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Home My WebLink About2702 MATEO PL; ; CB040785; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-08-2004 Mechanical Permit Permit No: CB040785 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2702 MATEO PL CBAD MECH Status: Parcel No: 2162513000 Lot#: 0 Applied: ISSUED 03/08/2004 YK 03/08/2004 03/08/2004 Valuation: $0.00 Reference #: Project Title: STAMPER RES-NEW FURNAC Applicant: WEST COAST APPLIANCES SUITE B 10728 PROSPECT AV 92071 619-557-0446 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: STAMPER MATTHEW T&CROUCH LISA D 2702 MATEO PL CARLSBAD CA 92009 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 PER1!:, i 1 ·• SECTIO,~ I Ju ,.4 7008 03/08/04 0002 01 02 CGP 24-00 : ED IN ACCORDANCE WITH U.B.C D'JE 9\~\D»r. _ SIGNATURI= -~'------ FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C'BD4 678 S- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Esr. VAL.----------- Plan Ck. Deposit : Validated ~-~..-c,.,..---------- Date /½;~ 04= •Address (include Bldg/Suite #) L _ J. 7 ([) 2-rYl ~-..e o Pe.. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units e~ Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name State/Zip Telephone# Fax# (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 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 tio Any ·0Iatio f Section 7961.5 by any a licant for a permit subjects the a11plicant to a civil penalty 'A not more than_ty,ie hundred,9ollars J $5001). / r V • ~ /<<Z?-?e.t? t?7.2? ,Pp.o~ p~ -:116'> c...~ <::/L...tP7 License Class __ C~/i_O __ CJ_Z-0 __ _ City Business License # I -Z f City Stat Zip I JTeJfj_ne # Designer Name Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for work,ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 c p sati insurance carrier and polii:y number re: ~ /. / Insurance Company ~..,,,..,,,,I ~ / a ,? Policy No. l'553/S3 ~ 242£> ,3 Expiration Date O 7 Lo I Loy ' (THIS SECTION NEED NOT BE COMPLETED IF T E PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure orkera' compensation coverage la unlawful, and shall subject an employer to criminal paneltlaa and civil fines up to one hundred thousand dollars ($ 01 tlo coat of compan■atlon, damages aa provided for In Section 3706 of tha Labor coda, Interest and attorney's fees. DAT~E.:~.~-~;';;:;;:::;;;;;;:f;:~~-:-.!!""i, 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). O 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 end provide the major work (include name / address / phone number/ 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 / type of work):, ________________________________________________________ _ DATE ----------- 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? 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 site 7 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. [I:_ -CO.N.~TB!tQTIQJ'{l,._l;,!l!P.,,..,.Gc.n,,.,,.Eru,ej.....,....::;.......,.,._.....,._~-"""'""""-.....,;......,_~.._;------....... --.-""- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ;;;;:;;;;:::;;::;:_;~;_:;:;::-;;=::;::-:;::;;;;;::;;;;--- 9 .. I certify that I have read the application and state that the above information is correct and 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 Citt 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 e 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 comm e 80 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 en ~~~-+tllT'Cll"YS (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance