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Home My WebLink About1321 VERBENA CT; ; CB071558; PermitCity of Carlsbad I 1635 Faraday Av Carlsbad, CA 92008 06-06-2007 Mechanical Permit Permit No: CB071558 Building Inspection Request Line (760) 602-2725 Job Address: 1321 VERBENA CT CBAD Permit Type: MECH Parcel No: 2145701300 Valuation: $0.00 Reference #: Project Title: STUEMPFIG: INTALL A/C Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Status: Lot#: 0 Applied: Entered By: Plan Approved: 1 0 0 0 0 0 Owner: STUEMPFIG JASON D 1321 VERBENA CT CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 06/06/2007 JMA 06/06/2007 06/06/2007 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: $0.00 Inspector: PERMIT H. r SECTION 1(': . • FINAy-APPROVAL Date: & -l J--0! Clearance: •'CE WITH C B.C. ) , ·Y C .. C.18.04.03(! _@if_~--- 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.C~07 l 5--s1r' ' CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ----=------ Validated By ~ f'VY-1:: Date b{c,,]o ( Address (include Bldg/Suite #) Business Name (at this address) legal Description Lot No.,SF='~division Name/Number Unit No. Phase No. Total # of units C Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Address City State/Zip Telephone # Fax# • c;:_ww~:1> 01.- State/Zip 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 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 y violation ofbecti~n 7031.5 by any apfl • n tor a per 't bje ltJ applies a civil penalty o 1 t mi han jve hun ~ollars ($5001), Designer Name Address City State/Zip Telephone State License # __________ _ , .. ~ .,J;i,. ,,11"~ •• ' > ~(I.~~ ...... ~ ·t ; • . • t' . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 the performance of the work for which this permit is tissued. My worker's compensation 'nsurance carrier and policy number are: . .-, ·1. t::. D.. I . ..l. IO I Jo . . q I ')u/o 7 Insurance Company -'=-"-==...c.:....:'1---------------Polley No./ b:;:.J );:,.1 DD~✓ _ Exp1rat10n Date_~/_tcr-__ 1 _~--- (THIS SECTION NEED NOT BE COMPL TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 the Workers' Compensation Laws of California. WARNING: Feliu nsatlon coverage Is unlawful, and shall subject an employer to criminal pa !ties and clvll fines up to one hundred thousand dollars ( t compensation, damages as provided for In Section 3706 of the ab r SIGNATURE. __ _,,___,.i:;;L...M!~-'----"''-"'<=-.Lf-+4,~"-"==----------------DATE -~~-~JJ.--1---- 7.. • owNirnreln I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 sele. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of t,roving that he did not build or Improve for the purpose of saleJ. 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials 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 / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following per~ons to provide the work indicated (include name / address / phone number/ type of work).:_------------------------------------------------------------ PROPERTY OWNER SIGNATURE _________________________ DATE __________ _ coMPLETE·'tHrs secrfoN FOR' NON-RESIDENTIAL eu1i:01No PERMfts:oNL v i;-..,,~ ·r:~'"1 •1: " • " w~ "· .,..,. .1 * ,., ~· 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? 0 YES O NO 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of n school site7 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 POLLUTION CONTROL DISTRICT. :a,, CONSTRUCTIC>N LENDING·AGENCY ! ,,,. , ,. • f '.'•:.,' .n""·:•~,--· '" _,,, .• •· , '. ;;; , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ LENDER'S ADDRESS __________________________ _ 9. • • APPLICANT 'cERTIFiCA rloill • 1 '" ' • ,. ••• .,, , './'1 '.~\ · '!(• -~,,!")<~ ,,, '\°" : I certify that I have read the application and state that the above 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 Cit~ 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 permit issue by th building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized t,y such permit is not mence within 180 days from the date of such permit or if the building or work authorized/! s'jP~lt is suspended or abandoned at any tim ·cir the work is co enced for a perio\of 180 s Section 106.4.4 Uniform Building Code). l::} / ~ Lr--7 APPLICAI SIGNATURE -+tl'rtH-l'+--H'-:---l'+hl'--B-'-11--r-----------DATE _____ \/ __ /' ______ _ . Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB071558 Title: STUEMPFIG: INTALL A/C Description: For: 06/10/2008 Type: MECH Sub Type: Job Address: 1321 VERBENA CT Suite: Lot: Location: OWNER STUEMPFIG JASON D Owner: STUEMPFIG JASON D Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: Phone: 8587352513 lnsp~ Requested By: NA Entered By: CHRISTINE 44 Rough/Ducts/Dampers Ci)__ r) b l}:lLf~) 2£ /4-,Jn., -f-(t--i A-l_____ Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments