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Home My WebLink About2867 VIA CONQUISTADOR; ; CB081359; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-15-2008 Mechanical Permit Permit No: CB081359 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2867 VIA CONQUISTADOR CBAD MECH Status: Parcel No: 22259201 00 Lot #: 0 Applied: Entered By: Valuation: $0.00 Reference #: PC #: Project Title: MANDICH RES-INSTALL NEW NC W/ ELECT PRE-PLUMBED Applicant: MANDICH ROBERT A 325 E WASHINGTON ST #189 SEQUIM WA 98382 760 438 6648 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 Plan Approved: Issued: lnspe.ct Area: Owner: MANDICH ROBERT A 325 E WASHINGTON ST#189 SEQUIM WA 98382 Total Fees: $44 .00 Total Payments To Date: $44.00 Balance Due: L ISSUED 07/15/2008 LSM 07/15/2008 07/15/2008 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 Inspector: Clearance: ______ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, o: 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 Cartsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bc>r 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 projer.t. NOR DOES IT APPLY to any f I x i n f • h h v r vi N T whi h h f Ii i n h r vi I h rwi ,. City of Carlsbad Plan Check No. <!Bo & I 3 ~ 1635 Faraday Ave., Carlsbad, CA 92008 760-,602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS ,, '"/ ~g-~7 t/,1~ EXISTING USE PROPOSED USE CONTACT NAME (If Dltrerent Fom Appl/cant) ADDRESS CITY STATE PHONE FAX EMAIL Cl. GARAGE (SF) ZIP PROPERTY OWNER NAME 0 be ,,.:f Mc..'1..dl c., ADDRESS g-2 (o 7 U l c.._ C0-< , 6 h d(/1-- CITY C ZIP o...y f ~ kct..d 7a,c.; PHONE ?bo .,.3 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# Est. Value Plan Ck. Deposit Date 7 SUITE#/SPACE#/UNIT# APN TENANT BUSINES NAME PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NO □ APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# CLASS CITY BUS. UC.# /!«. 703 I.S Bu1int11 and Pro/u1ion1 Code: Any City or County which requim a permit to <omtruct. alter imprm, dtmolilh or rtP.air lft)' 11nl<tUl'e P(ior to its n1uana, also ~im lht utlicant /or Ill<~ J)tnnit to 'le a 1iptd 111-1 mat ht n r.cemtd .9.unuant to die pmilion1 o/ die Cotltra<1Dr'1 Lictme uw {Chapter 9, commendinc widl Stt1ion 1000 o/ OiYision 3 ol me Bu1in111 and ProleJ,ioni Code) or mat ht ~ 111mpt dimtOffl, and lht hs11 /or lht alltttd exe111ption. Ally Yiolation ol Stction 703 I.S by any applicant for a permit subjects die appliwt to i <r1! J)tnalty of not mm dian fin hundred dohn {SSOO)). WORl(ERS ' COMPENSATION Worken' Compen11tlon Decllntlon: I hereby affirm under penalty of petj!K}' ooe of the following declarations: □ I have and will maintain a certificate of content to 1etf,ln1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wOl1< 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 wOl1< for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Polley No. ______________ Expiration Date _________ _ This section need not be completed~ the permit Is for one hundred dollars ($100) or less. □ 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 lo secure workers' compensation coverage 11 unlawful, and 1hall subject 1n employer to cr1mlnal penallles and clvll llnes up to one hundred thousand doll1n (&100,000), In addition to the colt of compensation, damages II provided for In Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE DATE • 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 Bild Professions Code: The Contractor's • nse Law does not apply lo 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 lhe burden of proving that he did not build or improve for the purpose of sale). tt11, 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). □ 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 I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address / phone I contractors' license number): 4. I plan lo 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 I contractors' license number): 5. I will provide some of the work, but I have contrac ed (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit 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 cert!fy that I have read the application and state that the above Information Is conect and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building oonstruction. I hereby authorize representawe or the City of Cartsbad to enter upon the above mentioned properfy for nspection purposes. I ALSO AGREE TO SA VE, INDEM'-JIFY AND KEEP HARM.ESS 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: AA OSHA perm~ is requied for excavations rNer 5'0' deep and demolition or coostruction or strucb.Jres r:Ner 3 stories 11 height. EXPIRATION: Every permtt issued by the Building Officia the provisions of this Code shall expire by lini1ation and become nu! and void l the building or WOOi authorized by such pemlit is not oommenced \\ithil 180 days from the date of such permit or if the buicf authorized by such permtt is suspended or abandoned atir,y line after theWOOI is oommenced for a period or 180 days (Section 106.4.4 Unifoon Buildilg Code). ~ APPLICANT'S SIGNATURE DATE ✓ ~ ~ City of Carlsbad Bldg Inspection Request For: 07/18/2008 Permit# CB081359 Title: MANDICH RES-INSTALL NEW A/C Description: W/ ELECT PRE-PLUMBED Type: MECH Sub Type: Job Address: 2867 VIA CONQUISTADOR Suite: Lot: 0 Location: APPLICANT MANDICH ROBERT A Owner: MANDICH ROBERT A Remarks: WILL BE WAITING FOR INSPECTOR Total Time: Act Comments Inspector Assignment: Phone: Inspector: ---- Requested By: MANDICH Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set ~------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments