The URL can be used to link to this page

Home My WebLink About2708 MATEO PL; ; CB994219; PermitCity of Carlsbad .\lJ ti# . 11/10/1999 Mechanical Permit Permit No: CB994219 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2708 MATEO PL CBAD MECH 2162513100 $0.00 Lot#: 0 Project Title: INSTALL FURNACE 40AMP ELEC CIR Applicant: ASI HASTINGS 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 Total Fees: !'ATE '>-&CS Inspector: FINAL APPROVAL Date: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 11/10/1999 GMF 11/10/1999 11/10/1999 e Due: $44.00 --- :.C. 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 r~ht to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacly changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 44.()() FOR OFFICE USE ONLY PERMIT APPLICATION ~-,.-, PLAN CHECK NO .. _"6.:::..c'<c;.'l <\-"~:::.\'-'<\'-- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By,.,...JQ.:1.... ______ _ Date II l. o I 'I~ \ \ Address (include Bldg/Suite I) Business Name lat this address) Legal Description Lot No. Subdivision Name/NumbM Unit No. Phase No. Total , of units Proposed Use lof Stori" I of Bedrooms I of Bathrooms Name Telephone# Fax# 3. APl'LICANT . ;0 Corniactl)r'l::< 2-9''2.7 .-,-,·c-;'.•'•t·,A;••, . . ..,_ ... ,.,, .. -.,._ ... ". {Sec. 7031.5 Buslneu and Professions Code: Any City or County which requires • parmit 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 ha 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 Profeulons Code) or that he Is exempt therefrom, and the bllsls for the alleged exe pt ion. Any violation of Section 7031.5 by any applicant for a permit subjects t •A leant to • civil penalty of not m e than five hundr dollars I $500)). CJ ' ,,: 2 o r e, · 17 ~ Ca ·o 2oz 619 5" -9 30 Stata Liconsa I 51_/Lf'L License Class C -/ (} Z 0 City Business License# _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' .COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury.one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, 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 the performance of the work for which this permit is issued. My worker's compensa~n insur,nce carrier and policy number are: lnsurancaCompanv ';it, f"gg,L E.,,.. el PollcyNo,v..!Vf:;.~J005Z7 Expiration Data 2-16'~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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: Falluret,to~'5"''1' ".!~""J~ coverage 11 unlawful, and shell subject an employer to crtminal penalties and clYII fines up to one hundred thousand dollars ( 00. of compenutkm, damages u provided for in Section 3706 of the LaW C04¥1J~rel}'aP/ attorney's fHs. SIGNATURE_~;:d~~~~:_...:~'..e::l~::2':~::::::_____________ DATE _...c/,;..fl_ ·-_ /_ ' __ _ 7. OWNER-BUILDER DECLARATION t hereby affirm that I em exempt from the Co 0 I, as owner of the property or my employees with wages es 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 en owner of property who builds or improves thereon, end 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 ii 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). D 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 thltfeon, and contracts for such projects with contractorls) 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 ma}or labor and m1teri■l1 for construction of the proposed property improvement. □ YES ONO 2. 1 (have/ have not) signed 1n application for a building permit for the proposed.work. J. I have contracted with the following person (firm) to provide the proposed construction !include name / address / phone number I 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 (includa name/ address I 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 I addreu / phone number/ type of work):, ______________________________________________________ _ PROPERTY OWNeR SIGNATURE _____________________ _ DATE ________ _ COMPLETE THIS SECTION l'OR NON41ff1DEN'/1AL liUILDINQ PERMITS ONLY .• ,, ts the applicant or future bullding occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26605, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? 0 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? D YES D NO Is the facility to be constructed within 1,000 ffft of the outer boundary of• school site? □ 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 POUUTIDN CONTROL DISTRICT. !8, ... 1;0NSTRU.CTION ·L£ND!l4~~~]~"t:i~tt'ii:Di~~~?'.::~~r:~1~f;~~;~~~~G'.'.:~~-::~:~;;:t~~i}:y;~,:r;'.:Y::'.;;::: I hereby affirm that there is e construction lending agency for the performance of the ·work for which this permit is Issued ISec. 309711) Civil Code). LENDER'S NAME ____________ _ LENDER'S ADDRESS. ______________________ _ I certify that I h1vii reed the application and state that the above Information ii correct end thet the information on the plans 11 accurate. I igree to comply with all City ordinances and State lews relating to building construction. I hereby authorize reprnentativu 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 ta required for excavations over &•o• dnp and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit iHued by the Building Official under t provisions of this Code shall e,cplre by limitation and become null and void if the building or work authorized by such permit ls not Id wfthin~65 a ram the date of such permit or if the building or work a\Jthorized by such permit is suspended or abandoned at any time after the menced for of 180 days !Section 108.4.4 Uniform Building Code). / _ '19 APPLICANT'S SIGNATURE _..C....::::::f::-z!.~L-~4-~!'.:"2.'.::::_________ DATE _I __ I_O_-______ _ YELLOW: Applicant PINK: Finance