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Home My WebLink About2876 VIA CONQUISTADOR; ; CB070670; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-08-2007 Mechanical Permit Permit No: CB070670 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2876 VIA CONQUISTADOR CBAD MECH Status: Parcel No: 2225922900 Lot #: 0 Applied: Valuation: $0.00 Reference #: Project Title: ORTIZ: ADD 3 NEW A/C Applicant: MAJOR LEAGUE HEATING & AIR CONDITIONING 1356 BOBOLINK DRIVE VISTA 92083 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 3 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: ORTIZ FAMILY TRUST 04-17-06 2876 VIA CONQUISTADOR CARLSBAD CA 92009 Total Fees: $42.00 Total Payments To Date: $42.00 Balance Due: ISSUED 03/08/2007 JMA 03/08/2007 03/08/2007 $1 5.00 $27.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.00 Inspector: FINAL Date: Clearance: ______ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' o 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 f . FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Ct36 7O0TI CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By !:::l/YYr Date 3 (~/a'J r 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 # of Bedrooms # of Bathrooms Name Address City 0 Agent for Oct~ .. State/Zip Telephone# Fax# City Name Address City S,tate/Zip ':L3L-9'79Y Telephone# 6. CONTRACTOR • CO.MPANY NAME (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 L✓j-~., ... ~.,:::~ :!·~· ~~~n~r_v_io_l_.a!:!t'1:o~ni::..o~f,:jSl\,e'lcLt..1ior..n.&.7,..0_3J.1!:.t5:C.y~n(,y~a-p,1.p.,lict'.la,,,n~t'.!.}_.lo,fr ~a~pr.e_r/.m~itLsut.b..,j(.e.f.ctr..,s_t/l.h~at,p,.p:.ll(::ic_a;:::nc:t(!_=to:::..._a_c!!.V,...:~!..=12::e::na-=yLo-f ~n:':o:°=m7'o;:r::-e.L;t~h:.;a:.Jnl.lfl..iv-'e~h•::u;:nd~r-;:e~d~d:'/j~l;-la_r.,,_s_,$c..5...._.0c..)..:.•:.,L),:::_.L. 'l5 Address City State/Zip "\ /!:Telephone # State License # _;,.___..__..,.___,'--I----License Class __________ City Business License # / -,1,/ Y!!'._ .:).~/ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ve 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. 0 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 issued. My worker's compensatio ins ranee carrier and policy number are: . D? [);;;i...50~ ../iK . . 7 ~ Insurance Company __ ~od,...1,4-¥--£ ______________ Polley No. • Q -/c ~xpirat1on Date, __ /:__c _ _,_~'--..J.. PLETED 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. thousand eraga Is uni wful, and shall subject an employer to criminal penalties and civil fines up to one hundred 'Tf .. .,......,,-,·T· , d ages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE_+-1._..:::::.._ _____ ....= ........ -,c:...:=:...!..c=,.,CC=---+---------- 7. OWN!;R:11 -- 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 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. O 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 persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ COMPLETE THIS 'SECTION FOR NON-RESIDENT/AL BUILDING PERMITS ONL V DATE __________ _ 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 Act7 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 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 POLLUTION CONTROL DISTRICT. ,8. <;ONST,IU . .ICTION L.Eti!DING 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(1) Civil Code). LENDER'S NAME ______________ _ 19. APPLICANT CERTIFICATION LENDER'S ADDRESS _________________________ _ 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 LIA81LITIES, 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 issued by the building Otticial under the provisions of this Code shall expire by limitation and become null and void if the building or work aulhorized by such permit is not c menced ithin 180 days from the date f such permit or if the building or work authorized by such P.Brmit is susp dad r abandoned at any time after the work • e c~ for period of 180 ays Section O • rm Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance • City of Carlsbad Bldg Inspection Request Permit# CB070670 Title: ORTIZ: ADD 3 NEW A/C Description: For: 04/04/2007 Type: MECH Sub Type: Job Address: 2876 VIA CONQUISTADOR Suite: Lot: 0 Inspector Assignment: Phone: 7604319798 Location: Inspector: OWNER ORTIZ FAMILY TRUST 04-17-06 Owner: ORTIZ FAMILY TRUST 04-17-06 Remarks: Total Time: CD Description Act Comments ---- Requested By: WILLIAM Entered By: CHRISTINE 43 AirCond/Furnace Set f£_ ________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments