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Home My WebLink About1945 CAMINO VIDA ROBLE; J; CB911248; PermitBUILDING PERMIT 09/04/91 15:28 Page 1 of 1 Job Address: 1945 CAMINO VIDA ROBLE Permit Type: MECHANICAL Parcel No: Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Description: ADD HEATER Permit No: CB911248 Project No: A9101567 Development No: Str: ** Fl: **** Ste: J Status: ISSUED Applied: 09/04/91 Apr/Issue: 09/04/91 Appl/Ownr : LASSILA, WAVERLY 1945 CAMINO VIDA ROBLE, STE.J CARL S BAD, CA 92009, * * * Fees Required * * * (619)431-5565 Fees : Adjustments: Total Fees: Fee description Enter 'Y' for Mech Install Furn/Ducts * MECHANICAL TOTAL cted & Credits * * . 00 .00 24.00 Ext fee Data 15.00 Y" 9.00 24. 00 APPROVAL OTY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 I. PERMTTTrPE A - D Commercial U New Building U Tenant Improvement B - D Industrial D New Building D Tenant Improvement C - D Residential D Apartment D Condo D Single Family Dwelling D Addition/Alteration D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing G Mechanical D Pool D Spa D Retaining Wall D Solar D Other 2. PROJECT-INFORMATION • —•—| f^- 1 "™ PLAN CHECK NO.J/~ EST.VAL PIAN CK DEPOSIT VAUD. BY DATE FOR OFFICE USE ONLY "1 IT'™' ' „ f 1.1 J i ,, ^Tf ." ' —'t No. Subdivision Name/Number Jearest Cross Street LEGAL DESCRIPTION CHECK BELOW IV D 2 Energy Calcs ILb: - D 2 Structural Gales D 2 Soils Report D 1 Addressed Envelope / ' 4. !>. *>^ b. A ASSESSOR'S PARCEL DESefijPTlON OF WORK / / ^f^ 1o.«44=- /Y^cfriUUMIAL.I KiiKAUH in Qitterent trom applicant.) NAME CITY STATE -^ EXISTING USE PROPOSED USF ^ f ^C^ 'jSsff-e* \f^~ ( * s*JS/ZS ^ \STORIESV S ' } s ADDRESS ZIP CODE DAY TELEPHONE AWLUJANT U CON I KAL71UH UAGtN'i hOK CON 1KAC1UH UOWNtK U AGENT FUR OWNtK NAME ADDRESS CITY STATE FKOFEKTY OWNER . / * \NAME lAkv^plM Urc^$i^A <^ W^VpL-^^rf-^ STATE fiAUUNTKAClUk NAME CITY STATE STATE LIC. # UESlUNtH NAME CITY STATE WUKKEKS' LXJMl'tHSA'IlUN ZIP CODE DAY TELEPHONE ADDRESS ZIP CODE G(2OC& DAY TELEPHONE fyffi ^(?( "SSfc'S"' ADDRESS ZIP CODE DAY TELEPHONE LICENSE CLASS CITY BUSINESS LIC. # AlJUKESb ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensation Declaration: I hereby alfirm that I have a certincate ot consent to self-insure issued by the Director of 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 POLICY NO.EXPIRATION DATE Certificate ot Exemption: 1 certify that in the pertormance ot the work tor which this permit is issued, l snail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 5. Owner-Builder Declaration: I hereby affirm that f am exempt from the Contractors License Law tor tne following reason: D 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.). D 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). D I am exempt 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, 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 [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NQN-RES1PENTL\L 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? O YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY 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 POmmON CONTROL DISTRICT. . CUNbTHUUTlON LENDING AGENCY 1 hereby atiirm that there is a construction lending agency lor the pertormance ot tne work lor which this permit is issued (.Sec 30974.1) Uvil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT CERTIFICAHON I certify that Thave read the application and state that the above information is correct. I 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 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 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). APP DATE: 7 WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB911248 FOR 09/06/91 INSPECTOR AREA PY DESCRIPTION: ADD HEATER PLANCK# CB911248 OCC GRP TYPE: MECH r * CONSTR. TYPE NEW JOB ADDRESS: 1945 CAMINO VIDA ROBLE . ^ STR:** FL:**** STE: J APPLICANT: LASSILA, WAVERLY W PHONE: (619)431-5565 CONTRACTOR: ' PHONE: OWNER: /Jfl PHONE: REMARKS: MH/WAVERLY "J" ^ INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS— PERMIT# TYPE STATUS CO910058 COFO ISSUED CD LVL DESCRIPTION ACT COMMENTS 44 ME Rough/Ducts/Dampers ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS VFfffCHEPVLED INSPECTION DATE INSPECTOR PERMIT * Off 9/ /^# 'PLANCK # JOB ADDRESS TIME ARRIVE: _ TIME LEAVE: CD LVL DESCRIPTION ACT COMMENTS PERMITS 6/15/89