HomeMy WebLinkAbout2823 VIA CONQUISTADOR; ; CB111597; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-22-2011 Mechanical Permit Permit No : CB111597
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2823 VIA CONQUISTADOR CBAD
MECH Status:
Parcel No: 2225923300 Lot #: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: MALONE RES-ADD NEW A/C UNIT
NO NEW ELECTRIC OR DUCT WORK
Applicant:
G.V.K. MECHANICAL SERVICES
4043 50TH ST
SAN DIEGO CA 97105
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
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
TRAN VIVIAN
2732 SOLAR FLARE LN
HENDERSON NV 89044
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
FINAL AL
ISSUED
07/22/2011
RMA
07/22/2011
07/22/2011
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Inspector: Date: _......,_ ___ --'--'-/. Clearance: _____ _
$0.00
NOTICE: Please take ,NOTICE th . approval of your project includes the "lmpositio~" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." u 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 th~ir 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
fees/exactions of which ou have reviousl been iven a NOTICE similar o this or as to which th statute of limitations has reviousl therwise ex ired.
~ «..: .. ~
~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT #
DESCRI
EXISTING USE
APPLICAPlf NAME (Primary Contact)
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
PROPOSED USE
Fax: 760-602-8558
www.carlsbadca.gov
# BATHROOMS
PATIOS (SF)
Plan Check No.
Est. Value
TENANT BUSINESS NAME
DECKS (SF) FIREPLACE
YES □# __ NOD
APPLICANT NAME (Secondary Contact)
A
II Sil
SWPP
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES D NOD
CYV!,/\
I tJ
(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 exemgt 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 ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 performance of the work for which this perm ii is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of lhe Labor Code, for the performance of lhe work /or which this permit is issued. My workers· compensalion insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
Certificate of Exemption: I certify that in the performance of lhe work for which lhis permit is issued, I shall not employ any person in any manner so as to become subjecl to the Workers· Compensalion Laws of
~
ection need not be completed if the permit is for one hundred dollars ($100) or less.
rnia. WARNING: Failure to secure workers' 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, damage • I0n 3706 of the Labor code, interest and attorney's fees.
_g CONTRACTOR SIGNATURE GENT DATE / /
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ 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 himsett 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).
□ 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).
□ 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 / phone/ 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 / 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 I address /phone/ type of work):
_g PROPERTY OWNER SIGNATURE □AGENT DATE
City of Carlsbad Bldg Inspection Request
For: 09/01 /2011
Permit# CB111597
Title: MALONE RES-ADD NEW AJC UNIT
Description: NO NEW ELECTRIC OR DUCT WORK
Type:MECH Sub Type:
Job Address: 2823 VIA CONQUISTADOR
Suite: Lot: 0
Location:
APPLICANT G.V.K. MECHANICAL SERVICES
Owner: TRAN LILLIAN
Remarks:
Total Time:
CD Description Act Comments
44 Rough/Ducts/Dampers M 49 Final Mechanical
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: ~
Phone: 3016137328
Inspector:
Requested By: JAMIE
Entered By: JANEAN