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Home My WebLink About2831 HILLSBORO CT; ; CB062118; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-25-2006 Mechanical Permit Permit No: CB062118 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2831 HILLSBORO CT CBAD MECH 1674728200 $0.00 BROWN RESIDENCE REPLACE NC UNIT TELFORD JONES INC STE 13A 400 25920 IRIS AV MORENO VALLEY CA 92551 951 486-0337 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 Status: Lot#: 0 Applied: 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: BROWN DOUGLAS F TR 2831 HILLSBORO CT CARLSBAD CA 92010 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: ~ ~ FINALAP ROVAL Date: e>L Z--Z..-01 Clearance: ISSUED 07/25/2006 MOP 07/25/2006 07/25/2006 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposi ion" of fees, dedications, reservations, or other exactions hereafter collectively referred lo 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 f x in f hih hv rvi I Tl imilrohi ra whichth sllteoflimi ionshas viul herwi PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1, . IOOli.l11cnim~niiiir ·2-!1 3 I l+(llh ftJDllO C.T Address (indude Bldg/Suite#) Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use # of Stories Name Address City State/Zip 4; .. ~ OW!il!Slli' . Name Address City State/Zip FOR OFFICE USE ONLY •,,., '\\ '2) PLAN CHECK NO. ~ae~~--C.... __ EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ Phase No. Total# of units Proposed Use # of Bedrooms # of Bathrooms Fax# Telephone# Telephone# &;:,,~,,~-~; ;!;•' .,, :.• ....• , ... _,;:,:-.;: '. ;: ·,,.~_.,_,:: ,,,,,. • . {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to improve, 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 [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 exemption. Any violation of Section 7031.5 by any appli t fo[ a permit subj~ ~cant to a civil penalty of not more than five hundred dollars [$500]). ~ ~ :;,r> ~M I-I>-,,..._. Name Address City State/Zip Telephone# State License# _=BS?o"--'=-C{-=3--l.e--"----License Class _(.,~-_W _______ _ City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# _______ _ f.''' <™'1!!!!ll!!ll'lr~l!!ll!!!!lll!li?l!I!" 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. r;f" I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My '°~er's compensation insuran~ carrier and policy ~mber Are: Insurance Company ~Wl'>\)f/M'.'Q, l"(l)UI.. Polley No. I) '1 <,, Do C '-( '2, 1./ q Ex~ration Dat•~·-'3.,,Z~z,_ ____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 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. v ge Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand 7, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ I, as ovmer of the property or my employees with wages as their sole compensation, will d 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 exdusively 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 permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (indude name/ address / phone number/ contractors license number): 4. 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/ phone number/ /ontractors license number): ----------------------------------------------- 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB062118 Title: BROWN RESIDENCE Description: REPLACE A/C UNIT For 08/04/2006 Type: MECH Sub Type: Job Address: Suite: Location: OWNER 2831 HILLSBORO CT Lot BROWN DOUGLAS F TR Owner: BROWN DOUGLAS F TR Remarks: Total Time: 0 Act Comment Inspector Assignment: Phone: 7604341411 Inspector: t,A C.. Requested By: DOUG Entered By: CHRISTINE CD 43 Description AirCond/Furnace Set _M_ _-+N,G:-=fA\'-=---_._~--'-A-=L.l,_______c."---'-,-i--'----i...;_.~ ___ _ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments I