HomeMy WebLinkAbout2505 JACARANDA AVE; ; CB930729; PermitChee!<. ::t±-/033/
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FINAJ7APPROVAL
1~~SP. ~ DATE a/4k,
CLEARANCE 7
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PER.MO" APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
207'.i Las Palaas Dr .• carlsbad, CA 92009 (619) 438-1161 FST.VAL~-----------PLAN CK DEPOSIT ________ _
VAUD. BY ___________ _
1. PERMI I IYPE DATE ____________ _
A -D Commercial O New Bulldmg U Tenant Improvement
B -□ Industrial D New Building D Tenant Improvement
C ~esidential □ Apartment □ Condo D Single Family Dwelling D Addition/ Alteration
□ Duplex □ Demolition □ Relocation O Mobile Home Jl'Electrical D Plumbing
echanical O Pool □ Spa □ Retaining Wall □ ~,;; □ Other ____ _
2.. PROJECTINFORMATION FOR OFFICE USE ONLY
Address ';2..-fb S-::T'~t:<,..~ dt:.<-A,. ~ldmg or Srnte No.
Nearest Cross Street
LEGAL DESCRIP'lioN Lot No. suixhVJSlOn Name/Number Unit No. Phase No.
CHECK s£WW IF sUBMl 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
3_ WNIAC'I PERSON (If a,ulejjnl from a~pl.!,c~ntJ /ll C /J· LL? --... /2_ _. .,.L?
NAME 7A { l/f'/--/Jiv ~ ADDRESS -Lu ( ~/= 7c.,... 77 ,.,..,~;""6· • IA-.l'T
CJTI £-f L-; STATE ~IP CODE if~~ DAY TELEPHONE ) fuG--J W /{"
4. APPDCAN l ;m::c;._ON I RAC IOR □ AGEN 1 FOR CON 1 RAC! OR □ AC£N I POR OWN
NAME ADDRESS
CITI )~ STA TE ZIP CODE
s. PkOPf'.R'IY ~NIM L?. /
NAME ~~ &h '7&ADDRESS
CJTI STATE ZIP CODE
6. OON'l'RACluk ~ A
NAME "J"'"' ,rr-1 C #7--1,?i.v~DRESS
CITI STATE
STATE LIC. #
ZIP CODE
DAY TELEPHONE
DAY TELEPHONE
DAY TELEPHONE
C -k CITI BUSINESS LIC. #&,
CJTI STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. wultRERY OOMPENSAl1UN
Workers' Compensation Oedaratmn: 1 hereby af11rm that I have a cert1bcate of consent to sell-insure issued by the D1rectorot lndustnal
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).
b )/..-~ IRATION DATE ~-
at am exempt ram t e w or t e o owing reason:
□ I, as owner of the property or my employ, 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 ________ 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JRE DATE
COMPLETE mrs SECilON FOR NON-RESIDENTIAL 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?
□ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDJPANCY MAY Nar BE~ AFTER JULY 1, 1989 UNLESS 11IE APPUC'ANT
HAS MKT OR IS MEETING 11IE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POLUTl10N CDNTROL DISTRICT.
9. wNSmUCl1UN LENDING AGENti'
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) civil Code).
LENDER'S NAME LENDER'S ADDRESS
io. APPUCANT citltlMCA:fiOA
I certify that I have read ilie apphcauon and state that the above information 1s 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 10 SAVE INDEMNIFY AND KEEP HARMLES.S 11IE Cl1Y OF CARLSBAD AGAINST AU. LIABIIJ11ES, JUDGMENTS, CDSTS
AND EXPENSES WlDCH MAY IN ANY WAY ACDtUE AGAINST SAID Cl1Y IN CDNSEQUENCE OF THE GRANTING OF TIDS 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).
DATE: 7-,-)-) ----2 \
7
OW: Applicant PINK: Fmance
· -~ CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB930729 FOR 08/10/93
DESCRIPTION: CHANGE OUT FURNACE
TYPE: MECH
INSPECTOR AREA TP
PLANCK# CB930729
OCC GRP
CONSTR. TYPE NEW
STE: LOT: JOB ADDRESS: 2505 JACARANDA AV
APPLICANT: CALDWELL, JOHN
CONTRACTOR:
PHONE: 619
PHONE:
746--776611/'ll
OWNER:
REMARKS: RS/DONALD
SPECIAL INSTRUCT:
TOTAL TIME:
CD
43
LVL DESCRIPTION
ME Aircond/Furnace Set
--------------------------------------------------------
PHONE:
INSPECTOR ~ -----------------
ACT COMMENTS
£ ______ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION
080693 AirCond/Furnace Set
ACT INSP
NR TP
COMMENTS
NO RESPONSE