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HomeMy WebLinkAbout1560 JEANNE PL; ; CB911479; PermitB U I L [, I N C, :L/ lO;') L.:42 h:llJ'' 1 of .Job Addre_::;: 1r,to ~TEANl\:E p:;:,, i-'Prrr it I'Yt e: MEC'HAN ICA!, ,.,tlr c,•.._ Ne : , 07-1 ~0-4·, ,r v<1 1 t1on: l, ~onstr~ct1cn Type: NEW PERM["' Str: t·r•1pc.1nc:y .;1 0 tp: l l~; '-,, JP: Dc~cri~tion: CHANGE OU~ FURNACE PP(ffilt N(•: t 8911471 Pr>jPc-t Ne•· All F/ 1 •vel >p:~~~ c/c 30 3)_ ~tat-u..;: I • JE. > Arp'!. 1 t' ,1 : 1 , / > / lJ • 11~>.t/lssu,,: ~G/!J/ ~ V'-i" icH.tt•r] P,1• [,c• Apt~ :1 >wt.r : FIRE "TUNDE-.R AND ! :c,H:'NING lJCb BARNE~T AVNEUE r:,:c, ,:,:;2~3611 SAN D4EG), CA 9~:~ 1 t.>E•G Requited le* ·------------------~---~ ff•e..,: A, I ;u~ t:...ner1 t:.: 1t 11 foee<::: tnter 'y' for Mech r .::r ..... ta 1::. Furn;Duc-t., * MECHANICA~ TOTAL ' ~ CITY OF CARLSBAD 5041 10/30/91 0001 01 02 C-PRHT 24-00 . L'il •J .24 .GU Ext tee J<. t .. i 1 "> • l j y 'l • ( (I ._ 4 • ( I 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q/-/l/7Cf City of Carlsbad Building Departllleflt 207S Las Pal-• Dr., carlsbad, CA 92009 (619) 438-1161 I. P£RMl I liPE I ESf. VAL PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ DATE A -U Commercial LI New Bmldmg Li I enanr Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJECf INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street LEGAL DEsCRIV'I ION Lot No. BuUdmg or Suite No. SulX:hVJs1on Name/Number □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope Omt No. Phase No. ASSESSOR'S PARCEi. EXISTING USE PROPQSED USE NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPllCAN I NAME UCONIRACIOR OXGENI FORWNiRACIDR DOWNER UAGENI FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE S. i!{?"IYJ?~~fil( ~ ,e." t..e,P.,I\C,,H ADDRESS '54' D .J CA 11,}AJ E. PJ,.... CITY CAtt.(~61\1') STATE C.." ZIPCODE jU708 DAY TELEPHONE 6 . ~F;!t.-r1111Noe,, il ut.1t1A11~DREss 3otlt, 1z.1-1z..· ez... /\VE. I ~-t). STATE Cl\ ZIPCODE qi,110 sTATE uc. # sBo &,1,,{ ucENsE cI..ASs a -z.o CITY DAY TELEPHONE 'l,,'Z,;Z, • 3(., \ \ CITY BUSINESS UC. # I I Gt 1 Z. Z. I CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. Wullk£RS' WMPENSAIWN workers' compensatton uec1aratton: I hereby aUlrm that I have a cen1f1cate of consent to self-msure issued by the Ulrectorof 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 1T£D PN..ltil. POUCY NO o !RATION DATE I rt1 1cate o xempuon: cert1 t at m t e per ormance o e wor or w 1c t 1s permit 1s 1ssu , s a no emp oy any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNffi-801ID£1l DECLARAliON Owner-Builder Deciaratton: I hereby affmn that I am exempt from the Contractor's Llcense Law for the following reason: □ 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.). □ 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). □ 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]). SIGNA11JRE DATE COMPLEIE I HIS SECI ION FOR NON-RESIDEN I IAt BUILDING PERMI I's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF THE ANSWERS ARE YES, AFINALCER11FICATEOFCXDJPANCY MAYNITTBEJ5.5UED AFIBRJULY 1, 1989 UNLESS THEAPPIJCANT HAS MIIT OR IS Ml!IITING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLUITION CDNTROL DISllllCT. 9. WNSIROCIIUN LENDING AGENCY I hereby athrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued. (Sec 3097 (I) dvU Code). LENDER'S NAME LENDER'S ADDRESS lb. APPUCANI CEkfuiiCA:IKJN I cerufy that I have read the apphcauon and state that the above mformatmn IS correct. I agree fo comply wttii ail City ordmances 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 ID SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISI1AD AGAINST AIL lJABILl11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSF.QUF.NCE OF THE GRANTING OF TIDS 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 pennit issu building or work authorized such permit is suspended ab APPUCANTS SIGNATURE uilding Official under the provisions of this Code shall expire by limitation and become null and void if the r it is not commenced within 365 days from the date of such permit or if the building or work authorized by any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: _____ _ YELLOW: Applicant PINK: Fmance .. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911479 FOR 10/22/92 DESCRIPTION: CHANGE OUT FURNACE TYPE: MECH JOB ADDRESS: 1560 JEANNE PL APPLICANT: FIRE THUNDER AND LIGHTNING CONTRACTOR: OWNER: PHONE: 619 PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB911479 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 222-3611 REMARKS: MH SPECIAL INSTRUCT: TOTAL TIME: 'l L INSPECTOR --fr-'_ 1 ~'-;,------- CD 49 LVL DESCRIPTION ME Final Mechanical ------------------ ---------------------------------------- ACT COMMENTS ,, () M ------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS