HomeMy WebLinkAbout2264 CAMINO ROBLEDO; ; CB090897; Permit06-04-200^
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No CB090897
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2264 CAMINO ROBLEDO CBAD
MECH
2552720600
$000
MCALLISTER INSTALL A/C
Lot#
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
06/04/2009
JMA
06/04/2009
06/04/2009
Applicant
MCALLISTER GAIL A TRUST 08-01-96
2264 CAMINO ROBLEDO
CARLSBAD CA 92009
Owner
MCALLISTER GAIL A TRUST 08-01-96
2264 CAMINO ROBLEDO
CARLSBAD CA 92009
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
$1500
$900
$000
$000
$000
$000
$000
$000
$000
$2400
Total Fees $24 00 Total Payments To Date $24 00 Balance Due $000
Inspector 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
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
City of Carlsbad
'1635 F'&raday Ave , Carlsbad, CA 92008
760-602 2717 / 2718/2719
Fax 760-6028558
Building Permit Application
Plan Check No
Est Value
Plan Ck Deposit
Pate
JOB ADDRESS
i CT/PROJECTTT
DESCRIPTION OFWORK Include Square Feet of Affected Area(s)
LOTH PHASE «# OF UNITS tt BATHROOMS TENANT BUSINESS NAME CONSTR TYPE
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESf"!** N0| |
AIR CONDITIONING FIRE SPRINKLERS
CONTACT NAME (If Different Fom Applicant)APPUCANTNAME
ADDRESS
STATE ZIP
PHONE
EMAIL
FAX
PROPERTY OWNER NAME /IiL n CONTRACTOR BUS NAME
ADDRESS ADDRESS
STATE ZIP CITY STATE ZIP
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC «x»» , Ol S)
(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 surh 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 theBusiness and Professions Code) or trial he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subject. the applicant to a
civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby affirm under penalty of penury one of the following declarations
HI 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
I have and will maintain workers' compensation as required bv Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy
number are Insurance Co Policy No Expiration Date
This section need not be completed if the permit is tor one hundred dollars ($100) or less
I I 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 Compe nsation Laws of
California WARNING Failure to secure workers compensation 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 cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
J£*> CONTRACTOR SIGNATURE DATE
/ nereby affirm that I am exempt from Contractor s License 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 Business and Professions Code The Contractor s
License Law does not apply to an owner of properly 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
j 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)
fr^l I 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)
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 properly improvement I JYes I JNo
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 / 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 (include name / address / 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 / address / phone / type of work)
^PROPERTY OWNER SIGNATURE DATE
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 Act7 | |Yes I iNo
Is the applicant or future building occupant required to obtain a permit from the air pollution conlrolchstrict or airjjuality management district' I lYes I I No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' I Ives I I No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAI"
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
•
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender s Address
I certify that I have read the application and state thatttie above information is correct and thatthe information on the plans is accurate I agree to comply with all Cityordinancesand State laws relatmgto building construction
I hereby authonze representative of the City 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 stones 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 authonzed by such permit is not commenced within
180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
VcfAPPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 06/05/2009
Permit* CB090897
Title MCALLISTER INSTALL A/C
Description
Sub Type
2264 CAMINO ROBLEDO
Lot 0
Type MECH
Job Address
Suite
Location
APPLICANT MCALLISTER GAIL A TRUST 08-01-96
Owner MCALLISTER GAIL A TRUST 08-01-96
Remarks
Inspector Assignment
Phone
Inspector
Total Time
CD Description
43 AirCond/Furnace Set
Act Comments
Requested By JOHN
Entered By CHRISTINE
<4 /tt/dl
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments