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Home My WebLink About1767 BUTTERS RD; ; CB980109; PermitBUILDING PERMIT Permit No: CB980109 01f16/98 10: 26 Project No: A9800170 Page 1 of 1 Development No: Job Address: 1767 BUTTERS RD Suite: Permit Type: MECHANICAL Parcel No: 156-270-40-00 Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: INSTALL 75000 BTU FURNANCE Applied: 01/16/98 Apr/Issue: 01/16/98 I Entered By: JM Appl/Ownr : COASTAL AIR MECHNICAL 619 484-0321 12860 WAR HORSE STREET SAN DIEGO CA 92129 *** Fees Required *** ColleCRWWSmc%j&g 01 02 *** Adjustments: .oo --- - - - - ?4=w .......................... ------------- Fees : Total Fees: .oo 24.00 Fee description Ext fee Data ------------------- _----------------- Enter 'Y' for Mech 15.00 Y Install Furn/Duct 9.00 FINAL FPPROVAL // CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO. y@/@ PESMIT- APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438- 1 1 6 1 Address (include BldglSuite #I Business Name fat this address) Legal Description Lot No. Subdivision Name/Numk Unit No. Phasa No. Total # of units Assessor's Parcel # Existing use Proposed use # of Bathrooms Descri onof W@ SQ. FT. #of StOIies X of Bedmoms P? 7.5ruod FLC&/UAC Name Address ci Statemp Telephone X Fax X Name Address StatelZip Telephone # (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 ha is licensed putuant to the provisions of the Contractor's Licenae Law IChaoter 9. commendino with Section 7000 of Division 3 of the Businass and Professions Codel or that ha is exempt therefrom, and the basis for the albaad exemption. Any violati& Address city StateKip I L ~icensec~ass (3 70 ci~usiness~icamex Name . State License # Designer Name Address Citv Statdzip T- State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarationa: 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance cartier and policy number are: Insurance Company Policy No. Expiration Date (THIS S AFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is iasued, I shall not employ any parson m any manner ao as to bpcome subject to the Workers' Compensation Laws of California. I hava and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tha performance of the work for which this pennit is ION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) I hereby affirm that I am exempt from the Contractor's License Law for tha following reason: 0 1, as owner of the property or my employees with wagea as their de compensation, will do the work and the structure ia not intended or offd for de (Sec. 7044, Businass and Professions Code: The Contractor's License Law dws not apply to an aWMr of propwty who buikb or improves themon, and who doas such work himself or through his own employees, provided that such improvements are not intanded or offered fot MI^. If, however, tha building or improvemat is sold within one ywr of completion, the owner-builder will have the burden of proving that ha did not build or improve for the pupose of sale). 0 1, as owner of the property, am exclusively contracting with licmsed contracton to conatr~~ct the prom (Sac. 7044, Burineas and Professions Code: The Contractor's License Law does not apply to an owner of propwty who builds or improves thereton, and contracts for auch projects with contractor@) licd pursuant to the Contractor's UCOMO Law). 0 1. 2. 3. 4. number / contractors license number): 5. of work): I am exempt under section I personally plan to provide the major labor and materials for cmction of tha proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the propoaed work. I have contractad with the following person (firm) to provide the proposed canrtruction lincluda name / address / phone number / contractors ihme number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide tha major work (include name / addreas / phone I will provide some of the work. but I have contracted Weald) the following persons to provide the work indicated (inducb name / address I phoM numb / type Buainess and Professions Coda for this rem: PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to Submit a business plan, acutely hurrdour materids regiantion form or risk management and prevmion program under Sections 26606,25633 or 26634 of the Presley-Tanner Hazardous Substance Accourt Act? 0 YES 0 NO I Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO IS the facility to t,a constructed within 1,000 feet of the outer boundary of a sch~d site7 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNWS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR WUUTION CONTROL DISTRICT. I certify that I have read the application and state that the aha information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CW of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM- THE CITY OF CARLSEAD AOAWST ALL UABIUTIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. APPLICANT'S SIGNATURE DATE ;4/p viaions of this Code shall expim by limitdon and become null and void tf the buildingor the date of such permit or if the building or work authQr'z& by, uch permit is suspended 0 days (Section 108.4.4 Uniform Building Code). WHITE File YELLOW: Applicant PINK: Finance - ., CITY OF CARLSBAD INSPECTION REQUEST e’ PERMIT# CB980109 FOR 01/28/98 INSPECTOR AREA DESCRIPTION: INSTALL 75000 BTU FURNANCE PWCX# CB980109 TYPE: MECH CONSTR. TYPE NEW JOB ADDRESS: 1767 BUTTERS RD STE : LOT: APPLICANT: COASTAL AIR MECHNICAL PHONE: 619 484-0321 CONTRACTOR: PHONE : OWNER: PHONE : REMARKS: C/HELEN MARTIN/729-6121 AM PLS INSPECTOR SPECIAL INSTRUCT: PLEASE OCC GRP CALL HOMEOWNER TO CONFIRM TOTAL TIME: CD 43 LVL DESCRIPTION ME AirCond/Furnace Set ACT COMMENT; ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS