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Home My WebLink About2702 LA DUELA LN; ; CB122106; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-15-2012 Permit No: CB122106 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2702 LA DUELA LN CBAD PME 2550921900 Lot#: 0 FESSEL RESIDENCE REPLACE FURNANCE IN CLOSET Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/15/2012 MOP 10/15/2012 10/15/2012 AIRMAXX, INC STE B FESSEL FAMILY 2008 TRUST 05-01-08 1865 JOHN POWERS AVE EL CAJON CA 92020 619 655 3010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2702 LA DUELA LN CARLSBAD CA 92009 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION '106.<!.4 AS AMENDED Y C.M.C.18.0-4.030 DATE4~ SIGNATUR.'tA+----- FINAL APPROVAL 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 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 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, zonlng, grading or other similar applicatlon processing or service fees in connection with this project. NOR DOES 1T APPLY to any ti hi h v r i I Tl ii r hi r hi h fli i h i I • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING JOB ADDRESS .2702. Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph; 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov LA SUITE#/SPACE#/UNIT# Oeu1LDING OARE □HEALTH OHAZMAT/APCD Plan Check No. Est. Value Plan Ck. Deposit Date SWPP APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(S) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES D NOD YES D NO □ APPLICANT NAME (Primary Contact) ~w.e AS ~~ APPLICANT NAME (Secondary Contact} ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS 2-102. LA Gt€LA LN ADDREm_ STATE ~ ZIP ~ FAX FAX EMAIL ARCH/DESIGNER NAME & ADDRESS Workers' Compensation Declaration: 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 Lalxlr Code, for the performance of the work for which this permit is issued. licy □ I have and will maintain workE!ll'\QDU:Hs.Jii.,qJ\.a5A_e~~ Section 3700 of the Labor Code, for the _performanceJllthrtPl\f&l,\IIQitt~t,i~~~~wor~e~• compensation)l~ranc~ar~err number are: Insurance Co. __ ~~~~~~-~~~-~~~-----------Policy No, ~\..J't.JI....--D~ _{ Expiration Date __ '"T__:c._·-~='----'-=-z: This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cov is nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided fo f the Labor code, lntesest and attorney's fees. ,8$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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 \hat he did not 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 to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(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 lalxlr and materials for construction of the proposed property improvement. □ Yes □ No 2. I {have I 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 I phone I contracbrs' 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 I address/ 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 I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE rc --1" ~ ~ '* 1] 1 1 ~ J ~ ,, ~ ,ct '" / 1= 1 ~ "'~ C ~ ~ " " "S - _COMPl.~TE THIS S!iCTION l'Ott NON•Rll$1t)IN1'1Al BUII.P_ING PlllMITS ONLY ,, a Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac'O □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the al>ove infonnation is correct and that the lnfunnatlon on the plans is accurate. I agree to comply 'Mth all City ordinances and Stam laws relating to building construction. I hereby authorize representattve of the City of Calisbad to enter upon the a00\18 menfloned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: .As1 OSHA perm~ IS required forexcavaflons over 5'0' deep and demolnion or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Offcial under the provisi:Jns of this O:xle shall expire by limitation and OOCOme null and void Wthe building orw::irk authorized by such permit is not commenced within 180 days from the date ofsucti pennit or rt the build rig or',\Ork authorized by such · · suspended or abandoned at any Ume after the w::irk is rommenced for a period of 180 days (Section 100.4.4 Uniform Building O:xle). ,N$ APPLICANT'S SIGNATURE DATE /D. 10~-12.._ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buildinq@car1sbadca.gov or Mall the completed form to City of Carlsbad, Buildil'(I Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT {listed above) □ CONTRACTOR (On Pg. 1) 0 MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL/ FAX TO OTHER: ______ _ 1$ APPLICANT'S SIGNATURE □ ASSOCIATED CB#- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP