HomeMy WebLinkAbout1898 FOREST AVE; ; CB032675; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 . , .
09-29-2003 Mechanical Permit Permit No: CB032675
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
EXCEL AIR CO
1898 FOREST AV CBAD
MECH
1562705200
$0.00
PIRO RESIDENCE
NEW FAU,NC
2045 CAMINO DR
ESCONDIDO CA 92026
760 480-7557
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
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
2
0
0
0
0
0
Owner:
PIRO FAMILY TRUST
1898 FOREST AVE
CARLSBAD CA 92008
Issued:
Inspect Area:
ISSUED
09/29/2003
MOP
09/29/2003
09/29/2003
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
Total Fees: $33.00 Total Payments To Date: $0.00 Balance Due: $33.00
5208 09/29/03 0002 01
CGP
,,, , ..
FINAL APPROVAL
DATE_/11/or CLEARANC."° ___ _
33 ,00
PERMIT APPLICATION
FOR OFFICE USE ONL V
PLAN CHECK NO. 0~ -rzro-,c:;
"CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL._~~~~~~~~~
Plan Ck. Deposit ----------
Validated By __________ _
Date·--------------~
~. PROj~CJ:,INJ'O~~ATION. .L. I$' Cf~ F(f)R e;s c
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use _ # _£I . _/ Proposed Use ~ ~e--r-ua..-,2 ,t-, Asseb f'..aJcel #
/IV$ II P'f?.4)
Description of Work
F/H.,I , A/c_ ' wsk~
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
·< 2.
State/Zip Telephone# Fax#
~77'1;:.' 73'37
Telephone#
/R9£ Address
Name
State License # _?.<......:$=:.-.L/.c.f)_-=£9::..__,.· __ _
Address City State/Zip Telephone #
License Class _ _;;c;.,._-__ z.o_____ City Business License # 1:i. ( I 7 5 ~
Designer Name
State License # ----------
8, .WORKERS' ,COMPEJ',1$1\ TIQN
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
O 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.
O 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 Policy No. Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
'l5i(" 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
lto'tiecome subject to the Workers' Compensation Laws of California.
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 thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 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. 0 YES ONO
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 I address I phone number I 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
numb~/contracto~licensenumbe~:-------------------------------------------------
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ------------------------DATE _________ _
'COMPLETE THIS s1:c1)of\l. FOR NON-RESIDENTl~l,JMJILQl!fG PERMIT~ Ori!,_¥,lr'
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 O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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.
18, CONSTRUCTlbN LEtJ!DING ~,GENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME -----------------LENDER'S ADDRESS _________________________ _
9.. A~PLICANT CEF\TIFICA TIOI'(.
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\t 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 lhe building or work
aulhorized by such permit is not commenced within 180 days lrom the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any lime after the work is co~or a P;P)P of ~O ~s (~ction J..06.4.4 Uniform Building Code).
APPLICANT'SSIGNATURE ~ ~ DATE 09 -d..4 ,-@5
WHITE: File YELLOW: Applicant PINK: Finance
Inspection List
Permit#: CB032675 Type: MECH
Date Inspection Item
07/13/2004 49 Final Mechanical
10/21/2003 43 AirCond/Furnace Set
10/21/2003 44 Rough/Ducts/Dampers
Wednesday, July 14, 2004
Inspector Act
PY AP
PY
PY
WC
AP
PIRO RESIDENCE
NEW FAU,AJC
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