HomeMy WebLinkAbout2707 WATERBURY WAY; ; CB090766; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-08-2009 Mechanical Permit Permit No: CB090766
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2707 WATERBURY WY CBAD
MECH
Parcel No: 1674411 200 Lot#
Va luation: $0.00
Reference #:
PC #:
Project Title: CARBONI: REPLACE FURNACE
Applicant:
AMBIENT HEATING & AIR
3037 COLUMBIA ST
SAN DIEGO
92103
619-454-4975
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
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/08/2009
JMA
05/08/2009
05/08/2009
CARBONI JOSEPH V&DAVID-CARBONI JOYCE
2707 WATERBURY WAY
CARLSBAD CA 92010
$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: Clearance: _____ _
$0.00
NOTICE: Please take NOTICE that pproval 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
• of which ou have I limi ations has revi
Citv-of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-002-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
SUITE#/SPACE#/UNIT#
Plan Check No. CB b
Est. Value
Plan Ck. Deposit
APN
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 1 OCC. GROlJP
r
1-,,-,,~==~-=~---'--~---,...,..,J'----..,....L---.,__ ___ __._ ____ ___,_ _____________ _,_ ____ [_ __ _
DESC e Square eet of Affected Area s ~Tc.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING
YES □ NO 0
FIRE SPRINKLERS
YES □ NO 0
CONTACT NAME (If Different Fom App/leant) •
ADDRESS
CITY STATE ZIP
EMAIL
PROPERTY OWNER NAME
ZIP 92t' d3-
o --/6"ei~-----
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
floe. 701 l.l Businm and Profmions Code: Any City or County which requires a permit to construct, alter improve, demolish or reP.air any nructure prior to its issu,n(!, also rtquiru tht applicant for such ptrmit to fi sign,d mI,m,nI t"1;i ho is ricmtd J)ursuant 10 tht pro,isions of th, Contractors Li<!OI! Law {Chaplor 9, commtnding with lmion iOOO of Otvision l of tho Businm and Pro/mions Cod,} or that he is mmpt thtrt from, and Ih, basis for th, ,11,god mmpIion. An: ·••lation of lmion 7031.1 by any applicant for , pormit subj,m th, applicant to a ci,il penalty of not more Ih,n fi,e hundred dollars {SI00)).
Workers' Compensation Declaration: I hereby affirm under penally of perjury ooe of /he following declarations:
D I have and will maintain a certificate of consent to self-Insure for wO<kers' compensation as provided by Section 3700 ol lhe Labor Code, for Iha performance of the work for which lhis permit is issued.
0 I have and will maintain. workers' compensation, as required by Section 3700 of lhe Labor Code, for lhe performance of the work for which this permil is issued. My workers' compensalioo insurance ca•r,9r a 1tl policy
number are: Insurance Co. _______________________ Policy No. _______________ Expiralioo Dale _______ . _____ _
lion need nol be completed if the permit •
rtificate of E"xemption: I certify t •
ia. WARNING: Failure to
addition to the cost of compensation,
ed, I shall nol employ any person in any manner so as to become subjecl lo lhe Workers' Compensalion Lavi, of
ubject an employer to criminal penalties and civil fines to one h dred thousand dollars (&100,U,O), In
code, In and attorney's fees.
25 CONTRACTOR SIGNATURE
I hereby affirm that f am exempt from Coolraclor'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 slructure is nol intended or oflered tor sale (Sec. 7044, Business and Professions Code: The Ccr.tr3ctor's
License Law does not apply to an owner of properly who builds or improves !hereon, and who does such work himself or through his own employees, provided lhal such improvements are nol intended or ct:ered for
sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have lhe burden of proving that he did not build or improve for the purpose of sale).
0 I. as owner of the property, am exclusively contracling with licensed contractors to conslrucl lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of
property who builds or improves !hereon, and conlracts for such projecls with contractor(s) licensed pursuanl 10 lhe Conlractor's License Law).
□ I am exempt under Section _____ ,Business and Professions Code for this reasoo:
1. I personally plan lo provi~e lhe major labor and malerials for construclion of the proposed property improvement. 0 Yes □ No
2. I (have I have nol) signed an application for a building permil for lhe proposed work.
3. I have conlracted with lhe following person (firm) to provide the proposed construction (include name address I phone I contractors· license number):
4. I plan 10 provide portions of lhe work, but I have hired lhe following person lo coordinale, supervise and provide the major work (include name/ address/ phone/ contraclors' license number):
5. I will provide some of the work, bul I have contracted (hired) the following persons 10 provide the work indicaled (include name/ address I phone/ type ol work):
_g PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submil a business plan, acutely hazardous materials registralion form or risk managemenl and prevenlio~ program under Sections 25505, 25533 or 25534 ol .~e
Presley-Tanner Hazardous Subslance Account Acl? □ Yes O No
Is lhe applicant or fulure building occupanl required to oblain a permil from the air pollulion conlrol districl or air qualily managemeni district? □ Yes O No
Is the facility to be constructed within 1,000 reel of the outer boundary of a school site? O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building conwuction.
I hereby authorize representative of lhe City o --.-:-:-~-· property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS[i~D
AGAINST ALL LIABILITIES, JUDGMENT IN NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for e lruclion of structures over 3 stories in height.
EXPIRATION: Every permit issued by lh ,,~.._.,,,,,,,'h.,,i:-, ode shall expire by limitation and become null and void if the building or work aulhorized b such permrt is not commenced within
180 days from lhe dale of such permit or i it is s d or abandoned at any lime after the work is comme~ ·oo of days (Section 106.4.4 Uniform Bulr1ing r;:xJe).
25 APPLICANT'S SIGNATURE '·"""--v DATE o/4'. ~ '
~··
~
City of Carlsbad Bldg Inspection Request
For: 05/12/2009
Permit# CB090766 Inspector Assignment:
Title: CARBONI: REPLACE FURNACE
Description:
Type: MECH Sub Type:
Job Address: 2707 WATERBURY WY
Suite: Lot: 0
Location:
APPLI CANT AMBIENT HEATING & AIR
Owner: CARBONI JOSEPH V&DAVID-CARBONI JOYCE
Remarks:
Total Time:
Phone: 7605182658
Inspector: ----
Requested By: NA
Entered By: CHRISTINE
CD Description
43 AirCond/Furnace Set ~c_o_m_m_e_n_ts----~J..,,,.LC:::...._ ...... L.____::J:;__ _________ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments