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Home My WebLink About2401 LA COSTA AVE; B; CB021593; Permit;: .,.' 05-24-2002 Job Address: Permit Type: Parcel No: Valuation: Reference #: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB021593 Building Inspection Request Line (760) 602-2725 2401 LA COSTA AV CBAD St: B MECH 216240555!!7 Lot#: 0 $0.00 Status: Applied: Entered By: Plan Approved: ·. :Project Title: GORAK RESIDENCE Issued: Inspect Area: ISSUED 05/24/2002 MOP 05/24/2002 05/24/2002 REPLACE FAU,INSTALL A/C & ELEC SUBPANEL Applicant: ASI HASTINGS .1250 GREENFIELD DR EL CAJON, CA 92167 .. 619-223-9016 Total Fees: $53.00 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 Owner: MORALES ENZO 2401 LA COSTA AVE #D CARLSBAD CA 92009 Total Payments To Date: $0.00 2 0 0 0 0 0 7946 05/24/02 0002 01 CGP Balance Due: $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $53.00 $53.00 Inspector: µ(c. l.>,L Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter oollectively referred to as "fees/exactions." You have 00 days from the date this permit was issued to protest imposition of these fee&'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 infonration with the City Manager for prooessing 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 impositioo. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer oonnection tees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR OOES IT APPLY to any x i n f · I i i r hi r · · 02 53. 00 'I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. €2--l ~3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ 1. PROJECT INFORMATION Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name Address City State/Zip Telephone # Fax # 3. Address C.' ?;{) License Class ) 0 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 which this permit is issued. 0 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 issued. My worker's c~mpensation insurance carrier policy umber are: .....::::it / Insurance Company Iv Policy No. Li )Li.CM/) I ')3 )':J Expiration Datf---" _/ (,£){<8 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' co"}pensatlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($ 0). In additi t e cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE_-C~.,£1'!.~:..____si.'.,..L!~~~------=----------===-DATE f -2 Y~ OJ- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from tli 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 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). 0 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. 0 YES ONO 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 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 (include name / address / phone number / 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 number / type of work): ________________________________________________________ _ 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 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(i) 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 building Official 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 commenced within 180 days from the date of such permil or if the building or work authorized by such permil is suspended or abandoned at any time after the work is comme f a period of 1~a (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -~-===~~~.,__7~..c:: .,-~=c::.... ___________ DATE ,r~2 t(-();2. PINK: Finance ' City of Carlsbad Bldg Inspection Request For: 06/10/2002 Permit# CB021593 Inspector Assignment: Title: GORAK RESIDENCE Description: REPLACE FAU,INSTALL AJC & ELEC SUBPANEL Type:MECH Sub Type: Job Address: 2401 LA COSTA AV Suite: B Lot Location: APPLICANT ASI HASTINGS Owner: Phone: 6195909300 0 Inspector: ;f t-b Remarks: TECHNICIAN IS AT SITE ALL DAY WAITING FOi\.. "X;('l':,~~""'tt>r Total Time: CD Description 43 AirCond/Furnace Set Associated PCRs Inspection History Date Description Act Comments Requested By: MARIA Entered By: CHRISTINE .4-P f!V/J:l--C1/l.cu1r c.AR.D Ftt.&D Act lnsp Comments