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HomeMy WebLinkAbout1566 MARITIME DR; ; CB070933; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-05-2007 Mechanical Permit Permit No: CB070933 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1566 MARITIME DR CBAD MECH Status: Parcel No: 2150712800 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: BILLMEYER RES-ADD A/C UNIT W/ELECTRIC Applicant: ASPEN COOLING&HEATING INC. STE 207 3720 OCEANIC WY OCEANSIDE CA 92054 760-754-2625 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: BILLMEYER FAMILY TRUST 08-31-92 1566 MARITIME DR CARLSBAD CA 92011 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: Inspector: FINAL Date: Clearance: ISSUED 04/05/2007 RMA 04/05/2007 04/05/2007 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedi lions, reseivations, 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY O 7, PLAN CHECK NO. Q.ia 7t2 W EST. VAL. _________ .._ Plan Ck. Deposit ------1-'---+....,,jll-- Validated By __ _,_ _____ .J,,1,4~~___;;, Date. ____ ~h-+-1---'.L--Jt---- Address (include Bldg/Suite II) Business Name (at this address) / 5,(, 0 /1(]4(21 t/r11" Dt21v t!" Legal Description Lot No. Subdivision Name/Number Unit No .. Phase No. Total II of ul'lits Assessor's Parcel II Existing Use Proposed Use II of Bedrooms # of Bathrooms Name Name · Address City State/Zip Telephone # • ,, , . ~~.~w~r.•'!~"!rr~~~~,_ (Sec. 7031 .5 Business and Professions Co.de: 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 Sectio'n 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 for a p·ermit subjects the applicant to a civil penalty of not more than five hundred dollars ($60011. As/Jc-,.) {,,j)l)ll,-_ez): f/e$71/J6 -:c/V' 37Zv id' ~~ OtL~1C /,llly~ (J'>,pe-<-zw 2~7~ Name Address . A' ! City State/Zip "} Telephone II State License II £l 7 a, 5$'" (. License Class l--~ [_ ~ :3'f> City Business License 11 / A J.J/ ✓ Designer Name State License II Address City State/Zip Telephone rs ,~&liKERS'71ir;:;:CO~M::ilP;;:;t:::N;;SA:!fi;.J;;:O:;;;;;,:;:;,' M!:.,~=,J:l'ffl/i-~~~·~ . .t ~ii~.: ~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 workers' compensation. as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is rs;u~d. My worker's compensation insur~ce carrier.and policy number are: / ~ &3 ,e-/ Insurance Company !:=>'r/17 ~ :f=v,-,1) Policy No. J 3..52?3 Expiration Date -:J / o7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 Lews of California. WARNING: Failure to secure workers' compensation coverage 11 unlawful, and shall 1ubject an employer to criminal penalties and civil fines up to one hundred thouHnd doll 0,0 I addltio the co1t of compenaatiorl, damages as provided for In Section 3706 of the Labor code, Interest end attorney·• fees. DATE ?°• 3"""0-7 R~ilflO ,i,'.;l7~i•~t;ij~•~in:'y.a,'i,W.\~l-,~~il-"~!.~':'f,~~Ili,i~~~~\mi,~~ m the Col\lractor's License Law for the following reason: 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 thereor., and who does sueli work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the building or lmprovenient 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 ISec. 7044, Business and Professions Code: TIie 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 Col\lractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally pier, to provide tlie major labor and materials for coristruction of the proposed property improvement. 0 YES ONO 2. I (have / have !'lot) signed ah application for a building permit for the proposed work. 3. I have contracted with the following person (firm) 16 provide the proposed construction (include name / address I 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 I address I phone number I 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 I address / phone number I type of work): ____________ ~--------------------------'-------~~~'---------''--- PROPERTY OWNER SIGNATURE _________________________ DATE _________ _ leOMIJL&Te iTt11stsEOTION1flO~N,ONfl!liSll>EN.flAIJ1.BU,lllDINQ1PERMlts!ON~~'t,W'1'~~i~~~~~~--Jil 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 25605, 26533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? Cl YES O NO Is the applicant or future building occupant reoulred to obtain a permit from the air pollution control district or air Quality management district 7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. Iii~ <JJ{sl'ii\Ifi6~INPlMEN~V~~~f"~~·-~iii'ir~:WN~~lM1."l~.ii't~~~~if.li I hereby affirm that there is a cMstruction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(il Civil Code). LENDER'S NAME LENOEA'S ADDRESS ________ ~-------~---~--- ~ . . ~i!i!~1CANi'iJeER':i11~10N~ 'i> I certify that I have read the application and state that the abov6 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 CltV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is reQuired !Or excavations over 5'0" deep and demolitlorl or construction of structures over 3 stories in height. EXPl~ATION: Every permil issued by the building Official under the provisions of lhis Code shall expire by limllalion and become null and void if the building or work aulhorized by such permil Is nol commenced wilhin 180 days from !he dale of such permit or ii lhe building or work aulhorlzed by such permil Is suspended or abandoned al any lime ·afler lhe work i enced d Of days (Seclion 106.4.4 Urliform Building Code). APPLICANT'S SIGNATURE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 04/20/2007 Permit# CB070933 Title BILLMEYER RES-ADD A/C UNIT Description W/ELECTRIC Type:MECH Sub Type: Job Address: 1566 MARITIME DR Lot: Suite: 0 Location: OWNER BILLMEYER FAMILY TRUST 08-31-92 Owner: BILLMEYER FAMILY TRUST 08-31-92 Remarks: Total Time: CD Description &omments 43 AirCond/Furnace Set 49 Final Mechanical ~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604760074 Inspector: Requested By BOB Entered By: CHRISTINE