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Home My WebLink About2284 JULIE PL; ; CB080370; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-'11-2008 Mechanical Permit Permit No: CB080370 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: 2284 JULIE PL CBAD MECH 2073701700 $0.00 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: FREDRICKSON RES REPLACE FAU Inspect Area: Applicant: EXCEL AIR CORP 361 NATALIE WY 92028 760-723-9294 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 Owner: FREDRICKSON LINDA J 2284 JULIE PL CARLSBAD CA 92008 Total Fees: $0.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: WITHDRAW 02/28/2008 KG 02/28/2008 02/28/2008 PC $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($24.00) $0.00 ($24.00) 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. lf 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 seivlce fees in connection with this project. NOR DOES IT APPLY to any •i-"'1 nf ,.,k::k ,_,, · Iv k---' · · · -~ · 1 the-•-•··•-. nf · · · . k--• . -•k--·•ic,o _.,_, __ _. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE PHONE FAX EMAIL PROPERlY OWNER NAME PH EMAIL ARCH/DESIGNER NAME & ADDRESS Plan Check Noc\ Est. Value Plan Ck. Deposit Date 7 SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE PATIOS (SF) DECKS (SF) NO □ APPLICANT NAME ZIP STATE UC.# STATE LIC.i L/?: /lee. 7031.5 Busineis and Profusions Code: Any City or County: whicb requires a permit to constnict. alter1 impro¥~ demolish or rtP.air any structure, prior to ia issoanct, al10 l'fqUim die IJIPlicant for sudl permit to file a signed statement that be is ~ctnstd 1.ursuant to the JM!Yisions of the Contracb:lr's limsr Law {Chaph!r 9, corftmuding with Section 000 of Dmsion 3 of the Businm and Prort1si0115 Code} or that he is nempt therel'roffl. md the bam for the allel'd exemption. Any violation of Section 7031.5 by any applicant for a permit subjects tht applicant to a CMI penalty of oot more than live hundred doDan {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and wlll maintain a certtflcate of content to self-Insure for workers' compensation as provided by SecUon 3700 of the Labor Code, for the performance of the work for which this permit is issued. "" I have and will maintain work~~n, as r~ ~n 3700 of the Labor Code, for the performance of the work for whi this rmit is issued. My workers' compensation in ra e car · number are: Insurance Co. .2f::14. ~ ..:tU,LJ.£l_ Policy No. (J Oi Expiration Date ---''"'---/--F'"'-'Y--"c..:;1-- This section need not be completed if the permit is for one hundred dollars ($100) or less. □ 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 lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage It unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred tttouund dollars (&100,000), In addition-to the cott of compensation, damages at vlded for tn Sect n 3706 of bor code, Interest and attorney's feet . .l!5 CONTRACTOR SIGNATURE '{{A~ I hereby 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 sate (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). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the pro}ect (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. 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 I phone I contractors' license number): 4. ! 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 I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the followirlg persons to provide the work indicated (include name I address/ phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manatJement district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D Yes □ 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, CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency lor the pe~ormance of the work this permit IS issued (Sec 3097 (i) C,vil Code) Lenders Name Lenders Address APPLICANT CERTIFICATION I certify that I haw iead the applloaUon and state that the al'.ICNe Information Is coned and that the Information on the plans Is acx::uiate. I agiee to oomplywlth all Cityordlnanres and Stale laws relating to building constr1.dlorl. I hereby aulhorlze represenlallve of lhe City of Cal1sbad lo enter upon lhe _,, mentioned property for i1speclloll purposes. I ALSO AGREE TO SA VE, INDEl.tJIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EJ<PENSES l'\lilCH MAY IN Afrf WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is requwed for exCIOlalions CNe< SU' deep 111d -or conslrudion of Slluctu11!S CNe< 3 sll>ies n height EXPIRATION: Every pem11t issued by lhe Bui~ing Official under lhe prtMSions of lhis shal re by !m_, and become nul and ,oid I lhe buHdilg or -aulhorlzed by sud! penri1 is no1 corrmenoed IMlhn 180 days frnm lhe dale of sud! pem,it a llhe b .. -aulhorlzed by sud! ~~.ior abandoned al,r,y lime allerlhe-is corrmenced for a period of 180 days Section 1116.4,4 lklloon Bulldilg Code) . .l!5 APPLICANT'S SIGNATURE DATE • / Account No. 001-3610-4224 / CITY OF CARLSBAD REQUEST FOR REFUND Vendor No. ---------- Amount of Refund $24.00 Fee Paid For: l\1echanical permit CB080370 Date Fee Paid: 2/28/2008 Fee Paid By: Linda Fredrickson Facts Supporting Request: This permit was issued in error. Th j S home is a manufactured home and needs to obtain the permit and inspections from the State Of California, not the Cit,. Name of Applicant: L\\/\M·· :St!'>,.,.:,, ~Q r:t:::,R,.,c ... _'~ .. '::.O~ Address: ~'d-~L\ ':!:u..\,~· PL C\M l ~bA ~ <?. f\ Street City State 9':}..,D<..:>~ Zip 7. <.:, 0 7 ~ o ·-"l C-j 3 C> Telephone Signature of Applicant~,,► ►ClO ~~ ~ ~&,,,,,~ Date ~-,o-D5 Dept. Justification: Rec: D Approve D Disapprove Date Finance Investigation: Rec: D Approve D Disapprove Dept. Head Signature Date City Manager's Action: D Approve D Disapprove City Manager Signature Date *