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HomeMy WebLinkAbout2412 LA MACARENA AVE; ; CB072635; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-15-2007 Mechanical Permit Permit No: CB072635 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2412 LA MACERENA AV CBAD MECH 2550701600 Lot#: 0 $0.00 BRUNO RES REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/15/2007 KG 10/15/2007 10/15/2007 SUN HEATING & AIR STE 602 BRUNO GREGORY&MONICA FAMILY TRUST 04-28-05 450 W VERMONT AV ESCONDIDO CA 92025 858 335 5900 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 2412 LA MACARENA AVE CARLSBAD CA 92009 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: Inspector: 1,,1,\ (~ FINAL APPRiVAL Date: I O ( LB 0 "7 Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $24.00 NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reseNalions, 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 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 infonnation with the City Manager for processing in accordance with Garlsbad 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 service fees in connection with this project. NOR DOES IT APPLY to any I x i n I i h v r v· TI whi l'mi i City of Carlsbad 1.,,.5 Far,aday Ave., Carlsbad, CA 92008 160-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS ,,., / Plan Check No.C Est. Value Plan Ck. Deposit Date ~r/5'--0 SUITE#/SPACE#/UNIT# APN v4-tZ t---/Vl~C,4/?ctv4 ,4vt!"" cr;PROJECT # --~~~~J'~o~,~,-----~,~,H~,~,~,~,~-_TI, o, UNITS J BEDR51ii.is :~ ,,AfssooM_,_~'-'_N_A_N'_'"_'_'N_,_'_'_N_A_M_, _________ ~c-o_N_s_,, ___ TY_,_'~-o-c_c_. G_R_o_"_'_ DESCRIPTION OF WORK: EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (ff Different Fom App/leant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ';Ui./0 /VlO.,.,/C ,4- AODRESS2' 'f-/ z L-1,}-/Vlt:)C,,f,,,'~l1f CITYci;tf;f,?_µ STATE<,!-~Oc,:) PHONE FAX ARCH/DESIGNER NAME & ADDRESS PATIOS (SF) DECKS (SF) APPLICANT NAME C1TY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS~.,-(/ FIREPLACE YES □#_ NOD STATE FAX PHONE {} 'I I J5 5 )O'-' EMAIL STATELIC.# t'G -5 ;Jt 3 AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES D NOD ZIP /~ec. 703I.S B111inm and Profe1siom Code: Any City or Count): which requires a permi1 to construct, al1er1 improve\ demolish or rtP.air any struCIUre1 prior to irs issuance, also requires tile applicant for such permit to file a signed statement that be is ricensed pursuant to the provi1ions of the Contractor's license law {Chapter 9, commending with Section 000 of Dwilion 3 of the Bulinen and Prolffliom c.ode} or lflat he ii ell!mpt thertli'bm, and die basis for die alleged exemption. "'1y •iolation of ~ection 7031.5 by any applicant for a permit subjeclS the applicant to a civil pmalty of 1101 more than five hundred dollars {$500}). WORl<l!RS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: □ t 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. □ 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 workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ ~ Policy No. _______________ Expiration Date __________ _ i:.b!_s _§,eciion need not be completed if the permit is for one hundred dollars ($100) or less. GI"""" Certificate of Exemption: I certify that in the performance of !tie 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 worke ' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag provided for I ectlon 3706 of the labor code, Interest and attorney's fees. J!'! CONTRACTOR SIGNATURE I hereby affirm thaf 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 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). □ I, as owner of the property, am exclusively contracting with licensed contractors to construe! 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 con1ractor(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/ phone/ contrac1ors' 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/ 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 I address I phone I type of work) J!'! PROPERTY OWNER SIGNATURE DATE 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? D Yes D No Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the ouler boundary of a school site? □ 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 ANO THE AIR POLLUTION CONTROL DISTRICT, I certify that I have read the appllcatlon and state that the above infomiatlon Is correct and that the Information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction. bhereby authorize representa!Ne of the City of Cartsbad 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 S'O' deep and demolltion or construction of structures over 3 stories in height. EXPIRATION: Every perm ft issued by the Building Official under the provisions of this Code shall expire by limitation alld become null and void if the building orv.ot1( authorized by such permit is not commenced ffllhin 180 days from the date of such permit or if the building or WOO( authorized by such permit is suspended or abandoned at anytime after the v«>rk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). /!f APPLICANT'S SIGNATURE DATE (CJ;-6.-.0/ .. ' m City of Carlsbad Bldg Inspection Request . . For 10/17/2007 Permit# CB072635 Title: BRUNO RES REPLACE FAU Description: Type:MECH Sub Type: Job Address: Suite: Location: 2412 LA MACERENA AV Lot: 0 Inspector Assignment: Phone: 7608452232 Inspector: t,/1,&. OWNER BRUNO GREGORY&MONICA FAMILY TRUST 04-28-05 Owner: BRUNO GREGORY&MONICA FAMILY TRUST 04-28-05 Remarks: Total Time: Requested By: MONICA Entered By: CHRISTINE CD 43 /49 Date Description AirCond/Furnace Set y 11---.IAL--__ _ Act Comments ~ ----i.l2<=L'-"?:r:t::..Ll<lJ""--"bi'.L--"L==-"=-=cA=-->:JJ-'-o"",j=-· _____ _ .-Pt Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Description Act lnsp Comments