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Home My WebLink About2750 INVERNESS DR; ; CB042747; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-19-2004 Mechanical Permit Permit No: CB042747 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2750 INVERNESS DR CBAD MECH 2081111400 Lot#: $0.00 RUNNESTRAND RES-NEW A/C UNIT W 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/19/2004 RMA 07/19/2004 07/19/2004 MAJOR LEAGUE HEATING & AIR CONDITIONING RUNNESTRAND DANIEL J&SUSAN J 1356 BOBOLINK DRIVE VISTA 92083 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 2 0 0 0 0 0 2750 INVERNESS DR CARLSBAD CA 92008 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $53.00 Total Fees: $53.00 Total Payments To Date: $0.00 Balance Due: $53.00 6859 07119104 0002 01 n CGP 33-•)0 FINAL AF·f11 fl(./JAL DArfd( l(/;_tr CLEARANCE __ --JL__ SIGNATURE __________________ _ FOR OFFICE USE ONLY PERMIT APPLICATION PLAN cHEcK Na.C{lolf J-747 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.---------- Plan Ck. Deposit _____ ...,,.... __ _ Address (include Bldg/Suite I) Business Name (at this address) Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Pe reel I Existing Use Proposed Use ttU c__ -1/""" Descriptlo"J'( ~k ~ ~SO. F". ~of Stories II of Bedrooms if, , ~-Jit'-. ,,.:,']f!t.i.JjiiN.Jl,u o,, . .i:::r::i:., ........ K.. o <,·, , ,:;..;,, ·~ii, ,,,},, so,•·,.~'-"\'''',, '"' , ..... ~...i-~~'""'"'•·e,'-'~i,<,:;~•··'., f"':...,. 'n ''L'' ·', II of Bathrooms " ,..... • ..,_ -... ' .. • _,_ ~ .... ,,.,._ ., " '"""' ... ,;· .. ,..,,,. ,. ' ..... /. '1 . ~ . . .... • ,. { J • • . ~ . . • '. • , · l!i,iffll._ft,!t,,JJf~,.:~iitnm!"n.ttl! . '-!,l~_,,,l~Jt""-'°'"Y9 ~ ..-;M:I. __ /11-So·,iY ~ ./VI:,-., ·'.l,rtt1:~,. '{(Ill.,•,-~-,~·.:.·"'!. '\*li,-..;;t,,-;;;~l'!lll '' ~1,to ~-,t",.m;VA,.. ,.~.,".•'4.:~-~"""" -., State/Zip Telephone.# Fax# tl~lf~@ilfiiOPl!'iMPiY!l.N~e;;~~\i}.itJi~'iit!irfr~:i:i~5.~~~b"'5;z.:i1j;~,:,r,i','i•;'if.:.w..-:i!?:;1·•,.,:,~.:_.i.:,,.-,.t·.,·~·.:;,,1···"£rt1~.-'1~'l:!'~;t· 'S,'.:c°<•f U;;,;j,l;M""~. (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 e signed statement thet he is licensed pursuant to the provisions of the Contractor's License Lew [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 ex tion. Any violation of Section 7031.5 by eny applicant for• permit subjects the a~~nt to a civil-penalty of not ore five hundred ~ll~rs11_..0 l 1 . i'S.o-A), c_ Lo\ Y: ~ Address City State/Zip Telephone If License Cless City Business License I \;;;;)... \ l,p~ \ Designer Name Address City State/Zip Telephone State License If ---------- fl.~QflK[8$J}1;QM/!ii'I.S.A-Tl0NiV~~~i;"~:'~t~~~f.t~A:fa:ci.;/.:':::.,'•,;,::,.,.:.it,i,:;:::~.¥.;·~.t.'.:!'...: 1.:S:,~~;,;;,;:1:-, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: • • •• 1. ;..,•r. O I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~,€) l heve and will maintain work~rs' compens~tion, as r~quired by Section 3700 of the Labor Code, for the performance of the work for which this permit iis ~d. Myworker'sN~:~1onm~~r~RIIU£YnU::2 . \-\~Lr~.~--J-~'\--0 Insurance Company tt.D~ a~~ c::9c---ld.r:;.;b Polley ~L ~ ~t1on Date _____ .,,~""--~ ..... --- SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) , ERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as o ·ect to the Workers' CompenHtlon Law ,fornia . .... , f,Av _.,. .. ~---d ~ ........ <o -·· ........ ood <l,M fiMO i OM ........ t:;~~ii~ii~i~~~i~,;;i;ii~i~~i·-;~i··i"'i~iii·~·~~o~vi:~~~i:~~~~: 0~:~g~~"~isi:~~~::~~~:;~~~::I~~~:~~$,~,;::~:::,~,.