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HomeMy WebLinkAbout2809 NEW CASTLE WAY; ; CB020673; Permit$24.00 :•'. .• 03-04-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB020673 Building Inspection Request Line (760) 602-2725 :.,,Job Address: 2809 NEW CASTLE WY CBAD Permit Type: MECH :l'arceI No: 1674801920 VäItiation: $0.00 Reference# Project Title POLIZZI RES REPLACE FAU Status: ISSUED Lot #: 0 Applied: 03/04/2002 Entered By: RMA Plan Approved: 03/04/2002 Issued: 03/04/2002 Inspect Area: 2129 03/04/02 0002 01 02 ,_Owner:—._.... COP 24-00 — POLIZZI CARL R&CLARA J 2809 NEW, CASTLE WAY CARLSBAD CA 92008 \'~ ~~ /' 0ta1 Payments To Date: $0.00J / / Balance Due: 7.4 .: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Total Fees: $24.00/ Mechanical Issue Fee lnstall/Furn/Duôts/Heat Pumps Fee.3 Fireplace Installation Fee .- Exhaust Fan Fee / Installation/Relocation Vent Fee Hood Fee J Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES INCORPORATED 952 FINALAPPROVIL Inspector: 1A. Date: Clearance: NOTICE: Please take N0TlChat 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fplyartinnq nf whith vnu have nravinuslv been nivan a NOTICE similar to this. or as to which the statute of.limitations has previously otherwise exaired. 14 S PERMIT APPLICATION ' _____ •• CITY OF CARLSBAD BUILDING DEPARTMENT. 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. CéO2L9 73 EST. VAL. PlanCk. Deposit Validated By Date 3 / I// i 1 Address rincluclieBldg/Stite #) ,•J Business Name let this addri Legal Description - Lot No ubdivision Name/Number Ur e 7/a L. -SF Assac4rs Paç'el # Existingjja,' Phase No. Total 1/ of units - DeicriptiiL'f Work - SO. FT.. #of Stories # of Bedrooms ' # of Bathrooms MKI pmrpI 07. Name Address City State/Zip Telephone # Fax # C kliiO iv Dr- . cj I1-F-46 :. .,. Namj Address ) ,,) City State/Zip Telephon U Name Address . . City . ' State/Zip Telephone U OA (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 IChapter 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 pfion. Any violation of Ction 7031 . by an' ap licant for a per(nit subjects the applicant to a civil penal of not more than five hundred dollars ($5001).' 4YCJi *c Lexvi i e'- Ntna4 Lc4r-a I 00 GD qj Name . Address ' City ...,.) Stile/Zip Telephone .# j3] T'1 State License #-71 I 21 License Class ' C1 C' lJ City Business License s I I Designer Name Address City State/Zip Telephone State License U 6 'WORKERS COMPENSATION r I r -w: ,.4u A Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. I have and will maintain workers' compensation,' as required by Section 3700 of the Libor Code,, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and nnlicy number are: Insurance Company - 1'Y'AgE4 Policy No._Zi ' (.D Expiration Date IP ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) , - 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 workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolieri $100.0 P. in addition to the cost of compensation, damages as provided for in Section 3706 of the Labs' code, Irtterest and attorney's fees. RE SIGNATU .( . . . - DATE aZJ '7_/_07,.,,, 7 OWNER BU ER DECLARATION • - - - : r / - I hereby affirm that I am exempt from the Contractor's License 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). 0 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO ' I (have / have not; signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to providi the proposed construction (include name I address I phone number I contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number I contractors license number): 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 of work): - PROPERTY OWNER SIGNATURE .-- DATE COMPLETE THIS SECTION'FOR NON S1OENflAL BUILDING rERMItS Orii- t 'th _116 In 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 0 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 0,N0 Is the facility to be constructed within 1.000 feet of the outer bouidary of a school site? 0 YES 0 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. 8 CONSTRUCTION LENDING AGENCY , 1'2i 17L I hereby affirm that there is a Construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). - LENDER'S NAME LENDER'S ADDRESS__________________________________________________________ 9 APPLICANT CERTIFICATION -5. -Iij iJpr l + 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 Cit' 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 the 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 commenced within 180 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 commend for a iod of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE tlk.._( DATE 3J e t 11l c2 - - S 0 - ITE: File YELLOW: Applicant PINK: Finance . . City of Carlsbad Bldg Inspection. Request For: 03/15/2002 Permit# CB020673 - Inspector Assignment: Title: POLIZZI RES-REPLACE FAU Description Type:MECH Sub Type: Phone: 7607201585 Job Address: 2809 NEWCASTLE WY Suite: Lot 0 - - • •• t Location: I • nspecLor.• ___________ • APPLICANT ARS • • • Owner: POLIZZI CARL R&CLARA J • Remarks: FURNACE FINAL • • Total Time: • • Requested By: YOLANDA • • - • Entered By: KAREN CD Description • Act Comments - 49 • Final Mechanical - • •• • • : Associated PCR Inspection History - Date Description Act Insp Comments 1 •