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Home My WebLink About1982 EAST POINTE AVE; ; CB022838; Permit09-'i3-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB022838 Builciing Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1982 EAST POINTE AV CBAD MECH 2073832700 Lot #: $0.00 HERMAN RES/ADDING AC UNIT LACATED SIDE OF HOUSE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/23/2002 CB 09/23/2002 09/23/2002 Applicant: LEGEND SERVICE SUITE 15 2588 PROGRESS ST VISTA CA 92083 760-631-8397 Owner: ZAVALANI RUDY C&CHERYL L 4516 SALISBURY DR CARLSBAD CA 92008 094 09/23/02 00O2 01 02 CGP 24-00 Total Fees: $24.00 Total Payments To Date: $0.00 BalanceDue: $24.00 Mechanical Issue Fee $15.00 Install/Furn/Ducts/Heat Pumps Fee 1 $9.00 Fireplace Installation Fee 0 $0.00 Exhaust Fan Fee 0 $0.00 Installation/Relocation Vent Fee 0 $Q.00 Hood Fee 0 $0.00 Boiler/Compressor to 15HP Fee 0 $0.00 Other $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $24.00 Inspector: FINAL APPRO Date: j Q / V AL 0^ Clearance: NOTICE: Please take NO^|CE thatfepproval of your ptc^edl includes the "lmpositi(5n" of fees, dedtetions, reservations, or otfier e)(a(rtions hereafter (»lle(rtively referred to as 'fees/e)(actions." You lave 90 days from the date this permit was issued to protest imposition of these fees/exa(*ions. if you protest them, you must follow the protest procedures set foitR in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for pro(»ssing in a(xx)rdance with Carlsbad Municipal Code Section 3.32.030. Faiiure to timely follow that procedure wiil bar any subsequent legal action to attacl<, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/e)(actions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor pianning, 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 vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO^l^^^^ EST. VAL. Plan Ck. Deposit Validated Bv Date ^-Q^-OT^ Acidress (include BIdg/Suite #), ^ ^ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Woric 2. CONTACT PERSON (if different from applicant) #of Stories ^ , »• ui # of Bedrooms # of Bathrooms Name ^ Address City 3. APPLICANT [£I Contraotor • Agent for Contractor • Owner P Agent for Owner State/Zip Telephone # Fax # Name 4. PROPERTY OWNER Addres; qty State/Zip , Telephone # ^ , • Name Address City State/Zip Telephone # 5. CONTRACTOR - COMPANY 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 [$500]]^ Name State License # Address License Class ^^~0 City State/Zip Telephone # City Business License # /ei) 0'?t/3 Designer Name Address City State/Zip Telephone State License # 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n 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: , r Insurance Company f-^K^flA^^ Policy no.Aj>li^OlC>lS^^3"^/ Expiration Date W^VA^ ^ {THIS SECTION 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 secureworkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars IS 100.Q()Q«^ addition to the cost of compensation, damages as provided for in Section 3706 of the Labgr'codeyrtterest and attorney's fees. -eiGNATURE^^ DATE f'/^^y^T^ 7. OWI^i^^l\.l5clf DECLARATION ^ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: [I] I, as owner of the property or my employees with wages as their sole compensation, will do tbe 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 improvenjents 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 n I am exempt under Section Business and Professions Code for this reason: Z,, 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. • YES QNO 2. I (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 / phone number / 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/VOW-ffK/OfiVTMi 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 O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY • 'k^ 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. APPLICANT CERTIFICATION 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 CitV 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 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 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^uspended or abandoned at any time after the work is commenced^^o^i^-iQer^t 180 days (Section 106.4.4 Uniform Building Code). / ^ DATE APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For: 10/01/2002 Permit# CB022838 Title: HERMAN RES/ADDING AC UNIT Description: LACATED SIDE OF HOUSE Sub Type: 1982 EAST POINTE AV Lot 0 Type: MECH Job Address: Suite: Location: APPLICANT LEGEND SERVICE Owner: ZAVALANI RUDY C&CHERYL L Remarks: Inspector Assignmen Phone: 7607298893 Inspector: Total Time: CD Description 43 AirCond/Furnace Set Act Comments Requested By: HERMAN RES Entered By: CHRISTINE Associated PCRs/CVs Inspection Historv Date Description Act Insp Comments