HomeMy WebLinkAbout2647 HANCOCK CIR; ; CB111295; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-14-2011 Mechanical Permit Permit No: CB111295
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2647 HANCOCK CR CBAD
MECH
2131900409 Lot#:
$0.00
CARONDA RES INSTALL CONDENSER
AND COOLING COIL
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
BREEZE POINT HEATING & AIR CARONDA-DEPASCALE BLANCA
1518SEABROOK LN 92139
858 864-3780
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
2647 HANCOCK CIR
CARLSBAD CA 92009
Total Fees: $33,00 Total Payments To Date: $33.00 Balance Due:
FINAL APP VAL
Inspector: WI. ~~ Date: cri ol ~( Clearance:
ISSUED
06/14/2011
KG
06/14/2011
06/14/2011
$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 tha1 approval of your project includes the 4lmposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 dats 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 Garlsbad 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 FUR1HER 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
f Sl'exactions of which ou h v r vi I n iven a NOTICE similar to this which he sta ut of limitations ha revio I h rwi
<<1~· ~ CITY OF
CARLSBAD
JOBADDRESS ~17
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
CT/PROJECT # LOT# PH E # # OF UNITS # BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Plan Check N
Est. Value
Plan
SWPP
CONSTR. TYPE OCC GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES • #_ NO • YES;,:1' NO D YES • NO •
CONTACT NAME (If Dtfferent Fom App/leant)
ADDRESS ADDRESS /!if
CITY STATE ZIP CITY ')-1,vv~ STATE 01\ . ZIP '7,,l_ / Jq
PHONE FAX
EMAIL EM
CONTRACTOR BUS.NAME f.il/:7i!'e fD!JJl /ft:m17~
ADDRESS ADDRESS
CITY Of) . CITY ZIP q.z_,o
PHONE 7 V 1-:tiJ4tt FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC,#
(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 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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 Declaration: I hereby affirm under penalty of pe(jury 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 will maintain workers' compensation, as required by Section 3700 of the Labor Code, for !he performance of !he work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
Th' ection need not be completed if the permit is for one hundred dollars ($100) or less.
Certificate of Exemption: t certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
mia. WARNING: Fallure to secure workers' com ensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages vided r In Section 3706 of the Labor code, Interest and attorney's fees.
_,1$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor·s License Lswfor 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 r.ot 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 sliCh work himself or through his own employees, provided that slJCh 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 the burden of proving that he did not build or improve for the purpose of sale),
• I, as owner of lhe 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).
• 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 • 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 !he proposed construction (include name address/ phone I 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 I 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 I phone/ type of 'M:lrk)
,i$ PROPERTY OWNER SIGNATURE •AGENT DATE
~ ' ~ -~ ~
COMPLE,1'"' 'tl-lU Ui'CTIDN J;Olt NDN-Rli!UPIUITJAL IBIILDIIIUI l!l!RMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley• Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupant required to obtain a pennil from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constructed within 1,000 feel 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.
I certify that I have read the applk:atlon and state that the above infoimation is oonec:t and that the inf01mation on the plans Is accurate. I agree tD comply with all City ordinances and State laws relating to building oonstructlon.
I hereby authorize representative of the Qty of Carlsbad to enter upon the above menti:lned ~perty br ins~ puf'JX)ses. I ALSO AGREE TO SAVE, INDEMNIFY /IND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CCT;SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required tirexcavations over 5'0' deep and dem~ition orconstructi:ln of structures over 3 stories in he,;jht.
EXPIRATION: Every ~nnit issued by the Bui · · the provisions of this Code shall expire by imita!Klfl and berome null and VOO ~the building or'Mlr1<. authorized by such ~rmlt is not commenced 'MIilin
180 days from the date of such ~rmil building or'Mlr1<. a orized by such pennit is suspended or abandoned at anytime after the 'Mll'k is commenced for a J:M:!riod of 180 days (Sec!K'.Jn 100.4.4 Unifonn Building Code).
A!APPLICANT'SSIGNATURE ------.L.~~S,,b:t<b--=---om J -/f-/(
Inspection List
Permit#: CB111295 Type: MECH CARONDA RES INSTALL CONDENSER
AND COOLING COIL
Date Inspection Item Inspector Act Comments
06/30/2011 49 Final Mechanical MC Fl DISCONNECT OK
06/28/2011 43 AirCond/Furnace Set RI please inspect after 3:30pm
06/28/2011 43 AirCond/Furnace Set MC co SEE CARD
06/22/2011 44 Rough/Ducts/Dampers RI CALL W/ ETA PLEASE
06/22/2011 44 Rough/Ducts/Dampers MC PA DISCONNECT & CONDUCTOR SIZE OK
06/22/2011 49 Final Mechanical RI
06/22/2011 49 Final Mechanical MC PA NEED ACCESS TO PANEL
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