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Home My WebLink About1628 CORTE ORCHIDIA; ; CB052229; Permit06-15-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB052229 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # 1628 CORTE ORCHIDIA CBAD MECH 2159500700 Lot* $000 AXE RES INSTALL (2) NEW A/C W/ELECT PRE PLUMBED Status Applied Entered By Plan Approved Issued Inspect Area Applicant LEGEND SERVICE SUITE 15 ^ 2588 PROGRESS'ST \. VISTA CA 92083 ^-760-631^8397 Owner AXE EDWARD W&LALAINE T 1628 CORTE ORCHIDA CARLSBAD CA 92009 ISSUED 06/15/2005 LSM 06/15/2005 06/15/2005 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 0 0 0 2 0 0 $1500 $000 $000 $000 $900 $000 $000 $2000 $000 $4400 Total Fees $44 00 Total Payments To Date $0 00 Balance Due $4400 oor ct'44,00 Inspector 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 1 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO 66 EST VAL Plan Ck Deposit Validated By Date C/ I Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Use Description of Work CONTACT PERSON (if different from applicant) SQ FT #of Stories Name Fax #Addtess Aqej3*-Tor Contractor- Q Owner Name 5 CONTRACTOR COMPANY 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 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 for a permit subjects the applicant to ajcivjj penalty of not more Jhan five fiundjjgd dolla_ State License # Address License Class L=_S2_.C2_ City / State/Zip City Business License # / c*- Telephone « Designer Name Address City State/Zip Telephone State License tt 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of penury one of the following declarations [~1 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 wafk for which this permit is issued fu^l 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 issued My worker s compensation insurance carrier and policy number are H\ - _ .— Insurance Company (^r*\.Q /Pl^^fS" CCfY^tP' TjP^lS ' Policy No fl/)r&30 I&O J) "Q ~3 Expiration Date_ (THIS SECTION NEED NOT BE* COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers Compensation coverage is unlawful andshall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars j$J4}0 000) in addition to the costaptompens/tion dar]jag«ST5s~provided for in Section 3706 of the Labor code mteresj_and attorney s fees SIGNATURE ^_ Y\ }*S£>&=L-s' X^-sXT^V---^*^. J \ DATE \tZ> — (5 C /"~" 7 OWNER BUKDERJJCCLARATION t_—-"^ I hereby affirm that ram exempt from the Contractor s License Law for the following reason [~l 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 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) (~1 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) 0 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 f~1 YES I~|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) 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 COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY 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? l~l YES |"~| NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~| 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 8 CONSTRUCTION LENDING AGENCY I hereby affirm 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 9 APPLICANT CERTIFICATION I certify that I 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 I hereby authorize representatives of the CitV 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 180fjjays from the date of such permit or if trJa building or work authorized by such permit is suspended or abandoned at any tin after the work is commerced for a period of 180 days^SSction 106 44JJniform BuiBinoJiode) APPLICA r S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/10/2005 Permit* CB052229 Title AXE RES- INSTALL (2) NEW A/C Description W/ELECT, PRE PLUMBED Inspector Assignment PY 1628 CORTE ORCHIDIA Lot 0 Type MECH Sub Type Job Address Suite Location APPLICANT LEGEND SERVICE Owner AXE EDWARD W&LALAINE T Remarks Phone 7604382381 Inspector Total Time CD Description 43 AirCond/Furnace Set Act Comment Requested By EDWARD Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/08/2005 43 AirCond/Furnace Set CO JM LABEL CONDENSORS 1 & 2 07/27/2005 43 AirCond/Furnace Set WC PY OCCUPANT SAYS WRONG HOUSE AVUHU, ucriII ^^ II B ^^K 1 B^" K. J • " • • ^Wk BT "•• V •• • • • ^^ ^». • H B --T-- , ^ -^IB 1 ^B^r ^^^ | BM ^>J^ B> •IHl^^vAiB' • •B*' • •> BB V^BV^^I •' %• *• ™*F •"•• 1 UO/ A*f / AVWI1 *w«w CSOO) 524- 7024 FAX C&00) 524-4013 Autoaatici Data Processing Insurance Agency. Inc ' Enti7^Sv^«=s^_^.i-i^iJRJBjs^^ NsurolLegenil Service Center / /I1384 Broken Hitch M 1 ([oceans1<*e, CA 92056-22*6 S^^_ Jf*H 760-295 '6817 COVERAQES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTmCATB DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE MSURERA Employers Compensation Insurance Co tMSUfCRB- INSURER C INSURER 0 — "~-f INSURER E.1 THE POLICtSS OF DURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PEBOD INDICATED NOTWTHST ANDING AMY REQUIREMENT TERM OR CONDITION OF AW CONTRACT OH OTHER DOCUMENT WITH RESPECT TO WHICH TUB CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFTORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJBCTTO AU THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE UMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CUIMS S A TYPE OF INSURANCE GBNERM.UWO.mr COMMERCIAL. QEWHAL LIABILITY _ ~~] CUMMSMAOE {^ | OCCUB GCN1 MQnSOATe LWHT APPLIES PER AUTOMOHLe LMOt.rTY ANY AUTO AU-OWNfflJ AUTOS SCHCDULEO MHOS HlMsO MITOS NON-OWNSO AUTOS CMRWtBLMmjTV ANY AUTO MCB3S L1AB4.0Y | OCCUR ) | CLMMS WUO6 DEDUCTIBLE RETtWTON | MORMEAS CONMMSAnON «M OTHER B^B^B^BT?l!?t^^^B^^^iVl:'Yi'-'-<'"lLfJt|'l',: Y IjjJBiliMBlBaBjWTiilBMB^B^B^i1 4DP0301883-03 06/24/2004 06/24/2005 CACHOCCunnENce HRE OAUAOE (Any ant >-.m) MEO EXP (Anjr one oet»on) PERSONAL «AOV INJURY SEKERAL AGGREGATi PRODUCTS OOMPHOPAOG COMWNSO SWOIS UW(T {C4 SCCImM) BODLY NJURV BOOR.Y INJURYtPtrncdilenQ (P«rKdlt«nl) AUTO ONLY 6A ACCIDENT (ITUfJB TMAH M "CC AUTO ONLY ^JQ EACH OCCURRENCE AQQREQATE X IronYLo-HTsI !uepT BLEACH ACOOeNT 6L. OIStASE EA EMPLOYEE e.i OISSASC POLICY LIMIT s s t s s s t s t t s f $ $ s s » s » 1,000,OO( s 1,000, OOC s 1,000, OOC OEScnmw OP oreiwT?OMsn.acATioNsnf EMcussraccmsiONa ADDED rreMXJMMBnttARaAiiwovaiONSInsured copy CeWTOTCATE HOLDER | Insured copy ^^ACORO 2S-S (T«7) nAsr,'— vv . , r- if\ f — ffv AMttlOMALMSVREIk INSURER LETTED: CANCELLATION SWULO AW OF THE ABOVB OSSCWWO POLICIES BE CANCELLED BEPOM TM« KXPOIATKIN OATC THEREOF THE BSUINO COMPANY WU- SNOCAVOft TO MAIL 10 »AYS WRWTB« NOTlOe TO THS CERYff KATE HOLDER MftMEOTOTBeLEFT BVT FAH.UW TO MAO. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OH LIABILITY OF AMY KBO) UPON THE COMPMY. ITS AGENT* OR REPHESSffATlVES. AUTMoaaso MpmasHTHfK ^^^Pry. i»iitf^?!rrr?~~i irfVN ( c& l>{ o^i" "N «ACOTOCORPORATION19M ^o^S-*f