICAL □PLUMBING □SPA □RETAINING WALL □SOLAR □OTHER PLAN CHECK No. Building PLAN CK DEPOSIT, ___________ _ VALID. BY, ______________ _ DATE _______________ _ LEGAL DESCRIPTION Lot No. Subdivision Naroe/Nu:rber Unit No. Phase No. CHECK BELOW If SUIMITTED: Q2 Energy Cales 02 Structural Cales D 2 Soi ls Report ASSESSOR'S PARCEL 0 1 Addressed Envelope EXISTING USE PROPOSED USE 3. CONTACT PERSON 4. NAME CITY SIGNATURE STATE APPLICANT [3-eo,TRACTOR D AGENT FOR NAH'C t C. A-of!.._ C.o,J[),'7'1'01Jilv(1 ;r:J\)C · CITY $AN tn/¼Rfl h<, STATE Cft ADDRESS ZIP CODE CONTRACTOR ADDRESS ZIP COOE DAY TELEPHONE 0 Ol.'NER O AGENT FOR Oo!NER I ;,:55 ;f,-/-otv£ Dli?.. . qzpr,/J DAY TELEPHONE &1'! -,;,t7/-of'7 I 5. PROPERTY DWNER NAME EJH:: . .L q ,e;q.'{ CITY C. 8£ k, ba & STAT(lft □1,_mE ADDRESS { '1,55' /t..,'/! .. .J(... /J / ZIP COOE 9dCCJi" □TENANT DAY TELEPHONE 6. CONTRACTOR ADDRESS 1:>6<; -:;r/ONE /Jt::. . NAME C ',/ c... ftif!.., CITY J/JIJ m flr:.a(6 Co,iDiT,ofl.)ilJl), =(C... STATE(! If SfJ3?8 ZIP COOE Cjaor;, 7 DAY TELEPHONE C,/tf -4'7/-0[''7 I LICENSE CLASS s:Uu.? CITY BUSINESS LJC. # c?:.3tfeo l-s!GNATURE ITLE ~-cJo 7. DESIGNER ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• COtll)ensation Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of workers' COtll)ensat ion Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPAN POLICY NO, P-/,)J /J, El(PIRATION DATE 10-1-10 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: DI as owner of the property or my employees with wages as their sole compensation, will dd 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 !, as owner of the property, am exclusively contracting with licensed contractors to construct the proJect (Sec. 7044, Elusiness 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 ! am exelll)t 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, coomencing with Section 7000 of Division 3 of the Elusiness 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 HHS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY: 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? □YES 0NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □,o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANT Of THE ANSWERS AltE TES, A FINAL CERTIFICATE OF OCCUPANCY MT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LEN~ING AGENCY hereby affirm that there is a construction lending agency for the performance of the 1o1ork for o1hich this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER IS ADDRESS 10. APPLICANT'S SIGNATURE I certify that ! have read the application and state that the above information is correct. I agree to comply o1ith all City ordinances and State la1o1s relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above rncnt1onc.-d property for inspection purposes. I ALSO AGREE TO SAVE INDE"NIFY AND KEEP HAA"LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlJ)G!IENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PER"IT. 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 1o1ork authorized by such permit is not c001Tienced 1o11thin 180 days from the date of such permit or if the building or i.ork authorized by such permit is suspended or abandoned at any time after the work'is c001Tienced for a period of 180 days (Section 303(d) Uniform Building Code). ~ ~ACTOR OBY PHONE APPROVED BY: _______ _ DATE: YELLOW: Applicant PINK: Finance