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Home My WebLink About1945 PALOMAR OAKS WAY; ; CB061066; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-19-2006 Mechanical Permit Permit No: CB061066 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1945 PALOMAR OAKS WY CBAD MECH Status: Parcel No: 2130910200 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: SEN DX-REPLACE 4 HVAC UNITS LIKE FOR LIKE Applicant: XNERGY STE100 2237 FARADAY AV CARLSBAD CA 92008 438-7676 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 4 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: PALOMAR OAKS L L C ATINMD 2335 FARADAY AVE #0 CARLSBAD CA 92008 Total Fees: $51 .00 Total Payments To Date: $51 .00 Balance Due: ISSUED 04/19/2006 LSM 04/19/2006 04/19/2006 $15.00 $36.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $51 .00 Inspector: FINAL APPROV~ Date: /6,f~"'~ Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition· of lees, 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use Description of Work #of Stories FOR OFFICE USE ONLY PLAN CHECK NO. ------- EST. VAL. ______ ~---- Plan Ck. Deposit---------- Validated By----------- Date --------------- Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms 5. CONTRACTOR·C~OM~~PAN:;;--..:.Y.:...:.:N~AM~E---..,.,..--,--~~~~------- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pem,it to construct. alter. improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such pem,it 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, pplicantforapemiff;ctsthea p;~1oaciet:ena~tOtmore1hanrivehun ddoft tss n.C..f\ C,ZO(ff 1 , S" ( ~ c) / {"" Ad ess C-ZO City State License# License Class------------ State/Zip Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSATION Workers' Compensation Declarati-.o-n-: _l_h_e-re_b_y_a_ffi_m,_ under penalty of pe~ury one of the following dedarations: 0 I have and will maintain a certificate of consent to self-insure tor workers· compensation as provided by Section 3700 of the Labor Code, for the perfom,ance of the work for which thls permit is issued. Cll""' 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: Insurance Company Policy No. Expiration Date ___________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the pertom,ance of the work for which this pem,it is issued, I shail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal~omia. 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($100,000), 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 7. OWNER-BUILDER DECLARATION I hereby affim, that I am exempt from the Contractor's License Law for the following reason: O 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors lo 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). O 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 O NO 2. 3. 4. ave hired the following person t.o coordinate, supervise and provide the major work (include name I address I phone number I /ontractors license number): ------,,::....~----------------------------------------- 5. I will provide some of the work, but I have ed (hired) the following persons to provide the work indicated (Include name I address I phone number I type of work): WHITE: File YELLOW: Applicant PINK: Finance ., PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materi9)s registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act'l D YES If NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES e1' NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES n( 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS ____________________ _ 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 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 uildin ial 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 1 O days 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 · 801t1A-1~et·inn 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance •• . . City of Carlsbad Bldg Inspection Request . For: 09/28/2006 . Permit# CB061066 Title: SEN DX-REPLACE 4 HVAC UNITS Description: LIKE FOR LIKE Type: MECH Sub Type: Job Address: 1945 PALOMAR OAKS WY Suite: Lot Location: APPLICANT XNERGY Owner: PALOMAR OAKS L LC Remarks: Total Time: CD 49 Description Final Mechanical 0 Act Comment ---------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: _u Phone: 7604387676 Inspector: Requested By: BRITNEY Entered By: CHRISTINE