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Home My WebLink About2040 CARACOL CT; ; CB020931; Permit12-05-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB020931 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2040 CARACOL CT CBAD MECH 2151202000 $0.00 HARTWIG RES/ NEW FAU & AC Lot#: Status: ISSUED Applied: 03/27/2002 Entered By: CB Plan Approved: 03/27/2002 Issued: 03/27/2002 Inspect Area: Applicant: ASI HASTINGS 1250 GREENFIELD DR ELCAJON.CA92167 619-223-9016 Owner: HARTWIG DOUGLAS&NANCY 2040 CARACOL CT CARLSBAD CA 92009 2726 12/05/02 0002 01 02 CGP Total Fees:$49.50 Total Payments To Date:$33.00 Balance Due:$16.50 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 2 0 0 0 0 0 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.50 $0.00 $49.50 Inspector: FINAL APERO Date: _Clearance: NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit. Validated By Date g>- "2 Address (include Bldg/Suite f)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor'»\Parcell /fac e.Existing Use Proposed Use Description of Work 2. CONTACT PERSON Of different fn SQ. FT.#of Stories f of Bedrooms t of Bathrooms Name Address City 13. AHjUCANT i D Contractor "J^f Agent for Contractor "Q Owner Q Agent for Owner State/Zip Telephone #Faxf Name Address City 4. PROptjRTY OWNER State/Zip 7*007 Telephone * Address City State/Zip Telephone 9Name y S. 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 Lew (Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code! or that he is exempt therefrom, and the basis for the alleged exemption. Any violatiqaof Section 7031.5 by any applicant for a permit subjqcts/lje applicant to a^ciyil jjpnalty of not more than five hundred dollars ($500J).G-rec.ii 4 Name r / 3 /State License # w I J ' Address License Class C/0,™fll City V State/Zip City Business License # Telephone * Designer Name Address City State/Zip Telephone State License # _ '6. WORKERS' COMPENSATION -. ..', ':/-'-. :::V,; 'V:?' :•','•• ..... " " .. ' • ""'•' ::'::.^::f ,;:.- • ;r':::---:^,: ,.-;-. :: ' •••;•... : ..:•;,.. • • •• • :. Workers' Compensation Decleration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. 2V 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: itisUQl Iff Insurance Company P 4<-l ftc, g f» t> /V U fJ-S In* Prticy NiTJ2_E____l (THIS SECTION NEED NOT BE COMPLETEC/IF THE/PE Expiration Date PERMIT IS FOR ONE HUNDRED DOLLARS [»100] OR LESS) l~l 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (»1O07OpO), in addltlpoptdtha cost of compensation, damages ** provided for hi Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE C^^^l aJfyrvi*' _ DATE 3 '% 1-6?- _ 7. OWNER-BUILDER DECLARATION fl~~, : I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 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). Q 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). C] 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. Q 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 NON-RESIDENTIAL BUILDING PERMITS ONLY i , 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fl YES ("I NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q 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 LENDING AGENCY •• • , - ! 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 havi 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 City 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 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 the VMfNs commer^cWor a period of 1 80 days (Section 1 06.4.4 Uniform Building Code) . 