HomeMy WebLinkAbout2055 MAR AZUL WAY; ; CB102475; Permit!
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-17-2010 Mechanical Permit Permit No: CB102475
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
2055 MAR AZUL WY CBAD
MECH
2151304900
$0.00
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Project Title: GOLDMAN RES-REPLACE PACKAGE Inspect Area:
UNIT LIKE FOR LIKE SAME LOCATION ON ROOF
Applicant:
SHERLOCK HEATING & AIR CONDITIONING INC
514 HILO WY
VISTA CA 92081
760-295-5014
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
Owner:
GOLDMAN 2002 TRUST 11-15-02
2055 MAR AZUL WAY
CARLSBAD CA 92009
Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due:
FINAL APPROVAL
Inspector: ('1. ~ Date: Clearance:
ISSUED
12/17/2010
LSM
12/17/2010
12/17/2010
$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 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 lo 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
lxinfihh lr.ivnNTlimilr ihh t· lhi
,,l~ ~ ... ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 271812719
Fax 760-602-8558
www.carlsbadca.gov
t\12.0I I
Plan Check No. C,,B
Est. Value
Plan Ck. Deposit
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected .Area(s)
y°'-Cttlj e.., U,n,+
~]lrC---
• EXISTING USE ROPOSEDUSE GARAGE (SF} PATIOS (SF) DECKS (SF) FIREPLACE
YES(]#
FAX
(0()
CLASS
AIR CONDITIONING
YES□No □
C-20
FIRE SPRINKLERS
YES □No□
(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 [Chapter 9, commending with section 7000 of □IvIsIon 3 of the Bus mess and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of section 1031.5 by any applicant for a permit subJects the applicant to a
CIVIi pena!ty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penaltf of perjury one of the following declarations: .t:J} have and will maintain a certificate of consent to self-insure for WO_r'<ers' oompensation as provided by. Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~have and will maintain workers' comp sation, as reQui b SectiOn 3700 of the Labor Code, for the performance of the wo~Cfl this pe~is is~ My wori<ers' compensatk:Jn;;rance J;rrier and rlicy
numberare:lnsurar.ceCo Y Policy No. vv§.l: ~L(I O ExpiratK:Jn0ate O Jll 1 c):?I
~section need not be completed if the permit is for one hundred dollars ($100) or less, LJ Certificate of Exemption: I certify that in the performarice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cl vii fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam asp eel for In Section 3706 of the Labor code, interest and attomey"s fees.
A$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their so~ compensation, will do the work and the structure is not intended or offered for sa~ (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 sudl improvements are not intended or offered for
sale. II, however, the building or improvement is sold within one year of oompletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusJvely contracting with licensed oontractors 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).
I am exempt under Section ____ .Business and Professions Code for thls reason:
1. I personally plan to provide the major labor and materials for COl'\Struction of the proposed property improvement. OYes ONo
2. I (have / have not) signed an application for a building permit for the pro!X)sed war\!;,
3. I have contracted with the folk:Jwing person {firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the v.ork, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I address/ phone I type of work)·
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPL,ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business..Q!.ml, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanr.er Hazardous Substance Account Act? D Yes LJNo
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or a\[.9.!!ality management district? Oves D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and Slate that the atx,.,e infonnatlon is correct and that the infonnatlon on the plans is accurate. I a,ae to comply with all Ci1y on:llnanc:es and State laNS relatingto bLildlng OlOStructlon.
I hereby authorize representative of the Qty 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 UABILITlES, 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 requifOO forexcavalklns over 5'0' deep and demolition or consln.ciion of structures over 3 stories in height.
EXP!RA TION: Every pennit issued by the Building Official under the pro-visions of this Oxle shall expire by limitation ard be::ome null and voJd if the building cr 'Mlrk authorized by such permrt is not oommenced within
180 days from the date ofsucfl permit or if the buikling or'NOrk authorized by such permtt is suspended or abandoned at anytime after the work is oomrrenood b a · of 180 days (Soc:tion 106.4.4 Unimn Buikling Code).
~APPLICANT'SSIGNATURE • ~ DATE I 2-I lo I ro
City of Carlsbad Bldg Inspection Request
For 02/16/2011
Permit# CB102475 Inspector Assignment: MC ---
Title: GOLDMAN RES-REPLACE PACKAGE
Description: UNIT LIKE FOR LIKE SAME LOCATION ON ROOF
Type:MECH Sub Type:
Job Address:
Suite:
2055 MAR AZUL WY
Lot:
Phone: 7602955014
0
Location: Inspector: ----
OWNER GOLDMAN 2002 TRUST 11-15-02
Owner: GOLDMAN 2002 TRUST 11-15-02
Remarks:
Total Time:
CD Description Act Comments
Requested By: JULIE
Entered By: JANEAN
44 Rough/Ducts/Dampers
49 Final Mechanical
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
02/02/2011 43 AirCond/Furnace Set CO MC NOTICE ATTACHED
01/13/2011 44 Rough/Ducts/Dampers CO MC NO ACCESS TO ROOF, SUB PANEL