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HomeMy WebLinkAbout2015 PINTORESCO CT; ; CB013845; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-17-2001 Mechanical Permit Permit No: CB013845 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2015 PINTORESCO CT CBAD MECH Status: Parcel No: 2164831200 Lot#: 0 Applied: ISSUED 12/17/2001 MDP 12/17/2001 12/17/2001 Valuation: $0.00 Reference #: Project Title: STINSON RESIDENCE REPLACE FAU Applicant: ASI HASTINGS 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 Entered By: Plan Approved: Issued: Inspect Area: Owner: STINSON MILO B&KARLENE D TRUST 06-22-00 2015 PINTORESCO CT CARLSBAD CA 92009 6830 12/17/01 0002 01 CGP Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 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 1 0 0 0 0 0 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $24.00 Inspector: :;{PIRED PERl'v11T r· .. ' -~XPIREO !N f.CCORDAr:cE Wi"'.'q !'ltC. ~.4.4 t _ 4-'s -07c smriAnme oW FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionff 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T APPLY to any fees/exactions of which \IOU have nreviousl\l been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise ex"ired. 02 24-00 FOR OFFICE USE ONLY _. PERMIT APPLICATION PLAN cHEcK No. ol-3~'--l S CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VA~. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date, _____________ _ 1. Cr Address !include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # ot units Assessor's if reel I,, IT"' ltlC4 FAV Existing Use Proposed Use Description of Work SO. FT. #of Stories I of Bedrooms # of Bathrooms 2. CONTACT PERSON-Of dtfferent ·froffl:■ppllcarlt} •.,·,,,y. State/Zip telephone# Fax# 'It.I l 7 tl'l-1Yt Address City State/Zip Telephone# 4, PR~TY-OWNER' . · ... ·, .· ,·: tJ....t ,~ s+,·n reb Name Address City State/Zip Telephone # 6. 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 reciuires the applicant tor 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 ot the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exem tis inyH:~ot of :ctio~ 7031,; r;o apG;~'; a pfl~Jijeo;he ai:o/Cto ;.:,ivil penal? of ~uore than2i ;u~d~;~l~·r?353°b). Name Addreas C State/Zip Telephone# State Ucense # :SI 3/ J.,j license Class C /cJ,2'1, "3 21 "J ✓ City Business License, _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificete of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. 'SI I hava and wW maintain wo,kers" compensation. e, ,equl,ad .by Section 3700 of tho Labor Code, fo, the perlormance of the work for which this permit Is issued. My worker's compensation ipsurance carrier and policy number are: Insurance Company -~;z~•:::..V::.,r~/~'-:..,:~:__ _____________ _ Polley No./AJC,J. '? J a-7 7 f Expiration Date~-/,-o-:z. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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 worken' compenHtion coverage Is unlawful, and ahall subject ■n employer to criminal penattlea and civil fine■ up to one hundred thousand dollars I 0001, In addltioi;? !j t cost of compena■tlon, damages as provided for In Section 3706 of the ~r c~ Interest and attorney's fees. SIGNATURE_.C.,~~~i.__::----:1~-~~~~'._ _____________ DATE /;J. -//-0/ 7. OWNER•BUILDER DECLARATION I hereby affirm that I am exempt from tha ontractor's License Law for the following reason: D 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 does such work himself or through his own employees, provided that such improvements ere 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 sele), 0 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). D 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).,·_------------------------------------------------ 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 NON-RESIDENTIAL BUILDINO ·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? 0 YES O NO Is the applicant or future building occupant reciuired to obtain a permit from the air pollution control district or air Quality management district? D YES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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 LENDING AGENC:Y .. ; 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 ________________________ _ 9. APPLICANT CERTIFICATION I certify that I hav, read the application and state that the above informetion 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 end 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t~?? ~s _commenc~a riod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT"$ SIGNATURE _.!~::::::::::::=:~L-~'.:::;~~~::___________ DATE _1_2._~_1_1_-_<1_1 _____ _ ITE: File YELLOW: Applicant PINK: Finance