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Home My WebLink About2629 CAZADERO DR; ; CB951045; PermitBUILDING PERMIT 08/03/95 12:02 Page 1 of 1 - Job Address: -6-2-2-9-CAZADERO DR Permit No. CB951045 Project No- A9501521 Development No: Permit Type: MECHANICAL Parcel No. Valuation. 0 Construction Type: VN Occupancy Group : Ref erence# : Description: CHANGE EXISTING F.A.U AND INSTALL A/C Appl/Ownr : HOWARD, WLM. 3675 VOLTARE STREET SAN DIEGO, CA. 920A- * * * Fees Required Suite Lot# : Status: ISSUED Applied- 08/03/95 Apr/Issue- 08/03/95 Entered By: MDP 619 222-9863 Fees Adjustments: Total Fees- Fee description & Credit; * * * 00 J(.00 44.00 tl Ext fee Data Enter 'Y' for Install Furn/Ductgumps Other * MECHANICAL TOTAL1 15 00 Y 9 00 20 00 ELECTRIC 44. 00 3017 08/03/95 0001 01 02 C-PRMT 1NSP. CLEARANCE PROVAL DATE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las PaI mas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PWIMITTYPK From List 1 (see back) give code of Permit-Type For Residential Projects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. <f ^( EST.VAL PLAN CK DEPOS1T_ VALID. BY ~ DATE 2 PROJECT INFORMATION FOR OFFICE USE ONLY Bunding or Suite No Nearest Cross Street LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase NcT BELOW IF SUBMilTKb D 2 Energy Gales D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ FT (JDNlAL'l FLKSUN (it different IrC NAME (last name first) # OF STORIES n applicant # OF BEDROOMS # OF BATHROOMS ADDRESS 4. APPLICANT NAME (last name first) CITY STATE C/f • ZIP CODE W-/<^ DAY TELEPHONE U AGENT FUR CONTRACTOR—UOWNHR—U AGENT FOR OWNKR STATE ADDRESS ZIP CODE DAY TELEPHONE OWNER— NAME (last name first) CITY ADDRESS STATE 6. CON'IHACTOR NAME (last name first) . ZIP CODE DAY TELEPHONE ADDRESS STATE STATE LIC DESIGNER NAME (last name tirst)~ ZIP CODE LICENSE CLASS DAY TELEPHONE CITY BUSINESS UC # AUWUiSS CITY 7. WOHKEU*? COMPENSA'nON STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers' Compensation Declaration I hereby affirm that I have a certificate of consent to self-insure issued by the Director ot 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 COMPANY POLICY NO EXPIRATION DATE Certificate of Exemption 1 certify that In the performance ot the" work"For which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California SIGNATURE DATE ft OWNER-BUILDER DBOAUATIOM Owner-Builder ueciaration i hereoy affirm that I am exempt trom the Contractors License Law lor me lollowmg reason D 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 ) D 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) D 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 violauon of Section 7031 5 by any applicant for a permit subjects the applicant to a cml penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION F'Olt NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha^ardous Substance Account Act? P YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9 UUHSTKUCriUN LENDINU ACiENCY ""_" I hereby attirm that there is a construction lending agency tor the performance ol the work tor which this permit is issued (Sec 3097(1.) Civil Code) LENDER'S NAME LENDER'S ADDRESS 1 certify that 1 nave read me application and state that the above information is correct I agree to comply with all Uty ordinances and btate 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 C3TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stones 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^vork is commenced for a penod of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE ^/7_ /farS/^ DATE WHITE: File YELLOW: Applicant PINK: Finance Att$»m». CE PRODUCER A<ti1r*1 General Insu 3800 L* Crescent* Av Glcndile ' 818-249-2121 RTIFICATE OF INSURANCE r«nce Services e. f206 CA 91214 INSURED • HOKARD ULM PLUMBING AMD HEATING AMD AC 3675 VOLTAIRE STREET SAM DIEGO CA 92106 619-222-9863 DATE (MM/DO/YY) 07/06/95 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY A CALCOMP COMPANY B COMPANYc COMPANY D coveBAoes THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY TJ | CLAIMS MADE | J OCCUR OWNER S & CONTRACTOR S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS • OARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION EMPLOYERS' LIABILITY THE PROPRIETOR7 PARTNERS/EXECUTIVE OFFICERS ARE OTHER AND INCL X EXCL POLICY NUMBER - REMEHAL OF H956121319 POLICY EFFECTIVE DATE (MM/DD/YY) ' • 07/01/95 POLICY EXPIRATION DATE (MM/DD/VY) 1 07/01/96 LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AGO PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) COMBINED SINGLE UMIT BODILY INJURY(Per pemon} BODILY INJURY (Pw icckdenQ PROPERTY DAMAGE AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE X STATUTORY UMITS EACH ACCIDENT DISEASE - POLICY UMIT DISEASE EACH EMPLOYEE I S $ S S S S S S S 1 S $ S S S $ 1.000,000 $ 1,000,000 S 1,000.000 DESCRIPTION OF OPEHATtONS/LOCATlOHS/VEHICLES/SPEClAL ITEMS C20, C36 LICENSED CONTRACTOR PERFORMING HEATING AM AC LICENSE/ 272197 SERVICE . REPAIR AMD INSTALLATION AS WELL AS PLUMBING REPAIR AMD SERVICE. CERTIFICATE HOLDER HOHARD ULM PLUMBING HEATING A A/C CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPAN^ ITS AGENTS OR REPRESENTATIVES. AUTHORIZEOMPRrfSENTATTy* OsK^lixTSU/)/^, . r i r-t ) ""• — ' I /f ' " ' **• "V" """"AACORD 25-S f3/931 ^ * 9 ACCjRp CORPORATION 1fl93