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Home My WebLink About2561 GREGORY DR; ; CB062921; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-10-2006 Mechanical Permit Permit No: CB062921 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2561 GREGORY DR CBAD MECH Status: Parcel No: 1562310800 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: DOHERTY: REPLACE FURNACE Applicant: MOOR CO SERICE INC 1531 S COAST HWY 92054 (760) 722-1541 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: DOHERTY WILDA M EST OF 2561 GREGORY DR CARLSBAD CA 92008 ISSUED 10/10/2006 JMA 10/10/2006 10/10/2006 $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: 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 pennit 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 wiH 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 x ion f hi h h i I ii r hi r flimi h r i I h rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.Ch0'2 2.q ~I t CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By '-,/ ~ Date t() (IO { 0 (o ·1, PR,PJECtlW'ORM~TJQN Address (include Bldg/Suite #) < s-c; t ~~0ey Business Name (at this address) / Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use S"'.,C,,e Description of Work -~£/<.,#-E ✓-U~/11,lf~e ~ CONTACT PERSON (If different from applicant) SO. FT. .2..."foB ;C Name Address 13. APPLICANT . · .JB'contractor O Agent for Contractor ~ ..,....,:::::~~ 6"'Mlh C'.t!!' / ;,/C,, 0 Owner /2.:J/ Name Address #of Stories :z City 0 Agent for Owner , ,,.;, <:.~7 ///t,,,,,.,,t/ City 7 Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone # Fax # ?:t.2-/ J-y" / c,cL,Mx).S--/,4:! q ~~";P' State/Zip Telephone # S.tate/Zip Telephone# (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 and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($5001). ~ ~d ..l 'NC /r.J/ f . ~ -/ e::,4~,,.)5"~ .cH 9'24-~.,~7Gl Name State License # --9'-~/~.?~4-.-~ ... /~-- Address License Class _C.. __ ------',<--"-0 ____ _ City State/Zip Telepho~ # City Business License# /,20 7J>d0 Designer Name Address City State/Zip Telephone State License # _________ _ 6. 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. ~ 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 issued. My worker's compensation insurance carrier and policy number are: . / Insurance Company 5' 7'79 2<f H/dl,..D Policy No. / ~ < {(K -CJ ~ Expiration Date ~ ~ / -d ? (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 aecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ,...._ J thousand dollars ($1 I • dition to the cost of com n tlon, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. A s1GNATuRE_~=::::;zf:J.e::::....._L...,L..--c,,.L;;:~:±:c~::..___________ /er -/ d -o-'? 7.. OWNER-QU[ . . A ., •• ······~--,,, 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 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 I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ 5. 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 _______________________ _ COMPLETE T"11$ SECTION FQR NQflRESiDtNT1AL BUILDING PERMITS.ONLY 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 Sections 25505, 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 quality management district? O 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. 8. CONST~UCTIO.N LEIIIDING. AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ 19. APP~l<;A.NT CERI!FICA:rlON ,, . ~ 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 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 days from the date of such permit or 1f the building or work authorized by such permit is suspended or abandoned at any time after the work 1s commence,:1-10f-a..i;ier d of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -~~:;z~~:_~.L.-2_-";-=-~~-e..,~~~~-------DATE /d'-/#-<?' 2 WHITE: File PINK: Finance PLUMBING PERMIT APPLICATION t7 City of CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. - . 'lJ=,c) ~?) Permit No. _ _. 2__ JOB ADDA [.55 . , l -f.Gjl.1,1;# . LOT NO, I OLK I TUCT LCGAL I 1 DUCft, OWNE:1111 MAIL AODIIU.SS 2!P PHON[ 2 ..Qlert7. J. 2_:,,J J J>r. • .. CONTtlllAC:TOfll I MAIL AO0111CSS PM ONE LICENSE NO, STATE CITY 3 la ?;H~-.. 2,SO. ·. ,, ?2~0 __ r ,_.,._,~_ - ,UICHITECT 0111 0£SIGNER MAIL AOOIIIIES5 PHONE LICENSE NO, 4 UHilNEER MAIL AODIIIIESS PHONE LICENSE NO, 5 COMPENSATION (NS, CARRIER MAIL AOOIIIIESS &ftANCl-f 6 . . .. 1 0 13 " use Of' BUILDING 7 • 111 8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR q Describe work: =~u,;~uut of Jllll';..•..r.~ : ... K:'J" ---r PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDIT IONS. WATER CLOSET (TOILET) s BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK &, DISP. DISHWASHER APPLICATION ACCEPTED BY P~ANS CHECKEO ev APPROVED FOR ISSUANCE ev LAUNDRY TRA Y -/.Jl't CLOTHES WASHER CATE J. WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. GAS SYSTEMS: NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. WATER PIPING&, TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR N OT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE QA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER CESSPOOL r,} A ~ SEPTIC TANK C. PIT 1-~ r. Oui,,1@u? 6[29/75 ROOF DRAINS SIGNATUP\E o, CONT,.ACTOR OJI AUVO'1fl't.l0 AGE.NT (DA Tl, PERMIT $ StCNATUIIIC o, OW,..[111 ti, OWNC.111 I Utt..OE.RI DATE.I TOTAL FEE $ '9 00 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR MODEL NO.,...... ________ _ BUILD NG PERMIT APPLICATION ... City of CARLSBAD, CALIFORNIA 92008 --, "J. )/_j _!.,_ Applicant to complete numbered spaces only. Phone 7 29-1181 JOB AOOIII['!._ Permit No. ASSESSOR"S PARCEL NUMBER Bvvt< LC,AL I 1 ouco. LOT NO, IS-~ (I /-Ont ATTACHEO SHtn1 PAGE I PAR. OWNCf' J.AAIL ADOfl(SS 11. P,-iON( 2 -,- 1 • ,07> CON TIIIAC TOIII MAIL A.00111[55 PHO,_.( STATE LIC. NO. CITY LIC. NO. 3 I •' 'JL<.i!}) ~c,' L J Alll(HI TCC T 0111 0£51GNCIII MAIL ADOll(SS PHONC LICCNSC NO. 4 ---tNGINCCIII MAIL A.00111[5$ PHOM( LICCN9£ NO. 5 COMPEN SATION INS. CARRIER MAIL A.O0111£55 9 1111AN(H 6 USE or I JILDING 1 NO. BORMS NO. BATHS _c, 8 Class of work: •NEW ~.ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: 11-1.Yb 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE s t-S_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_: --------------------1 Type of ~ r<"'i Const r..;,:;( (I 1-------------------------------1 Sile of Bldg. (Total) SQ Ft 1---------,---,,-------------,.----------~ Fire APPLICAT>ONA~PTPV PLANSCHED,,08/.V' I ADPAPTROEVEDfa;1UA7,,E av ::n:f DATE "111\V ex~ Dwelling Units NOTICE I , SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY. TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE_P. STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE .f.ERFORMANCE OF CONSTRUCTION. , ~~-.;:-• ....,·,,_r77 SIGNATUIIII: OP' CONTJll:ACTON 0; AUTHOfllZlO AGENT IDAT[I SIGNATURE o, OWNllll (I,. OWN[III au1LO(IIII IDATl) Sp~c,al Approvals PLANNING DEPT. HEAL TH DEPT. FIRE OEPT SOIL REPORT OTHER (Specify) ENGINEERING DEPT WATER DEPT. ' I tv j PERMIT FEE s 68. ~ Occupancy -1 Group ~ No. of Stories use zone -f MICRO FILM FEE Max 0cc. Load Fire Sprinklers ReQulred 0 Yes ONo OFFSTREET PARKING SPACES No. Covered Required I _ 1 f INe. SQ. Ft. Open Received Not Required WHEN PROPERLY VALIDATED UN THIS SPACEt THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK M.O. CASH TOTAL FEES$ ________ _ INSPECTOR INSPECTION RECORD ~ DATE REMARKS INSPECTOR FOUNDATIONS: SET BACK TRENCH • REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL g.,;JB-7/ Oc 40-<. ./ r , .. !~ //1~ (J p USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.