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Home My WebLink About2415 LA COSTA AVE; E; CB033649; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB033649 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: BREEDING TODD L 2415 LA COSTA AV CBAD St: E MECH 21624055~ .J<\ Lot#: $0.00 BREEDING RES-REPLACE DUCK WORK WITH FLEX DUCK WORK 0 Owner: BREEDING TODD L Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 2415 LA COSTA AVE #F CARLSBAD CA 92009 2415 LA COSTA AVE #F CARLSBAD CA 92009 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 ISSUED 12/31/2003 MEL 12/31/2003 12/31/2003 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 Inspector: Clearance: .12/ .. L .. x:; ou::-2 \-: ::",'3F 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, revievv, 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 f I x i n f whi I n iv n N Tl E "mil which h f Ii i i n h FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO.c&033~~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ~---..-------.-- Plan Ck. Deposit~ Validated By-,-_._~-1i,.------- Date /2-/3 \ Business Name (at this address) Legal Descrii:>tion Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bathrooms Name Address City State/Zip Telephone II Fax II °J-N-a_m_a _________ ' -. ___ •_• ___ A_:-~-r-e-~s:----i -,•-fo _________ C_i_ty--.-,-,.----,-. ~,-t-at-e-,z-i~p-~--T-. ~-le-~-_h_:_n_e-,------- \ft C '<\,5"\"::> ~c.n::, ~ 1,>-\,\-:'.) l e. ~ [¼) k C,,,?,c\~ C,p. Cj 10 0 9, le\9 · 2)0, · 3q ~ L rJ Name Address " City -~-~.ate/Zip Telephone I (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 Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violati n of Section 7031 .6 by any appli~ant for a permit subjects the applicant to a civil penalty of t more than five hundre dollar $50 I). e.,"'De\ Q..~ \ State License I ::;:fi:>-C:'§9. ":::) License Class _________ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I ~~~~rn~~:;;::::;,:;, • . V'IM•.....:...!l~· 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. l!::J" 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 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 ($100) OR LESS) 0 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 ncura workara' companutlon coverage la unlawful, 1111d llhall aubjact an employer to criminal panaltlaa and civil flnu up to one hundred ) thousand dollan ($100,000), In addition to the coat of compenaatlon, damage• aa provided for In Section 3706 of the Labor coda, lntaraat and attomay'a faea. '._SIGNATURE DATE -vJo!!,t,._ ,< it' ,~ • 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 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 owner of property who builds or improves thereon, and who does such work himself or through his own employees, prov that such Improvements are not i nded or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner-builder will h the burden of proving that did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting wit ·censed contractor o construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doas not apply to an owner of property builds or · proves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section _____ _ 1. 2. ONO 3. I have contracted _with the following person (firm) to provide th proposed construction (in de name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the f owing person to coordinate, supe vise and provide the major work (include name / address / phone number/ contractors license number):. _________ ...,.. ____________________________________ _ 6. I will provide some of the work, but I have contracted red) the following persons to provide the work indicated (include name / address / phone number J type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ~N~U11Qlft! 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? 0 YES O NO Is tho facility to be constructed within 1,000 foot of tho outer boundary of a school site? 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. fNilffll~. Q C 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 I certify that I hava 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 storias 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 ii the building or work authorized by such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned '\ Jt any time after the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,)(. APPLICANT'S SIGNATURE _________________________ DATE -----------~- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/06/2004 Permit# CB033649 Title: BREEDING RES-REPLACE DUCK WORK Description: WITH FLEX DUCK WORK Type: MECH Sub Type: JobAddress: 2415 LACOSTAAV Suite: E Lot Location: APPLICANT BREEDING TODD L Owner: Remarks: CALL WITH ETA Total Time: 0 Inspector Assignment: \JVV\ Phone: 6193018939 Inspector: -J!':y Requested By: SHAWN Entered By: CHRISTINE CD Description Act Comment 'j . -f.£. &< Jj,,j, b, A vi 8-(Jt5£kv'3 44 Rough/Ducts/Dampers Associated PCRs/CVs Inspection History Date Description 01/05/2004 44 Rough/Ducts/Dampers Act lnsp Comments CO JM NO ACCESS