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Home My WebLink About252 JUNIPER AVE; A1; CB910619; PermitB U I L D I N G P E R M I T 04/16/91 1::58 Page 1 of 1 Job Address: ~ ,2 Jw~IPSH AV Str : Permit Type : ~~-HANIC Parcel No: 204 24J ~ 4 Valuatiou: Construction Type: NEW Occupancy Group: Class Code: Description: INSTALL AGA GAS LOG FIREPLACE : AND GAS LINE Permit No: r , i J f. t '1 Project No: A911l074::. Developmen~ Fl: Ste· A I 1 1 4 04/16/91 V Status : Applied: Apr/Issue: Validc:ited By : ISSUED 04/lb/'ll CD Appl/Ownr : GREG BARTTSH 4344480 252 JUNIPER AV CARLSBAD , CA 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Enter 'Y' foL Mee~ r Each Hood/Fireplad Other * MECHANICAL TOTA~ *** lssul3. .00 .00 32 . C•O Ext fee Ddtd 15.0;) Y 6.50 10.00 GAS 32 .00 . ~~-\PPROVA~J.. L. INSP. _I 1 -t DATE-~ CLEARAN E ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION Ci ty of Carlsbad Buildi ng Depar tment 2075 Las Palmas Dr ., Carls bad, CA 92009 (619) 438-1161 EST. VAL ______________ _ PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE ______________ _ A • 8 COMMERCIAL 0 INDUSTRIAL □NEW TENANT IMPROVEMENT 0 TENANT IMPROVEMENT C _t8.RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □DUPLEX ODEHOLITION □RELOCATION OHOBILE HOME □ELECTRICAL OPLLtlBING □MECHANICAL OPOOL OSPA □RETAINING WALL □SOLAR 00 2. PROJECT INFORMATION Addre~-Z---- Nearest Cross Streets ';J L) ,._} J ~ ~L_ LEGAL OESCRIPTIOII Lot No. Subd1S1on Name/N<llt>er Un1t No. Phase No. CHECK BELOW I F SUIIIIITTEO: 0 2 Sol ls Report 3. 0 2 Energy Cales 02 Structural Cales 01 Addressod Envelc,pe ASSESSOR'S PARCEL EXISTING USE ( I,)-~,-µ.__;.__~ 0 I+-A-c;p~t=..~ BLDG. SO. FTG. # OF ST~IE~~ ' ± I'-/") P,-1 J CONTACT PERSON NAME CITY SIGNATURE STATE ADDRESS ZIP COOE DAY TELEPHONE PROPOSED USE 4. APPLICANT ~ □ CONTRACTOR NAME £/fNIF' ,~ ""O c.s,. ~ AGENT FOR CONTRACTOR ADDRESS TATE C 1 ZIP COOE 0 AGENT FOR OWNER CITY~,_,. t;u,.,•n1Pf ( ,~. DAY TELEPHONE S. NAM~~~Ef ~Y ~i~°?\' H-. 2,s2.:fo1'1, ,pt-I\ ADDRESS 0 LESSEE □TENANT 6. 7. 8. <!.~\. STATE~ A. ZIP COOE DAY TELEPHONE 'i 3 'J -•y 'I to , CONTRACTOR NAME CITY SIGNATURE DESIGNER NAME CITY STATE STATE LIC. # ____ _ STATE WORKERS ' COMPENSATION ADDRESS ZIP COOE LICENSE CLASS _____ _ TITLE ADDRESS ZIP COOE DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers• C~sat1on Declaration: hereby affirm that have a cert1f1cate of consent to self·1nsure issued by the 01reetor of Jndustr1al Relations, or a certificate of IJorkers• Coq:,ensatfon Insurance by an adnitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof fflod with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Ex..-.,tion: I certify that in the performance of the work for which this per111t is issued, I shall not ..-.,loy any person in any marvier so as to become slbject to the llorkers' Coq>ensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Budder 0eclarat1on: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I as owner of the property or my ..-.,loyees with wages as their sole coq>ensation, will do the work and the structure is not intendod or offerod for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or ;~roves thereon,, and who does such work himself or through his own ..-.,loyees, providod that such i"l)rovements are not intended or offerod for sale. If, however, the building or iq,rovement is sold within one year of COfll)letion, the owner·bui lder will have the burden of proving that he did not build or f"l)rove for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with l icensed 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 in"proves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor• s License Law). 0 I am ex..-.,t under Section ___________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or CC>lM)ty which requires a permit to construct, alter, i~rove, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that h• is licensod pursuant to th• provisions of the Contractor's License Law (Chapter 9, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex..-.,t therefrom, and the basis for the allegod ex.,,.,tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundrod dollars [SS00J). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant requirod 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-Tamer Hazardous Substance Account Act? OYES ONO Is the applicant or future building occupant requirod to obtain a per11it from the air pollution control district or air quality management district? Ores □No Is the facility to be constructod within 1,000 feet of the outer boundary of a school site? □YES IF ANY OF THE AJISl,IERS ARE YES, A FINAL CERTIFICATE OF OC<ll>ANCY IIAY IIOT BE ISSUED AFTER JUlY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS NEETIIIG THE REQIJIRENEIITS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 f certify that J have read the appl1cat1on and state that the above 1nformat1on 1s correct. I agree to C001)ly with ell City ordinances end State laws relating to building construct1on. J hereby authorize representat ives of the City of Carlsbad to enter upon the above mentioned propert y for inspection purposes. I ALSO AGREE TO SAVE JNOEHNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOQENTS, COSTS AND EXPENSES IIHICH IIAY IN ANY WAY 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 author,zod by such permit ,snot comnencod w1thin 180 days from the date of such permit or i f the building or work authorizod by such permit is suspendod or abandoned at t1me after th work is comnenccd for a period of 180 days (Section 303(dl Uniform Building Code). D OWNER D CONTRACTOR OBY PHONE WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB910619 DESCRIPTION: INSTALL AND GAS TYPE: MECH CITY OF CARLSBAD INSPECTION REQUEST FOR 05/13/91 AGA GAS LOG FIREPLACE LINE JOB ADDRESS: 252 JUNIPER AV STR: APPLICANT: GREG BARTISH CONTRACTOR: OWNER: REMARKS: MH SPECIAL INSTRUCT: TOTAL TIME: LVL DESCRIPTION PHONE: 4344480 PHONE: PHONE: INSPECTOR ACT COMMENTS INSPECTOR AREA PY PLANCK# CB910619 OCC GRP CONSTR. TYPE NEW FL: STE: CD 47 ME Fireplace/Chimney f)f ______________ _ -'G.,::.LR!.....S.,__...1.fl~£,~S.:'.....\(~-----A f' ----------- DATE DESCRIPTION 050991 Fireplace/Chimney ***** INSPECTION HISTORY***** ACT INSP CO PY COMMENTS ND GAS TEST