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HomeMy WebLinkAbout2612 CABRILLO PL; ; CB091553; Permit09-23-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB091553 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2612CABRILLOPLCBAD MECH 1552714103 $000 Lot# BIGGS RES- REPLACE FURNACE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/23/2009 LSM 09/23/2009 09/23/2009 Applicant ACTION AIR COND & HEATING-S D 2750 S SANTA FE SAN MARCOS CA 7607274152 Owner BIGGS MILLARD R TR&BIGGS EVELYN TR 2612CABRILLOPL CARLSBAD CA 92008 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 $1500 $900 $000 $000 $000 $000 $000 $000 $000 $2400 Total Fees $24 00 Total Payments To Date $24 00 Balance Due $000 Inspector 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 lollow 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 C I T Y O F CARLSBAD Building Permit Application 1635 Faraday Ave Carlsbad CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www carlsbadca gov Plan Check No (L&O^ \ S~ Est Value Plan Ck Deposit Date JOB ADDRESS 2612 Cabnllo Place SUITE*/SPACE»/UNIT* ft BATHROOMS I TENANT BUSINESS NAMECT/PROJECT ft PHASE ft * OF UNITS * BEDROOMS CONSTR TYPE OCC GROUP DESCRIPTION OF WORK Include Square Feet of Affected Areafs) Remove And Replace Existing Furnace EXISTING USE P Single Family Residence CONTACT NAME (If Different Fom Applicant) ROPOSEDUSE GARAGE (SF) Same Miiiard & Evelyn Biggs ADDRESS 2612 Cabnllo Place CITY Carlsbad PHONE 760-720-9131 STATE ZIP CA 92008 FAX EMAIL PROPERTY OWNER NAME aMillard & Evelyn Biggs ADDRESS 2612 Cabnllo Place CITY Carlsbad PHONE 760-720-9131 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE ZIP CA 92008 FAX STATE LIC ft PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONINd YES | |# Nd| | YES [ | NO ["71 APPLICANT NAME _. _ , ,Glenn Ostmark FIRE SPRINKLERS YESQNOQ ADDRESS 2750 S Santa Fe Avenue CITY STATE ZIP San Marcos CA 92069 PHONE FAX 760-727-4152 760-727-0213 EMAIL comfort(S>actionac net CONTRACTOR BUS NAME . . - .Action Air Conditiomnq &Heatmq ADDRESS 2750 S Santa Fe Avenue CITY STATE ZIP San Marcos CA 92069 PHONE FAX 760-727-4152 760-727-0213 EMAIL comfort@actionac net STATE LIOS, rt &C\ C" CLASS CITY BUS LIC A — N (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 theapplicant 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 theBusiness 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 subje( ts the applicant to acivil penalty of not more than five hundred dollars ($500)) Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations I I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued 1/J I have and will maintain workers compensation as required bv Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation in urance earner and policy number are Insurance Co antenna contractor Network Policy No K03-093 Expiration Date wmw This section need not be completed if the permit is for one hundred dollars (S100) or less I I Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand collars (&100 000) in addition to the cost of compensation damages asBfo5Bed_Jorin Section 3706 of the Labor code interest and attorney s fees JS$ CONTRACTOR SIGNATURE-x^^T/ ^^U^^J^T} DATE 9 ~23 " £> I / hereby affirm that I am exempf from Contractor's License Law for the following reason | | 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 ( ode 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) | I 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 contractors) 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 major labor and matenals for construction of the proposed property improvement fJ^Yes I No 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 / 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 / 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 / type of work) ^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 Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act9 | |Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution controldjstrict or airjjuality management distnct? QYes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' I lYes l\ No IF ANY OF THE ANSWERS ARE YES , EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) 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 agree to comply with all City ordinances and State laws relatngtc building construction I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CIT" 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 stones in height 180 days from the date of such permit or if the buildinaor work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) JS$APPLICANT S SIGNATURE DATE 9- City of Carlsbad Bldg Inspection Request For 09/29/2009 Permit* CB091553 Title BIGGS RES- REPLACE FURNACE Description Inspector Assignment 2612 CABRILLO PL Lot Type MECH Sub Type Job Address Suite Location OWNER BIGGS MILLARD R TR&BIGGS EVELYN TR Owner BIGGS MILLARD R TR&BIGGS EVELYN TR Remarks Phone Inspector Total Time CD Description ct 43 AirCond/FurnaceSetf^rC mments Requested By NA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments