HomeMy WebLinkAbout2326 BYRON PL; ; CB993133; Permitf‘ .- .
City of Carlsbad
08/19/1999 Mechanical Permit Permit No: CB993133
Building Inspection Request Line (760) 438-31 01
Job Address: 2326 BYRON PL CBAD 3113 08/19/99 0001 01 02
Parcel No: 2 1 2 1 431 300 Lot #: 0 Applied: 08/19/1999
Valuation: $0.00 Entered By: JM
Reference #: Plan Approved: 08/19/1999
Issued: 08/19/1999
Project Title:
Permit Type: MECH Status: ISSUED C-F”T 44 -00
ADD 5 TON AC W/50 AMP ELEC Inspect Area :
PATE ~l-a-~
FINAL APPROVAL
I Inspector: 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 “feeslexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions 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
feeslexactions 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
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
p *-
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ON
PLAN CHECK NO. +73/3.3
EST. VAL.
Plan Ck. Deposit -1
Validated By L -
Date I
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
A
Existing Use Proposed Use 1
Description of Work SQ. FT. # of Bedrooms # of Bathrooms
2.
Name Address city Statelzip Telephone # Fax #
CONTACT PERSON (if different from applicant)
3. APPLICANT ent for Contractor Owner 0 Aga for Owner DAL!iD /ze66 WA -63L/ &b/2sG 57-
Name Address city StatelZip Telephone #
768-40 3- 8)?)
Name Address city StatelZip Telephone #
5. CONTRACTOR - COMPANY NAME
(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 Codel or that he is exempt therefrom, and the basis for the alleged applicant for a permit Subjects the applicant to a ivil penalty not more than five hundred dollars 1$5001) 12860 trA&bLSF Sk S>e @& 92/29 gS8-CirFPPSt
Name Address city Statelzip Telephone #
License Class Clo City Business License #
Designer Name Address city Statelzip Telephone
State License #
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued
0 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$1001 OR LESS)
HTIFICATE 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 unlawful, and shall subject an employer to criminal penaltiat and civil fines up to one hundred
thousand dollars ($100
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
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
on, damagea aa provided for In Sactian 3706 of the Labor code, intamst and attorney's fees.
SIGNATURE DATE 7349-94
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 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 prolect (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).
0
1
2
3.
4.
number I contractors license number):
5
of work):
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-R€S/DFNTIAL 3UlLDlNG 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? 0 YES 0 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 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site) 0 YES 0 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(1) 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 construction I hereby authorize representatives of the Citt 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 Build fficial 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 comme ed ithin 3 days f m the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work fled@ is c 80 days (Section 106.4.4 Uniform Building Code)
APPLICANT'S SIGNATURE % DATE
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I have not) signed an application for a building permit for the proposed work
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
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 I address I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type
Business and Professions Code for this reason:
WHITE: File YELLOW: Applicant PINK. Finance