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Home My WebLink About1106 DOWITCHER CT; ; CB051702; Permit05-16-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB051702 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1106 DOWITCHER CT CBAD MECH 2145800703 $0 00 Lot# BRADLEY RES REPLACE A/C UNIT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/16/2005 SB 05/16/2005 05/16/2005 Applicant ULTIMATE ATMOSPHERE Owner ROY BRADLEY F&LORI A STE 304 4241 JUTLAND DR 92117 858 274-5717 1106 DOWITCHER CT CARLSBAD CA 92009 Mechanical Issue Fee $15 00 Install/Furn/Ducts/Heat Pumps Fee 1 $9 00 Fireplace Installation Fee 0 $0 00 Exhaust Fan Fee 0 SO 00 Installatton/Relocation Vent Fee 0 $0 00 Hood Fee 0 $0 00 Boiler/Compressor to 15HP Fee 0 $0 00 Other $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $24 00 Total Fees $24 00 Total Payments To Date $0 00 Balance Due: $24 00 22 05/16/05 0002 Oi 02 CGR 24-00 Inspector FINAL Date LAPPROVAL Clearance NOTICE Please take NOTICE that approval of your prqect includes ttie Imposition" ol fees, dedications, reservations, or ottier exactions hereafter collecliveiy referred to as lees/exactions" You fiave 90 days from the date this pennit was issued to protest imposition of these fees/exadions if you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and tile the protest and any other required information with the City Iwlanager for processing in accordance with Carlsbad l^unicipal 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 nght to protest the specified fees/exactions DOES t^T 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 fees/exactions of which vou have oreviouslv been oiven a NOTICE similar lo 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, Address (ifjcTtide Blag/Sui uite #) FOR OFFICE USE ONLY ^ PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Business Name lat ttiis ^dress) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel ff Existing Use J , Proposed Use Description of Work A SQ FA 2 .^.CONTACTPERSONJifdifferer>tfromapp.iicaritl„_L_„. . ffof StoMs # of Bedrooms # of Bathrooms Name Address City _APPy^ANT Q^ontractor /•^gentJorjContractor Q Owner • Agent ftr Owner State/Zip Telephone # Fax tf Address City State/Zip Telephone # PROPERTY OWNER k I _ _ iame Q Address City State/Zip Telephone ff ..^ ^ , ^ ^, ^„_„^„™„ . (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 axemptiqn Any violation of Section 7031 5 by any applicant for a permit subiects the applicantjo a civil penalty of not more than fivejjjjndred dollars ISSOQJi,— ,-5 Name ~~I » Address City 0 State/Zip ^^"Telephone # State License ft License Class C^'^'''^^ '''^^ Business License ff Designer Name State License # Address City State/Zip Telephone •6 ^WORKERS'COMPENSATION _ ..„__,_.^__ _ . „ . .... ..... .,. .. _ _ _ , - ...Z ' ........,,..] Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 1 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 |~l 1 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 earner and pohcy number are Insurance Company Policy No Expiration Date {THI^SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [Cfl CERTIFICATE OF EXEMPTION 1 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 doUarsZ^TOp.OOO), m addition to the oo^of compensation damages as provided for in Section 3706 of the La^or^code, iptprast pf](l aftorngv s fees SIGNATURE * _ - — - '7 ^OWNER-BUILDER DECLARATION_„_ ^ , „1 I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason Q 1, 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) n 1/ 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 contractorls) licensed pursuant to the Contractor s License Law) |~| 1 am exempt under Section Business and Professions Code for this reason 1 1 personally plan to provide the major labor and materials for construction of the proposed property improvement D YES [~~1NO 2 1 (have / have not) signed an appdcatton 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 1 plan to provide portions of the work, but 1 have hired the followmg 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 COMPLETEyHIS SECTION FOR NON-RBSIDENTIAL 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? • 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? • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES LJ 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 TTTcoimROcwo^ yz'izz.zzy..zzzyyzzzy "'-"^j^—^ - z"zz^..z y.,.y~z..z. .z. zzzzzzzyzzzzz.zyzzs-y~ "'ini I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(t) Civil Code) LENDER'S NAME LENDER'S ADDRESS i9 ^^APPLICANT^CERTIFICATION _ _ . .................... ^ ....,^Z ™ ™a 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 1 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 B'O' 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 authonzed by such permit is nol 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 atter the work is commencj^?tej; a penod of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance • City of Carlsbad BIdg Inspection Request For 07/12/2005 Perinit# CB051702 Title BRADLEY RES REPLACE A/C UNIT Description Inspector Assignment 1106 DOWITCHER CT Lot 0 Type MECH Sub Type Job Address Suite Location APPLICANT ULTIMATE ATMOSPHERE Owner ROY BRADLEY F&LORI A Remarks Phone 8588826201 Inspector Total Time CD Description 43 AirCond/Furnace Set ^ Act Comment Requested By BRAD Entered By KAREN Associated PCRs/CVs Inspection History Date Description Act Insp Comments