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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 Comments Page 1 of 1