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Home My WebLink About2227 BOCA ST; ; CB043588; PermitCity of Carlsbad 4 \k w6% Faraday Av Carlsbad, CA 92008 09:16-2004 Mechanical Permit Permit No: CB043588 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: MECH Status: ISSUED Parcel No: 2163402000 Lot#: 0 Applied: 09/16/2004 Valuation: $0.00 Entered By: MDP Reference #: Plan Approved: 09/16/2004 Issued: 09/16/2004 Project Title: MALONEN RESIDENCE Inspect Area: 2227 BOCA ST CBAD INSTALL NEW A/C FURNACE Applicant: ANDERSON PLUMBING INC,WALTER 1 150N MARSHALL EL CAJON, CA 92020 61 9-449-3852 Owner: MALONE LUCY M 2227 BOCA ST CARLSBAD CA 92009 Mechanical Issue Fee InstaII/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 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 Total Fees: $44.00 Total Payments To Date: $0.00 Balance Due: $44.00 FINAL RO Inspector: .A, Date: y&rq d Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of re&, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 selvice fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which you have oreviously been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise exdred. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 6'\-3f= EST. VAL. Plan Ck. Deposit Validated By Date (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 Division 3 of the Business and'Professions Codel or that he Is exempt therefrom, and tha basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fjve hundred dollars t65001). Name State License t/ Y 4 3 I 6 3 Designer Name Address City Statelzip Telephone . - 1 CA i3.V is0 fl.pvkfiLa, -1 et 6r:oYdCp 9k6A 0 An&,-- p\,&\M.b:;7cth .<a 1 @ 1s) 9+7-3C4 Address City Statelzip ' Telephone t License Class 5 6 City Business License # Iby y LI a .? J State License t :r Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company \ate. F*hh Policy No. %~-Aw# Expiration Date y/DJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 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: Failure to secure workers' comoensatlon coveraae Is unlawful. and shall subiect an emolover to crlmlnal oenaltles and civil fines M to one hundred 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 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 .. thousand dollar . ..-r*nf mmn&satI~damages as provldad for in Sectlon 3 I hereby affirm that I am exempt from the Contractor's License Law 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. 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). 0 1, 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 1. 2. 3. 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone 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 Business and Professions Code for this reason: program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1.000 feet of the outer boundary of a school site7 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 0 YES NO 0 YES 0 NO ere is a construc 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 is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cttt of Carlsbad to anter 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 helght. 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tirr l'ler the work (Section 106.4.4 Uniform Building Code). DATE #\ APPLICA ., SIGNATU , , .., .,.c; rile YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/20/2004 Permit# CB043588 Inspector Assignment: Title: MALONEN RESIDENCE Description: INSTALL NEW NC FURNACE Type: MECH Sub Type: Job Address: 2227 BOCA ST Suite: Lot 0 Location: OWNER MALONE LUCY M Owner: MALONE LUCY M Remarks: AM REQUESTED Phone: 7609423237 inspector: -458 3A Total Time: Requested By: LUCY MALONE Entered By: BJN & COmment CD Description 43 AirCondFurnace Set Associated PCRsKVs Inspection History Date Description Act lnsp Comments