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Home My WebLink About2612 LA COSTA AVE; ; CB101592; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-26-2010 Mechanical Permit Permit No: CB101592 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2612 LA COSTA AV CBAD MECH 2162800200 Lot#: 0 $0.00 MCMULLEN RES-REPLACE EXIST FAU &A/C Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MAUZY MECHANICAL MCMULLEN FAMILY TRUST 12-04-02 1551 N CUYAMACA EL CAJON CA 92020 619 583 9545 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 2 0 0 0 0 0 2612 LA COSTA AVE CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: g_g j FINAL APPROVAL Date: q...-1 L ...-1 ~ Clearance: ISSUED 08/26/2010 LSM 08/26/2010 08/26/2010 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carl$bad 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 FURlHER NOTIFll::D that your right lo 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 whir.h vnu have nreviouslv been ntven a NOTIC:E !;imilar to this or as to which the statutA of limita ion!; has nreviousl" otherwise exnired. • ~ .« ... ft> ¥ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Lo... Fax: 7 60-602-8558 www.carlsbadca.gov #BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS Plan Check No. MIO 1 SC/ Est. Value Plan Ck. Deposit OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLERS YES □ NOD CONTACT NAME (If Dlffetent Fom Applk:ant) APPLICANT NAME ADDRESS ADDRESS L-\.1 CITY STATE ZIP ZIP q9._\ PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS cr~u~Y (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 exem_P.t 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 five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declarlllon: I hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor-Code, for the performance of the work for which this permit is issued. ~I have and wlll maintain wo:,:-ompensation, as required by Sesn 3700 of the Labor Code, for lhe performance of lhe work fl which this permit is issued. My workers' compensation ins'lt..nce carrier and policy number are: Insurance Co. O\.>-J '?# < \ ( C ..le: Policy No. lJJC.-{);> \Q$ 3 $ \ D Expiration Date (a / I This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: l certify that in lhe performance of the work. for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pan · and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dama k:led for In Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I h6reby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of lhe 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 Of 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 oot build or improve for the purpose of sale). □ 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 lo an owner of property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Conlractor's license Law). D I am exempt under Section ----~•Business and Professions Code for this reason: 1. 1 pef'Sonally plan to provide the major labor and materials for construction of lhe proposed property improvement. □ Yes □ No 2. I (have I have nol) signed an application for a building pllfmil for Iha proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone/ contractors' license number): 4.1 plan to provide portions of Iha worlt, but I have hired the following person to coordinate, supervise and provide the major WOfk (include name I address/ phone I contractors' ~cense number): 5.1 wiU provide some of the wcwk, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE .... COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is th'& applicant or future building occupant required to submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley· Tanner Hazardous Substance Account Act? □ Yes □ No Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No 1s lhe facility to be constructed within 1,0CXl feet of the outer boundary of a school site? □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this penmt 1s issued (Sec 3097 (1) C1vll Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certtlythat I haYe iead the application and state that the above Information Is conectand that the lnfonnatlon on the plans Is accurate. I agree to comply v.tth all Clly ordinances and State laws relating to bulldlng construcllon. I hereby ault-orize represenlative ol lhe Cify ol Callsbad ~ enter u~ lhe above ,,..nooned property for i1specoon JllllP050S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAJNST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN<WAY ACCRUE AGPJNST &\ID CrTY IN CONSEQUENCE OF THE GRANTING Of THIS PERMrT. OSHA: NI OSHA penm is requred br excavations (Nf1I 5'0' deep and doo'doon or c:a,stnx:oon of structures CNEJ 3 sbies rl heght. EXPIRATION: Every permit issued by the Buik:ling Offdal under the provisions of lhis Code shall expire by lrrlilaOOrl and become null and void I the buildilg or v«Xk autoorized by such perm!. is not corrmenced 'Mltlil 180 days from the date of such pemit or ifdle buidilg or utoorized by such permit is suspended or abandoned at anytrne after tie v.ork is aimmenced k>r a peood of 180 days(Secoon 106.4.4 \klibm Buiklilg Code). AS' APPLICANT'S SIGNATURE DATE • ;i. (., . l D City of Carlsbad Bldg Inspection Request For: 09/15/2010 Permit# CB101592 Title: MCMULLEN RES-REPLACE EXIST Description: FAU & A/C Type:MECH Sub Type: Job Address: 2612 LA COSTA AV Suite: Lot: 0 Location: APPLICANT MAUZY MECHANICAL Owner: MCMULLEN FAMILY TRUST 12-04-02 Remarks: Total Time: CD Description 44 Rough/Ducts/Dampers lf9 AJ4/3'mments / Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: ___g___ __13 Phone: 6199219790 Inspector: __ _,__)_~_ J> Requested By: DON Entered By: JANEAN