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Home My WebLink About2644 LA COSTA AVE; ; CB102479; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-17-2010 Mechanical Permit Permit No: CB102479 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2644 LA COSTA AV CBAD MECH 2162800900 Lot#: $0.00 Status: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: TRUJILLO RES-REPLACE FAU LIKE FOR LIKE SAME LOG Issued: Inspect Area: Owner: SEASIDE HEATING & AIR CONDITIONING INC STEA TRUJILLO ERNEST A&GRACE A 2942 INDUSTRY OCEANSIDE 92054 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 2644 LA COSTA AVE CARLSBAD CA 92009 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL APPROVAL Date: /2;-,;u,~ /0 Clearance: ISSUED 12/17/2010 LSM 12/17/2010 12/17/2010 $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 "lmpositionn of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Ym.: 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 applicatlon processing or service fees in connection with this project. NOR DOES IT APPLY to any f es/exa ions of which hav reviousl n iven a NOTI E imilar t this or as to which th statute of limita ion has reviousl oh rwi «~~'> Building Permit Application Plan Check No. Gei I O;::)f-f, q ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value OF 760-602-2717 12718 I 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date I -z;,{ 1 -, J , 0 iswPPP JOB ADDRESS') ht/ '/ / .. /"tJ5-f11. SUITE#,ISPACE#/UNIT# IA~N tJ<.1£ --- Cl/PROJECT# LOT# TPHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(s) Fvl~t4ce.. t!.e f)/.4.ce f1A. E' .u, Lt~ -bf' (,ke_ ~ e U)c_ EXISTING USE FIREPLACE 1PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES0, 1 IAIR CONDITIONING I FIRE SPRINKLERS "'° ves □No □ YES0No0 CONTACT NAME <" Different Fom AppHcant) APPucANTNAME SP< 1 Je IL4-1,d,-4&,1 d;-/4. ADDRESS ADDRESS I ?-912 J.vdv5-fR.-I ,: r CITY STATE ZIP CITY STAl'E ZIP !Jcel/1051 c <-CC>.... 9'Zo5"""'! PHONE I FAX PHONE IFAX 760 ~"? ~ '?'70 0 EMAIL EMAIL 72 h ,Q_ Sr-71:,1,.Jc;.///Pc _ co ,,,vr PROPERTY OWNER~~E -rl> tJ -r't l{o CONTRACTOR BUS. NAME . f- ADDRESS '.) /_ '(¥ Co..--,,,?'1 .4ve ADDRESS J_,4 CITY /IA _.i I ,,-0 ,, ~ STATE ZIP CITY STATE ZIP C,J PHONE l'fi l'AX PHONE l'AX EMAIL rt17,4 EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATEJ,-~0 5'"/'/ !CLASS I c17!;{cj' d-g ~ $"" (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to con truct, alter, im rove, demolish or re Iran structure, rior 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 Contra~or's license Law 1cR:oter t, commen£ng with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and wlll maintain a certlfic:ate of c:onsent to self-insure for worlters' compensabon as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. ~ I have and wlll maintain wo~rs• c:ompensatkln, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My work~rs· compensation'i)i ra!Jl8 carrier end policy nemberareclnsoranceCo (levtt-ed F?Hflcye/-S Policy No. U/1,(t.J JJ.09b 2 7 E><p;ralionD,1, ::, ~ f II Jm.seciion need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certlflc:ate of Exemption: I c:ertify that in the performance of the work forwhidl this pE!fmit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation la'NS of California. WARNING: Failure to secure WOf'kers' compensation c:overage Is unlawful, and shall subjec:t an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), In addition to the coat of compenaatton, damages as ed for in Sec:tl 3706 of the Labor code, interest and attorney's fees. _65 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ l, 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 lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, prO'lided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have lhe burden of proving that he did not build or improve for the purpose of sale). I, as ownE!f of the property, am exclusively contracting with licensed contractors to conslrucl lhe 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 oontracts for such plllj&Cls 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. Oves Oo 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 prO\lide the proposed oonstruction (include name address I phone/ oontractors' 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 t contractors' license number): 5. I will provide some of the work, but I have contracted (hired) lhe following persons to provide the work indicated (include name I address/ phone I type of work): ,IS PROPERTY OWNER SIGNATURE □AGENT DATE I I COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appficant or future building occupant required to submit a businessJ?!i!l, acutely hazardous materials registration form or risk management and preven~on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acrl D Yes L.JNo Is the applicant or future building occupant required lo obtain a permit from the air pollution conlrol district or att.9.!:!ality management district? []ves O No Is the facility to be constructed within 1,000 feet of lhe outer boundary of a school site? Oves LJNo 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 is a construction lend mg agency for the performance of the work tins penmt 1s issued (Sec 3097 (1) Civil Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the appl\callon and state that the above lntonnation Is conectand that the lnfonnatlon on the plans Is acwrate. I agree to c:omply\Wth all Clly ordinances and State laws relating to bulldlng construction. I he<eby ""'1orize rein,entative of lhe City of Cansbad to enter ..,on lhe above mentioned property for~ purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMlESS THE Cm' OF CARLSBAD ACWNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SIJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required fa excavations rN6f 5'0' deep and demdilion or amtnx:tioo of structures (Y,l8f 3 stones in height. EXPIRATION: Every permit issued by lhe Blikling Official under lhe provisions of ttis Code shall expire by limitation and become d and \tid if lhe bliking or work al.ihorized by such permit is not corrmenc:ed Ylithin 180 days from lhe date of sucti permit or if the blilding or oork authorized by such pemit is suspended or abandoned at any time after the work is commenced fa a period cl 180 da)\9, (Section 100.4.4 Unifoon Building Code). 8$ APPLICANT'S SIGNATURE DATE /;? / 7, /0 City of Carlsbad Bldg Inspection Request For: 12/20/201 0 Permit# CB102479 Title: TRUJILLO RES-REPLACE FAU Description: LIKE FOR LIKE SAME LOC Type:MECH Sub Type: Job Address: Suite: Location: 2644 LACOSTAAV Lot: 0 APPLICANT SEASIDE HEATING & AIR CONDITIONING INC Owner: TRUJILLO ERNEST A&GRACE A Remarks: Total Time: Act Comments Inspector Assignment: Phone: 7609421754 Inspector: 9( K -r~ Requested By: ERNEST Entered By: JANEAN CD Description 44 Rough/Ducts/Dampers fl_ _______ _ 49 Final Mechanical -1------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments