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HomeMy WebLinkAbout2426 BADAJOZ PL; B; CB020304; Permit01 -30-2002 Job Address: Perm it Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Perm it Building Inspection Request Line (760) 602-2725 Permit No: C6020304 2426 BADAJOZ PL CBAD St: B MECH 21 61 905202 Lot #: $0.00 SWENSKI RESIDENCE FAU REPLACEMENT Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Status: ISSUED 0 Applied: 01/30/2002 Plan Approved: 01/30/2002 Issued: 01 /30/2002 Entered By: MDP Inspect Area: Owner: SWENSKI BERNARD S&MARY L TRS 2426 BADAJOZ PL #B CGp 294 * 7; (to53 Oh'ti30iO2 fX02 of. $2 CARLSBAD CA 92009 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 f Mechanical Issue Fee . Install/Furn/Ducts/Heat Pumps Fee 1 Fireplace Installation Fee 0 Exhaust Fan Fee 0 Installation/Relocation Vent Fee 0 Hood Fee 0 Boiler/Compressor to 15HP Fee 0 Other Additional Fees TOTAL PERMIT FEES $1 5.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Inspector: t ~~~~~~ ~ follow the protest procedures set forth in Government Code Section 6W(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 Cmely 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 speciried feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeshxactions of which you have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 02- '3 dq EST. VAL. Plan Ck. Deposit Validated By Date Legal Description Unit No. Phase No. Total X of units E ' ting Use Proposed Use SO. FT. #of Stories X of Bedrooms # of Bathrooms X,-75JLbtll%AA 2. CONTACT PERSON (if dlff bliciin Name Address City StateIZip Telephone X Fax # (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 end Professions Code] or that he is exempt therefrom, and the basis for the alleged b77 % City Stete/Zip Telephone # VW5 bl 1 %l cu> City Business License # I 7u3 Name' Address State License #' 'Tq i 520. Designer Name Address City StateIZip Telephone License Class State License X 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 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 f t e work for which this permit is issued. ed. My worker's, compensation insurance Carrie! and nolicy number are: K Insurance Company. N@@$A+ LL * me' Policy NO.LL~~-,'W Expiration Date IlrlQ3 - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ISlOOl 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 Is unlawful. and shall subject an employer to crlminal penalties and civil fines up to one hundred thousand dollars ($100,000~. in addition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE DATE 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 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 contractods) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 7. OWNER-BUILDER DECLARATION I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NUN-R€S/D€NYTIAL BUILdlNb PEdfil 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 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 8. CONSTRUCTION LENDING AGENCY u YES NO LENDER'S NAME 9. APPLICANT 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 Cit) 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 thls 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 permit or if the building or work authorlzed by such permit is suspended or abandoned at any time after the work i APPLICANT'S SIGNATURE cm DATE T/zq/a 180 days (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/08/2002 Permit# Title: Description: CB020304 SWENSKI RESIDENCE FAU REPLACEMENT Type: MECH Sub Type: Job Address: 2426 BADAJOZ PL Suite: B Lot 0 Location: APPLICANT ARS Owner: Remarks: PLEASE INSPECT AS EARLY AS POSSIBLE @ Inspector Assignment: Phone: 7609447596 Inspector: Total Time: Requested By: MARY CD Description Entered By: CHRISTINE 43 AirCondlFurnace Set Associated PCRs Date InsDection Historv Description Act lnsp Comments