HomeMy WebLinkAbout1012 TULIP WAY; ; CB111718; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-08-2011 Mechanical Permit Permit No: CB111718
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1012 TULIP WY CBAD
MECH
2144101100 Lot#: 0
$0.00
MELLISSINOS RES-REPLACE FAU
SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/08/2011
RMA
08/08/2011
08/08/2011
EXCEL AIR CORP MELLISSINOS ANTHONY&RENEE FAMILY TRUST 11-19-09
361 NATALIE WY 92028
760-723-9294
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
1
0
0
0
0
0
1012 TULIP WAY
CARLSBAD CA 92011
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
FINA1L APP/OVAL
Date: j • 9 ' ( ( Clearance: _____ _
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations. or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIF!ED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f es/exacti ns of which o have r viousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
<<~~ ~ CITY Of
CARLSBAD
JOB ADDRESS
EXISTING USE
PROPERTY OWNER NAME
ADDRESS
CITY
PHONE
IL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
PROPOSED USE
Fax: 760-602-8558
www.carlsbadca.gov
GARAGE !Sf) PATIOS (SF) OECKS ISF)
Plan Check No.
Est. Value
FIREPLACE
YES □#_ NOD
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE
PHONE FAX
STATE ZIP
FAX
STATE UC.# CLASS Q;;
AIR CONDITIONING
YES O NO 0
ZIP
FIRE SPRINKLERS
YES O NO 0
1sec. 7031.5 Business and Professions Code: Any Coty or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its Issuance, also r quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Charter 9, commending woth Section 7000 of Dovosion 3 of the Business and Professions Code) or !hat he Is exempt therefrom, and the bas,s for the alleged exemption. Any voolaUon of Section 703 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Worl<er,' Compensation Declaration: I he<eby affirm under penalty of pe,jll"y one of the following declara6ons:
0 I have and will maintain a certificate of consent to self-Insure tor workers' compensation as provided by Section 3700 of lhe Labor Code, for the pertonnance of lhe worlc for which this permit is ISSued.
'Efl,1 have and will maintain wo
number are: Insurance Co._·+-+"'...,_--'-.....,.'{--'+-''-'-'"""--1--'1--'""-.U....l-'4'LI.f+u..:+ldd Policy No _..,._._...,,~...,_-~~L-\.,,_,.,-:,..,.__
This section need not be completed if the permit Is for one hundred dollars ($1()0) or less. D Certificate of Exemption: I certify that in the pertormance of the worlc for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worlcers' Compensation Laws of
California. WARNING: Failure to secure wori<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar, (&100,000), in
addition to the cost of compensation, dama as provided y I I 3706 the Labor code, Interest and attorney's fees,
A!$ CONTRACTOR SIGNATURE '/~, DATE
I hereby affirm that I am exempt from Contractor's license 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
License Law does not apply to an owner of property who builds or improves thereon, and who does such worlc himseff or through his own employees, provided that such improvements are not intended or offered lor
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 _____ Business and Professions Code tor this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed worlc.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the worlc, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone / contractors' license number):
5. I will provide some of the worlc, but I have contracted (hired) the following persons to provide the work indicated ~nclude name I address I phone I type ot work):
A!$ PROPERTY OWNER SIGNATURE AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration foon or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous 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 bounda,y of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lende(s Address
I certify that I have read the application and stlte that the above lnfoonation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorize represenlative of the Qty of Carlsbad kl enter upoo the above menti:Jned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JU(X;MENTS, 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 br excavations over 5'0' deep and demolition or construction of slructures over 3 sklries in hei<Jht.
EXPIRATION. Every permit issued by the BJik!ing Olfcial under the ptOVisions of this Code shan expi inilalion and become nul and void ~ 1he buik!ing or v.O!k aulhorized by such permit is not ooml118f'oa!d v.ithin
180 days from the date of such permit or if the bulding aulhorized by ~ • or abandoned at any line alW:!r the vol< is oornrnenood i:Jr a period of 180 days (Section 100.4 .4 Unoorm Building Code) .
...@S'APPLICANT'SSIGNATURE r'J DATE ~ ?'. I
City of Carlsbad Bldg Inspection Request
For: 10/18/2011
Permit# CB111718
Title: MELLISSINOS RES-REPLACE FAU
Description: SAME LOCATION
Type: MECH Sub Type:
Job Address: 1012 TULIP WY
Suite: Lot: 0
Location:
Inspector Assignment:
Phone: 7604157191
lnspecio!P ~
OWNER MELLISSINOS ANTHONY&RENEE FAMILY TRUST 11-19-09
Owner: MELLISSINOS ANTHONY&RENEE FAMILY TRUST 11-19-09
Remarks:
Total Time:
CD Description Act Comments
Requested By: BRIAN
Entered By: CHRISTINE
43 AirCond/Furnace Set 1¥-----
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments