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HomeMy WebLinkAbout2640 VISTOSA PL; ; CB100756; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-04-2010 Mechanical Permit Permit No: CB100756 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2640 VISTOSA PL CBAD MECH Status: Parcel No: 2162506400 Lot#: 0 Applied: Valuation: Reference #: PC#: Project Title: Applicant: $0.00 WALSH RES-REPLACE FAU AND DUCTWORK WEST COAST APPLIANCES SUITE B 10728 PROSPECT AV 92071 619-557-0446 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fi replace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOT AL PERMIT FEES 2 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: WALSH CASEY P&BETH 2640 VISTOSA PL CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: Clearance: ISSUED 05/04/2010 RMA 05/04/2010 05/04/2010 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 NOTICE: Please take NOTICE that proval of your project includes the "Imposition" of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You ve 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 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. «~~ ~·CI TY OF CARLSBAD EXISTING USE CONTACT NAME (ff Different Fom Applicant) ADDRESS CITY PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2119 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # BATHROOMS PROPOSED USE GARAGE (SF) PATIOS (SF) APPLICANT NAME ADDRESS '1.Jot.{O STATE ZIP FAX CONTRACTOR BUS. NAME EMAIL STATE LIC. # STATE UC.# <l: 0~ Plan Check No. Est. Value Plan Ck. Deposit Date CLASS <:.\0 10 0CC. GR UP FIRE SPRINKLERS YES □ NO □ (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 {Cha'fter 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 703 .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 penally of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for wa,kers' ca,npensation as provided by Seclion 3700 of the Labor Code, for the pertO<mance of the wOfk for which this perm ii is issued. ~::;:~e~~:u~=i~ 3700 of the LabO<Code, for :::~t~~~stZ. My :::::ns1!i1rn rro ~icy This section need not be completed if Iha permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the perfom,ance of the woo for ich this permit is issued, I shall not employ any person in.any manner so as to become subject to the Wooers· Ca,npensation Laws of California. WARNING: Failure to se e workers' compensation cove g Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), In addttlon to the cost of compensation da ges as provided for in Sect 706 of the Labor code, interest and attorney's leas. ~ CONTRACTOR SIGNATUR I hereby affirm that I am exempt from Contrector's Ucense Law for the following reason: □ I, as owner of the properly or my employees with wages as their sole compensation, will do the wa,k and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and who does such wOfk himself or through his own employees, provided Iha! such improvements are not intended or offered for sale. If, however, Iha building or improvement is sold within one year of completion, Iha owner-builder will have the burden of proving Iha! he did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors lo 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 contraclor(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 lo 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 wOfk. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone / contractors' license number): 4. I plan to provide portions of the wa,k, but I have hired the following person to coordinate, supervise and provide the major wOfk (include name I address I phone / contractors' icense number): 5. I will provide some of the wa,k, but I have contracted (hired) the following persons lo provide the wa,k indicated (include name I address I phone / type of wOfk): _,1$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, aC1Jtely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the ' Presley· T.enner Hil?jlrdous Substance Account Acri D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 certify that I have read the application and state that the above Information Is oorrect and that the Information on the plans is accurate. I agree to oomply with all City ordinances and State laws relating to building construction, I hereby authorize representative of the City of Carlsbad b enter upon the above menooned 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: AA OSHA pem1ij is required br excavations over 5'0' deep and demolition or·,ms~:tionof strucll.res over 3 sbries i1 height EXPIRATION: Every pemlit issued by the • • Offcial under the provisions of e shall expie by lin~tion and become nun and YOO w the buidi'lg or WOO( authorized by such per1T'it is not cxmnenced 'Mm 180 days from the date of such per1T'it a if b i1g orwori( authorized by such • is suspended or abandoned at any tine afler the wori(DisATEcommencedofor ~r ~ :: (~06.4.4 Ll'lbm BuikJiig Code). ~ APPLICANT'S SIGNATURE ~ \ c V ~ \ V . (I City of Carlsbad Bldg Inspection Request For 05/13/2010 . Permit# CB100756 Title: WALSH RES-REPLACE FAU AND Description: DUCT WORK Type: MECH Sub Type: Job Address: Suite: 2640 VISTOSA PL Lot: 0 Inspector Assignment: Phone: 8052357950 Location: Inspector: ---- OWNER WALSH CASEY P&BETH Owner: WALSH CASEY P&BETH Remarks: A M PLEASE Total Time: Requested By: BETH WALSH . CD Description 43 AirCond/Furnace Set ¥-Comz~d By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments