The URL can be used to link to this page

Home My WebLink About2422 LA PLANCHA LN; ; CB054150; Permit,,. ... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-06-2005 Mechanical Permit Permit No: CB054150 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2422 LA PLANCHA LN CBAD MECH 2550912500 $0.00 Lot#: 0 Status: Applied: Entered By: Plan Approved: Issued: ISSUED 12/06/2005 LSM 12/06/2005 12/06/2005 Project Title: PIZZINO RES-REPLACE FAU Inspect Area: Applicant: SCHILLREFF MECHANICAL 7225 PURDUE AV LA MESA CA 91941 619-992-5194 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 Owner: PIZZINO FAMILY TRUST 11-01-05 2422 LA PLANCHA LN CARLSBAD CA 92009 $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: $24.00 Balance Due: Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE<,\ ( l olie SIGNATURE -OC.U.( M111J>J----- FINAL APPROVAL Date: Clearance: $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 tlmely 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 capacrty 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 whi h h n i n N Tl E ·mil r h' f limi i n h FOR OFFICE USE ONLY PEr'l\/11T APPLICATION ~ . PLAN CHECK NO.@:?, OSY 1§1) CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit --,1r:4,-..,~--''I----- Validated By __ _,,~<....I:e....:..;._ ____ _ Date, ___ --'\-"';;;lr'--\-1-• .!.l!le'--1-f 'O;:,,~-L--- Business Name fat this address) Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use SO. FT. #of Stories II of Bedrooms II of Bathrooms Name Address City State/Zip Telephone II Fax# Name Name (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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions CodeJ or that he is exempt therefrom, and the basis for the alleged exempti . An v lation of Section 7031.5 any applicant for a permit subjects the a pli ant to a civil penalty of mo e than fiv d o ars [$600 . Vf. M Name State License# _J"-''6""-=0'--'-/-~,,,,_5=..._ __ Designer Name Address City State/Zip Telephone State License # _________ _ -~ij¼mlNIVTu1-¥0fJi??70S!!;\t'.glti1~V£k~Jtf~i;~4"::~f1if;;bci:'.H:iiC,i%~~>£~fS#il??},;tyyd@~m.~iifill:MYs1¥1}~f:liTIDq~0l~itt%~~tlfflkfiEJ~Sl!ti~] 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. 5Zl 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 ls Issued. My worker's pe atlon insurance arrier and policy number are: . . ffl J Insurance Company}::f::g;~~!.'.~j__i'.:!;!4,l.t:~!2l4!:!C.~--Policy No. W1J\ £..':l: } b\ ' 7,.-Exp1rat1on Date ~ ~ (THIS SECTION NEED NOT BE COMPLETED IF THE P RMIT I FOR ONE HUNDRED DOLLARS ($1001 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 secure workers' compensation coverage la unlawful, and shall subject en employer to criminal penalties and ctvn flnea up to one hundred thousand dollars 1$1 ODO) d n to e oat of compensation, damages u provided for In Section 3708 of tha Lab code, Interest attorney's fees. ' SIGNATURE DATE I hei'eby affirm that I am exempt from the Contractor's License Law for the 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 sa1e. 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 p·roperty 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 t have hired the following person to coordinate, supervise 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 (hired) the following persons to provide the work indicated !include name / address / phone number / type of work).:_------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ -~1tm1am111naqtta)J1Ltfi411lli&iiij1:R:;110:i1;1~~;;;;;1f1mJI4t1rt1.,~•fim~~mri1¥£?~~~,B¾>~·10t40§:;~r•irt¥11 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 25606, 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 qualitv management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the 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. 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 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pem,lt 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 pem,it or If the building or work authorized by such permit Is suspended or abandoned at any time after the work is com ced for riod 180 a Section .4 Uniform Building Code). /_ ~ t' _ ~-r APPLICANT'S SIGNATURE _:;;z1J:~_S,d,'"""::f.!,_~~~'.f::~~[L.----------DATE _'P.s::.._:_:~::,,,=.!-'""''C..:::~=::..L. __ _ PINK: Finance