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HomeMy WebLinkAbout2712 LA COSTA AVE; ; CB071582; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-08-2007 Mechanical Permit Permit No: CB071582 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2712 LA COSTA AV CBAD MECH 2162801500 Lot#: 0 $0.00 GARMAN: REPLACE FAU ON ROOF DOE NOT INCLUDE GAS LINE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/08/2007 JMA 06/08/2007 06/08/2007 AMERICAN HEATING & COOLING GARMAN WILLIAM F&MARILYN D FAMILY REVOCABLE LIVI 806 N. TWIN OAKS VALLEY RD. 92069 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 2712 LA COSTA AVE CARLSBAD CA 92009 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: JN\ I~ Inspector: -- FINAL APPROVAL Date: 0 b{ 11[ 0 8> Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, rese1Vations, 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. City of Carlsbad Plan Check No. CBo7 t S&-2. 1635 Faraday Ave., Carlsbad, CA 92008 . 760-602-2717 / 2718 / 2719 Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date SUITE#/SPACE#/UNIT# APN CT/PROJE # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUS!NE S NAME CONSTR. TYPE C.GROUP BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □# __ NO □ AIR CONDITIONING YES □ NOD FIRE SPRINKLERS YES D NO □ CONTACT NAME (If Dlfrerent Fom Appltcant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME .. G-ar CONTflACTOR BU,S. NAME . / .rln, € / , ra..,,, t r.rec1... ,, ' < cY''> /, ;, c. ADDRESS ADDRESS YOG ,J. "7Z..J/ri ocJ<:S CITY STATE ZIP CITY STATE ~_,,, ;t//c;./COS: A. 7 PHONE FAX PHONE FAX Rec S9J'-117 s- EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. UC.# J-aJ'7J'J' . I zz..z__o,:,, 7 (Sec. 103 I .S Busintn and Professions Code: Any City or Count,: which requill!s a permit to construct, alter/ improve, demolish or ll!P.air any structure1 prior to its issuance, also requires the applicant for s1Kh permit to file a signed statement that he is 6ctnsed .J!ursuant to the provisions or the Contractor's License law {Chapter 9, commending with Section 000 or DiYision 3 al tht Busillfls and Prort1sions Code} or that he is exempt therefiilm, and the basis for the alleged uemption. Any violation of Section 7U]U by any applicant for a permit 10bjects the applicant to a tivit penalty of not more than five hundred dollars {SSOO}). WORKERS' COMPENSATION Worti:ers' Compensation Declaratlon: I hereby afflnn 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 Code, for the performance of the work for which this permit is issued. Jct.1 have and wlll maintain worti:111' com~entatlon, as r~uired by Section 3700 of the l~bor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo.1?5:A (<:c..irJ .,._,HCvc,• 1Ce Cf?,•y,ce, PolicyNo. ZeZ-t/6 ExpirationDated'28:/at,/zc,c:,7 This section need not be completed if the pennit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da n as provided fo ~~ 3706 of the Labor code, interest and attorney's fees, ,6$ CONTRACTO,R SIGNATURE ~ ~~ I hereby affirm that I am exempt from Contractor's Ucense 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 that 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 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 pennit for the proposed work. 3. I have contracted with the following person {firm) to provide the proposed construction (include name address/ phone I contractors' license number): 4. J 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 f phone f 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 f address /phone/ type of work)· _,,g PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON•RESIOENTIAL BUILDING Pl!RMl't$ ONLY Is the applicant or future building occupant required lo 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? □ Yes □ No Is the applicant or future building occupant required lo obtain a permit from the air pollufon control district or air quality management district? □ Yes □ No Is the facility lo 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a construction lendmg agency for the perfonnance of the work this permit is issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the a bow infonnatlon Is correct and that the infonnatlon on the plans is accurate. I agree to comply with all Clfy ordinances and State laws relating to bulk!lng construction. Ulereby au1hcxize representai;,e of lhe City of Carlsbad ID enler upon ~e-. mentiooed propeify for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY 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 excavatioos over 5'0' deep 111d defoolition or construction of structures rNef 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the prcNisions of this Code shall expire by Umitalion and become nun cr,d void if the building or WOl'k authortzed by such pemrit is not canmenced \Whin 80 days from~• dale of such pemlit or ff ~r,g or -OJ1horiZed ~~• suspended or abandoned at "1)' time after~• -• commenced for a period of 180 days (Section 106 4.4 Uniform Bu,~"ll Code) ..es'APPLJCANT'SSIGNATURE~ ~ DATE C/R/47 m . . City of Carlsbad Bldg Inspection Request For: 06/10/2008 . Permit# CB071582 Title: GARMAN: REPLACE FAU ON ROOF Description: DOE NOT INCLUDE GAS LINE Type:MECH Sub Type: Job Address: Suite: Location: 2712 LA COSTA AV Lot: 0 Inspector Assignment: MC --- Phone: 7608801664 Inspector: _..JM.___&_ OWNER GARMAN WILLIAM F&MARIL YN D FAMILY REVOCABLE LIVI Owner: GARMAN WILLIAM F&MARIL YN D FAMILY REVOCABLE LIVI Remarks: Total Time: CD Description Act Comments Requested By: REX GARMAN Entered By: CHRISTINE 44 Rough/Ducts/Dampers ~ -F1iJAL A£_ _B__cc-t-_i.srt-=-.,_.,._,J=lf.q,__.GD=-0-"-L{::'.:-rJ.:;,~::::;-.,t~D~,-L'::.-~V:~M».::::.,_?_ __ ft ___ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 06/03/2008 49 Final Mechanical CO MC NOTICE ATTACHED -------------____ _ , __ -----'- 1'-,.1.o ....I~ CAll-P c,,.__L -6 L$- fU:A~ -6 ~ D>P't:' ct=" ~ l-tJ.aL.. ~C-pD,C[' TD DI,-[~-- 06/21/2007 31 Underground/Conduit-Wiring CO MC POT HOLE CONDUIT TO VERIFY BURIAL DEPTH