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HomeMy WebLinkAbout2141 LEVANTE ST; ; CB111561; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-08-2011 Mechanical Permit Permit No: CB111561 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2141 LEV ANTE ST CBAD MECH Status: Parcel No: 2164840300 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: HAZEL TON:REPLACE FURNACE & A/C Applicant: 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: HAZEL TON GERALD A&DOLORES L 2141 LEVANTE ST CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: FINAL AP.PROVAL Inspector: Y,,,., ~e.. Date: O Clearance: ISSUED 07/18/2011 JMA 07/18/2011 07/18/2011 MC $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 "lrrposition" 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 lollow the protest prooedures set forth in Government Code Section 66020\a), and file the protest and any other required information "1th the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that proc:edure will bar any subsequent legal action to attack, review, set aside, void, or annul their irrposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactioos DOES NOT APPLY to water and sewer oonnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR OOES IT APPLY to any f I , «~~ ~J~-4~ B "ldi P ·t Ap Ii t· Plan Check No. C0 \ \ I u1 ng erm1 p ca 10n ~ CITY OF 1635 Faraday Ave .. Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 f------------------ Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS~\ l PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS www.carlsbadca.gov Date SU TE#/SPACE# UNIT# # BATHR OMS GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPlACE APPLICANT NAME ZIP CITY EMAIL STATE UC.# I FAX SWPP CO STR. TYPE CC. GROUP FIRE SPRINKLERS YES □ NO □ (Sec: 7031.5 Business and Professions Code: My City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the apphcant 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 Sect1_on 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged eKemption. Any violation of Section 1'031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WOIH(l!llS' CONJPl!NJATION Workers' Compensation Declaration: I hereby affirm under penalty of pe,juty one of the following declarafons: □ 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 wor!( for wt"ich this pennit is issued. _ ff I have and wlll maintain w:n: Ct"IP~uiredJ2X.. Section 3700 of the Labor Code, for the perfonn* 91.,~~r ~ ~it4. i~~-My workers' compensation ilurancerrrier and_policy 'X numberare:lnsuranceCo. CJ ~ ,L N~~IJ. (j.N.f Policy No. ~L J,.~ Expiration Date G:\S 2-S) 'ls:>\ l.... This section need not be completed if the permit is for one hundred dollars ($100) or less. □ 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 Cali!Omia. WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltle& and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage& as provided for In Section 3706 of the Labor code, Interest and attomey"s fees. AS CONTRACTOR SIGNATURE t--<o 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 sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Busil\ess and Professions Code: The Contractor's Lice11Se Law does not apply to a11 owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are 110\ intended or offered for sale. ll, however, the building or improvement is sold Within 011e year of completion, the owner-builder will have the burde11 of proving that he did not build or improve for the purpose of sale). □ I, as owner of the property, am e:(C(usively contracting with licensed contractors to constrl.lCI the project (Sec. 7044, Business a11d Professions Code: The Contractors 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 Contractors License Law). □ I am exempt under Sectbn _____ ,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. □ Yes □ No 2. I (have I 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 co11structlon (include name address I phone I 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 (inc\llde name I address I phone/ 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 I phone I type of work): ,6$ PROPERTY OWNERSIGNA.TURE CJAGENT DATE j ,. • <_(1 Building Permit Application Plan Check No.{:~ J )_J ~ . .. ,. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 / 2718 / 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Date iswPPP I JOB ADDRESS 2141 LEVANTE U, ''-"''" A~~«/UNIT# r' --- CT/P>ruJECT # I LOT# ! PHA.SE # I'° UNI $ I# B,;.Om,,v,.._, "°"''H..,QOMS I '""ANT BUSINESS NIIMI:. rONS,n PE I o ... c GROUP ___ ) uESCRJPTIO" vF WORK: lncluff Squrt Feet., AffectedArH(IJ I HVAC MECHANICAL WORK. THIS PERMIT WAS PULLED UNDER THE PREVIOUS COMPANY AND HI-TECH NEEDS IT TRANSFERED INTO OUR NAME. SPOKE WITH CATHY IN THE PERMITTING OFFICE 7129/11 s:AISTING ,.,SE IPRo.-...... .,., .... ,o-•oc (o,, rl"',IV-> \<>') I""""" {vc) -,w-,c i rlH l:UNLJIJIUN\NG rRESPRINKL1:t1S YF.SO No□ YES □No□ YES □No□ APPLICANT NAME {Primary Contact) APPUCANTNAME(Seoondary Contact) ADDRESS ADDRESS ~ STATE ZIP CITY STATE ZIP ---·-----!FAX PHONE -·----rAX - /'EMAi!.. EMAIL : PROPERTY OWNER NAME JERRY HAZELTON CONTRACTOR BUS. NAME RHJ HI-TECH AIR CONDITIONING , ADDRl:SS ADDRESS 2141 LEVANTE 11647 RIVERSIDE DRIVE #135 •CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92009 LAKESIDE CA 9~040 PHONE ________ _! FAX --·- PHONE If-AX I I ---619-440-2080 619-440-2090 EMll,,c_ EMAIL j KELLEYPARHAM~HITECHAIR.NET I ""'c-20 I"'""' '" 1233209-ARCH/oES:GNER !'!AME & ADDRESS ]STATE LIC II ~THE I.IC# 617534 rSec 7031 5 Bus111ess and Professions Code Ar.y City o, Cour.ty which requires a permit to construct, alter improve. Demolish or repair any structure prior tn its issuance also requires the applicant for such permit to file a s1aned staterner'lt tiat he is licensed pursuant to the provIs1ons of the Contractor 5 l ,c,mse l~w JCnapter 9. commending with Section 7000 of D1v1s1on 3 of tie t>usiness and ProfEissmns Code) or [hat he is exarnJ.lt therefrom and the basis for the alleged exe'l1pt1on Any v1olal1on of Section 0315 by any applicant for a permit subjects the applicant to a cMI penalty of not more than f,ve nundred d,pllars {$500)) ;,Vf,ORKE:RS C011fi"l!',VSAi10I\I,, ',' ~ , . , , ~ , ' Worktrs' Compensation Declaration I her&f1/ 8'fiml .indtilrptmalty of Pf!G<ifY OPe of lh9 bl/ow1/1{1 dec/aralions □ I have and will maintain a certificate ofconserrl fo self.insure !or \\O_rllers' oompensalrn as pr;i~1tEd by Secbor, 3700 ol the letlof 0:>de. 'Of !he perf::irmance of !he work brwh1ch lh1s~m1t Is issued ~ I have and will maintain workers' compensation. as roou1red by Sectron 3700 of the Lab:Jr Code iOflhe,performllllCe of the Work for which this permit is issued My \'oOrkers' OOflllens~cn surn earner and policy nurrber 1n· lr.sunr,ce Co~~j_QJ){{:_ ~; No 005W::\ 35© Exp11"811on Dete _Q) Q \2_ ~~tl(;liori noo<lnot 00 oonplt:iled 1( U10 peimlt is !or one hundred dollar~ ($100) or less LJ Ccr11ftcate of Exemption: I cwtlfy !hat 1111he perlormanoo of the work !or which this permit is issuod, I shall no1 empby any person in ooy manner so as to become subject kl the W00\81"!;' Compensation laws of (;al1fom1a WARNING: Failure to sei::ure workers· calJI!'€ atlon coverage ls unlawful, and shall subject an employer to criminal penaltlts and civil f111es up to one hundred thousand dollars (&100,000), In addition to the cost of compenntlon, demage,as ed fo1 ln Seetlon 3706 of the Labor code, interes1 •nd attorney's fees. ,f6 CONTRACTORSIGAATURE " I hereby affirm /tiet: em exempl from Cootrac D I 115 O'Mler of the property or my employees ~th wages as their sole eompenset10n will dO 1he \\Ork arid \he structure IS no11ntenC1ed Of offered for sale (Sec: 7044, Business and ProlessioM Coda: The Conlracklr's License Law does not apply 1o an owner of prope-'ty who :1u11ds or improves thereon. and who (bes such w;:iri; himseH orthrouit, hl~ own emp'oyoos. provided that such 1mpmvaments are no1 ,ntended or offered for sale ll howeve<, 1he b1~1ding or improvement 1s sold w1th1n :)118 yearof :;on"plet1on, the Qffl1!lr bu1lderwll hme the burden of prow1g thet he dd no1 build or improve for the pl.irpDse of sale) 0 I, as owner oflhe prop1my. am excluliively contracting w1tn l>censed contr1:Pors to construct 11'11> p!Ojsct (Sec 7044, Business and Proleosions Code. The Contector's l,cense L!!W doe1; rd. apply to a'\ owner of properly who bu1kJ~ or ,mprove~ [ht)leon, and co,tracts lor such p1oject1; with conll"actor(s) licensed pursuant b lhe Contra;;tor's L,cense La-,,) □ I am exempt under S&ct100 Bu&tness llfld Profes1;1ons Code lorth1s reason 1 l persooal!y plan lo provide the rnaior ~rand materials for construcbon of the propot.ed property improvement 0Yes 0No 2. I (have J have noij signed an ~picaMn for a builOOlg permi1 for the proposed WJrk. 3 I have contricted with the following person (firm) to provide the :)(0jl068d constructoo (mclude name address I phone /contractors· IIOOflse number)· 4 I plan to provide port,ons of the l'.«IC. b~1 I have hired !he lolbwing persr.in b roord1nate. supervise aid provide lhe mapr work (1nclucle name I add=/ phone lcontracbrs' icense number) 5 I will i:,ovicle some of the w::irk., but\ have contracted (hired) 1he !olbw1ng perrons tc prowla the work 1ndicated(mck.!cle name/ address/ phone I type of worl<) I$ PROPERTY OWNER SIGNATURE □AGENT DATE - Is the appicant or future bulking occupool ,e'l,lired lo submit a DJsiness~, acutely hazardous ma1e11els regstrabon !o<m or nsk management and prevention program unO'!r SectOOs 25505. 25533 oc 25534 of the Presley-Tanner Hazi,-cbus Subslarn.t1 Account Act? D Yes D No Is the applcant or Mae buildrg_occupa,t reciu11'8d to 00\8111 e permit from the air ;:pllution contro!J!.§jnctor ai~al,ty managerrent Clstnct? Des D No Is the focil1ty to be 1X10strucled within 1,000 lee\ of !he outer boundarf of a school s,te7 LJYes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT !-{AS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERV!CESAIW THE AIR POLLUTION CONTROL DJS1RIC7. I ce!l:lfy thut I have read tile applicAtiOn and state tllattlle above lnlolmatlon Is cotred and that the Information on the plans Is acamrte. I agree to oomply'Mth all City ordin~nres and State laws rell'ltlngto twlldlng oonstrudlon. I hereby au!honze re17esenta!iw of the City rJ Carlsbad to enter up:,n the above men110ned prope~y 'a ri~1on p~poses I ALSO AGREE TO SAik, INDEMNIFY AND Kt:1:.P HAAMLESS THE CITY OF CARLSBAD AGAINST ALL UA81Li11ES . .JUDGMB-lTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITi IN CONSEQUENCE OF THE GRANTING Cf T'rllS PERMIT OSHA. M OSHA permrt rs required for axcavatKJIIS ovEf 5 'O 009;1 and 6amoldKJ11 or conS'lructton rJ. slluctures ovw 3 stones 1n height FXPIRAllON EVl'lf)' [MITlrt issued by the Bu1kling Oflic1~ undaf!~~:t:1sCode shal expre by lmrtalion and becaTie null and vod ~the bt111dm9 er v.o-kauth!Yized by such perrr,~ is not runmenced Within 100 daysfraTI 1he date o' such penni or If the building or¥,Ork_<!.\!,!~~ermd issuijlended er abandooe:'.1 at anytime after lhe'M'!rl< is ~enced for a P81' of 100 days(Sed1on '06 4 4 Unlfcrm Buid1~ Cod'l) ~ APPLICANTS SIGNATURE ,~J DATE C6 O'e) l . m City of Carlsbad Bldg Inspection Request For: 01/04/2012 . Permit# CB111561 Title: HAZEL TON:REPLACE FURNACE & Description: AJC Type:MECH Sub Type: Job Address: Suite: Location: OWNER 2141 LEVANTE ST Lot: 0 HAZEL TON GERALD A&DOLORES L Owner: HAZEL TON GERALD A&DOLORES L Remarks: after 12 NOON PLEASE Total Time: CD Description Act Comments Inspector Assignment: MC --- Phone: 6194402080 Inspector: ~ _ _.._~-- Requested By: KELLY Entered By: CHRISTINE 44 49 Rough/Ducts/Dampers Final Mechanical ~-------------.:fl_ ________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lnS!leCtion HislOQ'. Date Description Act lnsp Comments 12/13/2011 44 Rough/Ducts/Dampers co MC NOTICE PAY RE· INSP FEE 12/13/2011 49 Final Mechanical co MC 12/05/2011 49 Final Mechanical co MC NO ACCESS 10/14/2011 49 Final Mechanical co MC COMPLETE NOTICE DATED 8/15/11 09/01/2011 44 Rough/Ducts/Dampers co MC 09/01/2011 49 Final Mechanical co MC 08/15/2011 44 Rough/Ducts/Dampers co MC 1 ST STOP, NO ACCESS 08/15/2011 44 Rough/Ducts/Dampers co MC 2ND STOP • NOTICE 08/15/2011 49 Final Mechanical co MC 08/15/2011 49 Final Mechanical co MC 08/04/2011 44 Rough/Ducts/Dampers CA MC PER H.0. 08/04/2011 49 Final Mechanical CA MC