HomeMy WebLinkAbout1358 CASSINS ST; ; CB072873; Permit11-16-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No CB072873
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1358CASSINSSTCBAD
MECH
2156915500
$000
BRUE RESIDENCE
ADDA/C NO ELECTRIC
Applicant
MAJOR LEAGUE HEATING & AIR CONDITIONING
1356 BOBOLINK DRIVE
VISTA 92083
Status
Lot # 0 Applied
Entered By
Plan Approved
Issued
Inspect Area
Owner
BRUE ROBERT A TRUST 02 02 95
1358CASSINSST
CARLSBAD CA 92011
ISSUED
11/16/2007
MDP
11/16/2007
11/16/2007
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
1
0
0
0
0
0
$1500
$900
$000
$000
$000
$000
$000
$000
$000
$2400
Total Fees $24 00 Total Payments To Date $24 00 Balance Due $000
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE th^i 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
City of Carlsbad
1635 Faraday Ave Carlsbad CA 92008
760 602 2717 / 2718 / 2719
Fax 760 602 8558
Building Permit Application
Plan Check No (£)*"?•*
Est Value
Plan Ck Deposit
Date
AIR CONDITIONING
YES D NOD
(Sec 70315 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 sifned 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 i xemption Any violation of
Section 7031S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers Compensation Declaration / hereby affirm underpenatty of perjury one of (he 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 of the work for which this permit is issued
I have and will maintain woritets compensation as required bySectionSZOO of the labor Code for the performance of the work fotwhich this perrmt-isjssued My workers compensation IDS urance cat-rier a
number are Insurant Co Y?sXj2 (j&rMJO {^4- (^> Policy No A& P0 DO &L5' 7<>& fc> Expiration Date
(icy
This section need not be completed if the permit is for one hundred dollars ($1 00) or less
O 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 employerto criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in
addition to the cost of compensation damag^s)as provided for inSectiojKjws of the Labor code interest and attorney s fees /
t ^fj jff - /^ y^C^ S / / /A ' S
^CONTRACTOR SIGNATURE /^^M^^--^ ^Z^' DATE Jt/&/U f~
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
O 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 i itended 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)
D 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 Contractors License Law)
O 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 O Yes D 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 / 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 maior work (include name / address / phone / 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 / type of work)
) PROPERTY OWNER SIGNATURE DATE
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 Act9 D 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? D Yes D No
Is the facility to be constructed within 1 000 feet of the outei boundary of a school site"> D Yes O No
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender s Address
1 certify that 1 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
thereby authonze representative 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 stones 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 not commenced within
180 days from the date of such permit or if lyijpilding or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
^APPLICANT S SIGNATURE
City of Carlsbad Bldg Inspection Request
\
For 11/28/2007
Permit* CB072873 Inspector Assignment I ^V
Title BRUE RESIDENCE I O
Description ADD A/C , NO ELECTRIC
Type MECH Sub Type
Phone 7608040923
Job Address 1358 CASSINS ST
Suite Lot 0
Location Inspector
APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING
Owner BRUE ROBERT A TRUST 02-02-95
Remarks
Total Time Requested By ROBERT
Entered By CHRISTINE
CD Description Act Comments
43 AirCond/Furnace Set
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Dale Description Act Insp Comments
ACQREL CERTIFICATE OF LIABILITY INSURANCE
"•aweei (100)524-7024 FAX (800)524-4013
Antomrfc Data Processing Insurance Agency, Inc
1 AOP Boulevard
Roseland. NJ 07061
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1318 North Melrose Drive
Suite C
Vista, CA 9ZOSI
FAX: 7fO-945-20iO
DATI'pmmiWWV)
06/18/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIRCATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIEH BELOW
INSURERS AFFORDMO COVERAGE
BOWER* Employers Compensation Ins. Co
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