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Home My WebLink About2374 LA COSTA AVE; ; CB051479; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-26-2005 Mechanical Permit Permit No: CB051479 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 237 4 LA COSTA AV CBAD MECH Status: Parcel No: 2163101503 Lot#: 0 Applied: Valuation: $0.00 Reference #: eroject Title: JOHNSON RES REPLACE FURNACE Applicant: ASPEN COOLING & HEATIN 3925 ALIPAZ CT OCEANSIDE CA 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 Entered By: Plan Approved: Owner: JOHNSON SEMIHA 2374 LA COSTA AVE CARLSBAD CA 92009 Issued: Inspect Area: Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: ISSUED 04/26/2005 KG 04/26/2005 04/26/2005 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $24.00 6834 04/26/05 0002 01 02 CGP 24.00 L Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or ofher exactions hereafter collectively referred to as iees1exactions." You have 90 deys from the date this perrntt was issued to protest imposttion of these fees/exactions. If you protest them, you must follow the protest prooedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for procassing in acoordance v.tjth Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that prooedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposijion. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T APPLY to any f f v'l'hi h V vi I iv Tl i i wt,· f i ' h r vi I h X i PERMIT APPLICA TlON CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O~L Y PLAN CHECK NO. c;,5(}57C/1 f EST. VAL. _________ _ Validated By_-e----=---'-"""-";..t---'.. __ _ Plan Ck. Deposit ~( Date l{-2&:Q;:$' Address Unclude Bldg/Suite I) Busines~ Name lat this address) Legal Oescriptu,n lot No. Subdivision Name/Number K~, !>e?J a~ Unit No. Phas'! No. Total I of units Existing U1e Propoi;ed Use Description of Work SQ. FT. lot Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I a1,;q•~--a:,_u .". iiKi•I;!!l,'!'.11',11::..-,,i.V~Jl:,JJ) (.7i11,i'i'f'~-''l2;tl,i:~·i•, -:.,;;;:,~;-;-,:•~',·; •',,;, ;°~, • ::·.: i'~',. · .. : /.' .. '.· :;-:;: '. a. "'.',.:;.;c;ri;::, ,·.· f,:f•',~,! ':Ji~,::,,,~.l;:'.:.,{ff_;;,~;;:,',i;,:!,'.,•°!'.i:~.'..'~7,,:.;i·t,~ ,,.7 ,i/1 }f,'.~_~i ;.;; -:~ f ;c ', ::.;:;,:~t.\t~{ l'PMs2~~~-"":f~~::;t~~~.w,,,•.ie•'··•'z~f/v·"•···,wi c~·;.;,;j ;vd ··· · ·&tsMQ ··, ··· '7/z;~~~i/ ···• ·· · · ·. t;,'.iz :2 ·· ez 1s·· · Name AddreH . CitY S.tate/Zip Telephone I li~:«i8!milt«lf l,1l!l@JJO!IN~~~fi1M,(i\\f,,i!il}J!;if J.~t;{~,;,.,;i,',;,!;:i::·:.;;:_,.::;,•·.,r:ti:1/',,~ i-· ~1:iftll~'\J-;/tt,:l;:Jifi:fl:.f.~·if'J:itli;,\~J!/,~tH:i\'.i!'.~l1~~ii%!1:''.ii:!i!J:t'J.ff~~'l'.:l.i;Sii',~i,J;!ii.~:il!lti: (Sec. 7031.6 Buslnes■ end ProfessloN Code: Any City or County which requires• permit to construct, alter, Improve, demoliah or repair any structure, prior to lta Issuance, also require, the applicant for such permit to file a signed statement that he Is licensed pursuant to the provlalon1 of the Contrector'a License Law !Chapter 9, commending with Section 7000 of Division 3 .of the Business and Professions Code) or that he is exempt therefrom, end the b■1l1 for the alleged exemptl~. Any violation of Section 031.6 by any applicant for• permit subjecta the epplicent to• civil penalty of not more then flvepundred dollar, 1•6001), 1 ., ,:- S r'fi0 uAJ , -/.2477A.I 3', °3J o cem-Jtc trt/ou a::-~S,?i:f ·t/Zu sfl' °7(pi) ~7S1/-1"'., Name State License ,, __ ...;;;S:;_O_fo_t;._/v ... 3"--_ Addres■ / City State/Zip Telephone I License Class t!-2o J 5 City Business License I J:l /1/S :2...-,, ✓ I Designer Name Address City State/Zip Telephone State License # -------'---- l'f!~JBllft~f'.(fjM.UJMl!liijJib'.W~i;;'\'.i:Jlll\~J~!",ti/~~1r{~1Hf1:;i~~~ff,;1,i~it'.f~,iilE<J,&,il.tiiMJii:t~;t~~~,t§~~;_~'ij'~ti•if::J,!::.i~~:,J:~1,\';':'.1Ji~it~l~-~lif~!;¥;!,~·:f:,~~:l..!'!£{;.':;~t~1~ Workers' Compensetlon Declaretlon: I hereby affirm under penalty of perjury one of the foHowlng decleretlon1: · 0 I have end will maintain • cenlflcate of consent to self-Insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is laaued. ~ I have end will maintain workers' c;ompensation, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is !;;ued. My worker'• compenaetlon_lnaurence carrier and policy number are: .t':J __/! Insurance Company 57!}75 li(.u"t> !'ollcyNo. /5o 3so 3 Expiration Date S~or>(P (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I cenlfy that In the performance of the work for which thle permit la Issued, I shell not employ any peraon In any manner so as to become subject to the Workera' Compensation Laws of Califomhi. WARNING: Fallure.to-..cure workers' compen111tlon coverage 11 unlawful, Ind ah .. subject en employer to crlmlnal penaltlu end clvll flnu up to one hundred thouaend doR 1 0,0001, I It o the coat of comp-atlon, damegea H p,o1'1ded for In Section 3708 of the code, lnterHt end attorney's fees. ;~i:ii· .imiiigBii[i~.;,;.--'<i~~~~-~jiif:ijiiJmim~·,i1"'~.~fi, .i1~,1iiJij,;g~1~~~· 'i1 ,,,iii1~~;;~,i~'g,;W:::~~'.~~,.·ij•(~ii-,~~ij1ij1~i1~~_;~i~ij-~~ijij:_'i,~~~•,,ijii· ~ij_:-~'>},ii:,~~,,'fir~:~i:~~~~ii&~~~~~~;~ftr11r1~v.,3.i1:{ii-~rv1:,~1~ I hereby affirm • Contractor'• License Law for the following re11on: · 0 I, H owner of the propeny or my employees with wages •• their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, BualnHa and ProfHaloN Code: The Contractor's License Law doea not apply to. an owner of propenv who builds or Improves thereon, and who does such work himself or through hi• own employees, provided that such improvements ara not Intended or offered for sale, If, however, the building or improvement is sold within one veer 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, H owner of the propeny, em exclusively contracting with licensed contractors to construct the project ·1sec. 7044, Business and Professions Code: The Contractor•• License Law does not ·epply to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Lewi. · 0 I am exempt under Section ______ Business and Professions Code for this re_ason: 1. I peraonally plan to provide the mefor labor end ~aterlals for construction of the proposed property lmprovemem. 0 YES . ONO 2. I (have / have not) signed an application for e building permit for the proposed work. 3. I have contracted _with the following person (flrml to provide the proposed construction (include name / address / phone number/ 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 Unclude n~me / eddress / phone number I contractors license number)=-------------------'----------------------------- 6. I will provide some of the work, but I have contracted (hlredl the following persons to provide the work Indicated (include name / address / phone number / type of work I:. __________ --;----------------------------------------------- PROPERTY OWNER SiGNATURE _____________________ _ DATE _________ ..., ~ijNii'l.'i'ifnffil~ii~tfiiiJ~Rf!lif/.J'h.f$J/j_'jii.r,)1ij_Bl.!i.ttiifii.~J.~BM~T.~Q~l,lY:'.~t-i;,;.;\C,:!:;:,t,1¾°';!!;l;:i~~.!;1.:·tl(i~1i;n,~'!i!d:i:,·;~;:t:t.tl?(::1:\t;f:~\4:';t,.;~J(~\i:,i,~!;·;,: :1:t~.-..~;.;-_,,it, la the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 26606, 26533 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO la the applicant or future bulldlng occupant requl;ad to obtain e permit from the air pollution control district or air quality manage~ent district? ·tJ YES O NO la the facility to be constructed within· 1,000 feet of the outer boundary of a school site7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. rti~G'Bli~~§Jffli~'!li.O:ti~QiNID's~~tf~:i!lli:r%ilt.A:n:;in::::h?:~!.ii,:;<:::,;ti~;'.,)'.'.c.\};fjjiJt\:i\t::,;;:.t;i,J,;t,tA,~f:-•Tfi//: (~lit ,:tt;;,,'.i,.\r. ··'.':~:i\:-::.: i\(~;:.I1!,~ .. :R.\ } :_;e_,i:J• ' .i ""f ,,'i:c·'~ 1'. I hereby affirm that there 11 • construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME---:-------------LENDER'S ADDRESS _____________________ ~---- . i R #~llimrceemc~u;Jii\;'ili!~)l;!filfl~iwiiJiil:/11t;;1ii,~~,.;,t;'~:if't..:;;,~'.; ~:,\:',.~,x :11-;.i<¾;;, i;'.:>!} -~~; t-iii·1 ;~£:;i~:t-:!·:.0.0:!IlY,1;-.. ~i-i.~ ;'}f:i•J4'.,iiii;fi~~it,( ~t:Jirx,1l;;,1i~.;1 ~,,~i/Y':i:;,11,w;':).\t~ I certify that I have reed the application and itate 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 propeny 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 la required for excavations over 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by lhe building Official under the provisions of this Code shall expire by limitation and become null and void If the bulldlng or work authorized by such permit Is not commenced within 180 days from the date of such permit or ii the building or work authorized by such permit Is suspended or abandoned at any time after lhe work Is c menced 11 ays (Section 106.4.4 Uniform Bullding Code). DATE L/-2G· tf,S--~------------·YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/28/2005 Permit# CB051479 Title: JOHNSON RES REPLACE FURNACE Description: Type: MECH Sub Type: Job Address: 2374 LA COSTA AV Suite: Lot O Location: APPLICANT ASPEN COOLING & HEATING Owner: JOHNSON SEMIHA Remarks: pm please -call with your ETA Total Time: CD Description Act Comment Inspector Assignment: Phone: Inspector: f: J Requested By: MS. JOHNSON Entered By: CHRISTINE 43 AirCond/Furnace Set AfJ----- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments