HomeMy WebLinkAbout1931 ESTRELLA DE MAR CT; D; CB020468; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-t4-2002 Mechanical Permit Permit No: CB020468
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1931 ESTRELLA DE MAR CT CBAD St: D
MECH
215170023t(,, Lot#: 0
$0.00
RIAN DA RES/ REPLACE OUTDOOR
HEAT PUMP
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/14/2002
CB
02/14/2002
02/14/2002
LEGEND SERVICE
SUITE 15
WEAVER PAULE REVOCABLE TRUST 04-09-97
2588 PROGRESS ST
\/IST A CA 92083
760-631-8397
PO BOX 130010
CARLSBAD CA 92013 0969 02/14/02 0002 01.
CGP
Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00
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
FINAL APPROVAL
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Date: 7....-z_, '7 -OZ-etearance: -----
NOTICE: Please take NOTICE that approval of your project includes the "lmpositionff of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.ff You have 90 days from the date this permtt 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 wm 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 specmed fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise e Ired.
02
24,00
FOR OFFICE USE ONLY
PERMIT, APPLICATION PLAN CHECK N0~2C>~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST.VAL. __________ _
Plan Ck. Deposit---------
Validated By_/:-"-~b.__"--------
Date 2-J Zf-Q &
Addre"ss (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
2. CONTACT PEIJSON (If different from applicant) . A-;?.~ h~ {f 3L L)/ ~61 ~#6:.(A&:9:?-&'> Telephone # Fax #
Name Address City tate/Zip
4,. PR.OPERTY OWNER • • ...: 4-~~ ~,Jfjlt -S:c3,; A a G' t.,,c:-
Name Address City State/Zip Telephone#
5. CONTRACTQ.B • <.,OMPANY NAM):
(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 subjects the applicant to a civil enalty of n t more than five hundred dollars [$5001). =-.... -. J'.J#-r .. ,-g,
State License # __.20.::::..,,.£...]c.-S-:=-,k=-~1--License Class ---'C..__-_ ... ;)..::;__0=----
City State/Zip Telephone #
-..,.City Business License# }:) J 09 $(_3
Designer Name Address City State/Zip Telephone
State License # ----------
16. WORK!;RS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 _______ _
CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,0 to the cost of compensation, damages as provided for in Section 3706 of the Labor co , interest and attorney's fees.
SIGNATURE DA TE -~~L'.'.'.~~;;E:~;,.._
7. OWN.ER-BUI
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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. II, 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 w ith 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
number I contractors license number):------------------------------------------------
5. I will provide some of the w ork, 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-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING .PERMITS ONLY
DATE _________ _
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
•8, CQNST~UC.TION LENDING AGENCY
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 --------------
9.. . APPl,.ICANT CERT!FICAJION
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 Citt 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 the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a perio on 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
YELLOW: Applicant PINK: Finance
t!!\ -City of Carlsbad Bldg Inspection Request
For: 07/29/2002
Permit# CB020468
Title: RIANDA RES/ REPLACE OUTDOOR
Description: HEAT PUMP
Type:MECH Sub Type:
Inspector Assignment:
(1i1. F6 Phone:
I Job Address: 1931 ESTRELLA DE MAR CT
Suite: D Lot 0
Location:
APPLICANT LEGEND SERVICE
Owner:
Remarks: HEAT PUMP IN FRONT YD-NO CARD
Total Time:
Act Comments
Inspector:~
Requested By: MRS. RIANDA
Entered By: KAREN
CD Description
48 Exterior Appliances 4£ ____ _
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments