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HomeMy WebLinkAbout2426 BADAJOZ PL; A; CB101906; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-14-2010 Mechanical Permit Permit No: CB101906 Building Inspection Request Line (760) 602-2725 Job Address: 2426 BADAJOZ PL CBAD /K Permit Type: MECH Status: ISSUED Parcel No: 2161905201 Lot#: 0 Applied: 10/14/2010 Valuation: $0.00 Entered By: LSM Reference #: Plan Approved: 10/14/2010 PC#: Issued: 10/14/2010 Project Title: DAVIS RES- REPLACE FAD & DUCTS Inspect Area: Applicant: Owner: ASI HASTINGS DAVIS MICHAEL L&TERESA A 1250 GREENFIELD DR 2426 BADAJOZ PL ELCAJON, CA 92167 CARLSBAD CA 92009 619-223-9016 Mechanical Issue Fee $15.00 Install/Furn/Ducts/Heat Pumps Fee 3 $27.00 Fireplace Installation Fee 0 $0.00 Exhaust Fan Fee 0 $0.00 Installation/Relocation Vent Fee 0 $0.00 Hood Fee 0 $0,00 Boiler/Compressor to 15HP Fee 0 $0.00 Other $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $42.00 Total Fees: $42.00 Total Payments To Date: $42.00 Balance Due: $0.00 o — FINAL APPROVAL Inspector: /\_ (\ Date: //" f^/O Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. OCT/14/2010/THU 10:09 AM FAX No,P. 005 CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 s—~NOjww.carlsbadea.gov Plan Check No. Eat. Value Plan Ck. Deposit IPTION OFVVtiRK: fec/wto Square Fur of Affected - , Improve, demwlsn or rspair any stfuciurt, prior to its issuance, also rsqulrssContractor's Llcenss Law (pnapter9, commanding with Section 7000 of OMalon 3 of the• An/ violation or section 7031.5 by any applteanfror»pefmHsuojsots tne applicant to a WORK£US" CO M P ENi A i I OM Worker*' Compemetlon Deoferaftn; i LJ I have and will maintain i eertffloate of ean$»nt to selWnwre for tutus campwisalion as provided ty Sector, 3700 of lh« Later Code, for the performance of lh« work for which this permit is Issued. LJ I hn» and wB! maintain •often' Compensation, as legrJieo ftv 5«e«on 3700 of llm Lanor Coda, w |h» perforrn»i« of the worti for which this permit'«issued, My workers' oompensalkm Insurant witter and t»fcy ^mntM^^^^tk^Jihe^milB^raiKtiia^ifiijMtts^W^ar^KS. '1o»t»gf Ewmpllon! I aifyjhetln th» wrtomrttsof U»worK»rMW> this permit is issued, I shall not employ 9PV «e«0n in any manner so as to become svSjSrfte Hw Workers' Compenssilon Laws of WARNINS; Failure toffiaSnuyken' ettopwntion covwjgejii unlawful, and shall subject an empfoyer to erfmlnal mnattim and cMI flnes up to one fiundrrt thowsand dollars (»ti».florj), in for in Section/roa of tHeCbw cods, inursit and attorney's feea. ~ DATE sddidon to the coat of cmipwsiitfcn, dinaj^as p ^ CONTRACTOR 8I<3NATURE\ OWWFR [•.»• «"**"* l» Pf»Peny or my eraplo»«s wKh wages is llwlr sole compensation, will do the work and (n» WWW is not inttnded or offered far sate (Sec. 7M4, Busines: and Prafessbro Code: UK Contmcwr's LrantB Law docs not 8|#y B> an owner of property *fio twWS or improves Iheneod. and irtio dora such work himself or mraugri his own emplDyess, provided that sucn Improiffimertls Sr» H9f Wended or offered for^s.l*.nowvgr,lrfflbuWlrqorimprov«^^ |_J I. as owner of tfw praparly, am exctiiiveiy contracting mlh licensed contKtors to omstraal the prajeol (Sen. TOW, Sosloess wd Pisfsssions Caae: Ths Contfaaor't uranss Law does not apply lo an ovnw/ ofprowrty «™ builds or improves thgreon, and conncui fcr wed projects with oonwotor's) Ifcewri pursmnl to the Cortractor's Uoeroe Law). [j I am exempl under section Business and Professions Cade for Ms rwwn: 1.1 perwnaly plan K) provide the major labor and materials for conarueiion of (he praposefl property iDiprovsmBtil, |~|Yas Quo 2,1 (haw / have rot) signed tn appjkatiori for a Miolng perniit »r Be proposal work. 3,1 hava contracted with me following parson (firm) u pwvioe to proposed conslruotlon (include nami iddutt / phwa / eomractcnv ncsnse miMafr. 4.1 r^ri to r^l* porUoia of (ta work, but I w/e lito we fo*>win^ 5J v^ll pravlde some or m» »^ but I have oontractKf (hiii^))» HTO JSPBOPERTY OWNER SGNATUR6 QAGENT DATE OCT/14/2010/THU 10:10 AM FAX No.P. COMPLETE THIS SFCTIOM FOR N 0 N - R E S ( D £ N Tl A t B U 11Q I H G PERMITS ONLY' Is Uw spplkant arfuture Wkjing occupant raqulnd to submit i butlnws olav acutely hazardous materials rtjistrason form w fBX mansgeniBnl and prevgntton program under Section) 25505,2S5J3 or 295V 0' the PresleyTawsrHazartousajtetancsAcBXintACIf QV*« CZlNo IsKieappifcflinofruliKShilklingooaipantrequlredlooht*ap«mlIfram(ti*sirp(aiuti«n«ftWJ^(irar3!!8f'y™naae™nt*tnct? D'" iil.WiJ^stodheoiiia-boundary of a school slta? IIYei EMERGENCY SERVICES AMD THE AIR POLLUTION CONTROL OISTWCT. I hereby affirm that Ihs« is a construction tending agency for the performance of ths work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Warns Lender's Address cnth«Dlirai5!TOirati,l5Ziwtoromply>vithillCltycmsriBnceaflndsa»la^*alln6tobuikSngain^aior>. ! hwty autaizs lepissatelive cf *» City of Carlsbad to onto upon Us atas msntoned pppeny & TOWCfon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AMD KEEP HARMLESS THE CITY & CARLS8AD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH UKf IN ANY WAY ACCRUE AGAINST SAO CITY IN CONSEQUENCE CF THE GRWTiMG CF THIS PffiWT OSHA: An OSHA permit I: raped for excavations over 5V deep and agacHbl ur LUI feliaOlm of strmnEs over 3 dories In hagfu EXPIRATION: Every pemiil issued by n» 2uild*!g Cffidsl urdsr ttep^Slon? of« Co* sfi«^pirs Dy Jrfflason and Wcoms rui and vflfl if Una buttg or *or< suilxxftsu 6y guch permit is not commenced wita 180 daya i^ihgd^of such (^mtBrjpig^aielr^erv^ai^eaoys^ ^APPLICANT'S SIGNATURE r\ DATE City of Carlsbad Bldg Inspection Request For: 11/04/2010 Inspector Assignment: /\==t—-*Permit* CB101906 Title. DAVIS RES- REPLACE FAU & DUCTS Description: Type: MECH Sub Type:ft ) f Job Address: 2426 BADAJOZ PL r7 Suite: Lot: 0 Location: APPLICANT ASI HASTINGS Owner: Remarks: PLEASE INSPECT 10AM - NOON Total Time: Phone: 7609445642 Inspector: Requested By: MIKE DAVIS Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set mments It J> ft Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments OCT/1V2010/THU 10:09 AM FAX No.P. 004 CERTIFICATE OF LIABILITY INSURANCE DATS IMIWDO/YWY) 10/16/2009 PRODUCER (619)683-9990 PAX: (619)683-9999 Michael Ehrenfeld Company 2655 Camino Dal Rio North #200 San Oie$p _ _ __CA 92108 INSURED " " ASI Hastings, Inc. 4870 Viewzridgt* Drive CA 92123 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PQlfclES BELOW. INSURERS AFFORDING COVERAGE INSURER A:Property Casualty _NAJC# 25674 INSURER B:TE«vel«g» Indemnity Coapany_ : Tower Select Insurance San Diego INSURERS: INSURER E. COVERAGES THS POLICIES OF INSURANCE LISTED BELOWHAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DINGANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORMAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OI5UCHPOLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'iSfiffli rrPHOP •!««»» POUCYNUMBER fiWfiSEftSWS, StfXjKfBe^ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY A CLAWS IIWJE OCCUR BBi-co-«73T»«59«-*w-09 10/16/2009 10/16/2010 X Oners s contractors GENT. "CQRS3ATE dMlT APPLIES p«n. PCuCV J|2? uOC AUTOMOBILE LIABILITY . X ANY AijTO B ALL OVW*D AUTOS DTES10$737M599*(;TI59 10/16/2009 10/16/2010 SCHEDULED AIJTQS X_ HIRED AUTOS J5ARAGE LIABILITY ANY AUTO EXCS5S ' UMBRELLA LIABILITY _,_ OCCUR ; | CLAIMS MAPg c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y,N ir"^^^^^!^01"13607 — WD9-3311013-09 10/16/2009 10/16/2010 SPECIAL PROVISIONS beta* OTHER LIMITS EACH OCCURRENCE _,.,5 ...1, * OO^., 000 l^KKU * 300,000 MED EXP (Any on« »(SOf\i 5 10,000 PERSONAL 5 ADV >NJURY 5 1(000,000 PRODUCTS •CQMP.'QP ApC. . l__ 2 ( .0.0,0 , 0 05. COMBINED 5INBLE LIMIT - 1. rtnf( rtf|nIMKddanil 5 1,000,000 BODILV INJURY . (PWpSfSOU) BOLULl' INJURY s PROPERTY DAMAQE ,(P»f8<»li)«nt) * AUTO ONLY • EA ACCIDENT S OTHER THAN .E*ACC_,§ . AUTO ONLY: aQG S EACH OCCURRENCE 3 AGGREGATE , S _, S 5 x jjHDfffc 'ST E.L. EACHjACglDEMT S 1 , 000 , 000. S.L DISEASE -EA EMPLOYEE S 1,000,000 E.L. DISEASE • POIJCY LIMIT S 1,000,000 • DESCRIPTION OP OPERATIONS l LOCATIONS / VWI<?l£SI EXCLUSIONS ADDED BY ENDORSEMEHTY SPECIAL PROVISIONS RH: *10 DAI NOTICE IN THE EVENT OF CANCELLATION TOR SOSFATOENT CERTIFICATE HOLDER CANCELLATION EVIDENCE OF INSURANCE shouLOANYOF-rhEAMweoescwBeo POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE I9SUINO INSURER WILL EMflEAVOtt TO MAIL *30 BAYS WWTTSN NOTICB TO TUB CBRTIFKATE HOLDER NAWgP TQ TH5 LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OauaAttON On DABlUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORBgOREPReSSNTATIVE .j^S^SlL^j- frVjL) •ffn, r*r*+, _,.,Rob Kemoa/LR ^ -«^-*r*j fjo^^*, — ACORD 26(2009/01] INS025.200901! ©1988-2009 ACORO CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD