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HomeMy WebLinkAbout2805 VIA CASCADA; ; CB111722; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09~2011 Mechanical Permit Permit No : CB111722 ' Building Inspection Request Line (760) 602-2725 Job Address: 2805 VIA CASCADA CBAD Permit Type: MECH Status: Parcel No: 1673001800 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: SHAZIA: REPLACE FAU Inspect Area: Applicant: Owner: G.V.K. MECHANICAL SERVICES GOGIA BHARAT D&SAGHIR SHAZIA J 4043 50TH ST 2805 VIA CASCADA SAN DIEGO CA 97105 CARLSBAD CA 92010 619-271-6279 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 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: ISSUED 08/09/2011 JMA 08/09/2011 08/09/2011 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 lnspector:---;J.2 FINAL APPROVAL Date: ~/>I/ I I I 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 NOTIFli:D 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 fee!;lexactions of which vou have nrP.viouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. «t~ Building Permit Application Plan Check No. C I l l / 2-2- ~ CITY OF CARLSBAD 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov JOB ADDRESS Casccxtlc:t. SUITE#/SPACE#/UNIT# L # DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) If~ 1/~C'e 1:,,/(~ EXISTING USE PATIOS (SF) DECKS (SF) Est. Value Plan Ck. Deposit Date r( 9 SWPP APN NAME FIREPLACE YES □#_ NOD AIR CONDITIONING YES □ NO □ APPLICANT NAME (Secondary Contact) ADDRESS f t?L/ 7 ADDRESS CITY c_; ..7~.n STAT~ ZIP f/-Z/t? -CITY STATE ZIP FAX PHONE FAX CONTRACTOR BUS. NAME ADDRESS STA~ CITY 5, ,c?, FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS c-zo FIRE SPRINKLERS YES □ NO□ (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 issua ce 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 Sectio 7 00 of Division 3 of the Business and Professions Code) or that he is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500)). Wor1<el'$' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declara#ons: D 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 perfDfmance of the work for which lhis penmit is issued. D I have and will maintain wor1<ers' compensation, as required by Section 3700 of lhe Labor Code, for the perfonmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ i section need not be completed if the permit is for one hundred dollars (S100) or less. Certificate of Exemption: I certify that in the perfonmance 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 C fornla. WARNING: Failure to secure wor1<el'$' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURi:::::~~~t~§[:~~'.S,::::19"'.=.,, □AGENT DATE 3 -'9-// I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: O 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 Of 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 himse~ or through his own employees. provided that such improvements are not intended or 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). O 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). O 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. □ Yes □ No 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 I phone I contractOfs' 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 I address I phone / 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 I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is \he applicant or future building occupant required to obtain a penmit 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 boundary of a school site? □ Yes □ 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certifythatl have read the applicatiion and Slilte that the above lnfonmatiion is oonectand that the infonmation on the plans Is accurate. I agree to oomplywlth all City ordinances and State Jaws relating to buildingoonstruction. I hereby authorize representative of the Oty of Carlsbad to enter upon the atx>ve mentbned property br 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 permn is required br excavations over 5'(Y deep and demolition or O'.lOStruclion of structures over 3 stories in height. EXPIRATION: Every permit issued by the BuikJing Offcial under the provisions of this Code shall expire by imitation and become nul and \IOid if the buikJing or \\Ork authorized by such permn is not commenced v.ithin 180days from the dale of such permtt or if the buiding or1'.0111 authorized by such permn is suspended or abandoned al anytime after the \\Ork is commenced for a period of 180days (Seciion 1064.4 Uniform BuikJing Code). ~ APPLICANT'S SIGNATURE ----:z::;::::: DATE City of Carlsbad Bldg Inspection Request Permit# CB111722 Title: SHAZIA: REPLACE FAU Description: For: 08/30/2011 Type: MECH Sub Type: Job Address: Suite: 2805 VIA CASCADA Lot: 0 Inspector Assignment: Location: Inspector: ----- OWNER GOGIA BHARAT D&SAGHIR SHAZIA J Owner: GOGIA BHARAT D&SAGHIR SHAZIA J Remarks: P M PLEASE _no one home am Total Time: CD Description Act Comments Requested By: NA Entered By: CHRISTINE 43 AirCond/Furnace Set Af!_ _______ _ .!15 _ ------------------------------------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments