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HomeMy WebLinkAbout2730 FERNGLEN RD; ; CB004501; Permit11/30/?3oO ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB004501 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2730 FERNGLEN RD CBAD MECH 1563312200 $0.00 REPLACE FAU Lot #: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/30/2000 CB 11/30/2000 11/30/2000 Applicant: MOOR CO. AiR CONDITIONING & HE Owner. " \-- ROBERTS.r^RY B 1531S HILL ST OCEANSIDE, CA 92054 619-722-1541 3777 PORTLAND'CT^, CARLS.BAD ,CA 92008 , O Total Fees: $24.00 , -■ \ Total Payments To Date:$0-.00 , ".~Balance;Pue:\ $24.00 Mechanical Issue Fee , / Install/Fum/Ducts/Heat Pumps Fe,dFireplace Installation Fiee \ ] iExhaust Fan Fee ! ■ IInstallation/Relocation Veht'FeeHood Fee ^ ■ Boiler/Compressor\to 15HP Fee Other V 1 ,0 0 0 0 0 ',•1' / ,.$15.00.. ''$9;0d,1 ; $0.00 i1 v$0.00';$6;ob $6.00 $0.00 . $0.00 TOTAL PERMIT FEES $24.00 Inspector: FINAL APPROVAL ,6/^/01Date:Clearance: NOTICE: Please take NOTICE thai approval of your project indudes the "Imposition' of fees, dedications, resefvatlons, or other exactions hereafter collectivety 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 M020(a), and file the protest and any other required Information with the City Manager for processing h accordance with Cartstad Municipal Code Section 3.32.030. Fagure to flmety follow that procedure will tar any subsequent legal action to attack, review, set aside, void, or annul ihelr ImposWoa You are hereby FURTHER NOTIFIED that your right to protest the speeded feesyexactlons DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees In connection with this protect NOR DOES IT APPLY to any fees/exactions of which you have prevtousty been given a NOTICE similar to this, or as to which the statute of limitations has prevlouslv otherwise expired. PERMIT APPLICATION CITY. OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INTOHMATTON FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By CJS' Date Address finrluri- niH^/c..i— .) /-k=y?/L/<3- /tn Business Name (at this address) li<nal r^<rWr>ttmr^i-ul I'lu. buodivision Name/Number Unit No. Phase No. Total # of units " Existing Uao Proposed Use 2. CONTACT PERSON (If diffarent from apptlcwit) Nnm. of Bedrooms * of Bathrooms Aooress jr--—JJ. APPUCANT □Contractor □ Agent tor Contr«:tor □ Owner- □ .kgent for Owner State/Zjp Teiophono # Pj^ t Address ""7^4. PRBEERTY OWNER ^„ /r X/rfb-y ^ 73a State/Zip Telephone It Mdoresa _.e. CONTRACTOR - COMPANY NAME ^cState/Zip Telephone tt -r -»-IChaptw 9, commending with Section 70CX) of Division 3 of the Business and Pnfn^^inn r T? Provisions of the Contractor'j License Law SteteUoense# ■<'^y 9 V n.^nse Class State/ZipCity Business License # / ^ 3 r Telephone t —j -j 73 > c —- " AddressState Ucense #State/Zip Telephone «hich tNs permit is len' completionj^ernge is untawtul, end shall suUttojiJo^lTB cojt.taf;!«omp»nsstion, dameges asjsrovlde lON^^ fmp.L.Jl^d::^;^^^^':^'',:^ ^LT'c"oS'.."Ltt .'iTet^Sm'^yTJaSr''™" DATE 7T'=y^ ^OWNER-BUILDER DECLARATION.^areby affirm that I am exempt from the Contractor's Ucense Lew for the following reason S.^ToreirenS'^^o'l^ns-^^crS-rL - - 7^ ^ not intended or offered for salesold employees, provided that such improvements ara not intended^roffaJ^'f'^^ who builds or improves thereon, end wrho does pursuant to the Contractor's Ucense Uw). m p y ouaos or i.mproves thereon, and contracts for such projecu with contractorfs) Ucensed□ I am exempt under Section Business and Professions Code for this reason: 2" i' Zr/hl "T '""h ' Improvement. □ YES QnO2. i (have / have not) signed an appiicauon for a building permit for the proposed vork ""' "•" ,5. I will provide some of the work, but I hsve contmctod (hJriuH iIl„ f..ti :....cted (Idred)thefoUowmg persons to provide the work indicated (include name / address / phone number / type PROPERTY OWNER SIGNATURECOMPLETE THIS SECTION FOR NON-HESIDENTJAL BUILDINQ PERMITS ONLYprogram under Sections aBSoJ.lsMsZsBWof' tlie pZ^TaZTHZl'dZlZaZIZnTrmr oTEr S^O □ ves □ nois the facibty to be constructed withim.OOO feet Of the outer boundary of a school site? □ YES □ NO requirements of the APPLICANT HAS MET OR IS MEETING THE 8. CONSTRUCmON LENDING AGENCY «.s IT """ "'°" "" ^ c.«.LENDER'S ADDRESS9. APPUCANT CERTIFICATION P^Eien^""" laws^relating to ^"dU^"o!litr^rtrn.'"'lTrX"a^^^^^^^ ^V'!ih "'"P'V •"prapertY for inspection purposes. 1 ALSO AGREE TO SAVE INDEMNIFY AND v-Pco uadui LJ Carlsbad to enter upon the above mentionedJUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACcZ^cZsT SlTDmY^N^^^^^ ^ABIUTIEST. vr"-=~:z:,™. r::rauthoriMd by such peLt is not corn^eJI^^^m'h dfys"b^ Te dX^lTJch'j^mr ^|( ^^buuSm or^ """at any time after the work is com^eQced j^ period of 180 days (Section 106.4.4 Unifc.mi Building Cod^)such permit is susper>ded or abandoned APPUCANrS SIGNATURE'^^^—TT -V^ 7^ ^' ?9^atf / / ~~3d •"•=fec 6. WORKERS' COfaPENSATlON itP-Z -f"-under penalty of perjury one of :,he f^iowing dedarations:I have and will maintain a CBrtificate of consent to self-iruiirn far wnrL-on.' tof the work for which thU permit is issued. compensation as provided by Section 3700 of the Labor Code, for the performance□ I have and wiU maintain workers' compensation, as required by Section 37nn nf th. i ,h r- ^ued. My worker's condensation insi^ance carrier and policy number are: ^Insurance Company /? ^ // - r(THIS SECTION fJEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I»100] ^R LESS) ^ ^ to become subject to the Workers' Componl^tj^Urn'of "'"P'°y ""Y Pofson in any manner so as WARNING: Failure to secure workers' comperuationthousand doHars ($100,000), In addltiOTUo-tfircoi SIGNATURE 7. WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For 05/24/2001 Permit# CB004501 Title: REPLACE FAU Description: Inspector Assignment SR 2730 FERNGLEN RD Lot Type:MECH Sub Type: Job Address: Suite: Location: APPLICANT MOOR CO. AIR CGNDITiGNiNG & HE Owner: NASH TGDD M&NICGLE B Remarks: Phone: 7605184823 Inspector: Total Time:Requested By: TGDD NASH Entered By: CHRISTINE CD Description 43 AirCond/Fumaco Set Act Comments Associated PCRs inspection History Date Description Act Insp Ckxnments 05/11/2001 43AlrCond/Fumac8Set NR AR NO ONE HOME