The URL can be used to link to this page

Home My WebLink About1601 STARLING CT; ; CB972962; Permit10/08/97 14:34 Page 1 of 1 B U I L D I N G Job Address: 1601 STARLING CT Permit Type: MECHANICAL Parcel No : 215-590-70-00 Valuation: o P E R M I T Suite : Lot#: Permit No: CB972962 Proiect No : A9703781 Development No: 0042 10/08/97 0001 01 02 C-PRHT 44-00 Construction Tvpe: Occupancy Group : Reference#: Status : NEW ISSUED 10/08/97 10/08/97 RMA Description : INSTALL NEW 1 TONA/CW/ELECT Applied: Appl/Ownr : ACTION AIR CONDITIONING 1232 KEYSTONE WY VISTA CA 92083 *** Fees Required kk'k Fees: Adjustments : Total Fees : Fee description Enter 'Y' for Mechanical I ssu e Install Furn/Du cts/He a t Pumps Other * MECHANICAL TOTAL Apr/Issue: 760 Entered By : 931-1812 Fees Collected & Credits Total Credits: Total Payme nts : Ba lance Due : ,00 .00 44 .00 *** Un its Fe e ,i"Unit Ext fee Data -.OVAL 15.00 Y 9.00 20.00 ELECT FEE 44.00 ; ; ~SP. c~~~· DATE/ 1 --1 ~ ~'?_Z.. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. fl i,q ~ d- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit--------~ Validated By _ ___,~,....., ____ ......,'4,<-....:.._ Date. ___ .....,,4 -A-+-...l.llL.:...--1----- 1. PROjECT INFORMATION \ y:Q \ S.:r:,:.,. ~ l IN '1 Address (Include Bldg/Suite I) Business Name (at this addressl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor'• Parcel I 1 '°s ~L A \ Description of Work #of Stories I of Bedrooms I of Bathrooms , '2.' CONT ACf PERSON lit citterent hom aii,iili:1ntl · :r.-:• ,. ' "":' • ~u ""!'.l -~: •I •· · • •· '~ · t • -• • • ~ "'· · , • •f • ·•. • • •· • • Name Address City State/Zip Telephone I Fax # 13i~, APPI.JcANf -lg coiftriciorTU"Agenftof eirritTffior'Oowner .._-0 Aa~iit fcir 6wn•r ·, ·~----· ~ ..,..,.. -1"1nr-rn •." :S::rs: tez -G, C...b \ 2=~2-Ke.y'$.IP~i-w,b/ . V< ~l'A: Cp,.. ~'2.o'o~ 72. 71// ~z Name Address City State/Zip Telephone I ~-"".-fit'IIOPEitfYtlwt.ll!lll'c~;.~•~r~~ ,,l"t1''R,\"'~r,:•~pr'r,'l .r~·• ...... ,:-;•rp·"t"•(lf"".'!Jl7', ... r,i" •r· i '", .. "!''!"" •• ·r••,.~N"J ''tr·-1t "!!" ., · • LEot-.;>0€!) t (pot .:>J:Ag.LJ N1 CT '-Yo .. c,.~ .. , .. .. , . 'q ~ 1 -·; '6\ '2.. N1ma Address City State/Zip Telephone I :if"".\1:oNtiiAct.o1t:!· c~oMliANY' NAMl!~~f'!".""l'.'1'.~•"'~ ,,,...,.. ... ,.-..;,.,.......,,""..,.-·"" , · ., . ., """""'"7!u~"' ,. ' ,..,._ • -..••:m_~" ,,.,,,, .. ~ ,,~,, ,ir-·1 r , ; ":·"'· · (Sec. 7031.li Bu1lne111nd Profesalon• Code: Any City or County which requirea • permit to construct, •lter, Improve, demolish or repair anv structure, prior to Its l11u1nc1, 1110 raquira1 the applicant for such permit to file • signed 1tatement that he Is licensed pursuant to the provisions of the Contractor's License Law ICh1pter 9, commending with Section 7000 of Division 3 of the Buslnass and Professions Coda! or that he Is exempt therefrom, and the basis for the alleged exemption. Any vlolatlon of Section 7031 . Ii by any 1ppllcant for • permit subjects the applicant to a civil panalty of not more than five hundred dollars ft li00IJ. ¾.,tt'.)N ~,a. (090. p 32 K::ty:Slnt0f UA,( l/'1$,7::A CA ~ ,~, -/8 {°L, N1m1 Address City State/Zip Telephone I State License I SO 100 5 License Cless C.. -2-0 City Business License I ~ '-{ I~ Designer Name Address City State/Zlp Telephone St1t1 License I ________ _ 8. ~WORKERS' COMPENSATION ':. -..•• -' .. , •... .., -,. -,, .... -~:-•~ ,~ r-, • •--y -••• ~, Workers' CompenHtlon Declaration: I hereby affirm under penalty of perjury one of the following declerations: 0 I hive ind will maintain a certllic1te of consent to self-insure for workers' compensation ell provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 0 I have and will maintain workers' compensation, es required by Section 3700 ol the Labor Code, for the performance of the work for which this permit is Issued. My worker's compensation lnaur1nce carrier and policy number are: Insurance Company C AL\ P Co"1P Polley No. C$1fl(2. "I ~c/ Expiration Date /-/ -Cf f> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that In the perlorm1nce of the work for which thls permit is issued, I shall not employ 1ny person in 1ny manner so H to become subject to the Workers' Compensation L1ws of California. WARNIN0: Fllllur, to secure wOftcers' compen11tlon coverqe la unlawful, and lhllll eubject an 1mployer to crimln•I pen■ltlea and clvM fines up to one hundred thou11nd dohra 0 001, thl coat of compen11tlon, d1mage1 ea provided for In S.ctlon 3708 of the L•bor code, lntereat end 1ttomay'a fHI. DATE '(:) ,-e ~~:z 17,,' ,._, •, •• )4.,1... 1 •• 'I ,.., "'' .. , •br-··. • •• I hereby 1ffir!" th•t I am a>1empt from the Contractor'■ License Law for the following reason: 0 I, 11 owner of th• property or my employee• with wages H their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Bualnea• and Prof111lon• Coda: The Contractor's License Law doea not apply to an owner of property who builds or Improves thereon, and who does such work hlm11lf or through his own employees, provided that auch Improvement• are not Intended or offered for sale. If, however, the building or Improvement 11 sold within one yHr of comp(atlon, the owner-builder will hive the burden of proving th•t he did not build or Improve for the purpoae of 11le). 0 I, 11 owner of the property, 1m axclualvaly contracting with licensed contractors to construct the project (Sec. 7044, Business 1nd Professions Code: The Contractor'• LlcenH L1w doea not 1pply to •n owner of property who builds or Improves thereon, and contract, for such projects with contractorlsl licensed purauant to the Contractor'• Llc1n11 Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I parson1lly pl•n to provide the ·major l1bor ind m1tarl1ls for construction of the proposed property Improvement. 0 YES ONO 2. I (h1v1 / hive not} slgnad •n applic1tlon for • building permit for the proposad work. 3. I hive contracted with the following person (firm) to provide the proposed construction (include name / 1ddr11s / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following peraon to coordin1te, supervise and provide the major work (include name / address / phone number/ contractor, licanH numberl:. ____________________________________________ _ Ii. I will provide aoma of the work, but I hive contractad (hlrad) the following parsons to provid1 the work lndic1t1d (includa n1me / address / phone number / type ol work}:, _______________________________ .,--______________________ _ PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ [cot.'llil!Tl ti:tll IEcfflN' FOIi' NWJ-RffioBJfiAi.'IUil.DINci PERMrtil'0NL ,~~f•, .. fJf•Ol'',":'l 'ET{l'-l '1ljl ~•,:r..r,ty,Tf 1'1i11' ~'1·'~-(''f'."~ ... ,r, • ., , •-:: • i w • T ... ",'; ;; ; ' la the 1ppllc1nt or future building occup1nt required to 1ubmit • buaineu pl1n, acutely hazardous m1teri1ls registration form or risk management ind prevention "'-1,rogt-1l'IHIMler--611tlon1.,2S501i, 25633 or 25534 "' the Pr11al11y-T11nner f11zardohs Substance Acco11nt Act? 0 YES O NO 11 the 1ppllcant or future bulldlng occupant required to obtain • parmlt from the air pollution control district or 1ir quality m1n1gement dlstrlct1 0 YES O NO 11 the f1clllty to be construct id within 1,000 feet of the outer boundary of • school alt a? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETIN0 THE REQUIREMENTS OF THE OFFICE OF EMER0ENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. Ja1.=,i.cdNitiillcftoff.CEN6iNo'AoH4cV.!!~:'; ~1'ff!.'W!1:;.!~? ~:ir"";'."1."'~"''.'.!.1.";~="IT"'':':'!'~~.~-;;r.r.·· ., '; ,\r qi·•rr:-·-,':" ry/'· · I" . . ' • r~ .,, '\ • 1 : • I hereby efflrm th•t there 11 • conatNctlon lending 1gency for the perform1nc1 of the work for which this permit Is Issued (Sac. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, _______________________ _ I certify thlt I hive read the application end 1t1t1 that the 1bov1 lnform1tlon Is correct •nd that the Information on the plans Is 1ccur1ta. I 1graa to comply with all City ordinencw and Stall lawa reletlng to lllllding...conruction. I h«eby euthorlH rapr-nt1tlv11 of the Cltt of C1rf1b1d to entar upon the 1bov1 m1ntlon1d property for Inspection purpoaaa. I ALSO A0REE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A0AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit 11 required for exc1v1tlona over 5'0" deep end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code ahall axpira by limitation and become null and void II the building or work 1uthorlzed by such permit It not commenced within 385 d1ys from the data of auch permit or If the building or work 1uthorlzed by such permit Is suspended or 1bandoned et 1ny time 1ftar th ork Is commanc od of 180 days (Section 108.4.4 Uniform Building Code I. APPLICANT'S SIGNATURE ====~=t5~~=::li:;;;;;;;;;..,#=,ie=!lt::....----------DATE /0 -8 • Cf 7 v r-• • "",.,. ,. ...... ,:,........ DIMV• C:irii-.,,..,.. . 0 W AJ ER -ffc_o F, k Eo N DIS q '.3 J -/ <b I ~ ·~ 1 I t,.,f:J -;;t_".:'.£.. UNSCA EOUI.En BU[LDJNG INSPECilON DATE 'tJ r 3 / -tJJ INSPECTOR _ ____.N~F-_____ _ PERMIT# ____ _ PLAN CHECK# ____ _ JOB ADDRESS ) k (} \ ~ c__ -t-- DESCRIPTION A ( e TIME ARRIVE: ____ _ TIME ____ _ CODE DESCRIPTION ACT COMMENTS _____ _.if_------