The URL can be used to link to this page

Home My WebLink About2850 ELMWOOD ST; ; CB951147; Permit·-------·-.. ----------- B U I L D I N G P E R M I T Permit No: CB951147 Project No: A9501662 Development No: 08/21/95 12:04 Page 1 of 1 Job Address: 2850 ELMWOOD ST Permit Type: MECHANICAL Parcel No: 156-190-03-00 Valuation: o Construction Type: VN Suite: 3:.'.7.1 08/':.?1./95 00().1. ·;)1. ',' Lot#: , ... _ -~'r.:'.0fr Occupancy Group: Reference#: Status: ISSUED Applied: 08/21/95 Apr/Issue: 08/21/95 Entered By: MDP Description: REPLACE EXISTING WALL FURNANCE Appl/Ownr: ULM, HOWARD 3675 VOLTAIRE STREET SAN DIEGO. CA. *** Fees Required 619 222-9863 jected & Credits *** v·, ~----------------------; ff i Fees: Adjustments: Total Fees: Fee description " ------------------} Enter 'Y' for Mee Install Furn/Duct * MECHANICAL TOTA ; :t*,,.~' 'lit • ,4 .00 .00 24.00 Ext fee Data 1 1'1LJ'IPPROVAL l!NSP, j.4.,~-DATE$·/· 9.t CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 15.00 Y 9.00 24.00 •PERMIT APPLICATION PLAN CHECK NO (l'{ City of Carlsbad Building Department 2075 Las PalllBS Dr •• Carlsbad, CA 92009 (619) 438·1161 EST. VAL. __________ _ I. PEkMII IYPE PLAN CK DEPOSIT _______ _ VAUD.BY, __________ _ DATE From Llst l (see back) give code of Permit-Type: ------------ For Residential Projects Only: From Llsc 2 (see back) give Code of Structure-Type:--------------------- Nee Loss/Gain of Dwelling Units 2. PRQJECf INFORMATION FOR OFFICE USE ONLY Mdress ).J?SO Ei-W o c!J s-,f. Bu1ld1ng or Suite No. Nearest Cross Street Il'.GAt bf'.SCRlp'l lON Lot No. Sufx1IV1s1on Name/Number Unit No. Phase No. D 2 Energy Cales D 2 Structural Cales D 2 Soils Report D I Addressed Envelope DESCRIPTION OF WORK PE, /;tr;?; (j},4 // "filfLAflfC-E a/--t~l/;z= SQ. IT. ~ # OF STORIES # OF BEDROOMS PROPOSED USE # OF BA TI!ROOMS ADDRESS 3~ 7,r'J1:; ZIP CODE 2-/ f1b DAY TELEPHONE ',2.d_-f'f,b_;$' NAME ~st name firsjl !(/I~ '1 <; 41/..SZW ADDRESS .t},r..J,"l) .z.Z Vf a:/ ~ CITYCl!f1ti.s i>l{d STATE lf),1-ZIP CODE P ~p DAY TELEPHONE ;7»-/7.:fL DESIGNER NAME (last name llrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORKERS WMPENsA:IlON Workers' Compensanon Declarat1on: I hereby affirm that I have a cert1hcate 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 38001 Lab. C). INSURANCE COMPANY '/'TL . 1,1. POLICY No.(J)tj.:;b/J../.:J EXPIRATION DATE 07, cl f-6 I hereby afhrm that I am exempt from the Confracfofs License Law for the follow1ng 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 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 chat 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]). SIGNATIJRJ! DATE WMPLE IE IRIS SEC! ION FOR NON-RESIDEN i lAL BUILDING PERMI IS 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? DYES ONO Is the applicant or future building occupant required co obtain a permit from the air pollution control district or air quality management district? DYES ONO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCx:llPANCY MAYNITT BE IliSllED AITERJULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEimNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POu.uTION aJNTROL DISl1UCT. 9. OONSIROCIION LENDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this penn1t 1s iMued (Sec 3097(!) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CfiltllPICAIION I certify that I have read the apphcatlon and state that the afuve information 1s correct. I agree to comply wuh 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 AGRE!! TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISBAD AGAINSf AU. UABIIITIES, JUDGMENTS, CXlSfS AND EXPENSES WHICH MAY IN ANY WAY AOCRUE AGAINSf SAID CTIY IN aJNSEQUENCE OF THE GRANTING OF 11IlS PERMIT. OSI-IA: 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 pennit or if the building or work authorized by such pennic is suspended or abando any time af~.. e work is commenced for a period of 180 days (Section 303(d) Uniform Bu~.,- APPLICANT'S SIGNATURE " '. /&?;'z:.---DATE: - BASE Permit No: CB951147 Type: MECH ** ACTIVITY PROCESSING MECHANICAL ** 07/22/96 13:05 --------------------------------------------------------------------------------status: ISSUED Dates: Applied: 082195 Apr/Issue: 082195 Finaled: Expired: 082096 Job Title: REPLACE EXISTING WALL FURNANCE Descr: Valuation: Type Const: Y!!__ Altkey: Address: 2850 Street: ELMWOOD ST Suite: Lot#: Parcel: owner: SIMPSON WILDA F 1561900300 Reference#: No district keyword Occupancy: Appl/Ownr : ~U~LM,,:!_Jc...._,H~O~W~AR~D"'--------~----~~~~~ Address: 3675 VOLTAIRE STREET SAN DIEGO. CA. 92106 Telephone: 619 222-9863 Insp Area: Entered By: MOP INSP: NO APPR: NO COMM: NO MULTP: NO MULTA: NO $ BAL: NO --------------------------------------------------------------------------------Project: A9501662 REPLACE EXISTING WALL FURNANCE Entered: 08/21/95 By: COUNTER