1J APPLICANT'S SIGNATURE C^W^f &Jbm*/ _ DATE ^ WHITE: File YELLOW: Applicant PINK: Finance /7 2— City of Carlsbad Bldg Inspection Request For: 05/01/2003 Permit* CB020931 Title: HARTWIG RES/ NEW FAU & AC Description: Inspector Assignment:: "-' ^^ 2040 CARACOL CT Lot Type: MECH Sub Type: Job Address: Suite: Location: APPLICANT ASI HASTINGS Owner: HARTWIG DOUGLAS&NANCY Remarks: Phone: 7604312099 Inspector: Total Time:Requested By: DOUG Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Act Comment Afh Associated PCRs/CVs Inspection History Date Description Act Insp Comments Feb-25-02 O2:58P KATHY BELL 619-588-9OO7 P.O7 'ACORD^ CERTIFICATE OF LIABILITY INSURANCE 02/16/20o3 j "SSSSff PRODUCER . LOCKTON COMPANIES 444 W.47TH STREET. SUITE 900 . _. (816)960-9000 KANSAS CITY MO 64112-1906 INSUHEO A.S.I. HASTINGS, INC. 1001348 A BLUE DOT SERVICE COMPANY 1250t3RffiNREfcD DRIVE- EL CAJONCA 92021 ! THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTWCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TH&COVERAGE AFFORDED-BX THE POLICIES BELOW. INSURERS AFFORDING COVERAGE JNSURERA: PACIFIC EMPLOYERS INSURANCE CO. w8M«e»»7- AEGIS INSURER C : IHOUnCHO: • ' INSURER E: "V COVERAGES YA THE PC ANY RE MAY PI POL1CK nn A A B A A H.ICCS OF INSURANCE: USTHT iQUlREMENT. TERM OR CONDI •RTAII4, ,THfclN3U«A**et- AFFO SECOW H«VE BEEmSSUED TO IHt IMSUREOTmiECrXBOve FOR THE POtlCY-PERlOO WOieSj'EO. ^ TIOHOF ANY CONTRACT OR OTHER DOCUMCMT WITH RESPECT TO WHICH THIS CERTIFICATE NU S AGGRtUATE; CIMIT5 SHOWN WKT iwve Dttn KCLVUCUBT r«iu ULwnra. TYPE OF INSURANCE GEMrx GE» ERAt LIABILITY COMMERCIAL GENERAL LIAMILinr , CLAIMS MW5F j X OCCIW rL AGGREGATE LIMIT APPLItS PrR POIICV fxl 5?ft i'xV.Loc POLICY NUMBER HDOG 20580252 AUTOMOBILE LIABILITY X X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS" ' ' HIRED AUTOS NOM-QMME&AU?O» ' $500 COMraWMKYM t.- GARAGE LIABILITY ANY AUTO EXCESS UAWUTY X^OCCUR \^_ [ CLAIMS MADE DuMMKtCA«> FORM RETErmOH 3 WORKERS COMPENSATION AND EMPLOYERS- LIABCITY OTHER ]SA-H076«440ft' • • • NOT APPLICABLE . X1024ATA02 WLRC 4 JH J*l 4 (AOS> SCFC 43 126611 (MA) ' 'SUK&BSWF Q2fl&2W2 02/JWHKH ' 02/l*78fr2 02^60062- 'S^TM^SW?" 02/1^2003 02tfW2TB3 d2/l6^6» 02^16«9W- lOTWITHSTANDING \Y BE ISSUED OR lOfTIONS OF SUCH UNITS wtett eecuRRenee, FIRE DAMAGE (Any art (ire) Mte-EXP [An, one PCfOn) PERSONAL t ADV MJURY GnKRACACGREGW^e PRODUCTS • COMPfOP AGG COMBINED SINGLE LMIT (EaaM*m», BODILY INJURY(But >»<«an) . A BODILY INJURY(fp-acciieftti •T PROPERTY DAMAGE(PntJcoawTH AUTO ONLY • EA ACCNDENT aTHt»TKM^ EAACCAWOONLY . - MX EACH OCCURRENCE ^N 'AGGREGATE" ' ' .. X WL 3 m W '| •• K>TH-• 'TOftY'LIMtTS-r- i |ER E.L EACH ACCIDENT E L, ostAst. EA EHKOYEE E L. DISEASE • POLICY LIMIT s 1.000.000 f 50.000 t 5.00O t 1.000.000 * 2,000,000 * 2.000.000 * 1,000,000 * xxxxxxx 5 XXXXXXX * xxxxxxx * xxxxxxx s XXXXXXX * xxxxxxx 9 5,000,000 * 5,000,000 » xxxxxxx « xxxxxxx * xxxxxxx s 1.000,000 t 1.000.000 « 1,000,000 RE: ALL OPERATIONS OF Tl IK NAMKD INSURED CERTIFICATE HOLDER '• AOWTWHAL INSURED: INSURER LETTED CANCELLATION 11111111 ' 140431 cmrOFLAMESA BUILDING INSPECTION DEPARTMENTBiaoAiAisowswaefc.".. ' LA MESA CA 92041 i ._. _ "SRSULOAtiy OC-THt ABOVE OttC MB U>POuatS.aE,CAMCELLEP BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL END E A VOW TO MAIL 30 DAYS WRITTEN NOHCETatHE CERTIFICATE. HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL MPOSk NO UBLKJAIIUN OR iJAIULIIVO^ AM V KINO UPON fHE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRCWNTATWe _^- \ -, ^-,^.^L^^^Ze^r ACORD 25-s (7/»n «, »aana conpownoM *9«»