HomeMy WebLinkAbout1986 HIGH RIDGE AVE; ; CB053735; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-27-2005 Mechanical Permit Permit No: CB053735
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
1986 HIGH RIDGE AV CBAD
MECH
2073851000 Lot#: 0
$0.00
GRODANZ RES REPLACE FAU
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/27/2005
KG
10/27/2005
10/27/2005
Applicant:
EXCEL AIR CORP GRODANZ ELLIS B&JULIE E INTERVIVOS TRUST
361 NATALIE WY 92028
760-723-9294
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
1
0
0
0
0
0
1986 HIGH RIDGE AVE
CARLSBAD CA 92008
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
Inspector:
FINA
Date: Clearance:
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "l""ll0'ttion" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ieestexactions." You have 90 days from the date this permit was issued to protest i""ll0'nion of these fees/exactions. If you protest them, you must
follow the protest prooedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation with the Cny Manager for
processing in accordance with Garlsbad Municipal Code Section 3.32.000. 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other ~milar application processing or service fees in connection with this project. NOA DOES IT APPLY to any . ' ' ' . '
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY ~
PLAN CHECK NO~ 72.,)
EST. VAL. _________ _
Plan Ck. Deposit-------~~
Validated By_7"J~-,'"rl'::::;;-iz::._,..'--7""'-
Date ___ __.._~"---<------':.....a,-..~;<---
l1. ~~Ti.QI t, c:s o J/..J h
Address (include Bldg/Suit,,) Business Name (at this address)
Legal Description
irsessor~u"
De!zi;tion of Wor~
Lot No. Subdivision Name/Number
Existing Use
SQ. FT. #of Stories
Unit No. Phase No. Total # of units
Proposed Use
If of Bedrooms # of Bathrooms
(Sac. 7031 .6 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
exemptiOJI, Any violation f Section 7031.6 by any apl3'ica for permit subjects the applican3,}o,.a civil penalty of not more than five hundred dollars ($600)).
f;xc~ , 6 /4/A I Ip. t/0,,/?a,;?/!:_ 2&1/4 ~-~ '9,,;l '9(/
Nama
State License # <£ 4 73 ':) 1/ License Class __ C __ -_U:J _____ _ City State/Zip ~hone If
City Business License # /o</~ ~
Designer Name
State License #
Address
~ ... ...ui-,ai--!J;9JlffltlAI19J~-...... --........... -........ _-
City
Workars' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
0 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.
0 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:
Insurance Company_____________________ Policy No.____________ Expiration Date ___ ~----
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
M' CERTIRCATE 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 ro become subject to the Workers' Compensation Laws of California.
WARNING: Failure to aecure workers' com atlon coverage la unlawful, and ahan aubject an employer to criminal penaltlaa and clvll flnaa up to one hundred·: ..
thounnd dollara $ 0,000), I d t a coat of compenaatlon, damagaa H provided for In Section 3706 of the Labor code, Interest and attorney'• feaa.
DATE /CJ -~ 7-OS
' .
0 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
ISec. 7044, Business and Professions Coda: 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 to construct the project ISec. 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).
0 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 ONO
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): ______________________________________________ _
6. 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
~:secfiOtlRi.il~ ~ mJIM TS ON
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 26605, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
mucttotruNOJNG?Ajtii_c., ,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME 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 Citt 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 5•0· deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the building Official under lhe 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 d ys fr t ate of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is com for a peri o 80 ctlon 106.4.4 Uniform Building Code).
DATE --'-/(_;c7_~_,;2_7_~_D_j __
WHITE: File YELLOW: Applicant PINK: Finance
m.
' . · City of Carlsbad Bldg Inspection Request
For: 11/09/2005 .
Permit# CB053735
Title: GRODANZ RES REPLACE FAU
Description:
Type: MECH Sub Type:
Job Address: 1986 HIGH RIDGE AV
Suite: Lot 0
Location:
APPLICANT EXCEL AIR CORP
Inspector Assignment:
Phone: 7607201560
Inspector: L
Owner: GRODANZ ELLIS B&JULIE E INTERVIVOS TRUST
Remarks:
Total Time:
CD Description
Requested By: JULIE
Entered By: CHRISTINE
43 AirCond/Furnace Set
· M.-C-om_m_e_nt _______________ _
--¥ ------. -------------------
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments