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Home My WebLink About2330 LONGFELLOW RD; ; CB070961; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 04-10-2007 Mechanical Permit Permit No: CB070961 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2330 LONGFELLOW RD CBAD MECH 2121424500 Lot#: 0 $0.00 KOSTRO RES-INSTALL NEW A/C Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/09/2007 LSM 04/10/2007 04/10/2007 THOMPSON HEATING & AIR 888 RANCHEROS DR#E KOSTRO JEROME H&PICHA PATRICIA K 92069 760-480-4802 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 2330 LONGFELLOW RD CARLSBAD CA 92008 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: Inspector: Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $0.00 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. 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 dlanges, nor planning, zoning, grad"mg or other similar application processing or service fees in connection wtlh this project. NOR DOES IT APPLY to any f in f hi h v r · us be n iv n N Tl imil r hi ora hich h oflimi in has i I oh ,wi e x ire. PEf{MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION 2330 Longfellow Rd Address (Include Bldg/SUite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # / Install new A/C unit in Side .yard Existing Use Description of Work SO.FT 2. CONTACT PERSON (if different from applicant) Cynrl'<e # of Stories FOR OFFICE USE ONLY PLAN CHECK NO. 00 01-',(o ( EST. VAL. __________ _ Plan Ck. Deposit _~tz:L;...=1-------"'>--- Validated By ____ Y::___:: Y.J..-<:.......;_"'-' ___ _ Date ----'+--1---1--f _._(O=-,...f..,,.£>c....]L.-_ 1 f-' PhaSeNo. Total# of units Proposed Use # of Bedrooms # of Bathrooms 760480-4802 Name Address City State/Zip Telephone # Fax# 3. APPLICANT □ ~ctor IZI Agent for Contractor Jennifer Cole P.O. Box 711564 Name Address 4. PROPERTY OWNER Jerry & P;,t Kostra 2330 Longfellow Rd Name Address □ Owner Santee C,ty Carl~ba<J Qty □ Agent for Owner CA 6 19-405-2648 State/Zip Telephone# CA 92069 760-438 2945 State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any Oty or County which requires a perm~ to construct. alter. improve. demolish or repair any structure. prior to ~s 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 viola"tioo of Section 7031.5 by any applicant tor a permit subjects the applicant to a cMI penalty ol not more than frve hundred dollars [$500D. Thompson Heating & An 888 Rancheros Drtvs, Ste I: Sar, tvhrcos CA 920€9 760 480 4802 Name Address City State!Zip Telephone# State License # _8_3_3_7_4_4 ____ _ License Class _C_-_2_0 ________ _ City Business License # __________ _ Oe$lgner Name Address City State/Zip Telephone # State License# _______ _ 6. WORKER'S COMPENSATION Workers· Compensation Declaration: I hereby affirm under penalty of perjury one ol the following declarations: □ 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 wtlich this permit is issued. IZ) I have and will maintain worker's compensation. as required by Section 3700 ol the labor Code. for the performance of the work for wtrich this permit is issued My worker's compensation insurance carrier and policy number are: Insurance Company Stale Fund Policy No.1802849 Expiration Date~0_81_0_11_2_0_0_7 _____ _ (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 perfoonance d the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers" Compensation Laws ol Caliromia ts unlaWful, and shall subject an -piove, lo c:ritltlnal penalties and clYII fines up to one hundred thousand e r provided for In section 3706 of the Labor Code, Interest and attomy fees. {) DATE -/t) -7 7. tractor's License Law for the following reason: emplo)ees 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 owner of property wl1o builds or improves thereon, and who does such work himself or through his own employees. prowled that such impr(M!fflenls alt! not Intended or afered for sale. If. howeller. the buildirel or 1mprovemeot is sold within one year of completion, the owner-builder will halle the bunlen ol pR:Ning that he did not bUild or 1T11pro11efortne pwpose of sale). □ I, as owner of the property, am exdusively oontracting wi1h liceosed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ct property who builds or improves thereon, and conlraCls ror such pro,ects with oortractor(s) licensed pursuant to the Contractor's License usw). □ I am exempt under Section ________ Business and Pn:lessions Code for this reason: 1. I personally plan to provide the major labor and materials for ainstrucliDn ct the propooed property im~ □ YES □ NO 2. I (have/have not) signed an application for a building permil for the propooed work. 3. I have contracted with the following pen;on (firm) to provide the proposed construction (include name I address/ phone number I contractors license number): 4. I plan to provide portions d the work, but I halle hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I /ontractors license number):------------------------------------------- 5. I will provide some of the work. but I have contracted (hired) the following persons to proYide the work indicated (include name / address I phone number I type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY O/i CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMN.ETE Ttfl8 81!C'nON FOR HOH.JMSlDEHTIAL IIMt.DING P'ERMITS 0NL V Is the applicant or Mure building occupant required to submit a business plan. acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Acoount Act? 0 YES □ NO Is the applicant or future building occupant required to obtain a pe,mit frOOl the air pollution control district or air quality management district? □ YES D NO Is the facility to be oonstruded within 1,CUI feet r:llhe outer boundaryd a school site? 0 YES D NO IF ANY OF nE ANSWERS ARE YES, A FINAL CER'IW=ICATE OF OCctPNICY MAY NOTE ISSUED UNLESS nE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DtSTRICT. 8. CONS1ltUC110N LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for l'vhich this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________________ _ LENDER'S ADDRESS __________________ _ 9. APPLICANT C!.RTFICATIOH 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 City of Garlsbad to enter upon the above mentioned property for inspection ,purposes. I ALSO AGREE TO SAVE, lhl>EIINIFY AND KEEP HARMLESS THE crrv OF CARLSBAD AGAINST ALL LIABUTES, JUDGEMENTS, COSTS AND EXPENSESWHICHIIAY .. AN'IWAYACCRUEAOANSTSAIDaTY .. CONSEQltENCEOF1HEGRANTINOOF1HISPERllrT. OSHA: An OSHA permit is required for excavations d 5'0" deep and demOlition or construction r:I structums over 3 stories in height. EXPIRA110N: Evefy permit issued by the building Official inief" the provisions r:I this Code shaR expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the daee clsueh permit or lthe ~ or WOfkauthorized by such permit is suspended Of abandoned at any time after the work is commenced for a period of 180 ys (Section 106.4.4 UniJ Bui ·ng Code). WHITE: File YELLO\IV: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 04/19/2007 Permit# CB070961 Title KOSTRO RES-INSTALL NEW A/C Description: Type:MECH Sub Type: Job Address: 2330 LONGFELLOW RD Suite: Lot: 0 Location· OWNER KOSTRO JEROME H&PICHA PATRICIA K Owner: KOSTRO JEROME H&PICHA PATRICIA K Remarks: Total Time: CD Description Act Comments Inspector Assignment: Requested By: NA Entered By: CHRISTINE 43 AirCond/Furnace Set f frrJ h-, Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments