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Home My WebLink About2612 VIA BOCAS; ; CB044336; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-02-2004 Mechanical Permit Permit No: CB044336 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2612 VIA BOCAS CBAD MECH Status: Parcel No: 1674124100 Lot #: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: PARKHURST RES-REPLACE FURNACE Inspect Area: Applicant: MY PLUMBER STE 603 5490 COMPLEX ST 92123 760 729-4326 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 Owner: PARKHURST FAMILY TRUST 2612 VIA BOCAS CARLSBAD CA 92008 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: ISSUED 12/02/2004 RMA 12/02/2004 12/02/2004 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $24.00 6674 12/02/04 0002 01 CGP Inspector: FINAL APPROVAL,,-, Date: { ,,--tl-.> re? __J Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' d 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 fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. 02 24-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad, CA 92008 1. PROjECT INFORMATION FOR OFFICE USE ~LY PLAN CHECK Nor)/Joy 'if jb EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated B~ ~ -4-#=, Date /,1 / 1. L_:_ _ 1 f r e ( Z.lP\ L \I , a. :::tora ':> Address (include Bldg/Suite #J Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work C •-rvlei \()6 kl loJ1on 2. • CQN;rAbTPEfl.SON (If different fro1JLappJlc1ntJ # of Bedrooms # of Bathfooms !3. Name Address City S.tate/Zip Telephone II OfilRA.CTOB COl't'IPAN¥ NANI.I:. (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 besis for the alleged lars \H9PIJ. -Lfl-1 +-':EIXJ State License # -~----~---License Class -1-Q , -City Business License II _ _.I-="-' .... \_,.'---'--'"' Designer Name Address City State/Zip Telephone State License # _________ _ \.Cl. .WO.,BK~S' COMPEllSA TlPN Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain e 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. )zl 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 issued. My w orker's com ensation insur e carrier a policy number are: I r1 I\ /) .Al l ~ Insurance Company -~.L.!=..l...l~"'--'--'""-'c.!......£~L..-------Policy No. _l Q:11 ~::t(D '2._. Expiration Date -;--_ \ _ ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 1 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: Failure to secure workers' compensation coverage 11 unlawful, and shall subject an employer to criminal penaltlu and clvll fines up to one hundred thousand dollars ( 0 In addition t e c,0It of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney's fees. SIGNATURE--f----,~P,.'..-'L.:!-1..:.<~"'----:,.f-L.>..A..,<..>...l.>...X.L.."---------------DATE _________ _ 7. OWNER~ ..:.. ,...__,_ 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 doas 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 oc 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). 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 / heve 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 Jhe 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 persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENJIAt BUl!,.DIN._(tpERM.LlS Ol'jL Y _,_"'--',. 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? O YES O NO Is the facility to be constructed within 1,000 teet oi tno ouLl!u Ouu11J .. , 1 ... : :. .:;c:-::,c! c:t:i:? C! 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. 8. QOJ:,ISTRUCTION LENOING:AGENCY ,. ',. 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 ______________ _ .11., : :Ae.P.LLC~li Cl;l_'ITIFJ.CA TION 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 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 permil issued by lhe building Official under lhe provisions of this Code shall expire by !Imitation and become null and void If lhe building or work aulhorized by such permil Is nol commenced within 180 days from the date of such permil or if the building or work authorized by such permil is suspended or abandoned al any lime after lhe work is comma for a • d of 180 (Seclion 106.4.4 U rm Bu ing Code). ~ J, -:L / ./ .J APPLICANT'S SIGNATURE -~;;:::~z.~~~~Z~(LZ,1,j~~Q~~~~,G~~----DATE ~ / /j '?' / City of Carlsbad Bldg Inspection Request For: 01/12/2005 Permit# CB044336 Title: PARKHURST RES-REPLACE FURNACE Description: Type: MECH Sub Type: Job Address: Suite: Location: 2612 VIA BOCAS Lot APPLICANT MY PLUMBER 0 Owner: PARKHURST FAMILY TRUST Remarks: Total Time: CD Description Act Comment Inspector Assignment: RB --- Phone: 7607293455 Inspector: ---- Requested By: ROBERT Entered By: JANEAN 25 Water HeaterNents ~ _& ___________________ _ l-£,~.-c-------fff __________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 01/04/2005 43 AirCond/Furnace Set CO RB WEATHER STRIP F.A.U. DOOR (1106-C6)