HomeMy WebLinkAbout2249 MASTERS RD; ; CB062267; PermitCity of Carlsbad
/ 1635 Faraday Av Carlsbad, CA 92008
08-08-2006 Mechanical Permit Permit No: CB062267
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2249 MASTERS RD CBAD
MECH Status:
Parcel No: 2121400500 Lot #: 0 Applied:
Valuation: $0.00
Reference #:
Project Title: CASTIGLIONE RES-REPLACE NC
Applicant:
TELFORD JONES INC
STE 13A400
25920 IRIS AV
MORENO VALLEY CA 92551
951 486-0337
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
1
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
CASTIGLIONE MICHEAL
2249 MASTERS RD
CARLSBAD CA 92008
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
ISSUED
08/08/2006
LSM
08/08/2006
08/08/2006
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
$0.00
EX.PIRED PERMIT
Inspector:
PERMIT HAS EXPlREO IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY CJ,tC.18.04.030
DATE "2il1:£;\a '1. SIGNATURE _ _.O&,l"--'--'"'-----
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 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 service fees in connection with this project. NOR DOES IT APPLY to any
1 N E i r h Ii i i
--~ OFFICE USE ONLY
PLAN CHECK NO. ~ t)(o ?Jo{p)
PERMIT APPLICATION
EST. VAL. __________ _
Plan Ck. Deposit --l'i--,,&---~---
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Validated By ___ ~--~----
Date -----=+---1-~--=----
Business Name (at this address)
Legal Desa1ption Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel# Existing Use Proposed Use
#of Stories # of Bedrooms # of Bathrooms
,_
fill~Jl!f
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construd, alter, improve, demolish or repair any structure, prior to its issua~'.'
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 basis for the alleged exemption. Any violation of Section 7031.5 by """""'J>;"11'1orr ,,.,-m•su~ectsthe~toaci~I P"naltyofnot~than™"-hund""' dollars[$500]). qr7 _I.(¥' l 41 T-, IC[ .ll2_Y-tl 'U)lfl£t) ~ 'J,~~20 ~c,. ~•~l} 14 400 l'V\-Dv'e.A.D '-I~ ' ,,.r
Name .:2 c-7 _ a~ 1 Address /l City State/Zip Telephone#
City Business License #_-'-/-'~<-<ii>-z:.o;;:i,.,""-,7µ32...">..<...-State License# _~[,I~,)-'-" __ -_ 117_..,,_ License Class __ (.;; _______ _
Designer Name Address City State/Zip Telephone#
State License# _______ _
Ii! II MC 7 Jffl1l!!llllllli1§!111 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the follOWing declarations:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work
~ which this pennit is issued.
(/0' I have and will maintain worker's oompensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My
worker's compensatio~QSUnv'.!_Ce <3tnief' and pol~ numbeJ..~re: f ""2 / 7
Insurance Companv D~ f-,O'IIA-P ~' ~ Policy No. 0 t../ lo· 00 ) 4 2, l/ q Expiration Dat•-.2~L~~-----
(THIS SECTION NEED NOT BE COMPLETED IF TI-IE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 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 subjed to the Workers' Compensation of Galifomia.
WARNING: Failure to secure workr9' com lion verage Is unlawful, and shall subject an employer to crlmlnal penaltlea and c~II ft ~p one hundred thousand
dollars($100,000),. · · e stofco ~-, damages are provided for In Section 3706 Oftha LabOrCoda, Interest and atto . tJ / _
SIGNATURE DATE fl'
II I DI!' it7 111 I II li I.I I 11 'IIU'llll!IJI IIIFL 11
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will d 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 a.imer of property who builds or improves thereon, and who does such 'NOrk himself or
through tis own emplc)yeell, 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).
D I, as owner of the property, am exdusively 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).
□ 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. □ YES □ NO
2. l (hlMtlhave 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 (indude name/ address/ phone number/ contractors license number):
4. I plan to provide portions of the work, but I have hired the follDINing person to coordinate, supervise and provide the major work (indude name/ address I phone number I
/orrtrac:tors llcense number): -----------------------------------------
5. I will provide some of the work, but I have contracted (hired) the follO\Mng persons to provide the 'NOrk indicated (include name/ address/ phone number/ type of work):
PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _
WHITE: File YELLOW: Applicant PINK: Finance
----------··-·
Name Address City S.tate/Zip Telephone#
6;-CON11IAllTOR"0 .COMPIINY HAMIi'
(Sec. 7031".6 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 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 five hundred dollars ($6001).
Name Address City State/Zip Telephone_#
State License # _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WilllJU!RS~ CilMPQISATIOI\I
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 carrier and policy number are:
Insurance Company_____________________ Policy No. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100] 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 Hcure workan' compenaatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the coat of compensation, damages as provided for ln Section 3706 of the Labor code, Interest and attorney's feH.
SIGNATURE.______________________________ DATE ________ _
7i>'''tiwiil!ll,iiwtoii!j;tiltltAMnill\l;',.· . " ·" , -'"
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 1, 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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 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. 0 YES ONO
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/ address/ phone number/ contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordnate, supervise and provide the major work (include name / address I phone number/ contractors license number): ________________________________________________ _
6. 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 ______________________ _
CO~ill¢T!Oltfdll:'~IJ!lil.bl111e .. 1>1111,'1tt$;Qf&W.';,,·.
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 26605, 26633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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 OFF1CE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
s«;i ~C'tll!!f'l;.fflli!M:A!ll:l!ICc'ii"" , ;
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME _____________ _
lt,;". :~cilml'l<IA11tiiliicc,; , ....
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 construction. I hereby authorize representatives of the Cit\' 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 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 height,
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 days from the date of such permit or 11 the bu1ldmg or work authorized by s/h per. It Is suspended or abandoned
at any time after the work. is c~we~~~ i of 80 days (Section 106 4 4 Uniform Bu1ldmg Code). ("/,
APPLICANT'S SIGNATURE -~L".j~~=j[_~~.:::,===-------------DATE '6 I O Jo
WHITE: File YELLOW: Applicant PINK: Finance