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Home My WebLink About1859 LOTUS CT; ; CB102562; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-29-2010 Mechanical Permit Permit No: CB102562 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1859 LOTUS CT CBAD MECH Status: Parcel No: 2155501800 Lot #: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: BLUESTEIN RES-REPLACE FAU SAME LOCATION Applicant: BLUESTEIN BARRY I 1859 LOTUS CT CARLSBAD CA 92011 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 1 0 0 0 0 0 Entered By: Plan Approved: Owner: BLUESTEIN BARRY I 1859 LOTUS CT CARLSBAD CA 92011 Issued: Inspect Area: Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: Date: Clearance: ISSUED 12/29/2010 RMA 12/29/2010 12/29/2010 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $0.00 NOTICE: Please take NOTICE hat approval of your project includes the "Im sition" of fees, decfoations, reservations, or other exactions hereafter collectively referred to as '1ees/exactions." You have 90 days from the date this permit was issued to protest imposition of these tees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and tile 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. -----------------·-·--..... -«~> ~· CITY OF CARLSBAD JOB ADDRESS t.o rv J Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 1271812719 C1 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPPP CT/PROJECT# LOT# PHASE# #OF UNITS CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Alfected Area(s) I(~/' I.. 1 C ,: ?j' 5"' & f'-//t; ---:J' ~ EXISTING USE CONTACT ¥ME (ff DlffeJent Fom Appllcant) rJ<!!lf.tlrJ Id ,-c ADDRESS :JfJ<+t, ... PHONE ?tr, EMAIL PROPERTY OWNER NAME errY ADDRESS l)f,:,,~ EMAIL ARCH/OESIGNEA NAME & ADDRESS PROPOSED USE GARAGE {SF) 1, · .... r Pt STATE ZIP C'l lf~.7 FAX "(Yt t G· fJo~ cl STATE ZIP C1 FAX STATE LIC. # BZZ'f~ 1 PATIOS (SF) DECKS (Sf) APPLICANT NAME CITY PHONE ,~ 2 Zff 'J EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LlC,# FAX 1>1 STATE FAX CLASS AIR CONDITIONING YES □No□ ZIP CITY BUS. LIC.# FIRE SPRINKLERS YES□No□ (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 lssuance,.also reciuires the applicant for such permit to file a signed statement that he is hcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Protesslons Code} or that he is exempt therefrom, and the basis for the alleged exemption. My violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Oaclaratlon: I hereby affil?TJ under penalty of perjUl'f one of the following rJeclarations: D I have and WIii maintain a certificate of consent to self-Insure for workers' compensation as provided by Sectioo 3700 of the labor Code, for the performance of the work for which this permit is issued. W I have and wUI maintain wor1<ers' compensation, as required by Section 3700 of the labor Code, for the pertonnance of the work for which this permit is issued. My _workers' compensatioo insurance carrier and policy numberare:lnsuranceCo AC()r,I PolicyNo.Q//Jtf/(Jf? l2.CPfau7 ExpiratiooDate '2,t, I/ l,lli§.sectlon need not be completed if the perm~ is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of lhe work for which t~is perm~ is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure woriers' compenutlon covtrage Is unlawful, and shall subject an employer to criminal penalUes and civil flnn up to one hundred thousand dollars {&100,000), in addition to the cost of compe11sation, damag prov ed for In Sec · 06 of th Labor code, Interest and attorney's fees. _,6$ CONTRACTOR SIGNATURE I hereby affil?TJ that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 lhat 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 lhe project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who bu0ds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's License Law). 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. 0Yes Oo 2. I (have I 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 I contractors' liceose 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/ 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 I phone/ lype of work): IS PROPERTY OWNER SIGNATURE AGENT DATE I ' COftPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occopant required to submit a busines_, acutely hazardous materials registration form or risk management and prevention program undel' Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act.? D Yes L.JNo Is the applicant or future building occupant required to obtain a permit from the air pollution controL5!!1,tricl or a~ality management district? Oves 0No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo IF A14Y 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction 1endmg agency for the performance of the work this perrrnt 1s issued (Sec 3097 (i) Civil Code) lender's Name lender's Address APPLICANT CERTIFICATION I ce,tlfythat I have read the appllcatlon and state that the above lnfonnation Is coll'eCtand that the infonnatlon on the plans Is accurate. I agree to comply with all Cl1y ordinances and State laws relating to building construction. I t,,reby authorize ,eprese!l8ti,e of lhe City of Carlsbad to enter upon the above mentiorod prof)8rty for ,opedioo pi,poses I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS lliE CllY OF CARLSBAD AGAJNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAJNST SAJD CITY IN CONSEQUENCE OF lliE GRANTING OF llilS PERMIT. OSHA: AA OSHA pemit is required for excavations rNer 5'0' deep and demdition or oonstruction of structi.res Ol/8f 3 stories in height EXPIRATION: Every permit issued by the Bulding Official under the provisions of ttis Code shall expire by limitation .wid become nul and void if the building or v.uk authorized by such permit is not corrmenood 'Mthil'l 180 days from the date ofsudl pemitor if the blilding ulhorizedlEJ<J;ucli,ll!"'Tillis suspended or abandoned at any time after the WOO{ is commenced for a period of 180 ~ (Section 111:i.4.4 Uniform Building Code). 8$ APPLICANT'S SIGNATURE DATE • il . . City of Carlsbad Bldg Inspection Request For: 01/05/2011 . Permit# CB102562 Title: BLUESTEIN RES-REPLACE FAU Description: SAME LOCATION Type:MECH Sub Type: Job Address: 1859 LOTUS CT Suite: Lot: Location: APPLICANT BLUESTEIN BARRY I Owner: BLUESTEIN BARRY I Remarks: A M PLEASE Total Time: 0 Inspector Assignment: Phone: 9516767197 Inspector: ---- Requested By: DINO Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set l?--Comm~ 9 !) Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments