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Home My WebLink About2120 VUELTA CT; ; CB044207; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-22-2004 Mechanical Permit Permit No: CB044207 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Va luation: Reference #: Project Title: ~- ~ 4580 WARDS SYN SAN DIEGO 2120 VUELTA CT CBAD MECH 2164921500 $0.00 GAY RESIDENCE REPLACE FAU W/NEW A/C 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 Status: Lot#: 0 Applied: Entered By: Plan Approved: 1 0 0 0 0 0 Owner: GAY PAUL&SUSAN 2120 VUELTA CT CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 11 /22/2004 MOP 11 /22/2004 11 /22/2004 $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: $0.00 Balance Due: $24.00 Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE u\ ;:.a le>stGNATURE_u.olw~~---6010 11/22/04 0002 01 CGP FINAL APPROVAL 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 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 ees/ xa 02 24°00 t'Ul1 Ut't'll,;I:. U~I:. UNL Y PERMIT APPLICATION -,, ) ' PLAN CHECK NO.QC..,\,.. tj'LOl CITY 'OF OARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date. _______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II Existing Use Proposed Use Name Address City State op Telephone II Fax II -~.,oEi!:=----1:::::.....;=...:i...-t...-· _· --+J.~!.....!.:...aal..L:L.4,_,_ ___ ----=~~'---'~-~.;_~_;.s_;.•f.·_:'.'_~_·•~_\~_i:_._~ _· _ _..__ ___ ...::.,__s 1_~ ~ .::r Address City State/Zip Telephone II i;i,CW~~~&:;,i!R~~~ '1ic.~£i.FJ.~iff.ilr~;.!,"l.i~l~ Address S,tate/Zip R.\Jt..:1-~..:'"'~~• .... Telephone II (Sec. 7031.6 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 exem~tion. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalt'{l>f r:io! more tha,!J.,fiv,e_ ~undred do ars ($500J). A/2-1~ ~c...yj,v.) ~ ~ ,A-LW.-1'-,q'J"'-( /\/ J \f )f S Name Address City State/Zip State License II License Class _________ _ Designer Name Address City State/Zip Telephone State License II __________ _ -:-w.18 -•os ' ·-~ -·· ----~ ... \' ,,.,,~!'..:},,,~lb.J.~~-1~•1.'~1a~~,ra,•!'S'-~~ 1£1..l.i:J...:!~l.$.z1.lJJ;i,ti~~~;i~,.< .. .t&li""TJf. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 c ensati&, ~ce carrie.r and policy number are: .-, J Q'\ Insurance Co~pany --'-LL--·-=-\; _____ __:__________ Policy No. ".3. \ ' • C> C(!) 0 0 8C, Expiration Date __ _j_ ....... -+f------~r--- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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 be~ome· subject to the Workers' Compensation Laws of California. WARNING: Failure to neut• worllara' compenaatlon coverage la unlawful, and ahall aubjact an employer to criminal paneltiea end civil finea up to one hundred thousand dollera ($100,000), In addition to the coat of compenaatlon, demagea aa provided for In Section 3706 of the Labor code, lntereat and attorney's fa111. ·=TURE. ________________________________ =· _DATE-----:--:,..-,....,-,-:~.,,,-:..,,-,-- ·1 heieby affirm that I am exempt from the Contractor's License Law for the following reason: O 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, 1;11.!siness aod Profassio.ns Code: The Cootractor'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 fo• 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'• License Law) • . 0 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. 0 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 parson to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):·------------------------------------------------~- 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. __________________________________________________ _;_ _____ _ PROPERTY OWNER SIGNATURE -------------------i-----• DATE _________ _ 002.MRmJli:ID~~~tlQ&Jm.8:H.etll8Eil~l!P]iifm.tir&tdllY~ffoifil'i.~~~lflRiif~'/d"d;t.'..l1~~aiiir.~~it" .. Zl!Mti~ 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 26506, 26533 or 25634 of the Presley-Tanner Hazardous Substance Account Act?-· 0 YES O NO Is the applicant or future building occ.upant 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 sita7 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. ~ .'-®t!HY~JfJti[:-gyK,q_trt~·,. ':i; 'Wt'1,f;!rl~':°'\1';ilj~f~i1~\<>fJ~~C~J.i:.~~t~;;J>;:.i~?~,~$:~ ·i'ft•.~~ 't..i01:~L~.~:;£;s1:i".:di:i'.t..;;:,.,, .. l_ItJ:i,~j1!,,~~ 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). ~~i··i"i , i~ij"'i=i.~~·i-i!·i· ,i ~i·iiiiii~i,:;~·:di~·~~~~~~lli.~~,Z;b'.~"J:;.:~7;;~ 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 buildi construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO A R E TO SAVE, INDEMNIFY ,AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH A IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excava ons ver 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permil issued by the b i g fflclill under the provisions of this Code shall expire by limitation and become null and void ii the building or work aulhorized by such permit Is not commence wi 1n 1 O days from the date of such permit or II the building or work authorized by such permit Is suspended or abandoned at any time alter the work is commenced I r a erio ol 1BO days (Section 106.4.4 Uniform Building Code). 4 • APPLICANT'S SIGNATURE -----,f-"""'=::z';::,,L-"-;---------------DATE It -2.,_Z. ,--~ HITE: File YELLOW: Applicant PINK: Finance