Loading...
HomeMy WebLinkAbout1799 EAST POINTE AVE; ; CB973137; PermitPermit No: CB973137 Project No: A9703999 Development No: BUILDING PERMIT 10/2 0/97 11:57 Page 1 of 1 Job AcJdress: 1799 EAST POINTE AV Suite: Permit Type: MECHANICAL 0430 10/20/97 0001 01 02 Parcel No: 207-073-14-00 Lot#: C-PRMT 44-00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference*: Status: ISSUED Description: ADD 4 TON AIR COND W/ELECTRICA Applied: 10/20/97 : Apr/Issue: 10/20/97 Entered By: RMA 619 484-0321 Appl/Ownr : COASTAL AIR MECHANICAL 1286 0 WARHORSE ST SAN DIEGO CA 92129 Fees Required *** A * A- Fees Adjustments Total Fees Fee description 4 4,00 , 0 0 4 4 . 0 0 Enter 'Y' for Mecl;;!!. . .';ue Fee,> Install Furn/DLict •. H'ffit Pur / Other * MECHANICAL TOTAL fee:.; Collected & Credits * * * l-ri. t 20 . U 0 . 00 . 00 44 . 00 Ext fee Data 15.00 Y 9 . 00 20.00 ELECT FEc 44 . 00 FILIAL AFPr.OVAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF GARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbatd CA 92009 (760) 438-1161 PLAN CHECK NO. ^1 ^ / ? 7 EST. VAL. Plan Ck. Deposit. Validated By Date /•y-^ ' c yr-^,- , • - ' ' - . . Address Iindude BIdg/Suite #1 Business Name lat this addreasl Legal Description Lot No. Subdivision Nsme/Number Unit No. Phsse No. Total # of units Assessor's Parcel,* / y Existing Use Proposed Use Description of Work ' SQ. FT. fof Stories f of Bedrooms t of Bathrooms 2. CONTACt PERSON ili different from appacantl -.'i-x-^f:-\.,•:;r:. Nama Address City 3. APPUCANT 53'^nM»ctpr • Agent for Contractor • Owner Q Agem for Owner 7>A}^AA> A7£L^O^ , /2.eC^0 IAAA^A^AA^ Sr- . 5". ^ • State/Zip Telephone # Fax 0 A>A7- V^/'03z/ Name Address City 4. PROPERTY OWNER / ^ : A7/7A/A A/PasAAeW A/^ff ^sr /A^^ArA A^^A^/i'^ State/Zip //A 9A^? Telephone ff Name Address City State/Zip Telephone ff S. CONTRACTOR - COMPANY NAME "' , „• ISec. 7031.5 Business and Professions Code: Any City or Countv which requires a permit to construct, alter. Improve, demolish or repair any structura, prior to Its issuance, also requires tha applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrector's License Law IChapter 9, commending with Section 7000 of Division 3 of the Businass and Professions Code) or that ha Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the apg|icsnt to a civil penalty of not more than five hundred dollars {$50011. CA>/^67yfyL /7/A /7AAii^^^<^^'^ s /zS6c) I<AA/^/^A^A ST- S.^>. c^Pz/^^ 4/j^^^3^/ - — , Address c^ Tr 0 Y License Class Name State License ff City Stata/Zip City Businass Licansa te/ZIp ^ Telapl ff AZ£>/9/^ Telephone ff Designer Name Addrass City State/Zip Telephone State Licenss # 6. WORKERS'COMPENSATION ' ............ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarstiora: Q I have and will maintain a certificate of consent to sslf-insure for workers' compensation as provided by Section 3700 of tha Labor Code, for tha performartce of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of ths work for which this permit is issued. My worker's compensstion insursnce carrier and policy number are: Insurance Company Policy No. Expiration Date (THISJEeTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS |*100| OR LESSI ^^CERTIFICATE OF EXEMPTION: I certify thet in tha performance of the work for which this permit is issued, I shall not employ any person In any mannar ao as to become subject to the Workers' Compensstion Laws ol California. WARNINQ: Failure to aepura workers' compensation coverage Is unlawful, and shall subject an employer to criminal panaltlea and civil tines up to ono hurMirad thousand dollars ISIOO.JKu)). hyuldltktn lo tha cost of comparuatlon, damagea aa providad for bi Section 3706 of tha Lab^ cod^, Intaraat and attoniay'a faaa. SIGNATURE AU. fijJP'TrO'-^'^ \ DATE . 