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Home My WebLink About2618 OBELISCO PL; ; CB011663; Permit05/07/20ai City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No; CB011663 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2618 0BEUSC0 PL CBAD MECH 2154602700 $0.00 Lot #: TRACY - REPLACE EXIST FAU ADD NEW AC WITH 40 AMP CIRCUIT Status: ISSUED Applied; 05/07/20(^1 Entered By: JM Plan Approved: 05/07/2001 Issued: 05/07/2001 Inspect Area: Applicant: CALDWELL HEATiNG AND AiR 1401 CORTE LA MANTUA ESCONDIDO, CA 92026 760-746-0357 Owner: TRACY CLINTON&KAREN 2618 0BELISC0 PL CARLSBAD CA 92009 8635 05/07/01 0002 01 02 CGP 53-00 Total Fees:$53.00 Total Payments To Date:$0.00 Balance Due: $53.00 Mechanical Issue Fee $15.00 Install/Furn/Ducts/Heat Pumps Fee 2 $18.00 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 $20.00 Additional Fees $0.00 TOTAL PERMIT FEES $53.00 Inspector: FINALAPPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your projed includes the "Imposition" of fees, dedications, reservations, or other exadions hereafter collectively referred to as Tees/exadions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exadions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for proc^ing in accordance with Cailsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal adion to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exadions DOES NOT APPLY to water and sewer connedion fees and capactiy changes, nor planning, zoning, grading or other sirrtlar application processing or service in connedion witii 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. PERMIT APPLICATION CITY. OP CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO r/?/ EST. VAL. Plan Ck. Depgsit^ Validated Date ^7 Address (include BIdg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No Phase No.Total # of units ress ^gentfo Contfi If Address or □ Owner ity Q Agent for Owner ' t-t^— City Tslephon Fsx #tste/Zip Stste/Zip Stste/Zip (Sec. 7031.5 Business end Professions Code: Any City or County which requires s perntit 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 bv any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).r^//) 6,y ^ Y ^^^5Nanie ^ f Address City 'State/Zip TeiephoneSl> State License # rj ^ V C ^ License Class ^ "i-c^ City Business License # I ^ 3 Telephone # ^ A gn i/v, Telephone W :■ ft . < Designer Name Address City State/Zip Telephone State License # 6 VVORKGRS' ■■■fpt X ' ' ** Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I«100] OR LESS) \ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, i shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Falhire to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundredthousand dollars ($M0,000), li^ddltlon t^tha cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. I hereby afflrmmat l^m exempt from the Contractor's Ucense Law for the following reason: Q I, as owner of the property or my employees with wages as their soie 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 appiy to an owner of property who builds or improves thereon, and who does such work himseif or through his own empioyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement issoid within one year of compietion, the owner-builder will have the burden of proving that he did not buiid or improve for the purpose of sale). Q 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 appiy 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). □ 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. □ YES DNO 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 / phonenumber / 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 / typeof work): PROPERTY OWNER SIGNATURE DATE Telephone 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? O YES Q NO Is the applicant or future building occupant required to obtain a permit from the air poiiution control district or air quality management district? □ YES □ NO Is the faciiity to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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.- CONSTRUCTION LENDING 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(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ^APPUCANT CERTIFICATION K- » - * ' * \ T'lt I certify that i have read the appiication and state that the above information is correct and that the information on the plans is accurate. I agree to comply with allCity ordinances and State laws relating to buiiding construction, i hereby authorize representatives of the CitV 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 E'C deep and demoiition or construction of structures over 3 stories in height. EXPIRATION; Every permit issued by the building Official under the provisions of this Code shail expire by limitation and become nuli and void if the building or woritauthorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandonedat any time after the work is commeni^ for a period of 180 days (Section 106.4.4 Uniform Buiiding Code). APPLICANT'S SIGNATURE DATE 'T"/ 7 f ( WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For: 06/06/2001 Permit# CB011663 Title: TRACY - REPLACE EXIST FAU Description: ADD NEW AC WITH 40 AMP CIRCUIT Inspector Assignment: PD 2618 OBELISCOPL Lot Type: MECH Sub Type: Job Address: Suite: Location: APPLICANT CALDWELL HEATING AND AIR Owner: TRACY CLINTON&KAREN Remarks: RING THE BELL FOR ACCESS Phone: 7604385116 Inspector Total Time:Requested By: CLINT TRACEY Entered By: CHRISTINE CD Description 43 AlrCond/Furnace Set Act Comments Associated PCRs Insoection History Date Description Act tnsp Comments 05/23/2001 43 AlrCond/Fumace Set CO PD NO ACCESS