<~ for the following reason: O I, as ow er o 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, B · u end Profession, Code: The Contractor's License Law does not 1pply to an owner of property wllo builds or improves thereon, and who does such work himself.or through his own employees, provided th1t such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one y11r of completion, th• owner-builder will heve the burden of proving that he did not build or improve for the purpose of salel . . 0 I, u owner of the property, 1m exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's License Lew does not apply to 1n owner of property who builds or improves thereon, end contracts for such projects with contractor(sl licensed pursuant to the Contr1ctor'1 License Law). O I am exempt under Section ------Business and Professions Code for this reason: 1. I per1on1lly plan to provide the major l1bor end materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not) signed an application for I building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include neme I address I phone number I contractors license number): 4. I plen to provide portions of the work, but I heve hired the following person to coordinate, supervise and provide the major work (Include name I address I phone number I contr1ctors 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 I phone number I type ofworkl: __________________________________________________________ ~ PROPERTY OWNER SIGNATURE DATE---------- I.QQMP;~!tifii~fj~Q.i(Q&~b_pjJH.9'N!Jijf$/tf.~'{l;~IJ!fflt{~fi'™);t,lQ.NLj~}l*iSf'~Y:i\1-m~~fs.lf:~f:l~~c~;;i0.;,t1.::i:i,~,li'.Si(~~f,;~rtt!~JJ,'.;,'i,,\~Z:,i,lj\·. ~.,~~.· .. ~i!'f,•~: Is the applicant or future building occup1nt required to submit e business plan, ,cutely huerdous materials registration form or risk management end prevention progr1m under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Subst1nce Account Act7 • 0 YES O NO Is the applicant or future building occupant required to obtain e permit from the eir pollution control district or air quality management district 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. !t~!.:-'.c.~~S.:T!!°'@~~WJ.°-.!ltqf~g:t~.c,~'1!:~JW:tr!~.ii;;~~·.tll\t!l::2'.s'!i~:L~Mi~~:1::.1i:&~fid; d.~,;2.;~.~d.:1~'L:::;~~Jl{ ... l :.'.-:r . ..::: :.. .• , . ".·. !•),te, I hereby affirm thet there is • construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code}. LENDER'S NAME---------------LENDER'S ADDRESS ________________________ _ it~i1.1c:1.c~r,.cium~.~~~~;1,;;;:,,:,;t~~~ti~~~i!ll.!i~~'!f~:f'i~.1E-4\,t~1:i;..;-~1&1 .. ,:.t.:J,;:~·;;;-·~,.:~l~!\:;;;;:,.;.,;:-~s.t., .. ,:._,,.,,t:;::,:. I certify thet I heve r11d the 1pplic1tion end atete thet the 1bove information is correct and that the information on the plans is 1ccurate. I agree to comply with ell City ordinances and St1te l1ws relating to building construction. I hereby 1uthorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, IN Y AND KEEP HARMLESS THE · CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN A AV CRU AGAINST SAID CITY IN CONSEQUENCE OF THE G_RANTING OF THIS PERMIT. DATE ·m City of Carl~~:io!~~g Inspection R':uest Permit# CB042747 Inspector Assignment: _j ""'- Title: RUNNESTRAND RES-NEW A/C UNIT W Description: Type: MECH Sub Type: Phone: 7604344247 Job Address: 2750 INVERNESS DR Suite: Lot 0 Location: Inspector: ---- APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING Owner: RUNNESTRAND DANIEL J&SUSAN J Remarks: Total Time: CD Description 43 AirCond/Furnace Set Act Comment ~NJ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Requested By: DAN RUNNESTRAND Entered By: CHRISTINE VtL-t,f/(JI (wvi