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HomeMy WebLinkAbout2095 LINDA LN; ; CB990134; PermitCity of Carlsbad 01/12/1999 Mechanical Permit Permit No: CB990134 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2095 LINDA LN CBAD MECH 2051604500 $0.00 Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 01/12/1999 BT 01/12/1999 01/12/1999 Project Title: REPLACE 111 K BTU FAN Inspect Area: Applicant: TORRY PINES PLUMBING STE 100 ~.~.,. •••••• ... ..;'!'."-..II•·· HE 5253 01/12/99 0001 01. 6162 NANCY RIDGE 92121 619-677 -5455 "1•·"'"'1, ,,.; B ·"• • ,, .) " .• + -.~~ Total Fees: $24.00 • % '·-• •• ".. + s >+ .: Mechanical Issue Fee Install/Furn/Ducts/Heat Puinps. fi"ee Fireplace Installation Fee . . • • • • Exhaust Fan Fee , Installation/Relocation Vent p~·. Hood Fee • Boiler/Compressor to 15HP Fet. other TOTAL PERMIT FEES ~••-•It w•"•"' ◊•, "l'J"••►•l!•,,•,-\+•·,t ••"';')f'G,·, • • A _+.,'t,..,,.;. o1.4,·+.111,., ~' + .... ,vy+ r+ '' ++ ,,,J.f~•-i.. ,)._~.,.,t·"'*Y·· +•~• ' .... 1 0 0 ·o D 0 + I ' ; + . "· ¾\• \' + .... " · • $'15.00 . '·$9.00 4 -: $0.00 ... '·. $0.00 $0.00 $0.00 • · • $0.00 $0.00 $24.00 EXPlftffliNIIMff. "ERMIT HAS EXPIRED IN iTGORDANCE WITH U.B.C. SECTION 106.4.4 Jb ~ DATE i/:WOQ S1"•'1,1URE Q9 ~ • Inspector: Clearance: C-PRMT $24.00 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 Ca~sbad 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 IT APPLY to any fees/exactions of which uou have nreviouslu been niven a NOTICE similar to this or as to which the statute of limitations has nreviousJu otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 .>EFJMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 •1. · PROJ!!,T iNFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. qq{) (3;/ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ 2 0'16 -t-1 Y" 'b,t l,4JJ.() Address (include Bldg/Suite I) Business Name (et this address) Legel Description ~ Zt;!:-/&O-'2.DO · Lot No. Subdivision Name/Number Unit No. Phase No. Totel I of units Existing Use Proposed Use SQ. FT. lot Stories I of Bedrooms I of Bathrooms ~~":'° toNtRActo,ri .coMPAN't'i NA.ME~~~r~~.!'~~~.~~t.•1~~.trmi·u-;-,:,~l r.:'~ .. M 1~ •;ii-::i',.:"<t·• ;r.;~r•::ir.~;~-~~"",-:·r7~ -?"~~~;~,:~;~ :,?fi.:1.•;~.~~:~~~~,~~:"\l'<t'~t-1•t~-,~-, .. ,./_.,.,. ., (Sec. 7031.6 Business end Professions Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repelr any structure, prior to Its iHuanca, elao requires the 1pplic1nt for such permit to file • signed statement thet he is licensed pursuant to the provlelons of the Contractor's License Law (Chepter 9, commending with Section 7000 of Division 3 of the BusineH and Professions Codel or that ha Is exempt therefrom, and the besis for the elleged exemption. ny violation of Section 7031.6 by eny applicent f"J • parmit,.syt>'ects th 1ppllc1nt o • civil penalty of ,rt more than five hundred dot era (t6001), lfL 0 /2..J(d • 1 N4~ ~, ro S: l'1 t;/9 v??-5''1§ I M 1 Name &/ · Address . /_ 0/ City State/Zip Telephone I State License I 7c.r: 3q License Cle■s (J ,1/C3~L 6 · City Business License I _______ _ Designer Name Address City State License I _________ _ 6. WORKERS• COMPENSATION . .,,. - Workers' Compensation Declaration: I _hereby eflirm under penalty of perjury one of the following declarations: State/Zip Telephone ':Fj :<"' -.~:·-'h ' O I have and will maintain • certificate of consent to sell-insure for workers' compensetlon as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ll7f1 I have. and will maintain workers' compensation, as required by Section 3 700 of the Labor Code, for the performance of the work for which this permit Is ls'\ued. My worker's compensation insure ce cerrier and policy number ■re: !: ,£4• / Insurance Company ~ • Polley No. U/ CJ-I}/-;zz:95"91--DSB E,cpiratlon Date C9 // 91 (THIS SECTION NEED NOT BE C TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) , D 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 Lawe of California. WARNING: Failure to aecure worti■n• compenaetlon coverage la unlawful, end lhal subject an employer to crlmlnal penalties ■nd clvll flnH up to one hundred thoueand dollar• ($100,0001, In ■ddltlon to the coat of compenaetlon, damage• H provided for In Section 3706 of the Labor code, lntere■t ■nd attorney•• IHa. SIGNATURE. _______________________________ DATE _________ _ '7. OWNER-BUILDER DECLARATION ;,~.i~;.•~/•f1: "~~ ·.o; ~• .. ~ i~i;:;:~·:. •i ,:~~r ·T~' -~.-.~ . ·i•~ ··:t ~ · ·•,i••. 1' ~: 1: ~ ' · • .. ·: -:', ... • •• l i-. ·;, -~' -~':r~ \'.~,..~ :. :.,;~ > ·11 f>:-~'.'~" ~:;;.r..;;..1 •i~r.'~::~ ;· •:~ · :: ::·~~~r:tr-.!;:i, ·r'"· ,V;,1. I hereby ellirm that I am exempt from the Contractor'■ License Law for the following reason: 0 I, as owner of the property or my employees with wegea II their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Busineaa and ProfeHions Code: The Contrector'a Ucense Law does not epply to an owner of property who builds or Improves thereon, and who does such work himsalf or through his own employeH, provided that euch Improvements are not Intended or offered for sale. II, however, the building or Improvement Is sold within one yHr of completion, the owner-builder will hive the burden of proving that he did not build or Improve for the purpose of Hie). D I, as owner of the property, em exclusively contrectlng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who builds or Improves thereon, and contrects for such projects with contractor(s) licensed pursuant to the Contractor's Licfflae Law). 0 I am e,cempt under Section ______ Business end Professions Code for this reeson: 1. I personally plan to provid• the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have/ have not) signed 1n appllcetlon for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include neme / address / phone number / contrectora license number): 4 . I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (Include name / address / phone number/ contractors license number):. _______________________________________________ _ 6. I will provide some of the work, but I hive contracted Chired) the following persons to provide the work Indicated (Include neme / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATUFlE ________________________ CATE _________ _ icoMPLETE:titis·tectioMFoil'iJdN-Rff/DiNtiAl'iUifblNcfP.EiiMJtJ:cSNI.Wllffl~"t-~'!lll~~'ft:!l!.'!fl!lii'~~0•1~."'~frl:"';:1sil!l":,1~~~,;1;J~:'ii?f1 • Is the 1ppllcant or future building occupant required to aubmlt • buaineH plan, acutely hazardous matarlals reglatretlon form or risk management and prevention program under Sections 26506, 26633 or 26634 of the Presley-Tanner Hazardous Substence Account Act? 0 YES O NO Is the eppllcant or future bLilding occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • 1chool alte7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATI: OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTI0N CONTROL DISTRICT. la.~~~-: CONstRUctioH.UNblNGi.AOENCt:~:~·:~·•~','~~~~;,_'~"!!,'m~?-rf~~,:~-.~~~~·~~~~.:~.rr1:::-:~RiJt~,r:,,~~:r,m::~~1;'.\r:.". -~;''.T.'7""~~'i►-,~r.:~·, ·:•: '· :'~ ·: . ··:~n ,rf:r~..11 ~:-.. r-2~~ r,, :t ~ I, I hereby effirm that there Is I construction lending agency for the perform,nce of the work for which this permit le Issued (Sec. 3097(11 Civil Code). LENDER'S ADDRESS. ______________________ _ LENDER'S NAME ____________ _ 19: .... 'APPLiCANT CERTIFICA tiON~'1r~r~l~r~•)o/;~~~'Wf,':~';~ ·•·l;>t1}' ;·f',.~111:,;,'p.-1'!'::tr.: .. '~1:.'(•'l'IIT..'1:1' ,1-:,~J:~i~;:;;r.ri.:f~t.,~.~~J:iZ'~,7'i";y~'.:;c .":r:,-r:7:;..'1;' !"'1·i·~·· "~ 1•'.· •·1 · I certify thlt I hive read the application end 1t1t■ thlt the 1bov1 Information la correct and that the Information on the plans 11 accurate. I agree to comply with ,11 City ordinence1 and State lawa relating to building conatructlon. I hereby authorize reprnent■tlvea of the Cltt of C■rf1bed to enter upon the above mentioned property for Inspection purJ)C)■e■. 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 excevations over 6'0" deep and demolition or construction of structure■ over 3 stories In height. EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code ■hall expire by limitation and become null and void II the building or work authorized by such permit is not commenced w ithin 366 days from the date of such permit or II the building or work authorized by such permit Is suspended or abandoned et any time alter the work la commenced for• period of 180 days (Section 108.4.4 Uniform Building CodeJ. APPLICANT'S SIGNATURE DATE _____________ _ 1011 11Tf"'. C':t-V~I I /"'\\•I• ,.,..,,..,:,.~.,.• 01,.,IV• C'i-,~.-.,-ft