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HomeMy WebLinkAbout1824 BUTTERS RD; ; CB930011; Permit02 24.00 CITY OF CARLSBAU - 2075 Las PPlIMs Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Depertmmt 2075 Las Pallas Dr., Carlsbad, CA 92009 (619) 438-1161 A - 0 Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building 0 Tenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 AdditiodAlteratior 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing OMechanical OPwl 0 Spa ORetaining Wall OSolar OOther 2 PRC"INp0RMATION FOR OFFICE USE ONLY , Building or Suite No. Lot No. Subdiwsion NamdNumber Unit No. Phase No. 2 Energy Calcs 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope d;lqL-phc e?sgy*Mb&c5==- SQ. IT. # OF STORIES 1 T NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS an STATE ZIP CODE DAY TELEPHONE UAC CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: 1 hereby at€irm that I have a certlficate of consent to selt-insure issued by the Director ot Industrial 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 2-d- POLICY ~obf#657-* IRATION DATE 6 - 9 3 Certlticate of Exempoon: 1 certlty that in the perlormance ot 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. SIGNATURE DATE Owner-Builder Waration: I hereby attirm that I am exempt trom the Contractor's License Law tor the tollowing 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 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.). 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). I am exempt under Section (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, 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 [SSOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE ~ 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A FINALCERTIFICATE OF OOCUPANCY MAY NOT BE ISSUED AFlERJULY 1,1989uNLFss THEAPPUCMT HAS I hereby attirm that there IS a construction lending agency tor the pertormance ot the work tor which this permit is issued [Sec OYES 0 NO DYES 0 NO 0 YES 0 NO OR Is MEEITNG THE RJQ- OF THE OFFlCX OF EKERGJNCY !XRVKZS AND THE AIR K" OoNTltOLDISlRKX. lWUlnl - I Uwl Codel. LENDER'S NAME LENDER'S ADDRESS 1 certity that 1 have read the application and state that the above intormation is correct. 1 agree to comply with all City ordinances 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~M;REE1oSAVE~EMNIFYANDI(EEPHARMLESSTHE<TIYOFCARISBADAL;AMSTUL~JUDGMIMTSODSIS AND EXPENSES WHICH MAY IN ANY WAY ACQWE AGAIN= SAID CITYIN CONSEQWNCEOFTHEGRANTING OF THIsPERMlT. 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 Official under the provisions of this Code shall expire by limitation 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: )-7-?3 OW Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB930011 FOR 01/11/93 DESCRIPTION: CHANGE OUT FURNACE TYPE: MECH JOB ADDRESS: 1824 BUTTERS RD APPLICANT: AIRE CARE CONTRACTOR : OWNER: REMARKS: MH/JOHN SPECIAL INSTRUCT: TOTAL TIME: CD 44 DATE INSPECTOR AREA PY PLANCK# CB930011 OCC GRP CONSTR. TYPE NEW STR: FL: STE: PHONE: 619 746-7611 PHONE : PHONE : P/7 INSPECTOR 7 LVL DESCRIPTION ACT COMMENTS ME Rough/Ducts/Dampers 4p - - ***** INSPECTION HISTORY ***** DESCRIPTION ACT INSP COMMENTS