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Home My WebLink About1758 YOURELL AVE; ; CB052102; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-06-2005 Mechanical Permit Permit No: CB052102 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1758 YOURELL AV CBAD MECH Status: Parcel No: 1560510700 Lot#: 0 Applied: Valuation: Reference #: ""'--';.;.!,2:~PTOURESS ST VISTA CA 92083 760-631 -8397 $0.00 SHAW RES INSTALL A/C W/ ELEC 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: SHAW JOSEPH J&BEVERL Y F 1758 YOURELL AVE CARLSBAD CA 92008 Total Fees: $44.00 Total Payments To Date: $0.00 Balance Due: ISSUED 06/06/2005 SB 06/06/2005 06/06/2005 $1 5.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $44.00 PE~t~!T 4AS EXPIRED IN ACCORDANCE WITH C.B.C. SEC i 10N 10i:l.4.4 AS AMENDED BY C.M.C.18.04.030 Inspector: DATE <,\.~lo£4 31Gt~ATURe_atuf:..::=---- FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 Ca~sbad 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f xactions of which ou have r vi usl been iven a NOTI E similar t thi or t whi th tat e of limitation h reviousl otherwi '.)2 PEJ{MIT APPLICATION • FOR OFFICE USE o~v aS"' PLAN CHECK NO .C\J l, ~ cJ ?_, < CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit~~------- Validated f y ✓!' Date ,l,t~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units isting Use -(h e_e-- Description of Work SQ. FT. #of Stories II of Bedrooms II of Bathrooms ~ <:ONJA(;,T Pl6$0N .l!f ~IA!lt trom.·11>P11c-'1tl Name City State/Zip Telephone# Fax II Name ,6,, .. C.OJ\ITMCJPIL·(;Oft1PANYJ~E ·:. , -·-i. ~--! '.~ ,, 1 " (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 exemp ·on. Any violat· n of Section 70rce by any applicant for a permit<gubjects the applicant to ~ civ"I penalty : not m~tha5~~undred d9a-35Z;). (?6C)J Name City tate/Zip / elepho e II bJ/ ---C.J?7 State License I -------~~--License Class ---=:;;_=--=---City Business License ,;;L/Q 91/.....3 Designer Name Address City State/Zip Telephone State License I _________ _ [f, ·_.w_g81(eM• (;P.M.li'lNlA'tlON' !• , • , ~· ,··: ".'' ·,t,-, i. .. '.: • 1-." .i, ;; , · ,,_ -c Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have • will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance for which this permit is issued. 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 com ensati9n insurance carrier and policy number • :;z Insurance Comp ( ' 'IO , • $,~licy No. ft/) f O 3 0 / 1, 3 -5 --0'--fxpiration Date b ,--d--' 'f --0 5 NORED DOLLARS ($100) OR LESS) ....__ ~,,---TIFICATE 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 a■cure W9fkera' comp■na11tlon cover■g■ I• unlawful, ahall aubject an employer to criminal penaltlu and clvll fines up to one hundred thou•and doUar . 00,000), In 9ddltlon to the at of com tlon, dam!JAl~l"!ll'-Pl:Ovlcled for In Section 3706 of the Labor code, Interest and attorney's feea. SIGNATURE DATE k::2 -b -OS '?~,-.OWNQI -' " ~'l'IQI!! '.I{ ,i, •: ~ ' '.~ I;. : ,, •• ,. ' I ' I hereby affirm am exempt from the Contractor'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 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 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 for the purpose of sale). 0 I, es 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. ( 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 ------------~CQM&HE iHJl'leCJION~fQR W~Pl7ML'Jll.llJallJNG:Pl.6Mlts.'O-cNtY ._uu~ ·~-~ ...!:~,~·i -,.· ,.., '.l 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 25605, 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 7 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. lll, ..... ~S'.fRl,/Cll.QN ~~Q!r•l<f~GU,11,y,._" ,., ., ...u. ', w •• 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 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 Citt 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 d~s from the date of such permit or 1f the building or work authorized by such permit Is suspended or abandoned at any time after the work is com e ed for a period of ~ days (Secti n 106.4.4 Uniform Bu1I • ode). / -I _, 0 c:::_ APPLICANT'S SIGNATURE -~-,L--,,,...---;;JU.'-",~~i::551.__.o!:::::;:,!:.--6,a:-l,:.,....,....::::::,,,a_.L.,I-----DATE __ \o ____ \O _____ U=:;__ __