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Home My WebLink About2841 HILLSBORO CT; ; CB013565; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-14-2001 Mechanical Permit Permit No: CB013565 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2841 HILLSBORO CT CBAD MECH Status: Parcel No: 1674727700 Lot#: 0 Applied: ISSUED 11/14/2001 JM 11/14/2001 11/14/2001 Valuation: $0.00 Reference #: Project Title: KELSO -REPLACE FAU Applicant: ALBERT PLUMBING HEATING & AIR 5933 SEA LION PL CARLSBAD, CA 92008 61 9-431 -5536 Entered By: Plan Approved: Issued: Inspect Area: Owner: HANSOM-KELSO PAULINE TRUST 08-25-97 2841 HILLSBORO CT CARLSBAD CA 92008 4561 11/111/01 0002 01 02 CGP Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $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 1 0 0 0 0 0 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Clearance: _____ _ 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 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NoC,/36/ 3St 'i CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Depo Validated By_::s<..,;_--t-Tf-'fr-1+,.---,-- Date, _______ ~µ-"j..:::.:::..,: __ '1, Business Name (at this address) CI- Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use E«t'.il ..... C '( Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Fax# /..2.... 6. CONTRACTOR ., COM!fANY' !IIAM~ (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 tor 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 ex~ti n,.;.ny viol · ~ction ~31.5 by any applicant; a ermit /Jjects th; applSt ~:vii penalty of not ~et an five hund;/;!s $~~O Name Address City State/Zip / T~one # State License# "/J"{d)... License Class C, 3, C, C tJ.t:;? City Business License# f..:517? L.DO Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOR~ERSC.COMPENSATJON · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: h /_ , / f'"') lnsu,anc, Company t~ t. t't:2 A.. _J:;, SurA..., c "( Pol;cy No.WP/1 l } () /c:, Exp;,o,;on Dato tJ 6/t?/(cJ ~ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecur orkera' compensation c e la unlawful, and shall subject an employer to criminal penaJtles and civil fines up to one hundred thousand dollars($ , in addition pensatlon, d gas as provided for in Section 3706 of the ,La~coda.., ln~•t)t'1d attomev·s fees. SIGNATURE,_,1.!,.;,~~,_.,,,,....,~::_1-:..:~':::i!!'f!:r.,,~~~;,"=ccc,.,----,-----,----: DATE (1//VJ[Zf 7, I hereby affirm that I am exempt from the Contractor's License law for the following reason: D 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 9f 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. lf, 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). D 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). D 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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include 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/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMP~ETE:':THIS,-SECTICJN·FOR NON~RESIDENTIAL B~IL.DINGrrPERMITS'.ONLY 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 D 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 O NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. •&;.. CONSTRIJCTION LEND.INGO:AGENCY I hereby affirm that there is a 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 ________________________ _ ·9. AePUCANT CERTIFICATION 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. 1 hereby authorize representatives of the Ci f Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CIT OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY-IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENC 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 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation nd 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 buildlng or work authori ed by such permit Is suspended or abandoned at any time after the work is commenc period o 18 ys (S 106.4.4 Unif Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance -r,-••-•••-T----------- JI o 1 1/-f City of Carlsbad Bldg Inspection Request For: 11/21/2001 Permit# CB013565 Title: KELSO • REPLACE FAU Description: Type: MECH Sub Type: Job Address: 2841 HILLSBORO CT Suite: Lot Location: 0 APPLICANT ALBERT PLUMBING HEATING & AIR Owner: HANSOM-KELSO PAULINE TRUST 08-25-97 Remarks: AM PLEASE Total Time: Phone: 7604346912 Inspector: ---- Requested By: KELSO RESIDENCE Entered By: ROBIN CD Description 43 AirCond/Furnace Set M-Comm:~J Associated PCRs Inspection History Date Description Act lnsp Comments