HomeMy WebLinkAbout2255 CAMINO ROBLEDO; ; CB002918; Permitc/,
08/09/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No: CB002918
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2255 CAMINO ROBLEOO CBAD
MECH
2552727000 Lot #:
$0.00
VAN WINTER RES-ADD 2 A/C UNITS
WITH ELECTRIC
Status: ISSUED
Applied: 08/09/2000
Entered By: RMA
Plan Approved: 08/09/2000
Issued: 08/09/2000
Inspect Area:
Applicant:
COASTAL AIR MECHINICAL
12860 WAREHOUSE ST
SAN DIEGO CA 92129
619-679-7951
X>8/09/00 0001 01 02
:;';., C-PRHT 53-00
Total Fees:$53.00 $53.00
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps
Fireplace
Exhaust Fan Fee
Hood Fee v •' , .
Boiler/Compressor to'&SHJfcl?^
Other ;
TOTAL PERMIT FEES
Inspector:
FINAL APPROVAL
Date:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition1 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 simitar 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
2075 Las Paimas Dr., Carlsbad CA 92009
(760)438-1161 TKfr
Business Name tat this address)
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
ValidatedJ?v/__
Date V/TFn
Address (Includs BM0/Suitt f)
Legal Description tot No.Subdivision NsmeMumber Untt No.PhSSeNo.Total * of uniu
(Sec. 7031.6 Business and Piofeseiene Code: Any Cttr or County wh»oh requires • permit to construct, alter, improve, demolish or repair any structure, prior to Its
issuance also raquires the applicant for such (Mm* to file • ilgrwt statsmsnt thM ht It licensed pursuant to the provisions of the Contractor's Ucsnse Uw
ICrwpttr 9 commending with Section 7000 of Division 3 of ttw Business ind Professions Cods] or that ha Is exempt therefrom, and ttw basis for the alleged
Any violation, ol Section 7O31,6 by any apptteam tor \ perm* tuMeets tht apptteam to a cMI panatty of not more than five hundraddoltars (16
"city State/Zip,
Ctty Business License f
Nam*
State License #,License Class
Designer Nam*
Stata Uoansa f.
Oty Stata/Zip
Workers' Comp*neetion Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and wW maintain a certificate of consent to aarMneure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, tor the performance of the work for which this permit is
issued. My worker'a compensation insurancs carrier and policy number are:
Insurance Compsny . Policy No. Expiration Data
rrHISSE£TK)NNEEDNOTUCOMPLETDFlr« Or* HUNDRED DOLLARS W100) OR LESS)
^^'CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thle permit fa issued, I shall not employ any person in any manner so as
to becoms subject to the Workers' Compensation Lews of California.
WARNING: Faftm to secure v*orkaja^i»swyuen iSB»*iav.i la unlawful, and aha! n*|aet an employer to criminal penattte* and eM fines up to one hundred
thousand doHara <* 100,000), In adiWmto iy aal tfg^inpen*aUon. demaaja aa orovUad for hi Section 3706 of tha Labor c0de, irrt*e« end attorney'* fee*.
SIGNATURE ^*^ ^/L^ryev* — DATE 9
I hereby affirm thst I am axampt from the Contractor's Ucanse Lew for the following reason:
D I' •» owner of the propeny or my employees with wage* as their sola compensation, wW do the work and the structure is not intended or offered for sate
(Sec. 7044, Business and Professiona Cods: The Contractor's Uosnae Uw does not apply to an owner of property who buHds or improves thereon, and who does
such work Mmsftt or through Ma own empUryees, provided that such improvement* are not intended or offered for sat*. H, however, the building or Improvement is
sold within one ysar of completion, the owner-builder wBI have the burden of proving that he did not buHd or improve for the purpose of sale).
