HomeMy WebLinkAbout1280 YOURELL AVE; ; CB081689; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-04-2008 Mechanical Permit Permit No: CB081689
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1280 YOURELL AV CBAD
MECH Status:
Parcel No: 1560310300 Lot #: 0 Applied:
Valuation: $0.00
Reference #:
PC #:
Project Title: GALLENO RES ADD NC UNIT@ SID
YARD
Applicant:
LEGEND SERVICE
SUITE 15
2588 PROGRESS ST
VISTA CA 92083
760-631-8397
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:
GALLENO MICHAEL&ANGELA G
1280 YOURELL AVE
CARLSBAD CA 92008
Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due:
FIN L
Inspector: Clearance:
ISSUED
09/04/2008
KG
09/04/2008
09/04/2008
$1 5.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$0.00
$44.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' ol fees dedications, reseivations, or other exactions hereafter collectively
referred to as 'lees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these lees/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 loc
processing in accoo:lance 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, oc annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified lees/exactions DOES NOT APPLY to water and S8'N8r connection lees and capacity
changes, nor planning, zoning, grading or other similar application processing oc service lees in connection with this project. NOR DOES IT APPLY to any
f • I whi h h v r vi N Tl E imil r hi • f limi i ·ti • h
City of Carlsbad Plan Check Nol ~Of/~_
1635 Faraday Ave., Ca rlsbad. CA 92008
760-602-27.J.7 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
CT/PROJECfi
Est. Value
Plan Ck. Deposit
Date q -<-{-Oy
SUITE#/SPACE#/\JNIT# APN
ii BATHROOMS I TENANT iiusiNm NA
----13 s ee
E I occ. GROUP
----r Carrie,
EXISTING USE GARAGE (SF)
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
APPLICANT NAME
ADDRESS
CITY
PHONE
EMAIL
STATEllo g 5 l/ /
AIR CONDITIONING FIRE SPRINKLERS
NO □ YES □ NO □ YES □ NO □
STATE ZIP
FAX
CITY BUS. LIC.# I 1:257
/ltc. 7031.S 8u1int11 and Proft11ion1 (odt: Any Ciry or Counr, which rtquirt1 a ptrmit 10 conurucL ahtr1 impro,,. dtmolilh or rtP.air any ltrvcturt1 prior co iu i11uanct. ako rtquirt1 tht applicant for 1uch permit to file a 1igntd 1Dttmtnl that ht i1 tim1td J)uriuant 10 tht provi1ion1 of 1ht Contractor, Lictn1t Law {Chapltr 9, commtnding wi1h ltction 000 of Oivilion 3 of tht 8u1int11 and Pro1t11ion1 Codt} or that ht ii mmpt thmlrom. and tht bam for tht alltgtd mmption. Any violation of ltction 7031.S by any applicant for a permit 1ub~cu tht applicant to a civi ptnalry of not mort than fivt hundred dollari {SSOO}).
Wor1<ers' Compensation Declaration: I hereby aff,rm under penalty ol perjtxy one ol the following declarations:
0 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 perlonnanc:e of the work for which this permit is issued.
~ave and will maintain wop sf R:ensatlon, as required by Section 3700 of the Labor Cod7. l0f the perlofmance of the work l0f which t~t is issued. My workers' compens4 insu~ c..-rier a_!Ld rt:Y
numberare:lnsuranceCo. ' f. :ff\9~ranc.R < s:,1 C s PolicyNo •. W5 NO 4 7Cf--()/ration0ale -: -o
Th,s section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wor1<ers' compensation coverage Is unlawful, and shall subject a employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In !lection 3706 of e Labor c e, Interest attorney's fees.
,,1$ CONTRACTOR SIGNATURE ~
•
I hereby aff,rm that tam exempt from Contractor's License Law for the following reason
□ I. as owner of the p<0perty or my employees with wages as their sole cornpensat10n. will do the work and the structure ,snot intended or offered for sate (Sec 7044, Business and Profess,ons Code. The Contractor's
License Law does not apply lo an owner or property who builds or improves thereon. and who does such work himself or through his own employees, provided that such improvennents are not intended or offered for
sate II, however, the building or improvement is sold within one year of completion. the owner-builder w,11 have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors License Law does nol 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).
□ I am e,empt under Section ___ Business and Professions Code for lhis reason:
1 I personally plan lo provide ihe major labor and materials for construction of lhe proposed property improvemenl O Yes □ No
2 I (have / have not) signed an application for a building permit for lhe proposed work.
3 I have contracted with lhe following person (firm) lo provide the proposed conslruct,on (include name address I phone / contractors' license number).
4 I plan lo provide portions of the work. but I have hired the following person to coordinate, supervise and provide lhe major work (include name / address/ phone I contractors· license number)
5 I will provide some of the work, but I have contracted (hired) the followlng persons lo provide lhe work indicated (include name I address / phone I type of work)
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registralion 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 lhe applicant or future building occupant required to obtain a permit from lhe air pollution control district or air quality management district? 0 Yes □ No
Is the facility to be constructed within 1,000 feet of the outer bound..-y 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 AND THE AIR POLLUTION CONTROL DISTRICT.
t certify that I have read the application and state that the a~ Information Is conect and that the infom1ation on the plans Is accurate. I agree to c:omptywtth all City ordinances and State laws relating Ill building construellon.
I hereby authorize representawe of lhe City of Car1sbad to enter upon lhe above mentioned property for nspedicJl purposes. I Al.SO AGREE TO SAVE, INDEM-JIFY AND KEEP HARM-ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES ~ICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA. An OSHA pem,it is requi'ed for excavations CNer 5'0' deep and derrdition CJ( construction rJ structures <:Nef 3 stories i1 height.
EXPIRATION: Every pe,mit issued by lhe &Jilding Official IXlder lhe prll\lisms of lhis Code shaA expi'e by frnitaoon and become nul and void W lhe buildilg CJ( WOl1( authorized by such pe,mit is not coo meuc:ed v.1ltlil """"'""'""""""-·'""""' .... ~"""'-J-~ .............. '""""""'"·-· '"'""''"""' '"'·'·'--.... C.,,).
,.15 ~P_P_u_CAN_T'_s _s,_G~ATURE A"[<----: -,..,--,~ .. ,~~~...,,;...c.:~·;::;~~:....J-==-::==:_ __________ D_AT_E __ 9 __ -__ .__ _ _,.~~'-------------'
City of Carlsbad Bldg Inspection Request
For: 03/03/2009
Permit# CB081689
Title: GALLENO RES ADD AJC UNIT @ SID
Description: YARD
Type: MECH Sub Type:
Job Address:
Suite:
Location:
1280 YOURELL AV
Lot:
APPLICANT LEGEND SERVICE
0
Owner: GALLENO MICHAEL&ANGELA G
Remarks: 10-12
Total Time:
CD Description
44 Rough/Ducts/Dampers
49 Final Mechanical
i Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7607209660
Inspector:
Requested By: ANGELIA
Entered By: JANEAN