HomeMy WebLinkAbout1029 DAISY AVE; ; CB031742; Permit06-25-2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No CB031742
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1029 DAISY AVCBAD
MECH
2144012000
$000
Lot#
MCBRIDE RES- INSTALL NEW FAD
Status ISSUED
Applied 06/25/2003
Entered By CB
Plan Approved 06/25/2003
Issued
Inspect Area
06/25/2003
Applicant
MCBRIDE JOHN B&LAUREN J
1029 DAI SYAVE
CARLSBAD CA 92009
438-9284
Owner
MCBRIDE JOHN B&LAUREN J
1029 DAISY AVE
CARLSBAD CA 92009
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
1
0
0
0
0
0
$1500
$900
$000
$000
$000
SO 00
$000
$000
$000
TOTAL PERMIT FEES $2400
Total Fees $2400 Total Payments To Date $000 Balance Due $2400
8228 06/25/03 0002 01 02
CGP 24.00
Inspector <$L FINAL APPROVAL
Clearance
NOTICE Please take NIJjTIC^that aiJ6ji*vSrof your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" You have 94 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 \nJ3overnment 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 wilh this project NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
b
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CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
11. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK
EST VAL
Plan Ck Deposit
Validated
Date (6
Address (include Bldg/Suite
/ OAJ)
Legal Description
Assessor s Parcel &
Description of J/VDrTT
7
n. o
tV^vSVJ
£ °(d" n
y/A VjL^O 0
s\ Business Name (at this'fUr^UxzJl L
Lot Nb Subdivision Name/Number
P r*
(Existing Use
SQ FT
* i
x \— ^ Vtty.^ v
#of Stories I
21es^?a-
Unit No
Proposed
1 £ j/t^ Q^
•CrC q
Phase too
Use
tt of Bedrooms
Total tt of units
# of Bathrooms
2; CONTACT PERSON (if different from applicant)
Name Fax #
M ,'^V^;7^>L,:^V/f«U
Name Address City State/Zip Telephone #
(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
exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
Name
State License #
Address
License Class
City State/Zip
City Business License tt
Telephone #
Designer Name
State License *
Address City State/Zip Telephone
6; WORKERS'COMPENSATION -. - ' . .- :. • ' ': ^.... ••-\ ,•-.'-• ,,' • . ": . ..: : '. ::>:;;T •>••-•••
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
[~] | 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 compensation insurance carrier and policy number are
Insurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
f~l 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 ($100 000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
^SIGNATURE DATE
\/7. :?:t)WNER;BUILDER; DECLARATION I - ' "/' -- •„ -':","', " ' ; ';: " . .., ...k:.- .."••' . V """' •••'••• •. \ '. '>i:> i:h:'":: -,•,•• ::«
Z^\ I hereby affirm that I 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)
Xff 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)
PI 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 l~1 YES l~lNO
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)
^ b I will provide some of the work, buyf^[ have contractedjhired) the following persons to provide the work indicated (include name / address / phone number / type
/of work)
•actgdJhM'ed)
/ \ROPERTY OWNER SIGNATURE DATE (,0
COMPLETE ffHIS SECTIQN'FOR/VO*«JE£«
Is the applicant or future building occupant Inquired 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? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~) YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [~l YES C] 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
i8. ..- CONSTRUCTIONI LENDING AGENCY : ^ -f ,,.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER'S NAME LENDER S ADDRESS _____
9. APPLICANT CERTIFICATION ' 'i',-f ' ';•""'"" '" ,: - . . ::'f: .. r , l'! " - •" ....' ..'••"•"•. ' ' " i,,::/ . :' ,i, ^'"""-'
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 CitV 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
authorize 1 by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any til rafter the work is corrfrnencadtot^a^jeiiod of 180 days (Section 106 4 4 Uniform Building Code)
x/APPLICA S SIGNATURE §-Kv\^~^ "^^^^1^ DATE
h/* jjf [_ V WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 07/18/2003
Permit* CB031742
Title MCBRIDE RES- INSTALL NEW FAU
Description
Inspector Assignment -3 P^
Type MECH Sub Type
Job Address 1029 DAISY AV
Suite Lot 0
Location
APPLICANT MCBRIDE JOHN B&LAUREN J
Owner MCBRIDE JOHN B&LAUREN J
Remarks
Phone 7604389283
Inspector
Total Time
CD Description
43 AirCond/Furnace Set
Act Comment
Requested By JOHN MC BRIDE
Entered By CHRISTINE
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments