HomeMy WebLinkAbout2257 BOCA ST; ; CB980729; PermitBy: JM
CITY OF CARLSBAD
2075 Las Palmas Dr., Catlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ONLY
PLAN CHECK NO. %I 2/4
I .- . _-_ -_ a PROJECT INFORMATI
Address Iinclude BldglSuito #I
Lepal Description Lot No. subdiubi N.mr/Numkr Unit No. Phmr No. Total # of mts
Burin081 Noma tat thu addnrr)
ISM. 7031.6 Business and Professions Cod.: Any City or CWmy which ngutrro a ~~~lnit to ConnruCC. attor. improw, domolirh or ropoir any struma. pnor to Its issuance. also regutrer the applicant tor such permit to fila a signd 8tltOmont that ho b kicMI.d wulm to tho Prwhlonr of tho Contnctor's License Low
[Chapter 9, commending wlth Saction 7000 of Division 3 of tho 6UIiMu and Pfof~~lonr Cod01 or th.1 ho b ax.mpt thrr.hOm, ond the basis for tho altogad
Citv Statomp Tolophom #
City Bwinam Uwnn I
Addrau
Ucw. CkII
Name
Designer Name Addross CkV SUtaNp T.kphorn
State Llcens. (I
6. WORKERS' COMPENSATION .I ."
Workers' Componaation Daclsratton: I My affirm undor p.nrky of PUw on Of tho foWovnng dociamtioru:
- _. -. -. , .. -.-I -.- ... * - ~ -~-.' _- -- .--_, ..
0 of the work for which this permit is issuod.
0 issued. My worker's compensation )~uwanca carriar ond poticy mtmbn In:
Insurance Company Policy No. Expiration Dato
I have and will msintrin a certifiatr of con~ant to self-lnrua for work-' comprwtion as provided by Section 3700 of tho Lobor Code, for tho pofiornunco
I have snd will maintain workm' componartion, as roquirod by Saction 3700 of tho labor Cod& for tho p.rtormoncr of tho work for which thts pwmlt b
raon in my mormu ao aa
th.rupwoIwhlmldmd - an-'8 -- . .* .. 7. OWNERdUlLDER DECLARATION I hereby affirm that I am oxompt from tho Cmmctor's Licon~a Low for tho followulp raason:
0 I, 8s owner of the propony or my omp(ovm with wag., as Ih.ir soh cowmmm, *do tho work wd tho mnmvlr b not intad or 0t1u.d tw BOIO
ISec. 7044, Businau and Profossmnm Cod.: Tho Contractor'a UFIIYO Low dw not lpprv to on ownu of plo#ty who buydr or knpovn themon, ond who d#r such work Mmaolf or through )Ita own omploy..r, provldd thot auch Imprornmntl am not IfWOndod or ofturd for uk. It, hovrmr, thr buildno w knprwrmrm b
rold within one year of complation, tho owmr-bulhr wll hrvo tho burdon of proving thot ho dld not W or impron for tho pufpou of uk).
0 I, II ownor of tha property, am exclulivoly Mntncting wtth licamod contracton to COnnNct tho pmjoct t8.c. 7044, Duoinom ond Rofrulon Cod.: Tho
Contractor's Ltcenro Low doas not apply to an ownof of propmtv who bulb or improvr thmon, md contncfl for ouch projmts with comnctoW W#nd
pursuant to the Contractor'a bcm~W~ law).
0
1.
2.
3.
I am rxompt undor Soction
I poraonally plan to provido tho major labor and fnotu&Is for con~vuctMn of tho pfopoood propny knpammnt. 0 YES ON0
I lhavr / hava not) sipnod an application for a bu#bng pumk fw tho poporod work.
I hrva contractd with tho fdlowlng mon (liJ to Proddo tho PrOp0l.d cormwbn ~hdud~ n8mr I adbow I phon numkr I cmracton li#nw nunkr):
Bwknu ond ~of0ss)onr cod^ for thi~ muon:
of work):
Is the applicont or'futun building DcEu#nt roquimd to .uknit a k*inu pkn, .cuNly huvdour nutdob m@btmbn hn or rhk nung.~ md pnm(kn
program under Sections 26606.26633 or 25634 of tho Pr.rl.y-T.nrwr Haurdou S&mtan# Accaunt Act?
Is the applicant or futurr building occupant mqulrod to obtoin a pwmk from tho rh pdhnkn control dbtrM w alr qwllty ma~@emrm district? 0 YES 0 NO
Is the facility to be constructad within 1.000 foot of tho outor boundary of a rchod aka? 0 YES 0 NO
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that thora 18 a COMtructiOn landing ogoncy for th. pertmcr of tho work for which this pomk b brd Sac. 306711) Civil Cob).
0 YES 0 NO
IF ANY OF THE ANSWERS ARE YES. A FINAL cEmmcm OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS WEETINO THE
$, CONSTRUCTION &NDINQ AGWCY ' ' ._ w.-- -- -)-I.V...-pnml _VR, Y... a*.--. u--.,c** - _-
LENDERS NAME LENDER'S ADDRESS
[S. APPLICANT CERTIFICATION
I certify that I have nad the application and Rata that tho above Infomution b corroct md thot tho Infomwtkn on tho dorm h accurate. I agroa to comply with all City ordinances and Stat. laws rdating to building camtrudon. I huaby ruthofiza npruontnivW of tho CI of Carbbod to ontor upon the abovo mentioned
property for inspection pwposr. I ALSO AGREE TO SAVE. WDEMNltV AND UEEP HARMLESS THE CITY OF CARLSW AOAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEQUENCE OC TME GRANTING OF THIS PERMIT.
EXPIRATION: Every
work authorized by L
or abandoned at any
APPLICANT'S SIGNATURE
of struc~ns war 3 norir m hoight.
I axpin bv limitation and kcomr null ind void if tha building or or If tho building of work authorkod by such permit is suspendad Uniform Building Coda).
DATE
tie YELLOW: Applica
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB980729 FOR 05/11/98
DESCRIPTION: ADD 5K A/C.REPLACE 125K BTU
TYPE: MECH
JOB ADDRESS: 2257 BOCA ST
APPLICANT: COASTAL AIR MECHANICAL CONTRACTOR:
OWNER:
FURNACE, W/50 AMP CIRCUIT
INSPECTOR AREA PS
PLANCK# CB980729
OCC GRP
CONSTR. TYPE NEW
STE: LOT: PHONE: 619 679-7951 PHONE :
PHONE :
REMARKS: C/DENNIS/
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
43 ME AirCond/Furnace Set
***** INSPECTION HISTORY *****
DATE DESCRIPTION 042998 AirCond/Furnace Set
031898 AirCond/Furnace Set
ACT INSP COMMENTS co PS NO ONE HOME co PS ON ONE HOME