7. OWNER-BUILDER DECLARATION " • • vT^' ^ ^'^ 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 wsges es their sole compensstion, will do the work and tha struc:ture Is not intended or offered for sale ISec. 7044, Business and Professions Code: The Comractor's License Law does not apply to an owner of property who builds or improvas thereon, and who doss such work himself or through his own employees, provided that such Improvements sre not Intended or offered for aala. If, howaver, the building or Improvement Is sold within one year of completion, the owner-builder will hava tha burden of proving that he did not build or Improve for the purpoae of aale). Q I, es owner of the property, am exclusively contracting with licensed contractors to construct tha project ISac. 7044, Business and Professions Code: The Contractor's License Lsw does not apply to an ownar of property who builds or improves thereon, and contracts for such projects with contractorls) licanaad f uant to tha Contractor's License Law). I am exempt under Section Business and Prolessions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvamant. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contrsctsd with the following person (firm) to provide the proposed construction (include name / addrass / phona number / contractors license number): 4. I plan to provide portions of the work, btit I hsve hired the following person to coordinate, supervise and provida tha major work (Include name / address / phono number / contractors license number): ^ 5. I will provide some of the work, but I hava contracted (hired) the following peraons to provide the work indicatad (Include name / sddress / phona numbsr / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR W0/V-ffCS<D£)V7iU BUILDINQ PERMrrS ONLf^''^~ Is the epplicsnt or future building occupant required to submit a business plan, acutely hazardous matariais registration form or risk management and prevention progrem under Sections 25505, 25533 or 25534 ot the Presley-Tanner Hazardoua SubstarKa Account Act? O YES Q NO Is ths epplicsnt or future building occupsnt rsqulred to obtain a parmit trom tha air pollution control district or sir quality management district? Q YES Q NO Is the fsciiity to be constructed within 1,000 teet of the outer boundery ot e school site? O YES Q NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ' CONSTRUCTiOjii LENDINlj AGENliy -^-^rr ,^-,-,.:.^,-r-y:T^;^^...^-,P-:...:^:,-.-..::...r.-.:.-r:-nf „,. ,,.,... ,.,,,.-.. ,. , . , . .. . . ^ . I hereby sffirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS •9. APPLICANT CERTIFICATION - " •' -''•'--'--r--------'-^'^^^^^^^ . ; • I certify that I have rasd the spplicstion and state thet the above Informstion Is correct snd thst the Intormation on the plans is sccurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representstives of the CitV of Csrisbsd 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 UABIUTIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required tor excsvstions over S'O* deep and demolition or construction ot structures over 3 stories in height. EXPIRATION: Every permit issued by the Building OtficisI under the provisions ot this Code shsll expire by limitetion end become null snd void it the building or work authorized by such permit is not commenced within 365 days from the dsts of such permit or It the building or work authorized by such psrmit is suspended or abandoned st any time alter the woiK iycommeRcsd tor s pra<id of ySl dsys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE .AsAAA^^^^Ay A v—^--rt^ty-^^-y^ DATE WHITE: File YELLOW: Appiicsnt PINK: Finsncs CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB973137 FOR 11/05/97 DESCRIPTION: ADD 4 TON AIR COND W/ELECTRICA TYPE: MECH JOB ADDRESS: 1799 EAST POINTE AV APPLICANT: COASTAL AIR MECHANICAL CONTRACTOR: OWNER: REMARKS: C/JODY/434-1734 SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB973137 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 484-0321 PHONE: PHONE: INSPECTOR TOTAL TIME: —RELATED PERMITS— PERMIT# TYPE CB891385 RAD CD LVL DESCRIPTION STATUS EXPIRED ACT COMMENTS 43 ME AirCond/FurnvTce Set m- )d/Furnace r^P» ^ 4 I?: DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS