HomeMy WebLinkAbout2832 VIA CONQUISTADOR; ; CB071835; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-11-2007 Mechanical Permit Permit No: CB071835
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2832 VIA CONQUISTADOR CBAD
MECH
2225921800 Lot#: 0
$0.00
LIGHTHOLDER RES INSTALL NEW
A/C UNIT@SIDEYARD
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/10/2007
KG
07/11/2007
07/11/2007
THOMPSON HEATING & AIR
888 RANCHEROS DR#E
LIGHTHOLDER SHARON O SOLE&SEPARATE PROPERTY TRUS
92069
760-480-4802
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
TOT AL PERMIT FEES
1
0
0
0
0
0
2832 VIA CONQUISTADOR
CARLSBAD CA 92009
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: &'. 7 o 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
FOR OFFICE USE ONLY
PLAN cHEcK No. Mo, , r~ -:;;-
'--Pl!RMfT APPLICATION Esr. VAL. __________ _
Plan Ck. Deposit _________ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Validated By ____ __._/Q-=.~A------
Date ____ 7::...+/.L..J O=-i/o'--""'-'~....L..----
1 . PROJECT INFORMA TlON
c:2832 Via Conquistador
Address (include Bldg/Suite #) Busmess Name (at this address)
Legal Description Loi No SubdMSIOll Name/Number
Assessor's Parcel # Existing Use
Install new A/C unit in Side yard
Descnption of Work SQ FT
2. CONTACT PERSON (if different from applicant)
Cvndee
Name Address
3. APPLICANT D Contractor CZI Agent for Contractor
Jennifer Cole P.O. Box 711564
Name Address
4. PROPERTY OWNER
City
□ Owner
Santee
City
# of Stones
CA
Unit No Phase No
Proposed Use
# of Bedrooms
Telephone#
D Agent for Owner
619-405-2648
State/Zip Telephone#
Total # of units
# of Bathrooms
Fax#
Sharon Liahtholder 3,832 Via Conauistador Carlsbad CA 92009 760-438-7450
Name Address City StatelZ!p Telephone#
5, CONTRACTOR -COMPANY NAME
a
(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 rts issuance,
also requires the applicant for such permit to file a signed statement that he Is licensed pursuarrt to the provis,ons of the Contractor's License Law [Chapter 9, commending w,th
Sec~on 7000 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
a~ applicant for a perm,t subJects the applicant to a clvil penalty of not more than five hundred dollars [$500)).
1 homoson Heatinq & Air 888 Rancheros Drive Ste E San Marcos CA 92069 760-480-4802
Name Address City State/Zip Telephone#
State License# 833 7 44 License Class _C.cc--.;;c2;..;0;..._ ______ _ City Business License# __________ _
Designer Name Address City State/Zip Telephone#
State License# _______ _
6. WORKER'S COMPENSATION
Workers· Compensation DedaratIon I hereby affirm under penalty of perjury one of the following declarations
□ I have and will maintain a certJfIcate 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
IZ) I have and WIii maintain worker's oompensatIon. as required by Secbon 3700 of the labor Code. for the performance of the work for which this permit Is issued My
worker's compensahoA_Ipsuranc,i:.camer and policy number are.
Insurance Company -:>tate rUnO PollcyNo 1802849 ExpirabonDate 08/01/2007
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT tS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
□ CERTIACATE OF EJC.EMf"TION: I certtfy that rn the performanoe or tne worf<: f\Jr wlllcil this permit is rssued, I shall not employ any person rn any manner so as to
become subject to the Workers' Compensabon Laws of CahfomIa.
WARNING: Failure to secure wo • e ts unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars($100,000), I ag r prjlQid_t!d for In Section 3706 of the Labor Code, Interest and attorney's_!!$s._ 1
SIGNA ·-:,,-"=-_..!::=::..!....i.a:~==~.-:::::b,-.J...L.....:~=-==----------DATE /-d)-(} 7
7.
I hereb ffirm that I am exempt from the Contractor' License Law for the following reason
D , s owner of the property or my emplo)ees with wages as their sole compensation, will d the work and the structure Is not intended or offered for sale (Sec 7044,
Business an -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, prOIIKled that such improvements are not intended or offered for sale If, however, the building or improvement Is sold within one year of
complebon, the o.vner-builderw,11 have the burden of pro111ng that he did not build or improve for the purpose of sale)
D I, as owner of the property, am excfus,vely contracting 'Mth licensed contractors to construct the pro_iect (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 prOJE!Cls with corrtractor(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/have not) signed an application for a bu1ldIng permit for the proposed work
3. I have contracted with the follOW1ng person (firm) to pr0111de the proposed construct10n (include name/ address/ phone number/ contractors license number).
4. I plan to pro111de portions of the work, but I have hired the following person to coordinate, supervise and prov,de the ma)Or work (include name/ address/ phone number I
/ontractors license number)
5. I WIii prolllde some of the work. but 1 have contracted (hired) the rollowmg persons to provide the~ rndicated (mciude name/ address I phone number I type of work)
PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _
WHITE: Rle YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
... ...
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
COMPLETE THIS Sl!CTION FOft NON-fltt!S/Ot!NTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials regIstratIon for or nsk management and prevention program under
Secbons 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 pollut10n control district or air quality management d1stnct? □ YES □ NO
Is the facility to be constructed wrth1n 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING 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 _________________ _ LENDER'S ADDRESS ____________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the apphcatton and state that the above information Is correct and that the informatton 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 City of Gar1sbad 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 UABILmEs, JUDGEMENTS, 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 requrred rorex-cavations of5'0"deep and demolition orcoos(ructlon ofs(rucl!Jres Oller 3stories rn height
EXPIRATION: Every permrt tSSued by the building Official under the PfOllisions of Code shall exptre by hmrtatton and become null and void If the building or work authorized
by such permit is not commenced within 1 days from the date of such permrt o If the buIldIng or work authonzed by such penmrt Is suspended or abandoned at any time after
the work Is commenced for a peood of 180 ys (SecllOO 106.4.4 Un Build g Code).
APPLICANT'S SIGNATURE _~:..._-1:,,..c.....L:,,,:;,~b~c_--;""-'-"""-=--""'--'=::::...C=-------DATE _____ / __ -~/;~f)~· _-_{)_]__._ __ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/06/2007
Permit# CB071835
Title: LIGHTHOLDER RES INSTALL NEW
Description: A/C UNIT@SIDEYARD
Type: MECH Sub Type:
Job Address: 2832 VIA CONQUISTADOR
Suite: Lot 0
Location:
APPLICANT THOMPSON HEATING & AIR
Inspector Assignment:
Phone: 7604387450
Inspector: L
Owner: LIGHTHOLDER SHARON O SOLE&SEPARATE PROPERTY TRUS
Remarks: AM PLEASE
Total Time:
CD Description Act Comment
Requested By: SHARRON
Entered By: JANEAN
49 Final Mechanical A-I ________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments