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Home My WebLink About2244 CORTE CICUTA; ; CB011201; Permit03/29/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB011201 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2244 CORTE CICUTA CBAD MECH 2552703100 Lot# $000 HINKLE-INSTALL (2) AC'S W/ELEC Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/29/2001 JM 03/29/2001 03/29/2001 Applicant HINKLE DAVID A&DELANE L 2244 CORTE CICUTA CARLSBAD CA 92009 Owner HINKLE DAVID A&DELANE L 5403 03/29/01 0002 01 2244 CORTE CICUTA CARLSBAD CA 92009 Total Fees $5300 Total Payments To Date $000 Balance Due $5300 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 TOTAL PERMIT FEES 2 0 0 0 0 0 $1500 $1800 $000 $000 $000 $000 $000 $2000 $5300 Inspector FINAL APPROVAL Date Clearance 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 othe r 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 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 you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION Address (include Bldg/Suite ft) FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposits Validated B/"yftA Date Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel If Existing Use Proposed Use Description of Work 2 "CONTACT PERSON (if dlffereritfrom applicant) SQ FT #of Stories tt of Bedrooms It of Bathrooms Name 3 APPLICANT ^Contractor P€ Name 4 PROPERTY: OWNER Address City Agent for^Contrabfor Q Owner Q Agent for Owner State/Zip Telephone Fax tt Address City State/Zip Telephone tt Address City State/Zip Telephone ttName 5., CONTRACTOR - COMPANY INAME - . :'" ' - •• - ^j" '-"""'" , ; : '" '" " ' ., "":"'""" .'"'- (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 Code] or that he is exempt therefrom and the basrs 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 five hundred dollars [$500]) '•If1/ Name State License # Address (a License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License tt 6 WORKERS' COMPENSATION ..... .. , r : Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~] 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 Q 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 issued My worker s compensation insurance carrisr and policy number are Insurance Company _J 'T^eA-7'^g /£-~c*t*^i/3 Policy No O OO i <O f Q Expiration Date / ' ^ ' O fc- (THIS SECTION NEED NOT BE COMPLETED IF THF PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTtOW-KMrtify tfiat iritfiB>Derformance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject tovtneWorkers Compensation I aws onCaliforma WARNING Failure toSsecure workers/compeVsation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 OOOJ in addition to the cost Decompensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE "•^-X<e^v~- VK^^^f— DATE J37 "^-^f / <° r 7 r OWNER BUILDER DECLARATION ;; ;;« : ' I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l I as owner of the property or my employee" 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 owm r 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 buld or improve for the purpose of sale) Q I as owner of the property am exclusively c ontractmg 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) |~1 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 f~) YES I~|NO 2 I (have / 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 construction (include name I address / phone number / contractors license number) 4 I plan to provide portions of the work but I hcive hired the following person to coordinate supervise and provide the major work (include name / address / phone number / 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 / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETETHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY rv '' J : 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 Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? l~) YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~] YES Q 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 8 CONSTRUCTION LENDING AGENCY ; ' , ?" - ,; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME LENDER S ADDRESS 9, APPLICANT CERTIFICATION ,.. "• '"" * I certify that I have read 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 property for inspection purposes I AL.SQ AGRE^ TO JUDGMENTS COSTS AND E>PEtjSES WHicHNMAYl IN ANY ' OSHA An OSHA permit is/required for excavations fiver 5 0' EXPIRATION Every permit\ssued by the btflfdmg Onicial ui authorized by such permit is not commenc.ea within at any time after the work is corwnencsdfor a period of APPLICANT S SIGNATURE I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned /E INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES /AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT leep and demolition or construction of structures over 3 stories in height T the provisions of this Code shall expire by limitation and become null and void if the building or work 'from the date of such permit or if the building or work authorized by such permit is suspended or abandoned days (Section 106 4 4 Uniform Building Codei . s 3/2-9/^rDATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/03/2001 Permit# CB011201 Title HINKLE-INSTALL (2) AC'S W/ELEC Description r Sub TypeType MECH Job Address 2244 CORTE CICUTA Suite Lot 0 Location APPLICANT HINKLE DAVID A&DELANE L Owner HINKLE DAVID A&DELANE L Remarks Inspector Assignment Phone 8004911361 Inspector Total Time CD Description 43 AirCond/Furnace Set Act Comments k Requested By DEAN Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments SC COMPENSATION INSURANCE FUND PO BOX 807 SAN FRANCISCO CA 94101-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-99 POLICY NUMBER. 046-99 UNIT 0004010 CERTIFICATE EXPIRES Ql-01-02 This is to certify that we have issued a valid Workers Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policies listed herein Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pprtain the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such policies PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000 OOO 00 PER OCCURRENCE * ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01/01/99 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER LEGAL NAME ROHAN & SONS, INC. 2kk CALLE PINTORESCO SAN CLEMENTE , CA 926?2 ROHAN & SONS, INC PRINTED P0410