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HomeMy WebLinkAbout2810 AVENIDA VALERA; ; CB111773; Permit08-16-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CBl 11773 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 2810 AVENIDA VALERA CBAD MECH 2164600700 $0.00 MERINO RESIDENCE REPLACE A/C Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/16/2011 MDP 08/16/2011 08/16/2011 Applicant: ASI HASTINGS 1250 GREENFIELD DR EL CAJON, CA 92167 619-223-9016 Owner: MERINO FAMILY TRUST 09-18-91 PMB 197 P 0 BOX 5000 RANCHO SANTA FE CA 92067 Mechanical Issue Fee $15.00 Install/Fum/Ducts/Heat Pumps Fee 1 $9.00 Fireplace Installation Fee 0 $0.00 Extiaust Fan Fee 0 $0.00 Installation/Relocation Vent Fee 0 $0.00 Hood Fee 0 $0.00 Boiler/Compressor to 15HP Fee 0 $0.00 Other $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $24.00 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: $0.00 Inspector: FINAL AR Date: ^ f/n/zd Zd/2^ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as lees/exactlons.' 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 Govemment Code Section 66020(a), and file the protest and any other required infomnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will t}ar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIRED that your right to protest the specified fees/exactrons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sennce fees in connectkxi with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.cartsbadca.gov Plan Check No. ii Est. Value Pian Ck. Deposit Date SUITE»/SPACElt/UNIT» APN CT/PROJECT # LOT# PHASE » » OF UNITS » BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRiPTION OF WORK: Include Square Feet of Affected Area(') EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CQNDfflONING FIRE SPRINKLERS YES^j/ NOQ YESyjucj j YESj |NO| | CONTACT NAME (If Different Fom Applicant) APPLICANTNAM^^,^^ ADDRESS CITY STATE ZIP CITY r-v 1 « STAT^ ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ^ r\ A/\ ft CONTRACTOR BUS. NAME <^^jAfitV\A S ADDRESS^ ^ I , . CITY _ STATE ZIP CITY „ STAte' ZH*. _ ^ PHONE, ^ _ , 1 FAX PHONE FAX EMAIL EMAIL " ARCH/DESIGNER NAME & ADDRESS STATE LIC. » STATE LIC.# CLJVSS f_JtU CITY BUS. LICK _ 1 (Sec. 7031.5 Business and Professions Code: Any City or County which reguires 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 (Ciiapter 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby aSmi under penalty of perjury one of the fotowing declarations: 01 have and wiil maintain a certificate of consent to self-insure fbr Mrkers' compensation as provided by Section 3700 af the Labor Code, for the performance of the work for which this pennit is issued. I have and wiil maintain workan^compensation, as required bv Secfion 3700 of the Labor Code, for the perfonnance of the work for which this pennitjs issued. My workers' compensation insurance career and policy number are: Insuranre Cn P Ck •0, Pc^'V Wv Policv No. \X^C ^ O 'S' Exoiratkin Date ation insurance eariier and This section need nol be completed if the permit is for one hundred dollars ($1 OO) or less. I I Caftiflcate of Exemption: 1 certify that in the perfonnance of the work fbr whch this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatkin Laws of Califomia. 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 dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of ttiey^bor code, interest and attomey's fees. JB^ CONTRACTOR SIGNATURE iGENT DATE OWNER-BUILDER DECk-ARATlOW (hereby aflinn that I am exempt from Contractor's License Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensafcn, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply lo an owner of propeity who builds or improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for sale. If, ttowever^ the buikling or improvement is sold within one year of completkin, the owner-buiMer will have the bunjen of proving that he dkl not buikl or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with Iteensed contractors lo 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 I I am exempt under Section _ .Business and Professions Clode for this reason: 1.1 personally plan to provide the major labor and materials for constmctton of the proposed property improvement. QYes I iNo 2.1 (have / have not) signed an applteatkin for a buikling pennit for the proposed work. 3.1 have contracted with the folkiwing person (finn) to provkle the proposed constnjction (Include name address / phone / contractors' license number): 4.1 plan to provkle portkins of Ihe work, but I have hired Ihe following person to coonlinate, supervise and provide the major work (include name / address / phone / contractors' Iteense number): 5.1 will provkle some of the wori<, but I have contracted (hired) the foitowing persons to provide the work indkiated (include name' address / phone / type of work): PROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applkiant or future buikling occupant lequirod to submit a business plaii. acutely hazanlous materials registration form or risk management and preventkin program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazanlous Substance Account Act? I I Yes I iNo Is the applicant or futore buikling occupant required to obtain a pennit from the air pollutton control district or air qualihr management district? I hss I I No Is the facility to be constmcted wilhin 1,000 feet of the outer boundary of a school site? I lYes flNo 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 affirm that there is a construction lending agency for Ihe perforniance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION 1 ceitily that I have read the applicatiafl and state ttiat the aboveinfoiination is correct and thatthe infbiniation on tte i hereby authorize nepresenlative of the City of Carisbad to enter upon the above mentioned property Ibr 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:AnOSHA pemiit is required for excavations over S'C deepanddemolHtonor constructkm of staictures over 3 stories in height EXPIRATION: Every pemiit issued by the Buikling Offidal under the provisions of this Oxle shall expire by limitatkm and become null and void if the building or wori< aulhorized by such permit is not commenced within 180 days fiom the date of such pennit or if the buikiing or wort< authorized by such pemiit is suspended or abandoned at any time alter the worit is oommenced for a period of 180 days (Section 106.4,4 Unifonn Building (Ms]. APPLICANT'S SIGNATURE DATE 4u City of Carlsbad BIdg Inspection Request For: OV^ 3/2012 Permit* CBl 11773 Title: MERINO RESIDENCE Description: REPLACE A/C Inspector Assignment: Type: MECH Sub Type: Job Address: 2810 AVENIDA VALERA Suite: Lot: 0 Location: APPLICANT ASI HASTINGS Owner: MERINO FAMILY TRUST 09-18-91 Phone: 7609299611 Inspector: Remarks: gate is on the right side. Please enter \^ V\dr*«%*©u>»»«* Ci. V»A-f««.«— Total Time: Requested By: MARY Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments