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HomeMy WebLinkAbout2837 HILLSBORO CT; ; CB020887; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-25-2002 Mechanical Permit Permit No: CB020887 Job Address: Permit Type: Parcel No: Valuation: Reference #: Building Inspection Request Line (760) 602-2725 2837 HILLSBORO CT CBAD MECH 1674727900 $0.00 Lot#: Status: ISSUED 0 Applied: 03/25/2002 Entered By: JM Plan Approved: 03/25/2002 lssi3i!0l> 0!ilf~~~~002 OJ Project Title: LEDET -REPLACE FAU Inspect Area: CGF" Applicant: ANDERSON PLUMBING INC,WALTER 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Total Fees: $24.00 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 Inspector: Owner: LEDET FABRICE 2837 HILLSBORO CT CARLSBAD CA 92008 Total Payments To Date: $0.00 1 0 0 0 0 0 FINAi,. APPROVAL Balance Due: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Date: '--f--3 ti ,--c? .,.2"---i'Clearance: $24.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 accordanoe 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 seNice fees in connection with this project. NOR DOES IT APPLY to any f I iv n N I ii r f I" )2 FOR OFFICE USE ONLY . ~ /, _/,?O/ . PLAN CHECK NO. Llvt/L [)[.)0 PERMIT APPLICATION EST. VAL. ___________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT INFORMATION 2925 Sombrosa St. Plan Ck. De~ Validated Bl(j/A,.A Date Address (include Bldg/Suite#) Business Name (at this address) SFD Legal Description Lot No Subdivision Name/Number 255-145-04-00 Assessor's Parcel# Existing Use COPPER REPIPE Description of Work SQ. FT. # of Stories 2. CONTACT PERSON (if different from applicant) Name Address City State/Zip 3. APPLICANT D Alicia Garcia Contractor )l Agent for Contractor 1150 N."Marshall Ave D Owner □ El Cajon CA, 92020 Name Address City State/Zip Unit No Phase No. Proposed Use # of Bedrooms Telephone# Agent for Owner 619-449-3852 Telephone# 4. PROPERTY OWNER David Wogahan 2925 Sombrosa St. Carlsbad. Ca 92020 619-449-3852 Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME Total# of units # of Bathrooms Fax# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Walter Anderson Plbg. 1150 N. Marshall Ave El Cajon. CA 92020 619-449-3852 Name Address City State/Zip Telephone# State License# 493163 License Class _;C=--3=6'---------City Business License# _1,_0,,,_7.::4c:4.,0,,_0,,_ ____ _ Designer Name Address City State/Zip Telephone# State License# _________ _ 6. WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a cert1flcate 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 X, 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 worker"s compensation insurance carrier and policy number are: losucacce Company _State Comp Ins, Fund Policy No. 166063301 E,picat,on Date_ 10/01 /02 _ (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. 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 co111pensation, damages are provided for in Section 3706 of the labor Code, interest and attorney's fees. SIGNATURE ___ :__!~ ... -L..L.-LLJ --"":_~i__1__ " ,,· _____ _____ DATE ___ _,( . 7. OWNER-BUILDER DECLARATION 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 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-bwlder 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 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). □ 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 (include name I address/ phone number/ contractors license number): 4. I plan to provide portions of the work, Lui I have hired the following person to coordinate. supervise and provide the major work (include name I address I phone number I /ontractors 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 of work): PROPERTY OWNER SIGNATURE ____________________________ _ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB020887 Title: LEDET· REPLACE FAU Description: For: 04/29/2002 Inspector Assignment: RB --- Type:MECH Sub Type: Job Address: Suite: Location: 2837 HILLSBORO CT Lot Phone: 7607300741 0 Inspector: ----- APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: LEDET FABRICE Remarks: Total Time: Act Comments Requested By: KAREN Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set gp ______ _ Associated PCRs lnsgection Histo01 Date Description Act lnsp Comments 04/04/2002 43 AirCond/Furnace Set co RB 3RD TIME -SEE NOTICE 04/02/2002 43 AirCond/Furnace Set co RB 2ND TIME -SEE NOTICE -SEE NOTICE A TTCH. 03/28/2002 43 AirCond/Furnace Set CA RB 03/27/2002 43 AirCond/Furnace Set co RB SEE NOTICE -MAY BE HAZARDOUS CONDITIONS