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Home My WebLink About2836 VIA CONQUISTADOR; ; CB080964; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-03-2008 Mechanical Permit Permit No: CB080964 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2836 VIA CONQUISTADOR CBAD MECH Status: Parcel No: 2225921900 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: KOUKIS RESIDENCE ADD AJC WITH DISCONNECT 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 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: KOUKIS JAMES 2836 VIA CONQUISTADOR CARLSBAD CA 92009 ISSUED 05/21/2008 MOP 05/21/2008 05/21/2008 JM $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: Inspector: FINAL tR Date: 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 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 ·PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad, CA 92008 FOR OFFICE USE ON~ PLAN CHECK NO.C) t) .. EST. V A L. ________ .......__ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____ ~--------- Business Name (at this addressl Legal Description Lot No. Subdivision Name/Number Assessor's Parcel II E•isting Use Address City f& CONtRAQ,1i'QB. ,.,ri""l!l'lm:.-m'.'l!1 ~~;;:,,:,;rtw,17 fr'.¼W.fili""'.i~· (Sec. 7031.5 Business and Professions Code: Any City or County which requir11s • permit to issuance, also requires the applicant for such permit to file a signed statement Designer Name State License II ' ' . . . . Address City Unit No. Phase No. Total II of units Proposed Use II of Bedrooms II of Bathrooms State/Zip Telephone QRl{ERS'~ij;;;:QO::;M--:-:PE:--N-S:--:A-;;;f;:-:tO:--:N:;;ffll;;..,;;;;k,;:;:;,,1:;;;W:..iJF.~~ll'~-m,~~~~W,ljj;)i~'.';· ~!;/:~~,~~~-~~~ Worke • ompensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to sell-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' ompensation. as required by Section 3700 of the Labor Code, f~ t~e;f~fci_,'.!! the work for whi th7/;s r issued. My worker's compens ·o, in a arrier and policy number are: 03 D.,;.LVc} _$ ~-1/ J Insurance Company ___ j,,,-==~~~1=,:::::____________ Policy No. 7• E•piration Date,_.:i{. __ .....::11--....:::i;::: (THIS SECTION NEED NOT BE COMPLE ONE HUNDRED DOLLARS 1$1001 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: Failure to aecure workers' compensation coverage Is unlawful, and ahall subject an employer to criminal penalties and civil fines up to one huhdred thou .. nd dollar• (S 100,0001, In addition to the cost of compehaation, datnagea ea provided for In Section 3706 of the Lebor code, lntereat and attomey'a fees. SIGNATURE________________________________ DATE r; :,;owNeR1slli'11JcieR'!f>Ec LARAf 1ON~,,;mi.,;i:;~ii'm~1•i'ii'il:J.ll.!t~,~i~1rr.;r,~--~'iH&;.~ .~ ~~~-· I hereby affirm that I am e•empt 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 sur.h work himself or through his own employees, r,rovided that such improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owher-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 Contr•ctor'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 SectiM ______ Business and Professions Code for this reason: t. I personally plan to provide the major labor and tneterials 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 thl! following person (firm) to provide the proposed construction (include name / address / phone number / contractors license numberl: 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 numberl:. ________________________________________________ -- 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):. _______________ --~---~-----------------------------------~--- Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 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 (j 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. raa~o_dsTRU,om>Nf1.ENDtNGlA.GEN~, l"'1'~~11f,~~~7~}:'fm:ffl'..fi!lf~~'f.'.rtfa':mR.f~!l;,Jni 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). 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 herebv authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 Iha builcling Official under lhe provisions of lhis Code shall e•pire by limllalion and become null and void If lhe building or work aulhOrlzed by such permit Is not commenced within 180 ys frbm t11e dale of such permit or if Iha building or work authorized by such permit is Sl)qpenre or abandoned al any lime after the work is c • enc f91 a ii,rlod O 18 a ·on 106.4.4 Uniform Building Code). 5 ..,,. ,:;J£}, U , APPLICANT'S SIGNATURE ---,f--"-~-==--""':;._....,.:c....:-,:;.__-,._____________ DATE ---~----·-----~~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/03/2008 Permit# CB080964 Title: KOUKIS RESIDENCE Description: ADD AJC WITH DISCONNECT Type: MECH Sub Type: Job Address: 2836 VIA CONQUISTADOR Suite: Lot: o Inspector Assignment: ~ Phone: 7604486161 Location: Inspector: ---- APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING Owner: KOUKIS JAMES Remarks: Total Time: CD Description Act Comments Requested By: PAUL Entered By: CHRISTINE 43 AirCond/Furnace Set ~------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments