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Home My WebLink About1864 OUTRIGGER LN; ; CB102507; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-21-2010 Mechanical Permit Permit No: CB102507 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1864 OUTRIGGER LN CBAD MECH Status: Parcel No: 2074012200 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: ECKERT RES-REPLACE FAU SAME LOCATION Applicant: EXCEL AIR CORP 361 NATALIE WY 92028 760-723-9294 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: Issued: Inspect Area: Owner: ECKERT FAMILY TRUST 10-15-01 1864 OUTRIGGER LN CARLSBAD CA 92008 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL Date: I Clearance: ISSUED 12/21/2010 RMA 12/21/2010 12/21/2010 $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 NOTIC that pproval of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You ave 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 Ccx:le 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 FURlHER 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 ser.iice fees in connection wlth this project. NOR DOES 1T APPLY to any lee e~ \ans of wh\ h ha\le revi s\ been \v n N iT\ E \mil r this or a t whi h the ~ \\mi t\ons has rev\ us\ otherw\se ex irect. «'~\ ~ CITY OF CARLSBAD JOBADDR Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit CT/PROJECT S #BEDROOMS #BATHROOMS 1£NANT BUSINESS NAME DESCRIPTION OF WORK: Include Squ+ Feet of A"8cted Atea(s) ~~(4 ~ ~:<t:~ ~ c::; G I JoS ri3f I> lZ I O\r\ 0t (..A..__-J~ r H .. 11.., T•~ I"' I Le> (>f-:t-1 Pk. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) CONTACT NAME (It Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct alter, improve, d molish 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 fChapter 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 a civil penalty of not more than five hundred dollars {$500)). WORKERS" COMPENSATION Workers' CompensaUon Declaration: I hereby affirm under penalty of perju,y one of the following d6c/arations: D 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 pem,it is issued. D I have and will maintain worke 'compenutlon, as required by Section 3700 of Labor Code, for the pelformance of the? ;YJ,~~~~it is issued. My workers' compensalion insurance carrier and _policy number are: Insurance Co r '--=--L.. Policy No. {A/( ,,,.., ~ ~ 1"7 3, Expiration Date 07 · () / • I/_ ItliLsection need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pelfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workem' Compensation Laws of California. WARNING: Failure to secure workers' compenution c:OYtrage 6s unlawful, and shatl subject an employer to c:rimlnal penalties and c:IYII fines up to one hundred thousand dollars (&100,000), in addiUon to the COIi of compenution, damage rovkted for In Section 37 e Labor code, Interest and attorney's fees. A$ CONTRACTOR SIGNATURE '1/-C.~------- I hereby affirm 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 that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have the burden of proving that he did not buijd or improve for the purpose of sale). I, as owner of the property, am ex.dusively contracting wilh 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 cootracts for such projects with contraclo((s) licensed pursuant to the Cootractor'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. Oves Oo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contrac:ted with the following person (firm) to provide the proposed construction (indude name address I phone/ contraclofs' 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 (inciude name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted ired) the following persons to provide the work indicated (include name I address/ phone/ type of work): ,J!5 PROPERTY OWNER SIGNATURE DATE () COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a businesSJUO, 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? D Yes WNo Is the applicant or future building occupant required to obtain a permit from the air pollution controLs!i§!ricl or a~alily management district? []ves D No Is the facility to be constructed within 1,000 feet of lhe outer boundary of a school site? LJYes LJNo F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR~ 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 lending agency for the perfonnance of the work this permit tS issued (Sec 3097 (i) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cenlfythat l have read the appllcation and state that the above infonnation Is c:ooect and that the lnfonnatlon on the plans Is accurate. I agree to c:omplywlth all Cit¥ ordinances and State laws relating ID bulkllng c:onstructlon. 11-.nlby aulhorize representati,e ollhe Ci1y o1 Callsbad lo enler 'l'()ll lhe abo., lll8fltior,d property for inspection pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS lliE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, CCSTS AND EXPENSES WHla-! MAY IN ANY WAY ACCRUE AG.'JNST SAID CITY IN CCNSEQIJENCE OF lliE GRANTING OF llilS PERMIT. OSHA: AA OSHA permit is required for excavations OV8f 5'0' deep and demolition or construdion of structures OV8f 3 stories in heig,t. EXPIRATION: Every pennit issued by the Bulding Ofooal under the provisK>ns of thi shall ~re by lmtation and become fl.lll ard wid if the building or work autoorized by such permit is not c:ommenced within 180 days from the date of such pemit or~ the blilcli aulhorized by sw6ri~suspended or cbarmned at any limeafler the work iscoomenced fa-a period d 180 days (Section 100.4.4 Uniform Building Code) . .6$ APPLICANT'S SIGNATURE DATE m . . City of Carlsbad Bldg Inspection Request ' . For: 01/12/2011 . Permit# CB102507 Title: ECKERT RES-REPLACE FAU Description: SAME LOCATION Type:MECH Sub Type: Job Address: Suite: 1864 OUTRIGGER LN Lot: 0 Inspector Assignment: Phone: 7605196264 Location: Inspector: OWNER ECKERT FAMILY TRUST 10-15-01 Owner: ECKERT FAMILY TRUST 10-15-01 Remarks: P M PLEASE Total Time: ---- Requested By: DIANE Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Act Comments~ J ~. 'f Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments