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Home My WebLink About254 JUNIPER AVE; A3; CB960244; PermitBUIL[iING 02/1l/':l6 1.L:Ob 1 P~1qe 1 of 1 Jot, A<Jdress: 254 JUNIPER AV Permit Type: MECHANICAL Parcel No: 204-240-55-f@ Valu:1tion: II PERMIT Permit No: CB'l60~44 Suite: A3 Lot#: f'roiect Nci: A9600J5~ Deve::..opment No: .. , J\ ,4, O~cupancy Group: Reference#: Construction Type: VN Status: ISSUED Applied: 02/13/96 Apr/Issue: 02/lJ/96 entered By: MDP Description: INSTALL GAS BURNING FIREPLACE : APPLIANCE Appl/Ownr : NICKLEN, ROBERT P.O. 1364 CRESTLINE CRESTLINE, CA. 92325 9()9 338-1420 Fees Required *** Fe~w Collected & Credits "** Fees: Adjustments: Totc.11 Fees: Fee desc11pt1on Enter 'Y' for Mechanical Each Install Fireplaq~ Other * MECHANICAL TOTAL --~-~---~----------------------------------- Total creiits: iotal :Payments: Balance Du~: Units Fee/kJn1t . (l (J ,00 49.00 Ext fee Data -~ --------------------------~------------------- Issue Fee> > > 1 27.00 CITY OF CARLSBAD 6,,50 15.00 Y 6.50 27.0o GAS 49.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PIAN CHECK NO. City of Carlsbad Building Department 21175 Las Pal..,. Dr .• carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ I. PEKMl I IYPI! PLAN CK DEPOSIT _______ _ VALID. BY ___________ _ DATE From List l (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: -~t1Z~6Cl?==-!'.'.~A~zm.~~w~---------- Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY mt o. ase o. CHECK BEWW IF SOBMII IED: 0 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope EXISTIN~E , ,-:; ~ -,-,pp7~ PROPOSED USE # OF BEDROOMS # OF BATIJROOMS . o. /30,K 2 S""°DAY TELEPHONE 338-/ 20 NAME (last name first) ADDRESS □TY DAY TELEPHONE NAME (last name first) CITY STATE STATE IJC. # ZIP CODE IJCENSE CLASS DAY TELEPHONE CITY BUSINESS IJC. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WOIOO::ltS' WMPENSAliUN Workers1 Compensation Declarat1on: I hereby affirm that I have a certthcate of consent to seif-msure issued by the Director of 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). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Certificate of Exemption: I cerufy that m the performance of the work for which this permit IS issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNrut-B0ilJJER D£i!OOlAIION □ □ Owner-Builder Declaration: I hereby afhrm that I am exempt from the ConfracfoPs license Law for the followmg reason: 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.). 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.S 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~xem t th efro and the basis. for the all eel xemption. Any violation of Section 7031.S by any applicant for a permit subjects the i nt a · pen f re th I undred dollars [$500]). SIGNATURE , ,/ DATE ,), b ls the applicant or future building occupant required to submit a business plan, acutely hazardous matenals 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? □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 TIJEANSWERS ARE~ A FINAL CERTIFICATE OF OCCUPANCY MAYNCITBE ISSUED AFTER JULY 1, 1989 UNIJ1SSTIIE APPIJCANT HAS MET OR IS MEIITING 11IE REQUIREMENTS OF 11IE OFFICE OP EMERGENCY SERVICES AND 11IE AIR POLllJTION ffiNTilOL DISl1IICT. 9. WNSIROCIIUN lliNDING AGRNCY I hereby afhrm that there ts a construction lendmg agency for the performance of the work for which this permit 1s ISSUed (Sec 3697(1) CiVU Ccxie}. LENDER'S NAME LENDER"S ADDRESS 10. APPIICANI CERIMCAIIUN I certHY that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply with ali 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. 1 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 11IE □TY OP CARlSBAD AGAINST AIL IJABIIITIES, JUDGMENTS, CX>SfS AND EXPENSES WHI□i MAY IN ANY WAY ACCRUE AGAINST SAID □TY IN OONSF.QUENCE OP 11IE GRANTING OF 11l1S PERMIT. OSHA: An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height. PINK: Finance 0 PERJfIT# CB960244 DESCRIPTION: INSTALL GAS APPLIANCE TYPE: MECH CITY OF CARLSBAD INSPECTION REQUEST FOR 03/04/96 BURNING FIREPLACE JOB ADDRESS: 254 JUNIPER AV APPLICANT: NICKLEN, ROBERT CONTRACTOR: PHONE: PHONE: 909 INSPECTOR AREA PLANCK# CB960244 OCC GRP CONSTR. TYPE VN STE: A3 LOT: 338-1420 OWNER: REMARKS: MW/ROBERT SPECIAL INSTRUCT: PHONE: INSPECTOR -,7?~'--k"-_,_, _____ _ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 49 ME Final Mechanical ,2:£ -------------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ~ ~-·..,., -:. t--~ ~' ~ ~' 1:~ ~ _.s::, ~