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HomeMy WebLinkAbout2017 PINTORESCO CT; ; CB060542; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ·-09-05-2006 Mechanical Permit Permit No: CB060542 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2017 PINTORESCO CT CBAD MECH 2164813200 $0.00 ELSMORE RESIDENCE REPLACE FAU MAJOR LEAGUE HEATING & AIR CONDITIONING 1356 BOBOLINK DRIVE VISTA 92083 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 Status: Lot#: 0 Applied: 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: ELSMORE FAMILY TRUST 06-03-93 2017 PINTORESCO CT CARLSBAD CA 92009 ISSUED 03/01/2006 MDP 03/01/2006 03/01/2006 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: $0.00 Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE 9\s\,O(e SIGNATURE~ FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f . n f hi h h i I n iv n N 'mil r hi r h f limi i n h i I h i FOR OFFICE USE Q-flll '( PERMIT APPLICATION PLAN CHECK NO. (/i;; -_$'f 1_ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _______ _ Validated By _________ _ Date. _____________ _ Business Name (at this addressl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Tptal I of units Assessor's Parcel I Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax# (Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires tha eppllcant for such permit to file a signed statement that he Is licenaad pursuant to the provisions of tha Contractor's License Law [Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code) or that ha is exempt therefrom, and the basis for the alleged exemption. ny violation f Section 70 \.5 by any appl'cant for a permit sub'a s the ap Ii nt to a civil analty of not more than five hundred dollars 1•500)). l) State/Zip Telephone # License Class _,..{!&>"""--='-------City Business Ucansa I /£} '2 R/ Designer Name State License I Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone };.' 0 I have and will maintain a cartiflcata of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, 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 Coda, for tha performance of the work for which this permit Is issued. My worker's mpansat' n Insurance _carrier and policy number are: ., l!lujn> Polley No. ltlJPO ~'f: Expiration Data .... ~,._'/__c4___._+---'~""b.,___ CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit 11 l11ued, I shall not employ any parson In any manner so as to become subject to the Workers' Compensation Laws of California. WARNINO: Failure to -• workara' compenaatlon coverage la unlawful, and shall aubjac:t an employ• to t:rlmlnlll panaltlaa and dvll tlnaa up to one hundrad thousand dollars (• ,0001, In addition to the coat of compensation, damag .. 11 provided for In Section 3708 of the Labor code, lnte, .. t and atto~y•• fHa. SIGNATURE DATE ·, I hereby affirm that I am exempt from the Contractor's Ucanaa Law for th• following reason: 0 I, H owner of the property or my employees with wag .. as their 1011 compensation, will do the work and the structure la not Intended or offered for sale (Sac. 7044, Business and Profasslona Coda: The Contractor's Ucenaa Law does not apply to an owner of property who builda or Improve, thereon, and who doas such work himself or through his own employees, provided that such lmprovamant1 are not Intended or offered for ■■la. If, however, the building or Improvement Is sold within ona year of completion, the owner-builder will have the burden of proving that ha did not build or Improve tor th• purpose of salal. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct tha project (Sac. 7044, Bu1ina11 and Professions Coda: The ·contractor's License Law doe, not apply to an owner of property who builds or improvas thereon, and contracts for such projects with contractor(1) licensed pursuant to th• Contractor'• License LawJ. 0 I am exempt under Section ______ Business and Professions Code tor this reason: · 1. I personally plan to provide tha major labor and matarial1 for conatructlon of tha proposed property lmprovamant. 0 YES ONO 2. I (have / have notl signed an application for a building permit tor the proposed work. 3. I hava contracted . with the following parson (firm I to provide the proposed construction (include name / 1ddres1 / phone number / contractors Ileana• numbari: 4. I plan to provide portions of the work, but I h1v1 hired the following parson to coordinate, suparvlsa and provide the major work (Include name / eddr111 / phone number/ contractors licanaa number): ____________________________________________ _ 5. I will provide soma of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / address / phone number / type of workl:, ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE la the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Section, 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO la the applicant or future building occupant required to obtain a permit from tha air pollution control district or air quality management district? 0 YES O NO la the facility to be conatructad within 1,000 feat of the outer boundary of a school site 7 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 MEETINO THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sac. 3097(1) Civil Code). LENDER'S NAME 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. f agraa to comply with 111 City ordinancaa and State laws relating to building construction. I hereby authorize reprasant1tivaa of tha Citt of Carlsbad to enter upon the 1bova mentioned property for Inspection purpose,. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AOAJNST AU LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE ORANTINO OF THIS 1"1=RMIT. , 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 the provisions of this Code shall expire by limitation and become null and void ff the building or work authorized by such pennit Is not comma within 180 days from the date of such pe It or If the building or work authorized by such pennit Is suspended or abandoned . at any time after the work is comma d f riod of 180 da (Section 106.4.4 Unit Building Code). / APPLICANT'S SIGNATURE -~4-~1&~~~~~~~~~~~=--------DATE M r'tfb ----'--1,c.....::..a.~------- PINK: Finance