Loading...
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 ------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments