HomeMy WebLinkAbout1945 PALOMAR OAKS WAY; ; CB072010; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-31-2007 Mechanical Permit Permit No: CB072010
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 Entered By:
Reference #: Plan Approved:
Issued:
Project Title: SENDX MEDICAL: REPLACE 2 A/C
UNITS PLUS LINE SETS
Inspect Area:
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
2
0
0
0
0
0
Owner:
PALOMAR OAKS L L C
EQ UITY PROPERTY TAX GROUP, LLC
PO BOX A3879
CHICAGO IL 60690
Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due:
Inspector:~...::!
Fl NAL APPROVAL
Date: Bfi-'IWJ Clearance:
ISSUED
07/31/2007
JMA
07/3 1/2007
07/31 /2007
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
$0.00
NOTICE: Please take NOTICE that 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.
City of Carlsbad
1635 Fara,day Ave .. Carlsbad. CA 92008
760-602-2717 I 2718 I 2719
./' Fax: 760:602-8558
Building Permit Application
JOB ADDRESS
CT/PROJ CT # LOT #
DESCRIPTION OF ~ORK:
Plan Check No.
Est. Value
Plan Ck. Deposit
Date 7 -3t o1
APN
TENANT BU INE NA E •
Senl)x Meck ca I
in f/vtnDY\.-1f (z S I us ·ThR_
EXISTING USE
k1r co11olthon1n
GARAGE (SF) .rarn...e
CONTACT _NJME (If Dlffere t Fom App/leant) xn-er
ADDRESS vi 212,/ UUY ltYf
CITY STATE ZIP
PATIOS (SF) FIREPLACE
YESD #_ NOD
ADDRESS
'2 J Z-1 L-ola,v A-vc w'
STATE
AIR CONDITIONING
YES ~NOD
ZIP
FIRE SPRINKLERS
YES D NOD
q2-010 C4 V,l 0
EMAIL r-, X /3n-#aY1y'l:J l!'-1 ~Y-co.-v-
PROPERTY OW~R NAME
l "CA Y'Y
ADDRESS
CITY
PHONE isi-35D-llt.fO
EMAIL
STATE cA-
FAX
ZIP
2-130
CITY CttV\Sha.J STATE
CA-
ZIP
t ()
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.#
Sf{!}OIS-CLASS ~ z.. o Cl~ BUS. LIC.#
C'/,'B ' C. 3 (D I 2 7 .2-<l
(lee. 7031.5 8u1ine11 and Profrnion1 Code: Any City or Counry which requim a permir to con1trucL airer improve, demoli1h or rtP.air any 10'IKtllre prior to in ii1uanc,. a~o requirts the applicant for such permit to file a 1igned statemenr that he ii
rictnsed _purmnt to the provi1ion1 of the fontractor'1 License Law {Chapter 9, commending witfi lection 1000 of 01vi1ion 3 of the Business and Pro/mions fode} or tfiat he ii mmpt tfimfrom, and the ba111 for the allegtd mmprion. Any violation of lection 1031.S by any applicant for a permit 1ubjecu the applicant 10 a civil penalty of not mort than five hundred dollan {SSOO}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D /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 permil is issued.
Gf I have and will maintain workers' compensation, as required by Section 3700 of lhe Labor Code, for the performance of the work for which lhis permit is issued. My workers' compensation ini;,urance carrier and policy
number are: Insurance Co. 'tG11./7h, .1)1 S'V'nU! ct l O Policy No. -Z. O (p(p S" 3' I J ~ Expiration Date I() /2W I o, -
This section need nol be completed if lhe permil Is for one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that In lhe performance of lhe 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' com ensation 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, da r 1ded for In S · 3706 of the Labor code, Interest and attorney's fees .
.J!5 CONTRACTOR SIGNATURE 'O ~ DATE
I hereby affirm that tam exempt from Contraclor"s License Law for the following reason:
D I, as owner of the property or my employees with wages as lheir sole compensation, will do the work and the struclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply lo an owner of property who builds or Improves lhereon. and who does such work himself or lhrough his own employees, provided that such improvements are nol inlended or offered for
sale. If, however. lhe building or improvement is sold within one year of completion, lhe owner-builder will have the burden of proving lhat he did not build or improve for lhe purpose of sate).
D I, as owner of lhe property. am exclusively contracling wilh licensed conlractors to consln1ct 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 lhereon. and contracls for such projects with conlractor(s) licensed pursuanl to the Contractor's License Law).
D I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide lhe major labor and materials for conslruction of the proposed property improvement O Yes D No
2. I (have I have nol) 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 address I phone I contractors' license number):
4. I plan lo provide portions of the work. bul I have hired the following person to coordinate. supervise and provide the major work {include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have conlracted {hired) the following persons to provide lhe work indicated (include name I address I phone I type of work):
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials registration form or risk management and prevenlion program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is lhe applicanl or fulure building occupant required to obtain a permit from lhe air pollution control dislricl or air qualily management dislricl? 0 Yes D No
Is the facility lo be conslructed within 1.000 feet of lhe outer boundary of a school site? D Yes D 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.
I certify !hall have read the application and state that the above Information ls 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 representative of the City of Cal1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, 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 perm~ is required for excavations c:Ner 5'0' deep and demolition or construction of structures CNer 3 stories in height.
EXPIRATION: Every permrt issued by the Building Official under the provisions of this Code shall expire by limitation and become nun and void ff the building or work authorized by such permit is not coomenced within
180 days from the date of such permit orff the building work auth · such permrt is suspended or abandoned at any time after the work is corrvnenced for a period of 180 days (Section 1064.4 Unifoon Building Code).
.J!5 APPLICANT'S SIGNATURE DATE 31 r-r .
~
\1:1
City of Carlsbad Bldg Inspection Request
For: 08/22/2007
Permit# CB072010
Title: SENDX MEDICAL: REPLACE 2 A/C
Description: UNITS PLUS LINE SETS
Type: MECH Sub Type:
Job Address: 1945 PALOMAR OAKS WY
Suite: Lot:
Location:
OWNER PALOMAR OAKS LL C
Owner: PALOMAR OAKS LL C
Remarks:
Total Time:
CD Description
0
Act Comments
Inspector Assignment:
Phone: 7608773133
Inspector: L
Requested By: JESSE
Entered By: KATHY
43 AirCond/Furnace Set L ~~~~~~~~
If 1
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments