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Home My WebLink About2042 MAR AZUL WAY; ; CB071139; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-20-2007 • .. Mechanical Permit Permit No: CB071139 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2042 MAR AZUL WY CBAD MECH Status: Parcel No: 2151300700 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: ROLFES RES REPLACE FAU/ADD NC Applicant: 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 2 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: ROLFES KENNETH D&MARY A 2042 MAR AZUL WAY CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: Clearance: ISSUED 04/20/2007 KG 04/20/2007 04/20/2007 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit 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 lhat 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 hih h ril NTI iii PERMIT APPLICATION CITY OF CARLSElb.D BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O~I;)' 7 ///:< O PLAN CHECK No(;bfJ7t1 JI EST. VAL. _________ _ Plan Ck. Deposit --------,,,....:::..,.- Business Name lat this address) Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name City State/Zip Telephone # Fax # 1rm~111111m;;;;M1&J&/2N!llilli,ll!ll!lll',i!iiilf!W,1~1i'llmw, State/Zip Telephone# '6t:J Address City S.tat8/Zlp Telephone # M it & Mdiiiim.JULJJJ&Jti4ii.UJ~~1+'fl!~~ll'l::&1111 LU& J&JltMtldliMW:L:f!l~ (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 IChapter 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 tion. Any v· ion of Section 70 1.5 by any applicant for a arm sub cts the ap licant to a I enalty of not more than flve hundred dollars ($6001). City tate/Zip Telephone # City Business License # /,!;J../ 6;1. ol/ Designer Name State License II License Class _ ___,,cv_-..,Z=c=> ___ _ Address l "" -: &&ta L!l!lliiwiJllll!lllilillllr City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ff' I have and will ma'ntaln workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit ls issued. My worker'a pensatio suranc carrier and polic number are: lnaurance Company 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallura to workera' compensation coverage la unlawful, and shall subject an employer to criminal penaltlH and clvll fines up to one hundred thousand dollara ($ • In addition co t of compensation, damages•• provided for In Section 3706 of the Labor code, Interest and attorney's feea. SIGNATURE ~//:z'([,d_ DATE /f:~~ "=7-- aw for the following reason: 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 (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. lf, however, the building or improvement ls 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 (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). 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 followlng 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 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 Hazardoi.Js Substance Account Act? D YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facllitv 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 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. I ii&IRWJIEMill&J saw --~-~~~~~f}:$!~$/f~J;::i'.i I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed the application and state that the above information Is correct and that the Information on the plans la 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 e bulldlng Offlclal 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 co ed within 180 day m the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work Is comrhen I a period o ay (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ~Y-'------==zo-,:::>=--<-T ___ _ OW: Applicant PINK: Finance .City of Carlsbad Bldg Inspection Request For 04/27/2007 Permit# CB071139 Title: ROLFES RES REPLACE FAU/ADD A/C Description: Type: MECH Sub Type: Job Address 2042 MAR AZUL WY Suite: Lot: 0 Location: OWNER ROLFES KENNETH D&MARY A Owner: ROLFES KENNETH D&MARY A Remarks· Total Time: CD Description 43 AirCond/Furnace Set a Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: _k- Requested By: NA Entered By CHRISTINE