HomeMy WebLinkAbout1570 BASSWOOD AVE; ; CB110857; Permit/•
04-25-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No: CB110857
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
1570 BASSWOOD AV CBAD
MECH
2050603600
$0.00
KRATT: REPLACE FAU
Lot#:
Status: ISSUED
Applied: 04/25/2011
Entered By: JMA
Plan Approved: 04/25/2011
Issued: 04/25/2011
Inspect Area:
Applicant:
J&J PLUMBING HEAT & AIR
2604-B EL CAMINO REAL
#166
CARLSBAD 92008
619-606-8677
Owner:
KRATT IONE M TR
1570 BASSWOOD AVE
CARLSBAD CA 92008
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
$0.00
$0.00
$24.00
Total Fees:$24.00 Total Payments To Date:$24.00 Balance Due:$0.00
Inspector:
FINAL APPROVAL
Date: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
C ! TV OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No. Cffi \ [
Est. Value
Plan Ck. Deposit
Date SWPP
JOB ADDRESS
CT/PROJECT*
^/SPACE*/UNIT#
PHASE # # OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
\ i he- for ) i
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES Q # NO D
AIR CONDITIONING
YES D NO a
FIRE SPRINKLERS
YES D NOD
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME _anine.JL.ADDRESS _
Com IDAF StATECITYSTATEZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
(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 theapplicant 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 theBusiness 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 permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty o1 perjury one of (he following declarations:
Q lhave 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.
"^rnfave and will maintain workers! compensation as respired by SecticJ 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensation insurance carrier,and policy
number are: Insurance Co.. \-\ 0-V T T"Q f~" — Policy No~1c| fjC QA7 V HCoCp ^ Expiration Dale <-{• ' | ' I O-»
This section need not be completed if the permit is for one hundred dollars ($100) or less.
D 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 (&100.000), in
addition to the cost of compensattaq, damajes as provided for in Sepfion/)7|j6 of the Lfbor code, interest and attorney's fees.
>£r CONTRACTOR SIGNA'
I, as owner of the properly 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 properly 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).
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 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 D No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 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 / contractors' license number):
5.1 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):
xfiTpROPERTY OWNER SIGNATURE DAGENT 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 Act? D Yes D 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 outer boundary of a school site? D Yes D 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
I hereby authorize 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 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 commenced within
180 days from the date of suchjjerjriit or/the building or work authotjzS&\y such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
^APPLICANT'S SIGNATURE A /\ t/\ / «, /) \^rJf/\f~)l/Ta t DATE //
City of Carlsbad Bldg Inspection Request
For: 05/09/2011
Permit# CB110857
Title: KRATT: REPLACE FAU
Description:
Inspector Assignment:
1570 BASSWOODAV
Lot: 0
Type:MECH Sub Type:
Job Address:
Suite:
Location:
APPLICANT J & J PLUMBING HEAT & AIR
Owner: KRATT IONE M TR
Remarks:
Phone: 7604057592
Inspector:
Total Time:
CD Description
44 Rough/Ducts/Dampers
Act Comments
Requested By: JANENNE
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments