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HomeMy WebLinkAbout2514 LA GOLONDRINA ST; ; CB062133; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-07-2006 Mechan~al Permit Permit No: CB062133 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2514 LA GOLONDRINA ST CBAD MECH Status: Parcel No: 2155612000 Lot#: 0 Applied: Valuation: Reference#: Project Title: Applicant: LEGEND SERVICE SUITE 15 2588 PROGRESS ST VISTA CA 92083 760-631-8397 $0.00 DEMAR RES REPLACE FAU 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: DEMAR FAMILY TRUST 08-15-03 2514 LA GOLONDRINA ST CARLSBAD CA 92009 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: VI'.:\~ FINAL APPR9VAL Date: :9/ 0 7 f ~ Clearance: ISSUED 07/26/2006 KG 07/26/2006 07/26/2006 MC $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $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 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 f fwh' h ha I i n N I E 'mil h' hi h fr i i h r vi 1 . PERMIT APPLICATION FOR OFFICE USE 0-fllJ-X PLAN CHECK No.C.(6~210 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ___ _,..__,.. ____ _ Plan Ck. Deposit --11--t"H------- Validated By __ -'~'--,,,.,_......,-r--::77- Date, _____ __,,,_.....1._~"--"''-l"- .lffl ... Business Name (at this eddress) Legel Description Lot No. Subdivision Name/Number Unit No. Phese No. T pt al I of units \ { Proposed Use I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax I Name Name Name State LicenH I __ .,___----="---_,__, Designer Name State License I Address City ~ ;· f~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. I have and will maintain workers' compensation, 11 required by Section 3700 of tha Labor Code, for tha performance of th• work for which this permit is issue • orker'a compensatio insurance carrier and polic num'3JI( are: ,-. / ,--,;;i_ ~ / _;--. Insurance Company f_ I C) . I~ NoJ'li)-f:iJfi 1? ,3' -() J Expiration Date._.......;~=-----.~(/ (THIS SECTION NEED NOT BE OM ED IF THE PERMIT IS FOR ONE HUN RED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit 11 issued, I shall not employ any parson in any manner so 11 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ucure work .. ' compena■tlon coverage la unlawful, and shall aubject an employer to crlmklal peneldN and civil flnN up to one hundred thouaand dollars 1•100,000), In addition to tha cost of compenaatlon, damqu u provided for In Sac:tlon 3708 of the Labor code, Interest and att0ffl4'y's f••· SIGNATURE _____________________________ DATE ________ _ I hereby affirm that I am exempt from tha Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wagn as their sole compensation, will do the work and the structure is not intended or offered for -■le (Sec. 7044, Bu■iness and Prof111ions Coda: The Contractor's Licen11 Lew does not apply to an owner of property who bullda or improvn thereon, and who does such work himself or through his own employees, provided that such improv1ment1 are not Intended or offered for sale. If, however, the building or Improvement 11 sold within on, year of completion, the owner-builder will have the burden of proving that he did not build or improve for tha purpo11 of 1al1). 0 I, 11 owner of the property, am 1xcluaiv1ly contracting with licensed contractors to construct tha project (Sec. 7044, Buaine11 and Profesalona Code: The ·contractor'• License Law does not apply to an owner of property who builds or Improves thereon, and contract• for such project• with coritractor(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 material• for con1truction of the proposed property improvament. 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 followir:ig person (firm) to provide the proposed construction (include name / addreu / phone number / contractors license numberi: 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 / addre,s / phone number/ contractors license number):. ____________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persona to provide the work Indicated (Include name / addreu / phone number / type of workl:. _______________ -:-----,------------------------------------ PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ 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 Section, 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupent required to obtain a permit from the air pollution control dlatrict or air quality management district? 0 YES O NO 11 the fecility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. 'L DI 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 have read the application and state that the above Information is correct and that the information on the plans is accurate. I agraa 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 stories 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 if the building or work authorized by such permit Is not commenced within 180 }Jays from the date of such permit or if the building or work authorized by such permit Is suspenqed or abandoned at any time after the work Is com enced for a period of--180 da s (Section 1 .4.4 Unif tiding Code). . _ '") / APPLICANT'S SIGNATURE ---,'--7"9:~'ff-=::-b't--7"::::=--,.dC:::....:t,"~'-<=::.._-----DATE b --o(_ 6 --0 \o PINK: Finance City of Carlsbad Bldg Inspection Request For 09/06/2006 Permit# CB062133 Title: DEMAR RES REPLACE FAU Description: Type: MECH Sub Type: Job Address: 2514 LA GOLONDRINA ST Suite: Lot 0 Location: APPLICANT LEGEND SERVICE Owner: DEMAR FAMILY TRUST 08-15-03 Remarks: 9 -11 Total Time: Act Comment Inspector Assignment: Phone: 7602681133 Inspector !'AG. Requested By GENIA Entered By: JANEAN CD 44 49 Description Rough/Ducts/Dampers Final Mechanical ~ ( beJ t::,1i'1£lL-l.oM.cw6CT..:J. T~~~~~~~~ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act /nsp Comments