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Home My WebLink About2422 LA PLANCHA LN; ; CB081779; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-17-2008 Mechanical Permit Permit No: CB081779 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2422 LA PLANCHA LN CBAD MECH 2550912500 Lot#: 0 $0.00 PIZZINO RES-ADD A/C UNIT WITH ELECTRIC Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ASI HASTINGS PIZZINO FAMILY TRUST 11-01-93 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 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 P O BOX 235881 ENCINITAS CA 92023 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: / Inspector: FINAL ~-PRO~Ab° q Date: 1 j.. Z O ' Clearance: ISSUED 09/17/2008 RMA 09/17/2008 09/17/2008 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedicatioos, 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 iofom,ation with the City Manager for prooessing in acoordance with Cartsbad 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 nght 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 Tl i ·1 t " , I • Cit~ of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov JOB ADDRESS d T/PROJE T # Plan Check No. Est. Value Plan Ck. Deposit Date APN PATIOS (SF) DEC AIR CONDITIONING FIRE SPRINKLERS YES □ NOD YES □ NOD APPLICANT NAME ADDRESS f'- CllY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS STATE FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# STAlf:UC.# 5/ot/B WORKERS" COMPENSATION Worklrt' Compensation Dtdmttion: I hereby affirm under penalty rJ perjtry one rJ the foHowlng declarations: ~ I hlYt and will maintain I certfflcatt of consent to 11lf.ln1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1( for which this permit Is issued. ~have and will maintain ~m• as r~red by Sectlon 3700 of lhe Labor Code. to, Ille _P•rf•rm~/7:t)lrllOd· My -.n;• compeniq Ins:~ comer and prn<y number are: Insurance Co. r~nc / Policy No . .J,J>Jl::4-lVV-a...t:::....r.,l...,L..--1,,LL--Expiration Dale l le f This section need not be completed If the permit ls for one hundred dollars 100) or less. D Certificate of Exemption: I certify that In the peffonnance of the for h lhls permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of catlfornia. WARNING: Fallure to secure worken' compensation v Is nlawful, and than subject an employer to criminal penaltiH and dvll flnn up to on, hundred thou11nd dolllf"I (&100,000), In addition to the cost of compenlltlon, damages 11 \>l'll'IJ!,'fll''l/l~j~" 3 ,the Labor code, Interest and lttomey't feet. q • 11 ,, 0 r ,/IS CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason: □ l, 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 M 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 sae. 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 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). □ I am exempt under Section, ____ Business and Professions Code for this reason: 1. I personally plan to provide the ma;or labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a bu!ldlng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name address/ phone/ contractOfS' 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 followlng persons to provide the work Indicated (Include name/ addmss /phone/ 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 progrmn under SecHons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ls the applicant or future building occupant required lo obtain a permit from the air pollution control dlsb1ct or air quallty management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer 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 AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a construction lending agency for the pertonnance of the wort< this pennlt b issued (Sec 3097 (i) C1vll Code) Lenders Name Lenders Address APPLICANT CERTIFICATION I certify that I have read the appHcation and state that the aboYe lnfonnatlon Is conectand that the Information on the plans Is accurate. I agree to comply wtlh all Clfy oldlnances and State laws relating to building cons1ruc:tion. I hereby-'"l)l8Senlalived lhe City d Clllsbad k>enlerupoo lhealxwe mentioned property for ilspedirl purposes. I ALSO AGREE TO SAVE, INDEM'IIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Afff WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT. OSHA: An OSHA penn1 is reqoied ro, exC8\1811ons owr su· deep aid · a Slrucues ..., 3 s"""'5 n height EXPIRATION: Eve,y pennlt Issued by lhe Building Ollk:ial under lhe p shan e,pie by lnilalion aid beame nul aid void I !he bw~ilg or -aulhorized by sudl pem;t is r,;"' Iii" u!d Mlln 180 days from lhe dale of sudl pennlt or WIile buidilg orworl< ls suspended or abandoned ata,yline aflerlhe worl< is 00111Miu!d A a peood d 18Jldays (section 1116.4.4 Uniam aii~ilg Code). ,/IS APPLICANT'S SIGNATURE DATE Lf • / 7-u f City of Carlsbad Bldg Inspection Request For: 09/26/2008 Permit# CB081779 Title: PIZZINO RES-ADD A/C UNIT WITH Description: ELECTRIC Type:MECH Sub Type: Job Address: 2422 LA PLANCHA LN Suite: Lot 0 Location: OWNER PIZZINO FAMILY TRUST 11-01-93 Owner: PIZZINO FAMILY TRUST 11-01-93 Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone:;,~ lnspec~ 7------- Requested By: GAYLE PIZZINO Entered By: CHRISTINE 43 _A_i_rc_o_n_d_/F_u_rn_a_c_e_s_et ___ 1_ £[ tJ th-, Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments