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Home My WebLink About18 GREENVIEW DR; ; CB012457; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/23/2001 Mechanical Permit Permit No: CB012457 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 18 GREENVIEW DR CBAD MECH 2152313900 $0.00 GOLDFARB RESIDENCE REPLACE 3 TON A/C UNIT Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/23/2001 MDP 07/23/2001 07/23/2001 NORTH COUNTY HEATING & COOLING GOLDFARB I JAY&ARLENE S 5353 07/23/01 0002 01 890 VALE VIEW DR VISTA CA 92083 16004 SABANA LN ENCINO CA 91436 Total Fees: $24.00 Total Payments To Date: $0.00 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 TOT AL PERMIT FEES Inspector: 1 0 0 0 0 0 FINAL APPROVAL Date: 12.1~.,Jo I Balance Due: Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 CGP $24.00 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 permtt 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 wtth Car1sbad 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 imposttion. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. 02 24 -00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.o=-+1_·_2..J_Y....;.=. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit ______ _ Validated By Date ___________ _ 1. PROJECT INFORMATION 18 GREENVIEW DR CARLSBAD CA 92009 <Suite> <Name> Business Name (at this address) Address (include Bldg/Suite #) 18 greenview dr <Lot> <Subdivis ion Name/No> <Unit> <Phase> Legal Description <Assessor No> Assessors Parcel # re place 3 ton ac unit Description of Work Lot No. Subdivision Name/Number <Existing Use> Existing Use <SQ FT> SQ. FT. <Stories> # of Stories 2. CONTACT PERSON (if different from applicant) Unit No. Phase No. <Proposed Use> Proposed Use <Bedrooms> # of Bedrooms <Total> Total # of units <Bathroom> # of Bathrooms <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address 3. APPLICANT NetClerk Inc C Contractor [iZ) Agent for Contractor C Owner 720 Dubuque Ave Name Address 4. PROPERTY OWNER JAY GOLDFARB <Address> Name Address 5. CONTRACTOR· COMPANY NAME City State/Zip Telephone# Fax # C Agent for Owner South San Fr: CA 94080 8883301777 City State/Zip Telephone# <City> ST <Zip> 7604381362 City State/Zip Telephone# (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 or Division 3 of the Business and Professions CodeJ 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 a civil penalty of not more than five hundred dollars ($5001). North County Heating and Coolin! 890 Vale View Dr Vista CA 92083 7609410018 Name State License # _7_3_8_6_1_9 ____ _ Address License Class c20 c36 <Address>-------- City State/Zip 11:ihOfe# C~ty Business License # b -Z...\ V . \ <Name> <City> ST <Z > <Phone> Designer Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION 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. D 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company exempt Policy No. exempt Expiration Date 12/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) i2I 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 or 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 doll.~~~,). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____________________ DATE-'0""'7-'-/2=0"-'/-"2-'-0-'-0_1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. • YES ONO I (have / have not) signed an applicant for a building permit for the proposed work. I ha,.v\! contracted with the following person (firm) to prqvi/je the proposed construction (include name ( <!Qdr~sV phone number/ contractors license number): <Name> <Aaaress:> <WorK Phone> <State License> 4. I plan to provide portions of the "YQrk, but I have hired the following person tll ~qordinate, supervise and provide the m,11jqr work (include name / address I P.hpne number I contractors license number):<Name> <Aaaress> <work Phone> <State License> 5. I will PJ9vide some of the work, but I have contracted (bir~d) the following person to provide the work indicated (include name I address / Rti.o.ne pumber / type of work): <N ame> <Aadress> <Work Phone> <worK I ype> 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? 0 YES D NO Is the applicant or future building occupant required to obtain a permil from the air pollution control district or air quality management district? •YES 0 NO Is the facility to be constructed wilhin 1,000 feet of the outer boundary of school site? DYES D 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. 3087(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ 9. APPLICANTCERTIFICATION 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 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, JUDGEMENTS, 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 lhe provisions of lhis 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 building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Seclion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE _0_7_/2_0_/_2_0_0_1 ______ _ ·UNSCHEDULED. BUILDING.INSPECTION . DATE . ,2.-14 -Q { INSPECTOR ·. Jc_. PERMIT # 0 / 2 4: C":::>] ··. PLAN CHECK# ---- JOB ADDRESS I 8 6xee/\v;e:,..,_) . . uP· F?e&/?J,;;y DESCRIPTlON . . h0YlQ , lLiYlAl ' 11 :30 ltYY'\ CODE . DESCRIPTION · ' ACT CO:M:MENTS 8·/0--0l · no one, huyyu__