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HomeMy WebLinkAbout1097 CHESTNUT AVE; ; CB004045; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11/03/2000 Mechanical Permit Permit No: CB004045 Building Inspection Request Line (760) 602-2725 Job Address: 1097 CHESTNUT AV CBAD Permit Type: MECH Status: ISSUED Parcel No: 2051900700 Lot#: 0 Applied: 11/03/2000 Valuation: $0.00 Entered By: MDP References: Plan Approved: 11/03/2000 Issued: 11/03/2000 Project Title: MILLER RESIDENCE Inspect Area: REPLACE FAU Applicant: Owner: MOOR CO. AIR CONDITIONING & HE MILLER VERONICA A 1097 CHESTNUT AVE 1531S HILL ST PO BOX 1245 OCEANSIDE, CA 92054 CARLSBAD CA 92018 619-722-1541 / ; •• • ; Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 Mechanical Issue Fee Cl ~ V "; -•:::' \ $15.00 Install/Furn/Ducts/Heat Pumps Fee 1 ' ,,', $9.00 Fireplace Installation Fee }V ' \0 : V $0.00 Exhaust Fan Fee ;/ ;; P: ' ^ $0.00. Installation/Relocation Vent Fee } -", • 0 ; ; /'"""' ? $0.66 Hood Fee \ : ;v *; 0 -: ; ; , / $0.00 Boiler/Compressor to 15HP Fee K 0 '•'• ,' \i :,;^ ,; $0.00 Other -.",/•' "" :',-•';- V-...' . --^ -'•-''; ••••' '• r-/"' '"'>.'•" ;• '$0.00 ' • ^ ., "'• . . ' •-, •-"..' ^ • ^ •, _ ....• -; i t •• ,•;_.-., TOTAL PERMIT FEES .V" . / 5 $24.00 FINAL APPROVAL Inspector: ' Date: //// / n/ Clearance: 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date _ Address (include Bldg/Suite #)_ Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work 2. CONTACT PERSON (H different from applicant) SQ. FT.#of Stories # of Bedrooms # of Bathrooms Name Address City :3, APPLICANT Q Contractor Q Agent for;Contractor Q Owner O Agent for Owner State/Zip Telephone # Fax # Name 4. PROPERTY OWNER Address City State/Zip Telephone tt 9- Name . Address City State/Zip Telephone # 5. CONTRACTOR-COMPANY NAME i|:...- - ...''• -.'- i.:.-;.'.;':--^.'...' .-. ;: ". '•'.'..-.-. ...,.':...-•-.-:.•;'.,.• ' '•-• . .,••"' ,•;'•' : ." .-:....•- (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 IChapter 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 # -< S" / / 0 & Designer Name State License # Address License Class <— - ~^ ' Address City f State/Zip Telephone # ~? 2, + -~> City Business License # /-?<-* S' 3>G& City State/Zip Telephone > -/ 5 £ WORKERS' COMPENSATION ::':,:,,. ;../:'." -: " ••: ' - •' . . '. .!- . . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: jSj 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 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: ' '___ /? <^~/£>^ ^/l/^- _ ' Policy No. O a ^O^ ~~ G *> Expiration Date / / — & ~Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q -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, OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: l~) 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). O 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). [~1 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~) YES O^O 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 NON-RESIDENTIAL 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? f") YES f"l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES Q 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 LENDING 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 Code). 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 City 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 permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencecUpr^t period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURED- ^'^•^ 7~~- ~3?€-C&*£~ 3~*> (•/*$ '/^ /** ' TT^DATE S / "— ^ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/10/2001 Permit# CB004045 Title: MILLER RESIDENCE Description: REPLACE FAU Inspector Assignment: JC 1097 CHESTNUT AV Lot Type: MECH Sub Type: Job Address: Suite: Location: OWNER MILLER VERONICA A Owner: MILLER VERONICA A Remarks: WONT BE HOME TILL 3:00 PM Phone: Inspector: Total Time: CD Description 43 AirCond/Furnace Set Requested By: VERONICA Entered By: ROBIN Act Comments Associated PCRs Inspection History Date Description 01/05/2001 43 AirCond/Furnace Set 01/03/2001 43 AirCond/Furnace Set 11/07/2000 43 AirCond/Furnace Set Act Insp Comments CO JC SEE NOTICE ATTACHED 24X24 SHEET METAL NR JC NO ONE HOME CO JJ NOTICE 6 IN CLEARANCE City of Carlsbad Bldg Inspection Request For: 1/5/2001 Permit* CB004045 Title: MILLER RESIDENCE Description: REPLACE FAU Inspector Assignment: JC 1097 CHESTNUT AV Lot Type: WIECH Sub Type: Job Address: Suite: Location: OWNER MILLER VERONICA A Owner: MILLER VERONICA A Remarks: CMUST BE AFTER 3PM PLEASE - NOT 2:55PM Phone: Inspector: Total Time:Requested By: HOMEOWNER Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Act Comments z Associated PCRs Inspection History Date Description Act Insp Comments 1/3/2001 43 AirCond/Furnace Set NR JC NO ONE HOME 11/7/2000 43 AirCond/Furnace Set CO JJ NOTICE 6 IN CLEARANCE NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE /5/G/ _ TIME_ LOCATION / o 9 7 PERMIT NO. /V FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE?YES FOR FURTHER INFORMATION, CONTACT ' —7—>p PHONE V • L^. BUILDING INSPECTOR CODE ENFORCEMENT OFFICER City of Carlsbad Bldg Inspection Request For: 11/7/2000 Permit# CB004045 Title: MILLER RESIDENCE Description: REPLACE FAU Inspector Assignment: 1097 CHESTNUT AV Lot 0 Type: MECH Sub Type: Job Address: Suite: Location: OWNER MILLER VERONICA A Owner: MILLER VERONICA A Remarks: 3PM INSPECTION PLEASE Phone: 7607291912 Inspector: Total Time: CD Description 43 AirCond/Furnace Set Act Comments Requested By: VERONICA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE \N - LOCATION CA PERMIT NO. L^ TIME S \ * gy\\Q> O GX.d ^ t \eA FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? FOR/FUR#Ji^ INFORMATION, CONTACT. YES HONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © KUBIN r ax -4D r -D r ^r y zuuu 11 • ACORD. PROOUQW Rubin Insurttrto* Agwney Inc.6363 Owanwich Dr, #120CA#064S355 San Di«go CA 92122 Alan Georoo.Na B3B-4157-B720 THIS CERTIFICATE IS IwtlBD ASONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTIND ORALTER THB COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIBft AFFORDING COVtKAOE COMPANYA Ht, H»wlay Insurance Co (N(UMD GGMWMWB Hartford Pir* Insurance Co MoorCo Keating 6 A/C, Ino. MootCo S«tvio» Co , , Ino . 1531 CoMt HighwayOceaneide CA 92 034 COMPANYC Fepublio Zndmaity Co. of Aa. COWWIYD INDICAnO, NOWrmSTAMHKC ANY RBQUMNCNT, TERM Oft CCNDmWJ OF ANY CONTRACT OR OTHER B9CUUENT WITH RECMHrr TO WHICH THIS UetUStON* AW CONDiTIONI OF «UCH MLKlSi UHTI SHOWN HAY HAVE MEN RIDUQBB «Y PAID CLAIMS. CD LTR TTPEOFINWRANCe POUCYNUHBM PQUCY BPPACT1VI OATBtMWOIVYY)uiim | QgNCTAlUAailTY\*n eutiJW.AOORMA'Tl (jjfj OCCUR 02/02/00 02/02/01 PRODUCTS • CCMWO? 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