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Home My WebLink About2827 CAZADERO DR; ; CB950175; PermitBUILD01/31/95 09 36 Page 3 of i Job Address: 2827 CAZADERO DR Permit Type MECHANICAL Parcel No: 215-320-43-02 Valuation: (J Construction Type VN Occupancy Group Description INSTALL F A U IK DROP CEILING Appl/Ownr HILL, ROBERT 229 OCEANVIEW DRIVE VISTA, CA 92089 „ - Fees Required * A Fees Adjustments Total Fee::, /24 f \\-00 Fee description Enter 'Y' for Mechanical issu Install Furn/Ducts/Hecit; Pumps * MECHANICAL TOTAL1 ^ '' G PERMIT Suite• Lot#: 619 758-2357 Permit No CB950175 Pro3ect No A9500224 Development No 0494 01/31/95 0001 01 02 C-PRMT 24-00 Status ISSUED Applied 01/31/95 Apr/Issue: 01/31/95 Entered By: MDP \ x Fees, Collected S. Credits ,n, <~~ 1 24 00 Ext fee Data 15 00 Y y. oo 24 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmos Dr., Carlsbad, CA 92009 (619) 438-1161 1 PtRMTTTYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST VAL PLAN CK DEPOSTT_ VALID BY ~ DATE 2. PROJLCriNFORMAnON FOR OFFICE USE ONLY Address Nearest Cross Street Building or Suite No LEGAL DESCRIPTION Lot No Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D2 Energy Calcs D2 Structural Gales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXIST! MG USE PROPOSED USE DESCRIPTION OF WORK SQ FT # OF STORIES # OF BEDROOMS # OF BATHROOMS lit aillerenl trom applicant) NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPIJCAN 1 U CON I HAL I OR NAME (last name first) CITY LI AOLNT FOR CONTRACTOR ADDRESS STATE ZIP CODE IJ OWNER LJAGtNI rOR OWNER DAY TELEPHONE 5. PROPERTY OWNER NAME (last name first) CITY STATE ADDRESS ZIP CODE H ZOO*2! DAY TELEPHONE - CSS "7 6 CONTRACTOR NAME (last name first) CITY STATE ADDRESS 22ft ZIP CODE ^{IJS^ DAY TELEPHONE (fll-*\ STATE LIC LICENSE CLASS CITY BUSINESS LIC # DESIGN EH NAME (last name tirsi) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC # 7 WORKERS' COMPENSATION Workers Compensation Dtclaranon Thereby affirm that I nave a certificate of consent lo self -insure issued by the Director of 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, Lcib C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate ofExcmption I certity that in the performance of 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 8 OWNER-BUILDER DECLARATION uwner-uuilder Declaration thereby atfirm that l am exempt trom the Contractors License Law lor the lollowing 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, poor 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 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS SECTION 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 nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required lo obtain a permit from the air pollution control distnct 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 D? ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JUIY 1,1989 UNLESS TI tE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJJJTION CONTROL DISTRICT 9 CONSTRUCTION LENDING AGENCY .-.-„..l^....1^.- I hereby a" i'1 irm that there is a construction lending agency tor the pertormance ot the wofK'tor'which this permit is issued (Sec 3Q97(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10. APPIJCANI' I certity that 1 have reaa^thel"appTicatibn and slate that the above information is correct 1 agree to comply with all City ordinances and Stale 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 OTY OF CARI5BAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PLRMTT OSHA. An OSHA permit is required for excavations over S'O" 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 authonzed by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 303(d) Uniform Building Code) APPLICANTS SIGNATURE O J ^ Jl - rt/J DATE J/:Sfi WHITE: File YELLOW: Applicant PINK: Finance O PERMIT* CB950175 DESCRIPTION: INSTALL F.A.U. IN DROP CEILING TYPE: MECH JOB ADDRESS: 2827 CAZADERO DR APPLICANT: HILL, ROBERT CONTRACTOR: OWNER: REMARKS: MW/ROBERT/ SPECIAL INSTRUCT: AM PREFERRED CITY OF CARLSBAD INSPECTION REQUEST FOR 02/07/95 GARAGE AND PHONE: PHONE: PHONE: INSPECTOR AREA PD PLANCK# CB950175 OCC GRP CONSTR. TYPE VN STE: LOT: 619 758-2357 INSPECTO TOTAL TIME: CD LVL DESCRIPTION 19 29 39 49 ACT COMMENTS ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP 020295 Frame/Steel/Bolting/Welding PA PD COMMENTS DUCTING IN HOUSE OK