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Home My WebLink About1959 PALOMAR OAKS WAY; 200; CB063181; Permit05-02-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB063181 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1959 PALOMAR OAKS WY CBAD St: 200 MECH 2130922600 Lot#: $0.00 TWO JINN INC-ADD SPLIT SYSTEM w/elect@ SERVER ROOM-ROOF MOUNTED Applicant: COUNTRYWIDE MECHANICAL SYSTEMS STE F 1939 FRIENDSHIP DR 92020 619 449-9900 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: PALOMAR OAKS LLC ATTN MD 2335 FARADAY AVE #0 CARLSBAD CA 92008 ISSUED 11/06/2006 RMA 11/08/2006 11/08/2006 Mechanical Issue Fee $15.00 Install/Fum/Ducts/Heat Pumps Fee •1 $9.00 Fireplace Installation Fee 0 $0.00 Exhaust Fan Fee 0 $0.00 Installation/Relocation Vent Fee 0 $0.00 Hood Fee 0 $0.00 Boiler/Compressor to 15HP Fee 0 , $0.00 Other $35.00 Additional Fees $0.00 TOTAL PERMIT FEES $59.00 Total Fees:$59.00 Total Payments To Date:$59.00 Balance Due:$0.00 Inspector: FINAL APPRO' n/Date: VAL cn Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'ImposltkxT of fees, dedications, reservations, or other exactions hereafter collecfively referred to as fees/exactions.' You have 90 days from the date this permit was Issued to protest tmposftlon of these fees/exactions, if you protest them, you must foBow the protest procedures set forth In Government Code Section 66020(a), and iiie the protest and any other required Information with the City Manager for processing In accordance with Carisbad Mmlcipai 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or othw similar application processing or service fees In connection with this project NOR DOES IT APt^Y to any fees/exactions of which vou have orevioustv beenoivenaNOTICEslmllartdthls.orastowhlchthe statute of limitations has orevtoustv otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1, project information / I \ /9'S'9 1-^A (o/y) A P 0/4/x Ia) ) FOR OFFICE USE O PLAN CHECK NO EST. VAL. Plan Ck. Deposit, Validated Bvi Date li IIM IB XT O O TiiJOj:uzALLMi_' Business N^rtie (at this Waress)Address (include Bldg/Sulte H) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description_o^Work^ ^ SQ. F1^ ^'aTsTX // "Bp/Xr Tpi r 2. CONTACT PERSON'fif different from o^plicent) Uq>\ Stories # of Bedrooms # of Bathrooms XT(d - / 7 Name ' Address City 3. APPLICANT :; Q:Cbntractor / Q Agent for Contractor ; Q/Owrier ,0 Agent for Owner ; State/Zip Telephone #Fax # Name A. PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone # '5. CONTRACTOR- COEVlPANy NAME (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 penalty of not more than five hundred dollars ($5001). bc^KjJXcX/'X) (T /y?X;C-h Xaj I'c.A ! ! ' Address 7 City r"), t-hC /'Z State/Zip Telephone # ^/"pName State License # v License Class (7 /O TLX City Business License # X^ Designer Name Address City State/Zip Telephone State License tt 6. WORKER&LGpWlPENSATION Workers' Compensation Declaration; I hereby affirm under penalty of perjury one of the following declarations: □ 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. □ 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: X Policy No. X/Q 7 X 0 ^ Expiration Date O X 0 ~ 0^^^^nsurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HbNDRED DOLLARS ($100] 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' comp^sation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred^ousand dollars ($100^iM0), in addition to^ne cost oi^mpensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.XSIGNATURE H DATE ///A/O X 7. OWNER-BUILDER DECLARATION B I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ 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 doessuch 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). □ 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). □ I am exempt under Section Business and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES r~lNO 2. 1 (have / 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 / address / phone number / 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 / address / phonenumber / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR/VO/V-/?£S/D£/VrMi BUILDING PERMITS ONLY 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? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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. 8, CONSTRUCTION^^ 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 NAME LENDER'S ADDRESS 9. APPLipANfCERTIRQATION 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 allCity ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentionedproperty 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 S'O" 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 workauthorized by such permit is not commenced within 180 days from the date of such permit or it the building or work authorized by such permit is suspended or abandonedat any time after the work is commenced tor a period of 180 days^ection 10&.4.4 Uniform Building Code). APPLICANT'S SIGNATURE .DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For 07/16/2007 PermiW CB063181 Title: TWO JINN INC-ADD SPLIT SYSTEM Description: w/elect@ SERVER ROOM-ROOF MOUNTED Inspector Assignment MC Type: MECH Sub Type: Job Address: 1959 PALOMAR OAKS WY Suite: 200 Lot ^ 0 Location: APPLICANT COUNTRYWIDE MECHANICAL SYSTEMS Owner: PALOMAR OAKS LLC Remarks:' please Inspect at 9am Phone: 6199540105 Inspector Total Time: CD Description 43 AirCond/Fumace Set Act Comments £| Requested By: BOBBIE Entered By: CHRISTINE Commerits/Notices/Hoids t Associated PCRs/CVs Original PC# Inspection History Date ' Description ' Act Insp Comments 07/12/2007 49 Final Mechanical GO MC NOTICE ATTACHED 07/10/2007 • 49 Final Mechanical CA MC PER CONTTtACTOR PHONE CALL 07/09/2007 49 Final Mechanical CA MC PER CONTRACTOR