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Home My WebLink About2808 WINTHROP AVE; ; CB013410; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-31 -2001 . Mechanical Permit Permit No: CB013410 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2808 WINTHROP AV CBAD MECH 167 4802132 Lot #: $0.00 CARRILLO -REPLACE FAU 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/31 /2001 JM 10/31 /2001 10/31 /2001 Applicant: Owner: 3424 10/31/01 0002 01 02 AAS STE100 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619-677 -5445 CARRILLO LINDA C 2808 WINTHROP AVE CARLSBAD CA 92008 Total Fees: $24.00 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 Additional Fees TOTAL PERMIT FEES Inspector: 1 0 0 0 0 0 FINAL APPRO AL Date: __........,_'/i_t._6_(_ Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 CGP 24-00 $24.00 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 permtt 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Not/J6B/(tD CITY OF CARI..SBAD BUILDING DEPARTMENT 1635 Farad~y Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~::i:_at-ed_B_y-~~~~~-==~:::~:z:/o:-f-/..._· Business Name (at this address) Legal Description ivision Name/Number Unit No. Phase No. Total # of units Proposed Use I/of Stories II of Bedrooms II of Bathrooms 2. CONTACT PERSON 'llf different from·epplicentJ Name Address City State/Zip Telephone# Fax II 4 . 7 ,:x;-m~ Telephone# 5. CONTRACTOR -COMPANY NAME (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 e,;ff~(~f~~l9.a~;;.t,'1. licant fDr a ::,j;rnit subjects theb'.2,ant to a civil penal ?f not more t~~ve hundred dollarsqz.0112-/ Name Address . City S e/Zip Telephone II tf!:::J:;;loj ~17 State License II --:::M::2O 39 License Class B J C, ~, (.., zo City Business License II I o"&J7 d') S4'SS Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION 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 i e work for which this permit is issued. • 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 d. My worker's co~pensation insurance carrier and olicy number are: C:2../ _Q I I J Insurance Company m :::> 4-I Policy No.lc:f?,?;k .. ~-, Expiration Date O 1102- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 ,000), in addition to of compensation, damages as provided for in Section 3706 of the labor code, Interest and attorney's fees. SIGNATURE • DATE /c) •3/-0/ 7. OWNER-B I hereby 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, 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 w ork 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). 0 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). 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 person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):, _________________________________________________ _ 5. 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 ________________________ _ DATE __________ _ COMPLETE THIS SECTION FOR N0N-RESIDENnAL BUILDING PERMITS ONLY 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 25505. 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. 8. CONSTRUCTION LEND.ING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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\' 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced within 180 days from the date of such P!lrmit or if the building or work authorized by such permit is suspended or abandoned al any time afler the work is co menced for a period of 1 BO days (Sec ·on 106.4.4 Uniform Building Code). DATE / 0/ Lfit/_o l APPLICANT'S SIGNATURE \,c.,J.q.~~.L..Ll.~~::.L-#-...ll.~U.....!...J!,!_J..L..=,c_-------_ _ __ I PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/14/2001 Permit# CB013410 Title: CARRILLO -REPLACE EAU --ic---- Description: Type:MECH Sub Type: Job Address: 2808 WINTHROP AV Suite: Lot Location: APPLICANT ARS Owner: CARRILLO LINDA C Remarks: Total Time: 0 Inspector Assignment Ir Phone: 8586775455 EX 204 Inspector: ---- Requested By: TIFFANY Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Af__ Commen~~ Associated PCRs Inspection History Date Description Act lnsp Comments