HomeMy WebLinkAbout1872 PALISADES DR; ; CB062572; PermitCity of Carlsbad
,. 1635 Faraday Av Carlsbad, CA 92008
09-11-2006 Mechanical Permit Permit No: CB062572
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
1872 PALISADES DR CBAD
MECH
2073810400
$0.00
SMITH RES-REPLACE A/C
TELFORD JONES INC
STE 13A 400
25920 IRIS AV
MORENO VALLEY CA 92551
951 486-0337
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
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/11/2006
LSM
09/11/2006
09/11/2006
SMITH FRANKLIN D&PRECISO-SMITH CATHERINE A
1
0
0
0
0
0
1872 PALISADES DR
CARLSBAD CA 92008
$15.00
$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: $24.00 Balance Due: $0.00
7:Jt .,·.:·· t W!TM C.B.C.
,.:C: i:)N 106.4.4 AS .,, ·. '...:.' .. 18.04.030
'"''~.tu.lo. SIGNAT!.iRc. ~ .. ·~·-·-·-·
Inspector: Clearance:
NOTICE: Please take NO ICE at 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 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 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 fees/exactions 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
f hih rvi TIEim' hihh flimii I
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Address (indude Bldg/Suite#) / Business Name (at this address) ,~c ,c?>P?/LY,tJale-V.,45
Legal Description Lot No. Subdivision Name/Number Unit No.
Assessor's Parcel # Existing Use
#of Stories
FOR OFFICE USE ONLY
PLAN CHECK NO. ~0 0.9-:S7d-
EST. VAL. __________ _
Plan Ck. Deposit---~-+-~-----
Validated By----~-------
Date _____ 0._) _1_\~\_0-fo __
Phase No. Total# of units
Proposed Use
# of Bedrooms # of Bathrooms
ame Address City State/Zip Telephone# Fax#
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Nime Address City State/Zip Telephone#
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(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 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 ~upj~ ~ applicant to a civil penalty of not more than five hundred dollars ($500]}. !'
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Name Address City State/Zip Telephone#
State License# 65t!,ff.JC License Class C City Business License# / ;l.;;>~ 7 ii: /
Designer Name Address City State/Zip Telephone#
State License# ________ _
declarations:
□ 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. y{ I have and will maintain worker's 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: . /I
Insurance Compan~ £TD77: (}lm,? &!1/2 Policy No. $6 ..,a, ;"£.Zir'L E,piration Oate , ?--/-OZ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
□ 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 of California.
WARNING: Failure to secure wor1ters' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand
dollars{$100,000), In addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees.
SIGNATURE ________________________________ DATE _________ _
ri,,:,~i~'!l!!!!'::n::,,: , ,,, ''""'''''·
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will d 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).
D 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).
□ 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. D YES D NO
2. I (have/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 I address/ phone number/ contractors 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 (include name I address I phone number/
/ontractors 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/ phone number/ type of work):
PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _
WHITE: File YELLOW: Applicant PINK: Finance
PE~MIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
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Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley~Tanner Hazardous Substance Account Act? □ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
:~t'.;;~_ -·-· .. _. ..... __ , __ ,, __ J~1 .... "'"""••••::~111i11!111:i/11;;iF': .:.111!1::,,.. ,, , .. _. ~ . .. ~ ~·, , t . i , ,,, ~:: ~-\. .:• ,; .. i~;:;;\;::1:1~:Jt1~m11;11r:;;,:iff:
I h•r•by •rm that th•1"9 i■ a oonal:ruction lending ag•ncy for th• parformanca r;J thtt work for which thi• parmit i• iHu•d (S•o. 30Sl7(1) Civil Cod•).
:et <~~l~1'19iillnl :.:: -:::,;<;:i:0;; :tt:Jl]:j;);;ii'i:L"' • .·.,.,,,i!i!W~> -,·-:,u::,::::1:m: ... ,
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.
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 of 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 per ·1 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 (Section 106.4.4 Uniform ilding Code).
WHITE: File YELLOW: Applicant PINK: Finance
" 't$' ~-; City of Carlsbad Bldg Inspection Request
-··,~··· ' For: 09/11/2007 ..
Permit# CB062572
Title: SMITH RES-REPLACE A/C
Description:
Type: MECH Sub Type:
Job Address:
Suite:
1872 PALISADES DR
Lot 0
Phone: 7608455561
Location: Inspector: -----
OWNER SMITH FRANKLIN D&PRECISO-SMITH CATHERINE A
Owner: SMITH FRANKLIN D&PRECISO-SMITH CATHERINE A
Remarks:
Total Time: Requested By: NA
Entered By: CHRISTINE
~
~rr1_Act Commentb' : .
43 AirCond/Furnace Set . ~--~
--------· ------
CD Description
-----------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments