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Home My WebLink About11 GREENVIEW DR; ; CB050140; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-14-2005 Mechanical Permit Permit No: CB050140 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: •· Applicant: ·_) \__MY PLUM~~ STE 603 11 GREENVIEW DR CBAD MECH 2152313300 $0.00 SHIRLEY RES NEW FAU 5490 COMPLEX ST 92123 760 729-4326 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 Status: Lot#: 0 Applied: Entered By: Plan Approved: 1 0 0 0 0 0 Owner: GODLIS SHIRLEY 11 GREENVIEW DR CARLSBAD CA 92009 Issued: Inspect Area: Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: ISSUED 01/14/2005 SB 01/14/2005 01/14/2005 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $24.00 9?62 ·J1... i, 0~5 (iOC,2 -C~{3F-- Clearance: NOTlCE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as 'foes/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. \I 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any le s/exactions of which ou have reviousl been iven a N TIC similar o this or as to which the statute of limitations has re iousl ot erwise ex ired. ... ;' !'..· 1 PERMIT APPLICATION FOR OFFICE USE ONL V t,,/ 0 PLAN CHECK NO. G _QoS o I CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Depo~~ Validated B~+ .... ~-:,...~--==---------- Date ,1 I ,l D S Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms . 'k :1,,t .• &~.i,;;,,;,,. ~t,~ ... ~ ,i,1,#;;.+>;' Name dress City Telephone # ~~ttta&lOJii.i.m>...MBAfiY,..NAt,'11,....-~..,::,.~ ... ~ .... ~ !l;::...,...,~:,o;~..:.:..,j OJ~ ... :~~~ •• ~,.::;,.,; , ,. ~..-, , ... ;; City State/Zip T4phone # City Business License # 11... \\ :2 0 Designer Name Address CitY' State/Zip Telephone State License # _________ _ tli,....,..,W.OME.B.Sl;.C,QMe~§ATLON, ·. ..;. wm•, ., ~""'~...i;,,..;.~ .• r' ". ~ ·: 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 of the work for which this permit is issued. }lj_ 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 com ensation insur e carrier a policy number are: . 1 .-1 I\ ~~ . . Al \ ~ Insurance Company _~~=.l..J~.,__,!__l,=c..!.__.c:=::....L--------Polley No. \ Q4::J:i:~2-, Exp1rat1on Date ~_\_OJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 1 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 aecure workers' compensation coverage I• unlawful, end shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars ( 0 In addition t e 'lost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. DATE _________ _ 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, 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 ,he 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 _________ _ 1CQMRI..O.e.~Tlil.S ,S!;CTIQf!f.QR;fil'N·Bf$)P.fh'iil.Ak P1.llkQ!N.Q1f.l~RMJifl,JQNJ:X" ... ~""'~J...:.""1t:..-e.~ial'~~:_t,,1,, .: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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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. [~i~J!~r.,s:r!IOctfoN L~NDlf-'G)\G~!'i~\.i,,i.l~~;,:r,,. ~\~4~~~i~i.if:s,i,,~C'it-~ ':i.ii'S!Mi.:/•., . ,_...;;, i1. "",:::' ~ ;·, •, • 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 ______________ _ '> .. t ; . 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 permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is co enced for a period o 180 days (Section 106.4.4 Uniform Building Code). DATE _,_✓.....,/43~,.....,D"'-5',L_ ___ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/20/2005 Permit# CB050140 Title: SHIRLEY RES NEW FAU Description: Type: MECH Sub Type: Job Address: 11 GREENVIEW DR Suite: Location: APPLICANT MY PLUMBER Owner: GODLIS SHIRLEY Remarks: AM PLEASE Total Time: Lot O Inspector Assignment: PD --- Phone:a~ Inspect~ Requested By: SHIRLEY Entered By: CHRISTINE CD Description Act Comment 43 _A_i_rc_o_n_d-/F_u_rn_a_c_e_s_et~~~ 1£_ r;( (V Ai- Associated PCRs/CVs lns12ection Histo['L Date Description Act lnsp Comments 03/09/2005 43 AirCond/Furnace Set NS PD CALLED SHIRLEY 02/02/2005 43 AirCond/Furnace Set co PD SEE NOTICE ATTACHED 02/01/2005 43 AirCond/Furnace Set CA cw RESET FOR WEDNES.