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HomeMy WebLinkAbout2713 VIA FESTIVO; ; CB992084; PermitMW 06/01 /1999 City of Carlsbad Mechanical Permit Permit No: CB992084 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2713 VIA FESTIVO CBAD MECH Status: ISSUED Parcel No: 1673005500 Lot#: 0 Applied: 06/01 /1999 Valuation: $0.00 Entered By: JM Reference #: Plan Approved: 06/01 /1999 Issued: 06/01 /1999 Project Title: REPALCE FAU & INSTALL ACW50AMP lnspectJO-:m:ti 06/01/99 0001 01 C-PRMT Applicant: CAINS CURTIS L&LAURA M 2713 VIA FESTIVO CARLSBAD CA 92008 Owner: CAINS CURTIS l&LAURA M 2713 VIA FESTIVO CARLSBAD CA 92008 Total Fees: $53.00 Total Payments To Date: $0.00 Balance Due: 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 TOTAL PERMIT FEES 2 0 0 0 0 0 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $53.00 $53.00 FINA'i$/ifVAL Date: Clearance: _____ _ 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 capactiy 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 to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 53-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. Cfi2fJt31_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. __________ _ (760) 438-1161 1, PROJECT l~FOf\MAllON Business Name (at this address) Phasa No. Total # of units Assessor's Parcel #MIU' 00'7 51 Name Address City State/Zip Telephone# Fax# (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 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 ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. W,PIJKE Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 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 permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED 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. WARNING: Failure to secure workers' compensation coverage la unlawful, end shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, Interest and attorney's fees. SIGNATURE DATE 7. -OWNER•l,UJL~JUiE~,w.m-----------, --~ -:::;~;;:=:it.i::i,i~l.C.~ . ~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: NI 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 ~c. 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). O 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 7 0'ftf Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property impro~ement. ~ 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):. ______________________________________________ _ :, wolr:tll provide some of the wo~ut I have contract~e following persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE Cwt-a L ~ DATE & -1 ~ 1 z fCOl')'lei.m,THLS,J!;ECTIQ!i..FOPJION~JJiY.:,_OYIL~f!IG_.,~T§3)1ilJ:, .. w1"',;,-----· ------•----- 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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. -~(lliSTBl,IC.TION ~!~GE~N,.c~v,_ .. __ ......, __ _ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309711) 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 hereby authorize representatives of the Cit\r 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 LIABILITIES. 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the pro~sions of this Code shall expire by limitation and become null and void if the building or work authorized by such perm~ not commenced within ~ days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time afte work l!j. comiyence or a ~eriod of 180 days (Section 106.4.4 Uniform Building Code).! APPLICANT'S SIGNATURE , J.... • DATE (g -I -99 WHITE: File YELLOW: Applicant PINK: Finance -. City of Carlsbad Inspection Request For: 8/17 /99 Permit# CB992084 Title: REPALCE FAU & INSTALL ACW30AMP Description: Type: MECH Sub Type: Job Address: 2713 VIA FESTIVO Suite: Lot 0 Location: APPLICANT CAINS CURTIS L&LAURA M Owner: CAINS CURTIS L&LAURA M Remarks: PM PLEASi) _/_ Total Time: CD Description 43 AirCond/Furnace Set Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607204892 ~ Inspector: Requested By: CURTIS CAINS Entered By: CHRISTINE