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HomeMy WebLinkAbout1715 VALLEY PL; ; CB062031; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 I 07-1 7-2006 Mechanical Permit Permit No : CB062031 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1715 VALLEY PL CBAD MECH Status: Parcel No: 2050803400 Lot #: 0 Applied: Valuation: $0.00 Reference #: Project Title: DUBONA RES-REPLACE FURNACE Applicant: SEASIDE HEATING & AIR CONDITIONING INC STEA 2942 INDUSTRY OCEANSIDE 92054 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: LINTON BRIAN&DUBONA MARLEEN 1715 VALLEY PL CARLSBAD CA 92008 ISSUED 07/17/2006 LSM 07/17/2006 07/17/2006 $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: FINAL APPROVAL Date: 1{zt( e>fo 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 Carlsbad 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 NOTIFIED 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 PERMIT APPLICATION elTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ~O<o~3 / EST. VAL. _________ _ Plan Ck. Deposit --+l'Az..--,.-:r:~--.:--- Validated By ____ -'~"----r---- Date, _____ -,..;............_{-"1 ....,,~/ ...,Q,._h.....__ Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use SO. FT. lot Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I ,-f""rft: ~ nf;~,.11:~ t' -,.-'-IT'. I r S-t/-tr.. Address o · eIOB.a!CoJD'AN»NAMff ,;,;1rlF*~❖1'fg~~~ ~~ •• (Sec. 7031.6 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 License Law (Chapter 9, commending 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 iolation of Section 7031 .6 by any applicant for a rmit subjects the applicant to a civil p lty of not more than five hundred dollars ($60011. 5 c;...sr -=-......---;. -{Ju~( '-r 3 (lc/D Address State/Zip Telephone I ;;i. 1 a..'l' as-Name Stete License I _7_7,1-0 __ S-_l_i __ _ License Class _ __.L..__~__,,J<--'o"'-----City Business License I Address City State/Zip Telephone .w..lidJl~in.s ' ~-•• ~------~-workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have 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 of the work for which this permit is Issued. ~-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 permit is issued. My worker's com ensati9P Insurance carrier and policy number are: . _ _ Insurance Company t' .i",. .:. .s Policy No. {.,,.,,;, f< /4( I(} 0 9t;.,: 3 Expiration Date 3 I J ob ) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to tha Workers' Compensation Laws of California. WARNING: Fallwe to nc:ure workera' compenntlon coverage la unlawful, and shall aubject an employ• to c:dmlnal penaltlea and civil flnH up to one hundred thousand doUara ($100,000), In addition to tha coat of compensation, damagH as provided for In Section 3708 of the Labor code, lntereat and attorney's feea. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the foll~wing reason: 0 I, as owner of the property or my employees with wegea as their sole compensation, wUI do the work and the atructure ia not Intended or offered for sale (Sec. 7044, Busineaa and Professions Code: The Contractor's Ucenu Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employee■, provided that such Improvements are not Intended or offered for sale. If, however, the bulldlng or Improvement la 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bualnesa and Profesalons Code: The ·contractor'• License Law does not apply to en owner of property who bullds or lmprovea thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor end material■ for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted _with the following person (firm) to provide the proposed construction (include name / addresa I phone number I contractors license number): 4. I plan to provide portion• of the work, but I have hired tha following person to coordinate, supervise and provide the major work (Include name / address / phone number I contractors license number):. ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work Indicated (Include name I address / phone number / type of work):. _____________ ~-------------------------------------------- PROPERTY OWNER SIGNATURE rioM1t~1W.ffi1!lli;.{CtlW&,ma"N·::;;o;;:;~;;:-.;-;;;..;;;:;=::~oo;;;:;.,,,..;;,:;;.;~;;;:, ;;;. •• ~~~~-=li'mm":ami:~;;:;:;;;.;:;-;::;:;-:;;;;:;;;;;.;,_,: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registretlon form or risk management and prevention program under Sections 26605, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from tho air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR P0UUTI0N CONTROL DISTRICT. at ,: ' §'h~1_ij[gJ'_!.9!!(1;N.o.1t-io•AGENCY,, ', • .:~~ '.,,, !,'%° • "~ ...... ~·. \..P -;__;;:_'!:::..:.....,.:'!,.._· ~-~'""; ' , -~ .,:, .;;,_ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ~~~~;;;i;_;;"';""::"';;:'";;"":;"'t::;.:..,i;;._.~~;:.,1;;:_ ~=· :;:;'/.;a=. 4 ~::.~:~::~:::~~::-,;-:£=.~-:. =.~:-.:::~-:.iW--~-::.=_=.:,::-·:::• ::-,-: ... -,~-,-:,.----, .-. --.-.,~-.-~-. -. --. __ t-~~-MJ-.:--.-~-. --. -.,-,-. _ I ?ertlfy _that I have read the applicatl~n and st~t~ that the abo_ve information Is cor~ect and that the Information on the plans Is accurate. I agree to comply with all Caty ordinances and State laws relating to buoldmg construction. I hereby authonze representatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES 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. EXPIRATION: Every per~lt 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 by such permit _is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned ~ at any tome after the work 1s commence or a riod of 180 days (Section 106.4.4 Uniform Building Code). f "lro.e,PLICANT'S SIGNATURE _ _(,;_.,d:~~:::::::'.=::::::::._-"~~~========-----DATE 7-t' /' c)~ City of Carlsbad Bldg Inspection Request For: 07/20/2006 Permit# CB062031 Title: DUBONA RES-REPLACE FURNACE Description: Type: MECH Sub Type: Job Address: Suite: Location: OWNER 1715 VALLEY PL Lot 0 LINTON BRIAN&DUBONA MARLEEN Owner: LINTON BRIAN&DUBONA MARLEEN Remarks· am pleas Total Time: CD Description Act Comment Inspector Assignment: Phone: 7607204760 Inspector: M l. Requested By: MARLENE Entered By: CHRISTINE 43 AirCond/Furnace Set M-:t>lw.-:-r v~ ut,.t l-r. Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments