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Home My WebLink About1740 BLACKBIRD CIR; ; CB013952; PermitCity of Carlsbad -- 12-27-2001 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Mechanical Permit Permit No: CBOl3952 Job Address: Permit Type: MECH Status: ISSUED Parcel No: 21 5601 5800 Lot #: 0 Applied: 12/27/2001 Valuation: $0.00 Entered By: JM Reference #: Plan Approved: 12/27/2001 issued: 12/27/2001 Project Title: CRAIGWELL - REPLACE FAU Inspect Area: 1740 BLACKBIRD CR CBAD Applicant: AS1 HASTINGS 1250 GREENFIELD DR EL CAJON, CA 921 67 61 9-223-901 6 Owner: CRAIGWELL JOAN T 1740 BLACKBIRD CIR CARLSBAD CA 92009 7743 12/,7/01 0002 01 02 CGF 24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 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 i' TOTAL PERMIT FEES $1 5.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 FINAL APPROVAL Inspector: 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 feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 Callsbad Muniapal 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feedexactions of which you have Dreviouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. PERNUT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1 161 37 5-L FOR OFFICE USE ONLY PLAN CHECK N&[ EST. VAL. , Plan Ck. Deposit / /, Date A. Validated By m/%?/ 6'/ Address (include BldglSuite X) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total X of units Assessor's Parcel X rQCc fA 1/ Existing Use .a Proposed Use I Description of Work SO. FT. #of Stories X of Bedrooms I of Bathrooms CONTACT PERSON Of Me Name Address City State/Bp Telephone # Fax X 6. CONTRACTOR - COMPANY NAM ir any structure, prior to its (Sec. 7031.5 Business and Professions 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 wlth Section 7000 of Division 3 of the Business and Professions Codel or that he IS exempt therefrom, and the basis for the allaged exemption. Any violatiqn of Section 7031.5 by any applicant for a perm Nim'e State License # Designer Name Address City Stata/Zip Telephone State License t 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. issued. My worker's co ensation in rance carrier and policy number are: Insurance Company 2' or/ 4'' Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) to become subject to the Workers' Compensation Laws of California. ublect the pplicant to ivil enalty of not more than five h n red dollars IS5001) A,Q/ tfasrlT2S 18Sfi rrreci? &IS 4r city km.t2BhQ7;! shate/zi Q2,./&#€7d ephone X 7,703 Jl3/l% License Class Q f 9 3.0,3.r/3i" City Business License X Address I have and will maintain a certificate of consent to self-insura for workers' compensation as provided by Section 3700 of the Labor Code, for the performance 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 CERTIFICATE OF EXEMPTION: I certify that in tha parformance of the work for which this permit is issued. I shall not employ any person in any manner so as coverage Is unlawful. and shall subject an employer to criminal penalties end clvll finer up to one hundred e cost of compensation. damages as provided for In Section 3706 of the Labor code terest and attorney's fees. SIGNATURE DATE j g-2 9% I hereby affirm that I am exempt from the Contractor's Licensa Law for tha 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 Profassions 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). 0 I, as owner of the property. am exclusively contracting wlth licensed contractors to construct the project (Sec. 7044, Business and Profassions Coda: Tho 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 IIC~MO~ pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposad proparty improvement. 0 YES ON0 I (have I have not) signed an application for a building parmit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / addrass / phone number I contractors Iicensa number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON4?FS/D~ BUIDINQ PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk menagement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? YES 0 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. CONSTRUCnON LENDING AGENCY I hereby affirm that there is a construction lending agency for the parformance of the work for which this permit is issued (Sac. 3097li) Civil Coda). I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provida the major work (include name I address I phone 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 LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION I certify that I had 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 Citt 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 ovar 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time a APPLICANT'S SIGNATURE 180 days (Section 106.4.4 Uniform Building Code). DATE 12 -274 YELLOW: Applicant PINK: Finance