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HomeMy WebLinkAbout2685 LEIGHTON CIR; ; CB070057; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-09-2007 Mechanical Permit Permit No: CB070057 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title:· Applicant: LEGEND SERVICE SUITE 15 2588 PROGRESS ST VISTA CA 92083 760-631-8397 2685 LEIGHTON CR CBAD MECH 0000000000 $0.00 EPUNA RES-NEW NC UNIT 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 Lot#: 0 Owner: 1 0 0 0 0 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/09/2007 RMA 01/09/2007 01/09/2007 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: FINAL APPROVAL Inspector: Date: Clearance: $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 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 thls project. NOR DOES IT APPLY to any x in f hi h h r i I n i n N Tl E i ii whi h fli r vi ! i x ir PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. Ctlo 7l)o 5' 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~ Validatet Bf r {kH- Date _ Lq /D--J I J -+ Address (lnclu Business Name (at this address) Unit No. Phase No. Total I of units Name Fax I ~5!) :;-:-+-:,.......s-+J......1£.,;L.,__~:J;;;L4...--+-----:-:-:-..._J./...l...L/--.....fd-L~4+UL/-~.L...:r-..Ll..4~~::!.........=:L.:.._~..:::_.:.~~~~ ;;N:::am::-e:----l'....t....=-....:....:.....l...---1....-+,<::...:....:CL..!:i.a__~~:..U...,.L.__il..l.....L.::µ_!:..L.l~L..-~4-~-r-.L_...~i.,..:::l:::::::..-;.,.L----..L-~;::...;.~L!.:a,......:....~:::.....:: '?5 Name Designer Name State License I Address City I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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 t e work for which this permit is issued. 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 y worker's compensatlo Insurance carrier and oiic um~are: \J.P.· LL_fJ p ~ /HJ -cf. S . /' ~~ ~ Insurance Company /" I.[) -711cy No. f T :_ _ clli _Q_Q_,_ Exp1rat1on Date._b=---~~c;...__..;;t) / (THIS SECTION NEED N T BE OM TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 HCUnl jfvorkera' compenutlon cov•age la unlawful, and ahall aubject an employer to criminal penaltlea end clvM fine• up to one hundred thouaand dollar~ 100,000), in-eddltlon t ha coat of ompenaation, ema • •• provided for In Section 3708 of the }abor code, ~~•t, end attorney'• fau. SIGNATURE DATE ~ q (..) 7 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 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 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). 0 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 contractor(s) licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 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 / phone number / contractors license number): ______________________________________________ _ 6. 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 / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE O~.G]lO Q 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 26606, 26533 or 26534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES O 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. C NST .«;T:!0 'LENt!I !,I.Ai_~ ------· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS ~ I certify that I have reed the application end state that the above Information Is correct end that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commence~ within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com enced foweriod of days ( ction 106. niform Building Code). \ ..,,.-(7\ -() l APPLICANT'S SIGNATURE -~..,,C.+-4~..l..J<IJ,-"--+,,,..<ll;L-~....:Z:.::..t__________ DATE -J PINK: Finance UNSCHEDULED BUILDING INSPECTION DA TE ~ ::t,, -o.,, PERMIT# o~oos;:7 PLAN CHECK# ____ _ JOB ADDRESS ? lq~ \ .a•,:±~, .. ~ . c_,..... DESCRIPTION _________ ~~--------- ":!~ E_\'u..""~ q_ \ ~ -q, '"?&°' CODE DESCRIPTION ACT COMMENTS