HomeMy WebLinkAbout2345 CAMINO VIDA ROBLE; ; CB900014; Permit01/08/90 12,14 B U I L D ! N G PERMIT
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Job Address: 2345 CAMINO VIDA ROBLE
Permit Type: MECHANICAL
Parcel No: 213-050-27-00
Valuation: 0
Construction Type: NEW
Occupancy Group: Class Code
Description: 2 INFRA RED HEATERS INSTALLED
Permit No: CB900014
Project No: A8800638
Development No:
Fl: Ste:
CONTRACTOR ; CLIMATE CONTROL
1161 OPAL STREET
SAN DIEGO CA 92109
*** Fees Required ***
Status: ISSUED
Applied : 01/08/90
Apr/Issue :
Validated By:
***
Lie. C 353227 619 276-5424
Collected & Credits ***
Fees :
Adjustments:
Total Fees:
33.00
.00
33.00
Fee description
Enter 'Y' for Mechanical Issue Fee>
Install Furn/Ducts
* MECHANICAL TOTAL
Units //Pee/Unit
2.00
.00
.00
33 . 00
Ext fee Data
15. 00 Y
18.00
33 . 00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 <6t9) 438-nsi
1. PERMIT TYPE _ _
A - G COMMERCIAL QNEU ^TENANT IMPROVEMENT
B - Q INDUSTRIAL QNEU QTENANT IMPROVEMENT
C - GRESIDENHAL QAPARTMENT GCONDO QSINGLE FAMILY DWELLING Q ADD I TION/ALTERAT ION
D DUPLEX D DEMOLITION G RELOCATION G MOBILE HOME Q ELECTRICAL Q PLUMB ING
H MECHANICAL G POOL QSPA QfiETAlNING WALL G^OUAR Q OTHER _
EST. VAL
PLAN CK DEPOSIT
VALID. BY f)^—
DATE
2. PROJECT INFORMATION PLAN CHECK No.
Building or Suite NO
FOR OFFICE USE ONLY
Address
Nearest Cross Streets
LEGAL DESCRIPTION Subdivision Name/Number Phase No.
CHECK BELOW IF SUBMITTED:
D£ Energy Calcs Structural Caics G 2 Soils Report Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF UORK
EXISTING USE PROPOSED USE
BLDG. SO. FTG.OF STORIES
3. CONTACT PERSON
- f» c-n
CITY
SIGNATURE
ADDRESS
ZIP CODE DAY TELEPHONE
4 . APPLICANT HCONTRACTORf3. Ha ft Ri\AGENT FOR CONTRACTOR QOUNER
ADDRESS //£>/ OJfal-
Z!P CODE ^ 3~/ Q 9
G AGENT FOR OWNER
DAY TELEPHONE
5. PROPERTY dWNER
NAME
CITY
OWNER
STATE
ADDRESS
l\ P CODE
GLESSEE G^ENANT
DAY TELEPHONE
6. CONTRACTOR
NAME ADDRESS
ZIP CODE DAY TELEPHONE
STATE LIC. #LICENSE CLASS CITY BUSINESS LIC.
DESIGNER NAME
DAY TELEPHONE STATE LIC. tt
7. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of 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 COMPAM POUCY £3>EXPIRATION DATE J *} 0
Certif icate of Exempt ion: " certify that in the performance of the work for which this permi t is issued, I shal I not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
G 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 compl et i on, the owner-bui Ider will have the burden of proving that he did not bui Id or improve for the purpose
of sale. ).
f") 1, 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 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 NON- RESIDENT 1AL 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 25554 of the Presley-Tanner Hazardous Substance Account Act'
GYES GWO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES GNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCCUPANCY NAY HOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE QF EMERGENCY SERVICES AND THE AIR POLLUTION COMTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
I hereby affirm 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
10. APPLICANT'S SIGNATURE
1 certify that I have 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 purposes. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH KAY IN ANY UAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 bv such permit is not comnenced within 180 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 coimienced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE OUNER J]>3 CON TRACT OR PHONE APPROVED BY;
DATE:
WHITE: File YELLOW: Applicant PINK: Finance