HomeMy WebLinkAbout2757 GLASGOW DR; ; CB930679; Permit~ r, t
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CLEARANCE ------
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Bu\lding Department
2075 Las Pal•• De., caetsbad, CA 92009 (619) 438-1161
I. PF.itMI I I IPR
A. U COmmerc1al U New Bu1ld1ng U tenant Improvement
B - D Industrial U New Building D Tenant Improvement
C -U Residential C] Apartment D Condo ~ngle Family Dwelling U Addition/ Alteration
0 Duplex O Demolition O Relocation O Mobile Home O Electrical O Plumbing
Li Mechanical [J Pool D Spa D Retaining Wall D Solar O Other
2. PROJECT INFORMATION
Building or Suite No.
LEGAL DESCRIP I ION Lot No. SufXhvis1on Name/Number Unit No.
D 2 Energy Cales D 2 Soils Report D 1 Addressed Envelope
DESCRIPTION OF WO
SQ. IT.
NAME J. ir-cJ.o..
CI1Y
NAME
CI1Y
# OF STORIES
1 1 eren rom app 1can
.Sfr.,..h-. ADDRESS
e.. STATE (_). • ZIP CODE
ADDRESS
STATE ZIP CODE DAY TELEPHONE
ADDRESS
ZIP CODE DAY TELEPHONE
ADDRESS / 'f{ :::,0/ ~ II
FOR OFFICE USE ONLY
Phase No.
NAME ~Ii b<. ,r
CITY"Tv ::,,(..j,V
II e c.. ./-i ":) t-A-,· r
STATE CA
STATE LIC. # <) 'i) '1~4
DAY TELEPHONE ( f 1../ ) b 6 9 -93:;).. 0 ZIP CODE 9' .l 6 o' 0
CENSE CLASS C d:: c:) CI1Y BUSINESS LIC. #
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. womams WMPP.NSAI ION
vvorKers· compensauon vec1arat1on: I hereby affirm that I have a certificate of consent to self -insure 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 .5, -I-rtl 1cate o xemptlon: cert1 t at 1n t e per ormance o t e wor or w
so as to become subject to the Workers' Compensation Laws of c.alifomia.
emp oy any pe n 1n any manner
SIGNATURE DATE
8. OWNmt-BOIUJm DECLARAIIUN
Owner-Builder Declarat1on: I hereby affirm that I am exempt from the COntracto?s License Law for the following 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 Llcense 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 Llcense 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 Llcense Law).
[J 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 Llcense 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
COMPIJ:IE IRIS SECIION FOR NON-RESIDENIIAC BUILDING PERMll'S 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?
[J YES CJ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
DYES ONO
Is the facility to be constructed. within 1,000 feet of the outer boundary of a school site?
[J YES CJ NO
IF ANY OF 11IE ANSWERS ARI! YES, A FINAL CERTIFICATE OF OOCUPANCY MAY Nar BE ISSUED AFI1!R JULY I, 1989 UN1JlSS 11IE APPUCANT
HAS MET OR IS MEl!TING 11IE REQUIREMENTS OF nm OFF!Cl! OF EMERGENCY SERV!Cl!S AND 11IE AIR FOillJTION CONTIIOL DISTRICT.
9. WNS I kUCI ION LENDING AGENCY
I hereby afhrm that chere 1s a construction lending agency for the performance of the work for which tills permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPIJCANI CFJlIIPICXfiuN
I cerufy chat I have read the apphcat1on and state that the above 1nformauon 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP IIARMLilSS 11IE CllY OF CARISIIAD AGAINST ALL IJAIIIUl'IES, JUDGMENTS, CDSfS
AND EXPENSES WIIlCH MAY IN ANY WAY ACXJ!UE AGAINST SAID CllY IN mNSF.QUENCl! OF nm GRANTING OF 11IlS 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).
APPLICANT'S SIGNATURE a-'\_ DATE: :z-?-7'~
Wl-llTE: File YELLOW: Applicant PINK: Finance
•
PERMIT# CB930679
DESCRIPTION: CHANGE OUT
TYPE: MECH
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/27/93
FURNACE+ GAS LINE
STE:
INSPECTOR AREA
PLANCK# CB930679
OCC GRP
CONSTR, TYPE NEW
LOT: JOB ADDRESS: 2757 GLASGOW DR
APPLICANT: CALIPER HEATING AND AIR
CONTRACTOR:
PHONE: 619 669-9320
OWNER:
REMARKS: MH/VIRGINIA/729-5159
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE: ~W?I PHONE:
INSPECT .::....,,"'-----
ACT COMMENTS
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS