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HomeMy WebLinkAbout1721 BONITA LN; ; CB950206; Permit4 B 02/07/95 12: 25 Page 1 of 1 Job Address: 1721 BONITA Permit Type: MECHANICAL Parcel No: 205-080-21-00 Valuation: 0 Construction Type: NEW Occupancy Group: I UILDING LN PERMIT Reference#: Suite: Lot#: DescEiption: CHANGE OUT A/C/FURNACE UNIT Permit No : Project No: Development, No: Appl/Ownr : ULM, HOWARD 619 222-9863 __ 3675 VOLTAIRE STREET *** Fees Required Fees : Adjustments: Total Fees: ...................... Fee description Enter 'Y' for Mec Install Furn/Duct * MECHANICAL TOTA ------------------ Apr/Isaue: Entered By: CB9 5 0206 A9 500 28 2 ISUED 02/ 029909 02/07/95 DC CLEARANCE I CITY OF CARLSBAD 2075 Las Palmas Dr., Carl~bad, CA 92009 (619) 438-1161 % .. PEFWIT APPLICATION City of Carlsbad Building Department 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Pennit-Type: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-Type: Net Loss/Gain of Dwelling Units 2 PRC"INF0RMAnoN PLAN CHECK NO. I I PLAN CK DEPOSIT p I FOR OFFICE USE ONLY Add- /72/&!&4 d'm La* Building or Suite No. Nearest Cross Street >-ON Lot No. Subdimion NamdNumber Unit No. Phase No. 0 2 Energy Cala DESCRIFTION OF WORK 0 2 Structural Cala 0 2 Soils Report 0 1 Addressed Envelope TING USE PROPOSEeySE SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS dcit dirterent rrom applicantJ NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) ADDRESS UD Ut UA- CITY STATE ZIP CODE DAY TELEPHONE ADDRESS ' STATE LIC. #272/97 LICENSE CLASS c CITY BUSINESS LIC. # DESIGNERE (last name tint) CITY STATE ZIP CODE DAY TELEPHONE STATE LK. # Workers' Compensation Declaration: I hereby atfirm that 1 have a certiticate ot consent to selt-insure lssued by the Director ot 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 Deparunent (Section 3800, Lab. C). INSURANCE COMPANY WLlCY NO. EXPIRATION DATE Urnticate ot Exemption: 1 certity that in the performance ot the work for which this permit IS issued, I shall not employ any person in any manner mpensation Laws of California. c4 2-79 Vwner-Builder UeclaraUon: 1 hereDy atfirm that 1 am exempt rrom the mntractors Llcense Law for the tollowing reason: 1, 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.). 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). I am exempt under Section (Sec. 7031.5 Busings 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 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 [$SOO]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE CX 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? IF ANY OF THE ANSWERS AREYES, AFINAL CXRTlFICATEOF OoCLlpANCY MAY Nm BE Issun, AFlERJULY 1,1989 UNLESSTHE APPUCANT HAS MIX OR Is MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION ODNTROL DISIRICI. 1 hereby atfirm that there is a construction lending agency tor the pertormance of the work tor which this permit is lssued (Sec 30970 i Ciml We). 0 YES 0 NO 0 YES 0 NO OYES 0 NO LENDER'S NAME LENDER'S ADDRESS I certitv that 1 have read the aDDlicatlon and state that the above intormauon IS correct. I axree to comDlv with all ClW ordinances and State laws relating to building construction: I hereby authorize representatives of the City of Carlsbad to enter upon th6 above mentibned property for inspection purposes. I ALSO AGREETO SAVE INDEMNIFY AND KEEP HARMLEssTHEClTY OFcARLsBADAGAIN~WLIAB1LITIEs, JUDGMENTS. Oosrs AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSlik- 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 in 365 days from the date of such permit or if the building or work authorized by such permit is suspended or is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: WHITE: File YELLOW Applicant PINK: Finance Q CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950206 FOR 02/21/95 DESCRIPTION: CHANGE OUT A/C/F"ACE UNIT TYPE: MECH JOB ADDRESS: 1721 BONITA LN APPLICANT: ULM, HOWARD CONTRACTOR : OWNER: REMARKS : BJN/ALBERT/7 2 9-668 3 SPECIAL INSTRUCT: INSPECTOR AREA PD PLANCK# CB950206 OCC GRP CONSTR. TYPE NEW STE : LOT: PHONE: 619 222-9863 PHONE : PHONE : INSPECT0 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 43 ME AirCond/Furnace Set -- ***** INSPECTION HISTORY ***** DATE DESCRIPTION 020995 AirCond/Furnace Set ACT INSP COMMENTS PA PD NOT FINAL/WIRING CORRECTION