The URL can be used to link to this page

Home My WebLink About1009 FOXGLOVE VW; ; CB910292; Permit.. 02/25/91 13:31 Page 1 of 1 B U I L D I N G Job Address: 1009 FOXGLOVE VIEW Permit Type: MECHANICAL Parcel No: 214-410-20-00 Valuation: O Construction Type: NEW P E R M I T Str: Occupancy Group: Class Code: Description: FORCED AIR FURNACE CHG-OUT Per,11 ...... Project Development Fl: Ste: 1110: No: No: 1037 02/25 9 00 • " .. ..,_ Status: Applied: Apr/Issue: Cl:S'.:'.LUt;92 A9100 Hi.?. Appl/Ownr : GEORGE BRAZIL PLUMBING 3006 BARNETT AV Validated By: 619-223-8198 ISSUED 02/25/91 02/25/91 K2H SAN DIEGO, CA 92110 CONTRACTOR GEORGE BRAZIL 3006 BARNETT V SAN DIEGO, CA 9?1~ OWNER GANNAWAT, GARY *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter •y• for Mech Each Install/Reloc * MECHANICAL TOTAL * * CITY OF CARLSBAD C 580665 q.o 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 619-283-0900 Credits * I<. -Jc ,00 .00 24.00 Ext fee Data 15.00 y 9.00 24.00 ------~-- PERMIT APPLICATION • City of Carlsbad Building Department EST. YAL·---------------2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT ___________ _ VALID. BY _____________ _ 1. PERMIT TYPE . DATE _______________ _ A COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL 0NEW 0TENANT IMPROVEMENT c ---RESIDENTIAL 0APARTHENT OcONDO OsINGLE FAMILY DWELLING QADDITION/Al TE RATION QPLUHBING OoUPLEX OoEMOLITION ORELOCATION -,{MECHANICAL QPOOL 0SPA 0RETAINING IJALL 2. PROJECT INFORMATION PLAN CHECK No. '"''""/00 'J re, XC-LuVI: Nearest Cross Streets Bu, LEGAL DESCRIPTION Lot No. Sub:li vis ion Name/Nurber Unit No. Phase No. CHECK LCII IF SUBNITTED: Q2 Energy Cales qz Structural Cales 02 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE BLDG. SO. FTG. # OF STORIES 3. COtf!JICT PERSON ... ,{'ltl, t::-AllY c,.. N..JIIWA-( ADDRESS loo 9 Fo 'J( C,L O vc Vi &-w CITY {'/Ill.. L J '3 r/ /) STATE IA--t.. ZIP CODE "r,J.. 00 7 DAY TELEPHONE 9 3 I-17 ,,1.. 5- SIGNATURE 4. APPLICANT ll!(coNTRACTOR NAME c.~C)/lt;;..C d/'l..,fl.l~ 0 AGENT FOR CONTRACTOR ADDRESS 00IJNER 0AGENT FOR OWNER Joo C. <J',,,~,.,. rr ,4.,,, CITY S'"' ,..., 'D , f. t,..<I STATE a t., ZIP CODE 9.2.//0 DAY TELEPHONE 5. PROPERTY OWNER ow,ER ,--OtESSEE OTENANT NAME 1"7,t. G-,.tt..'( (J,,-,,-,,JA<vA"r ADDRESS / (lo7 r~ ,,CIF<..ov,! ll/ e w CITY t::.; (? /.. J /.S ,4 &> STATE c:;; I. ZIP COOE '5' 2 VO 7 DAY TELEPHONE 'J 3 / -/? _2-J 6 • ,AJON2!CJ~~ 6'~,. ,_ 1 L/hu T,,.,,.,_"(l<-H,w-.v¥ll)REss 300 '-6',. ,t.,..;e T ;-,4,,;,. CITY f',4-,-, i)1tft,-;1 STATEl4·<.ZIPCOOE 9,;,...//0 DAYTELEPHONE ,:/..,2.J-f'/J'9 7. 8. , S-r'o, t:,J-uc"" ctAss C-J ~ cm ,us1NEss uc., //9 7 ...£..2.. I Tl TLE DATE ,}-~r/q I ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC, # WORKERS' COMPENSATION Workers' Compensation Declaration: hereby affirm that I have a cert1ficate of consent to self·1nsure issued by the Director of 1ndustr1al Relations, or a certificate of Workers' Compensation Insurance by an actni tted insurer, or an exact copy or duplicate thereof certified by the D; rector of the insurer thereof filed with the Building I spection Department (Section 3800, Lab. C). INSURANCE cOMPANYt}--t,r-fo ,9~1~1<-fl.-t._,,.~,c e,oucy ,o.WCo:2.CJ7t?)--olxe1,ATJON DATE P Ii /q / Certificate of Exemption: I certify tat 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 OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor'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 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 impro\lement is sold within one year of coopletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 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). 0 I am exempt under Section-----------Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County wh1ch requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, al so requires the applicant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit slbjects 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 eppl i cant or future bui ldi ng occupant required to submit a business pl an, acutely hazardous materials regi strati on 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 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? DYES o,o IF ANT Of THE ANSWERS ARE TES. A FINAL CERTIFICATE OF OCQJ)ANCY MAT NOT RE ISSUED AFTER JULY 1, 1989 lltLESS THE IJ>PLICANT MAS NET 01 IS M:ETIIIG THE REQUIROIENTS OF TlfE OFFICE OF BEl:GENCY SERVICES AID THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction Lending agency for the performance of the work for which this permit is issued (Sec 3097( i ) C ivi l Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that J have read the application and state that the above information is 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP KARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLl)GMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAT ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 permi t is not _coome ced within 180 days from the date of such permit or if the bui ldi ng or wor~ authorized by such permit is suspended or aband at any time2::the is c need for a period of 180 days (Section 303(d) Uniform Building Code). APPLICA I SIGNATURE Q O\.INER 'pf CONTRACTOR 0BY PHONE APPROVED :BY:--"------- r ~ D~TE: ---------- WHITE: File YELLOW: Applicant PINK: Finance . - PERMIT# CB910292 DESCRIPTION: FORCED AIR TYPE: MECH CITY OF CARLSBAD INSPECTION REQUEST FOR 02/27/91 FURNACE CHG-OUT JOB ADDRESS: 1009 FOXGLOVE VIEW APPLICANT: GEORGE BRAZIL PLUMBING CONTRACTOR: GEORGE BRAZIL PLUMBING PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB910292 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619-223-8198 619-283-0900 OWNER: GANNAWAT, GARY REMARKS: MH/KRYSTAL/931-1725 SPECIAL INSTRUCT: NEW FURNACE PHONE: ,NSPECTO~~(~-~M·~~~~~~~~~ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 43 ME AirCond/Furnace Set }£ ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS