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Home My WebLink About1791 ANDREA AVE; ; CB044274; PermitCity of Carlsbad NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refened to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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, of 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 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 ~ feeslexactions of which vw have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise exdred. 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 11-24-2004 Mechanical Permit Permit No: CB044274 Job Address: Permit Type: MECH Status: ISSUED Parcel No: 2071201200 Lot #: 0 Applied: 11/24/2004 Valuation: $0.00 Entered By: KG Reference #: Plan Approved: 11/24/2004 Issued: 11/24/2004 Project Title: GRIMSHAW RES REPLACE FURNACE Inspect Area: 1791 ANDREA AV CBAD DERSON PLUMBING INC,WALTER Owner: OBRIEN DAVID&GRIMSHAW GEORGINA 6.273 11/24/04 00002 03: 02 1791 ANDREA AVE CARLSBAD CA 92008 CGP 24.00 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee InstallationlRelocation Vent Fee Hood Fee BoilerlCompressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES $1 5.00 $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: $0.00 Balance Due: $24.00 Clearance: r PERMIT APPLICATION CITY OF CA'RLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Pian Ck. Deposit Validated By Date I 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 *?6q4 State License # Designer Name Address city Statelzip Telephone 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 Expiration Date ..slc.xs I sued. My worker's compensatio carrier and policy number are: Insurance Company S+ak (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I51001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell 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 Policy No. I1 -./ Y n to the cost of compensation, damages as provided for in Section 3 attorney's fees. [7 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). 0 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 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 I phone number / type HIS SECTION FOR NON-pEsIDENTIA nt or future building occupant required to submit a business 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? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES [7 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. YES 0 NO LENDERS NAME LENDER'S ADDRESS 9 ICANT CERTl 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 Cit) 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 such permit or if the buildina or work authorized bv such Dermit is sumended or abandoned at any time after the work IS APPLICANT'S Sl'nNATURE DATE s (Section 106.4.4 Uniform Buildlng Code) WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/18/2005 Permit# CB044274 Inspector Assignment: Title: GRIMSHAW RES REPLACE FURNACE Description: Type: MECH Sub Type: Job Address: 1791 ANDREA AV Suite: Lot 0 Location: OWNER OBRIEN DAVID&GRIMSHAW GEORGINA Owner: OBRIEN DAVID&GRIMSHAW GEORGINA Remarks: 858/651-0192 Phone: 7607294600 Inspector: 5= Total Time: Requested By: MEGAN CD Description Comment Entered By: CHRISTINE 43 AirCondFurnace Set Associated PCRsKVs lnswction History Descripti Act lnsp Comments