Q I, as owner of the property, am exdusivery contracting wtth licensed eontrsctors to construct the protect (Sec. 7044, Business and Profession* Code: The
Contractor's Uesnse Law does not apply to an owner of property who builda or Improves thereon, and contracts for such protects with contractors) licensed
pursuant to the Contractor's Ucanse Law). •' .
D I am exempt under Section ___.^^^_ Business and Professions Cods for this reason:
1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO
2. I lhav* / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following parson (firm) to provide the proposed construction (include name / address / phone number / contractors keens* number):
4. 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 / address / phone
number / contractors license number):
5. I will provlda some of the work, but I have contracted (hired) tha following persons to provida the work Indicated (include name / address / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE
(s the applicant or future bulMng oecupent required to autamrt a huelneee plan, acutely hazardous materials registration form or risk mansgemem and prevention
program under Sections 25605, 26533 or 26534 of the Presley Tanner Hazardous Substance Account Act? O YES D N0
Is tto sppUcam cw futura buildlrK) oc«upsm re«jM Q YES Q N0
!• th*fadl^ to b* constructed wttrw 1,OOO feet of tr»« Q YES D NO
(F AIIY OF THE ANmVEfU AK YU, A HNAL CaV^
REQUIREMENTS OP THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT." ""
I hereby affirm that there ie a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Coda)
LENDER'S NAME _ LENDER'S ADDRESS
I certify that I have read the application and state that tha above trrfornmkwita correct *rrf that the Womttton on th* pl»n> v» *ccui>w. I agree to comply with alt
City ordinances end Stste laws relating to building coneuucuuii. I hereby authorize representatives of tha Ctty of Carlsbad to enter upon tha above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Aa LIABILITIES
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AMKfT SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations ever 6*0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the>i|Mng OfffefeUmder the pfovisione of this Cods shsi expire by Brnftstion and become null and void if the building or
"" ~»ve from ths date of such permit or if the building or work authorized by such permit is suspended
riod of 1«0 day* (Section 1O6.4.4 Uniform Building Coda).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: finance
City of Carlsbad Bldg Inspection Request
For: 02/06720011Permit# CB002918
Title: VAN WINTER RES-ADD 2 A/C UNITS
Description: WITH ELECTRIC
Inspector Assignment: TL
2255 CAMINO ROBLEDO
Lot 0
Type: MECH Sub Type:
Job Address:
Suite:
Location:
APPLICANT COASTAL AIR MECHINICAL
Owner: VANWINTERINGRID T
Remarks: OR 7534020
Phone: 7607530822
Total Time:
CD Description
49 Final Mechanical
Act Comments
Requested By: INGRID
Entered By: CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
09/08/2000 49 Final Mechanical CO TL SEE NOTICE ATTACHED
09/06/2000 49 Final Mechanical CO TL NO ACCESS SEE NOTICE
City of Carlsbad Bldg Inspection Request
For: 9/8/2000
Permit* CB002918
Title: VAN WINTER RES-ADD 2 A/C UNITS
Description: WITH ELECTRIC
Inspector Assignment: TL
2255 CAMINO ROBLEDO
Lot 0
Type: MECH Sub Type:
Job Address:
Suite:
Location:
APPLICANT COASTAL AIR MECHINICAL
Owner: VANWINTERINGRID T
Remarks:
Phone: 7607530822
Inspector:
Total Time:
CD Description
49 Final Mechanical
Act Comments
O
Requested By: INGRID VAN WINTER
Entered By: ROBIN
Associated PCRs
Inspection History
Date Description Act Insp Comments
9/6/2000 49 Final Mechanical CO TL NO ACCESS SEE NOTICE
CITY OF CARLSBAD
BUILDING DEPARTMENT
DATE
NOTICE (760) 602-2700
1635 FARADAY AVENUE
FOR liHSPECTIOyCAU (760) 602-2725. RE-INSPECTtON FEE DUE?
FURTHER tNFORMATfON, CONTACT „
YES
BUILDING !NS*CTOR CODE ENFORCEMENT OPF1CER
PHONE
r—