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Home My WebLink About1110 DOWITCHER CT; ; CB042248; Permit]2)7b /nZjyy 06-07-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB042248 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1110 DOWITCHER CT CBAD MECH 2145800702 $0 00 PARKFORD RESIDENCE ADD A/C WITH ELEC Lot# Applicant MAJOR LEAGUE HEATING & AIR CONDITIONING Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/07/2004 MDP 06/07/2004 06/07/2004 3775 06/07/04 Owner PARKFORD KENNETH&ANDREA 0002 01 CGP 02 44-00 1356 BOBOLINK DRIVE VISTA 92083 1110 DOWITCHER CT 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 TOTAL PERMIT FEES $15 00 $9 00 $0 00 $0 00 $0 00 $0 00 $0 00 $20 00 $0 00 $44 00 Total Fees $44 00 Total Payments To Date $0 00 Balance Due $44 00 CLEARANCE SIGNATURE PERMIT APPLICATION OITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 QjEptllNlaBHATIONr^^ FOR OFFICE USE OIMLY PLAN CHECK NO 0M "7."U^^ EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite It) Busmess Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units Assessor s Parcel # Existing Use Proposed Use Descnption of Work W^\y^ lA-fXlTN Stones # of Bedrooms # of Bathrooms Nafne ' Address City S^'SAWlC^g^ltlgfomr^to^^ State/Zip ^'.^r. '^iS"^^x>w :^^^^7 Telephone # Fax tf I yiyyy'syy'''jz-f''yyy3ff''" Name Address Citv 5late/2ip Telephone # :y^: y^'Ay^'^^-^jy Name Address State/Zip 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 Lavv {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption Any viotatiop of Section 7031 5 by any applicant for a, Name ( , (^/"'^"-^ Address City State/Zip,—. (/ ^XSjSP^^QS * / Ltcense Class / jCZ> City Business License # \ ^ ^\o3^^- ) State License # e Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged a rsrmiti subieqts the aoplicafiTTo a civillpenalty of not more than five hundra*dollarsJS5QQ])__rf-**» Designer Name Address City State/Zip Telephone State License # i6'is.w6RKE^s:icpMPWA:fi6N d^'-T.^::^^, z^'Z}^ h^.^y^z^yzzyt ^z^f^y'^ys^j^^j Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~) 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 ot the work for which this permit is issued 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 pernvt is Jed IVly worker's cclmpensaition insurftfice carrier and poli/^diumber are n rv /-> .^-^ t^J^'O /^N^^ _ Insurance Company ylUPl piL/l.-L^L(<p>V Policy NoYrlir 0 5 ST5""^^ration Date (_ |3' ilHIS SECTION NEED NOT BE COMPLETED F THE PERMIT IS FOBs^^'H-UUllJDRED DOLLARS l$100l OR LESS) LT CERTIFICATE OF EXEMPTION I certify that in the per|<jrmance of the ^p*tl<;ftir-vi*liich this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Cornpensation Laws of • WARNING (^ure totecura workers' compensation cdnferage is unlawfl or me isstlec 1 pernut is thousand do SIGNATUR En i to/ of 13 shallsubjact an employer to criminal penBltieS|and civil fines up to one hundred aafflKDrtfvided for in Section 3706 of the Labir coda tnterest and attorney s fees OATE/^nJ'^ P I hereby affirm that 1 am D \, as owner of the (Sec 7044, Business anc jpt from the Contractor's License Law for the following reason arty or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale bfessions Code The Contractor's License Law does not apply to an owner of property who buifds 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) |~) 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(sl licensed pursuant to the Contractor's License Law) |~| 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 Q YES nNO 2 1 (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 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phona 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 StGNATURE DATE « ^, - Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES • NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? Q YES Q NO Is tha facility to be"Sonstructed within 1,000 feet of the outer boundary of a school site? Q 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 GF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT triScoNSTMcTioNtE¥DiNG'AGE^^ I? 'z^^y^^yzzz'syyzj. yzzzLyy^kZz-^^iy^.^'^c^^z^^^'^^^i -yz I hereby attirm 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 L9>s^AmicA¥T.QERTiFicAfioN^^^^ I Tl--.zz^^zzzyp^z-^"^^•ft:0zz^y^'::.£yy^vzytzyyz,ZM:yzAy\m 1 certify that I have read the application and state that the above information is correct and lhat 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 Cartsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFYAHBHttEP-J^ARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRU^rfSOTl^ SAID (^^MN-QONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0'' deep^arl^Brjii&Mion or constriction of structures over 3 stones in height EXPIRATION EveryjMrriTnrissued"T»)Uhe building Official under tl^ejpdClsions of this Cofltfshall expire byl limitation and become null and void it the building or work authonzed by sudi^^mit is not comrnenced within 180 days from thejaate^^such perpaffor/f the building or yvork aulhonjed by such pqrmil is suspended pr abandoned at any time aft^rlhe work is commei}ced YfS-9$riod of ^&0 daJs^eplion iSSw^^niform feutldincLCode) J/V-^ H^-!VOJ\"'^C ^ DATE APPLICANT' WHITE/file YELLOW Applicar City of Carlsbad BIdg Inspection Request For 11/08/2004 Permit# CB042248 Inspector Assignment Title PARKFORD RESIDENCE Description ADD A/C WITH ELEC Type MECH Sub Type Phone 7609308052 Job Address 1110 DOWITCHER CT ^ Suite Lot 0 "jVvSi Location Inspector ^ APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING Owner PARKFORD KENNETH&ANDREA Remarks AM PLEASE Totai Time Requested By KEN Entered By CHRISTNE CD Descnption Act ^ Comment 43 AirCond/Furnace Set Act Associated PCRs/CVs Inspection History Date Description Act Insp Comments