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HomeMy WebLinkAbout1320 CORVIDAE ST; ; CB070782; Permit03-22-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB070782 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1320 CORVIDAE ST CBAD MECH 2156900900 $000 Lot# LUND 2 NEW AIR CONDITIONERS Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/22/2007 JMA 03/22/2007 03/22/2007 Applicant MAJOR LEAGUE HEATING & AIR CONDITIONING 1356 BOBOLINK DRIVE VISTA 92083 Owner LUND CARLTON D&SANDRA L FAMILY TRUST 02-27-91 1320 CORVIDAE ST CARLSBAD CA 92011 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 2 0 0 0 0 0 $1500 $1800 $000 $000 $000 $000 $000 $2000 $000 $5300 Total Fees $53 00 Total Payments To Date $53 00 Balance Due $000 Inspector FINAL APPROVAL Date <5 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 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 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 FOR OFFICE USE ONLY PLAN CHECK NO QfoC>lo7<^Z- EST VAL Plan Ck Deposit Validated By Date Addcess (include B. * *<£/) CL Legal Description |dg/Suite #) / #j/77? A_y ^~ Business Lot No Subdivision Name/Number Name (at this address) Unit No Phase No Total * of units Assessor s Parcel tt Existing Use Proposed Use Description of SO FT #of Stories tt of Bedrooms tt of Bathrooms Fax # ^^ City ..•vi.v*t State/Zip Telephone ^^T ^Name Address City 'State/Zip Telephone tt 'If ft » < '." »t, (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 forye permit,subjects the applicant to a civil pqhalyV of nqj more than five hundred dollars ISSOOJ)^ Name ff State License tt Address License Class City State/Zip City Business License tt I Telephone tt Designer Name State License t> Address City State/Zip Telephone •¥" ^: p*'r*^ ^>" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 £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 ued My worker's compensation insurance carrier and policy number are / , • ^J>1L<L . <2ti> Policy ^/^D^^^Q. -£&~ Exp.ration Date ~Z** W&insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) l~) CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SlOfMJtJolJn addition-jto the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney's fees SIGNATURE //£&«: ^g-t^^ DATE W!lF$£*t':iW^ I hereby affirm that I am exempt from the Contractor's License Law for the following reason D 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 70^4 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) Q 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) [I 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 C]NO 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) _ __ ___ ^ _ LJ _ , . 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 3fl«M^ ;:^~;t^''^wP;£'fi<*': 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? Q 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? £] YES O NO Is the facility to be constructed 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 OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT fsi^cONSTRUcfiotftE'NDi^^ P^rw..'- T :v :#,<: ~~T~ ,; ;r? ^>K:I.V->^ " f r '•• =-.-^?;;.-"f ' "" f :*•!•• ^"'' :.>'.:' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER S ADDRESS I certify that I have read the application and statn 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 comrriSj/iced within 180 days from the date of such permit or if HIP building or work authorized by such permit is suspended or abandoned at any time after the work is comrniencea tor a period.of IflffJBays (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE / JfcSgZ/ J^t"DATE WHITER File YELLOW Applicant PINK Finance UNSCHEDULED BUILDING INSPECTION DATE *t-L,^?g INSPECTOR PERMIT # o-i r~7 %> ^ PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS Jul 31 06 0222p MAJOR LEAGUE HVAC 7609452030 p1 ACQREl CERTIFICATE OF LIABILl 1 Y IIMOUI-IMIMWC , 06/ Wmm 'RoDucEH (800)524-7024 FAX (800)524-4013 Automatic Data Processing Insurance Agency, Inc 1 ADP Boulevard Roseland, NJ 07068 NSURED Major League Heating & Air Conditioning, Inc - 1316 North Mel rose Drive Suite C Vista, CA 92083 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A. Employers Compensation Ins. Co INSURER a- INSURER C- ~* INSURER Or INSURER E. NAIC3 COVERAGES NOTWITHSTANDING I ANY REQUIREMENT.^!^ OR CONDITION OF AKY CONTRACT OR OTHER DOCUMENT WFTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR | MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDtTTOKS OF SUCH '' POLICIES AGGREGATE UMtTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS HSRLTH A Aflffl USES TYPEOFMSURANCE GENERAL LMBIUTY COMMERCIAL G6MEKAL LlABJLtTV [ CajUMSMADE | [ OCCUR GEML AGGREGATE LMIT APPLIES PER ~~| POLICY] (SECT | ILOC AUTOMOBILE UABILTTY ANVAUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS KOfit&WNBD AUTOS GARAGE LIABILITY ANVAUTO EXCESS/UMBRELLA UABIUTY ~"| OCCUR \ | CLAIMS MADE DEDUCTIBLE HETENTJON S WORKERS COUPEMSATtON AND BIPLOYERS- UAWUTY ANY PHOPfliETOfl/pAFiTNSi/EXECUTivE OFFCERruEMaER EXCLUDED? If jnas, describe tndcr SPECIAL PflOVEONS below OTHER POLICY NUMBER . ADP0302592-D5 POUCr EFFECTIVE_RKre ntuunorm 07/24/2006 POLICY EXPIRATIONDKifoMunorm 07/24/2007 - LIMITS EACH OCCURRENCE DAMAGE-TO RENTED PRn/K£(? (PM ncninfppi^) MED EXP (Any one poison) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE UMFT(Ea accident) BODILY INJURY (Perpereon) BODILY tNJunY (Pcraccidem) PROPERTY DAMAGE (Per acctdenl) AUTO ONLY EA ACCIDENT OTHER THAN EAACC AUTO ONLY /J3Q EACH OCCURRENCE AGGREGATE ( WCSTAtXI- 1 |OT>h1 rnnY Liurrs t 1 FR EJLEACHACCIDENr E.L. DISEASE EA EMPLOYEE E-u'SiseASE - pouey UMTT s "s s S S S S S $ S S S $ S S S S S s 1,000,00 s l.OOQJX) s 1,000,00 CERTIFICATE HOLDER CANCELLATION Insured's Copy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABHJTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE. 1" Richard Cossett/ES ACORD 25 (2001/08)©ACORD CORPORATION