Loading...
HomeMy WebLinkAbout1740 BUENA VISTA WAY; ; CB911130; PermitBUILDING PERMIT Permit No: CB91113C' 08/06/Y 1 16 : 0 7 Project No: A9101411 Page 1 of 1 Development No : Job Address: 1740 BUENA VISTA WY Str: F1: Ste: Parcel No: 156-142-03-00 6-PII)TT 24 =# Valuation: 0 Construction Type : NEW Occupancy Group: Class Code: Status: ISSUED Description: ADD FORCED AIR UNIT zlpplied: 08/06/91 Apr/Issue: 08/06/91 Permit Type: MECHANICAL J652cIv(#/91ooo1oi 02 W3!7@. Validated By: DC Appl/Ownr : JOLLY, HENRY 619 729-3646 1740 BUENA VISTA WAY CARLSBAD, CA 920 **x Fees Requir --___---___---____----- Fees : Adjustments: Total Fees: Fee description Enter 'Y' for Mec Install Furn/Duct * MECHANICAL TOTA ------------------ PERMIT HAS UWfMb wm U.B.C SECTlON,W- ld) *** .oo .ou .oo ee Data .oo Y .oo .oo -------- CrcY OF CAREBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMlT APPLICATION City of Carlsbed Buildim Depertmmt 2075 Las Palms Dr., Carlsbnd, U 92009 (619) 438-1161 A - U Commercial U New Building U Tenant Improvement B - 0 Industrial 0 New Building OTenant Improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 AdditioxVAlteration 0 Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing OMechanical OPool 0 Spa ORetaining Wall OSolar OOther 2. PROJJXXINIOFIM” I I I Em-. VAL PIANCKDEKHT VALID. By DATE I FOR OFFICE USE ONLY uildin r Suite No. Unit No. Phase No. ___ 7543 &r.wHUm Lot No. Subdiwsion NamdNumber 0 2 Energy Calcs 0 2 Structural Calcs 0 2 Soils Report 0 1 Addressed Envelope a E USE FAced’At flcm~/ P H@m/ccd& A&~J~L/ 4 # OF SMRIES %*A& WKJP&,Y~ rn/SJcJ/d/ rn (11 aitierent from applicant) v NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE R UAG-R UO- UAI NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE JJC. # LICENSE CLASS CITY BUSINESS LIC. # STATE ZIP CODE DAY TELEPHONE STATE JJC. # 1UR Workers’ Compensation Declaration: I hereby attirm that I have a certiticate of consent to self-insure issued by the Director of Industnal 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 POLICY NO. EXPIRATION DATE Certlticate of Exemption: 1 ceruty that in the pertormance ot the work for which this permit is issued, 1 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: 1 hereby aftirm that I am exempt from the Contractor‘s License Law tor 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 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 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 tile 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 thereh-om, 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]). 0 0 0 Business and Professions Code for this reason: SIGNATURE DATE COmALa 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 facilitv to be constructed within 1.OOO feet of the outer boundary of a school site? DYES 0 NO DYES 0 NO 0 YES 0’ NO IF ANYOF THE ANSWERS AREYES, A FINALCERTIFICATE OFOOCUPANCY MAY NOT BE ISSUED APIERJULY 1.1989 UNLESS THE APPLICANT HAS OR IS MEE”G THE mm OF THE OFFICE OF EMERGENCY SERVICIS AND THE AIR KIhON OONTROL DElWCX. ~ I VI e. LENDER’S NAME LENDER’S ADDRESS 1 certity that 1 have read the application and state that the above intormation 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. IAlsoM;REETOSAVE~~ANDKEEPHARMLESSTHE(3TyOFcARlsBhDAGALNSTAU.LUBIIITIES,JUDGMENTS,a)5Is AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAIN= SAlD CITY IN CXlNSEQIJENCE OF THE GRANTING OF THlS PERMlT. OSHA: An OSHA permit is required for excavations over 5’0“ deep and demolition or construction of structures over 3 stories in height. A FROM fi /-3 yo b!!@cy I TO CITY OF CARLSBAD 2075 Las Palmas Drive Carlsbad, CA 92009 -1 Attn: ENGINEERING DEPARTMENT M&fi?J &/ednt--K I f A TTCNTION I PE ~ I WE ARE SENDING YOU 0 Attached 0 Under separate cover via the following items: 0 Shop drawings 0 Prints 0 Plans 0 Samples 0 Specifications 0 Copy of letter 0 Change order 0 Dated THESE ARE TRANSMITTED as checked below: D For approval 3 For your use ‘T! For Checking :_li Resubmit-copies for approval !3 Approved as submitted 5 Design only, not for construction I & As requested 0 Approved as noted Return.-.corrected prints 0 For review and comment El Returned for corrections 3 0 For Your Action If enclosures are not as noted. kindly notity us at once. v CITY OF CARLSBAD DOCUMENT RECORDATION Jnter-Off i ce CorresDondence i TO: CITY CLERK FROM: MRET\hl c. LAOBEE FUTURE IMPRO~EMEMT SUBJECT: AGREE WENT for Recordat i on co 91 - oldq (Document Number) OFFICE: Engineering DATE: 9-5-91 MESSAGE : 1. Please Process the following for recordation. 2. Payment is to be made per the attached \e*er Reply Requested: t\lo Date: .- Signature: CCDOCREC.FRM