HomeMy WebLinkAbout2725 WILSON ST; ; CB091376; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-20-2009 Mechanical Permit Permit No: CB091376
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2725 WILSON ST CBAD
MECH
1561302200 Lot #
$0.00
OGRADY RES-REPLACE FAU & A/C
SYSTEMS
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/20/2009
RMA
08/20/2009
08/20/2009
EXCEL AIR CORP OGRADY JULIETTE F REVOCABLE TRUST 02-23-92
361 NATALIE WY 92028
760-723-9294
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
2
0
0
0
0
0
2725 WILSON ST
CARLSBAD CA 92008
Total Fees: $33.00 Total Payments To Date: $0.00 Balance Due:
Inspector: Clearance:
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
$33.00
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
follCM' 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 Cartsbad Municipal Code Section 3.32.030. Failure to timely follCM' 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
«,~
~ CITY OF
CARLSBAD
JOB ADDRESS
725" CT/PROJECT#
EXISTING USE
CONTACT NAME /If Different Fom App/leant)
ADDRESS
CITY
PHONE
EMAIL
EMAIL
ARCH/DESIGNER NAME & ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
PROPOSED USE GARAGE (SF) PATIOS (SF)
APPLICANT NAME
ADDRESS
l~
STATE ZIP STATE
FAX
/SSS-0
CONTRACTOR BUS. NAME C' c;..')(c.,E.,.
ZIP zoa:j
STATE UC.# CLASS
C-J-0
CONSTR. "TYPE DCC. GROUP
FIRE SPRINKLERS
YES O NOD
ZIP qi.~2-9
0
(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 CodeJ or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section ?03 .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:
0 I have and will maintain a certificate of consent to self-insure (Of WOfkers' compensation as provided by Section 3700 of the LabOf Code, fOf lhe perfOfmance of lhe WOfk fOf which this permit is issued.
"fi1 I have and will maintain workers' compensa~o!'as required by Section 3700 of the LabOf Code, for the perfOfmance of the wOfk for which lhis permit is issued. My wOfkers' compensation insurance carrier and policy
numberare:lnsuranceCo. Gt,cara.. wsun. fJD'2u/> PolicyNo. G.Xt.c2 c.. q(){;. '-161 ExpirationDate oa-'3( -2.00'f
This section need not be completed n the permit is for one hundred dollars ($100) °' less.
0 Certificate of Exemption: I certify that in lhe perfOfmance of the work fOf which this permit is iss , I shall nol employ any person in any manner so as to become subject to the WOl1<ers' Compensation Laws of
CalifOfnia. WARNING: Failure to secure work e ation covera e is u awl n I subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dama of o ode, interest and attorney's fees.
_,,IS CONTRACTOR SIGNATURE DATE 08'-dlO-0
I hereby affirm that I am axempl from Contractor's Ucense Law for the following reason:
D 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 Of ottered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself Of through his own employees, provided that such improvements are not intended Of ottered fOf
sale. If, however, the building Of improvement is sold within one year of completion, the owner-builder will have lhe burden of proving lhat he did not build Of improve fOf lhe purpose of safe).
D I, as owner of the property, am exdusively contracling with licensed contractoo 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 Of improves thereon, and contracts for such projects with conlractOl(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section _____ Business and Professions Code fOf this reason:
1.1 personally plan to provide the majOf labor and materials for construction of the proposed property improvement. D Yes D No
2. I (have/ have not) signed an application fOf a building permit fOf the proposed wOfk.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / contractoo' license number):
4. I plan to provide portions of the wOfk, but I have tired the following person to coordinate, supervise and provide the major WOfk (include name/ address/ phone f contractors' license number):
5. I witt provide some of the wOfk. but I have contracted (hired) the following persons to provide the WOfk indicated (include name I address / phone/ type of WOfk):
.Ji5 PROPERTY OWNER SIGNATURE DATE
Is the applicant°' future blilding occupant required to submit a business plan, acutely hazardous materials registratioo form Of risk management and prevention program under Sections 25505, 25533 °' 25534 of the
Presley-Tan~er Hazardous Substance Account Act? □ Yes D No
ts the applicant Of MU<e building occupant required to obtain a permit from the air pollutioo control district Of air quaity management district? O 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
f certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans Is acctJrate. I agree to comply with all City on:linances and State laws relating to building construction.
I hereby auroize represeotawe ol the City ol Carlsbad kl enter upon the above mentbned property for inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 'THE CITY a' CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING a' 'THIS PERMIT.
OSHA: AA OSHA permit is requied for excavations ave,; 5'0' deep and demolition Cl( construction ol slruciJres ave,; 3 stories in heght.
EXPIRATION: Every permit issued by the Buikling Offcial the provisbnsof lhis shall e • 1m· • and become nul and voiU the buidi'lg ()(Y,00( autiorized by such pemit is not conmenced within
180days from tie dale of such pemitOf W id' authorized by ,[llllOOll"Ol'.-lOaAoooeoalanytine afterthel'oOO(iscoomencedfora perixl ol 180days(Section 106.4.4 Urmm Buikling Code).
~ APPLICANT'S SIGNATURE DATE t}#-;lO-OJ
City of Carlsbad Bldg Inspection Request
For: 09/11/2009
Permit# CB091376
Title: OGRADY RES-REPLACE FAU & A/C
Description: SYSTEMS
Type: MECH Sub Type:
Job Address:
Suite:
Location:
2725 WILSON ST
Lot: 0
Inspector Assignment:
Phone:
Inspector:
OWNER OGRADY JULIETTE F REVOCABLE TRUST 02-23-92
Owner: OGRADY JULIETTE F REVOCABLE TRUST 02-23-92
Remarks:
Total Time:
Act Comments
Requested By: JULIET
Entered By: CHRISTINE
CD Description
43 AirCond/Furnace Set
~f:(M1L gµ __ _
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments