HomeMy WebLinkAbout2857 NANTUCKET LN; ; CB004046; PermitCity of Carlsbad
1635 FaradayAv Carlsbad, CA 92008
11/03/2000 Mechanical Pe&nit' Permit No: CB004046
Building Inspection Request Line (760) 602-2725
Job Address: 2857 NANTUCKET LN CBAD
Permit Type: MECH Status: ISSUED
Parcel No: 1674722500 Lot #: 0 Applied: 11/03/2000
Valuation: $0.00 Entered By: MDP
Reference #: Plan Approved: 11/03/2000
Issued: 11/03/2000
Project Title: SMILEY RESIDENCE Inspect Area:
REPLACE FAU
Applicant: Owner:
MOOR CO. AIR CONDITIONING & HE SMILEY MABEL B
-- _.-J
1531S HILL ST / 2857 NANTUCKET LN,
OCEANSIDE, CA 92054 / CARLSBAD CA 92006
619-722-1541 -, -
I
Total Fees $24.,60- Total Payments To Date r$o 00 \ BaIane Due \ $24.00
Mechanical Issue Fee / Install/Furn/Ducts/Heat Fumps Fee
Fireplace Installation FeeJ 1 1 Exhaust Fan Fee \ J
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 1 5HP Fee
Other \
TOTAL PERMIT
$15:00'.
$9.00
- $o:oo \$o.00
- sOo
$0.00
$0.00
$0.00
ult
FINALAPPROVAL
Inspector: Date: _____________ 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PE'iMIT APPLICATION
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CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO.c, 4 rJ
EST. VAL.
Plan Ck. Deposit
Validated By________________________
Date
1. PROJECT INFORMATION
Address (include Bldg/Suite #) Business Name (at this address) cjccr7
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms /4<4t 4qt/
2: CONTACT PERSON '(If different from appticsntL.'... '.
Name
. Address . City State/Zip Telephone # . Fax # APPLICANT :0 Contractor. 0 Agent for. Contractor' .: 0 Ownir :0 Agent for Owner
Name Address City State/Zip Telephone # PROPERTY OWNER
Name . . P Address City State/Zip Telephone # 5... CONTRACTOR - COMPANY NAME •: :. . . - . (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, im
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issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
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[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that
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exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penal
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/S3, 5-. --IV' Name . , Address City( State/Zip Telephone # 22 State License '# License Class - City Business License # / -. C'
Designer Name . Address City State/Zip Telephone
State License if
S. WORKERS' COMPENSATION ... .. . . . . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
AKI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700
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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
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issued. My worker's compensation insurance carrier and policy number are: Insurance Company It I Policy No.Jc IF ' Expiration Date / / — (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED-DOLLARS 151001 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 ma
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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 pen
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thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for In Section 3706 of
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SIGNATURE 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 do the work and the stru
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(Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buil
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such work himself or through his own employees, provided that such improvements are not intended or offer
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sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for
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0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044.
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Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for
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pursuant to the Contractor's License Law).
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 provide the proposed construction (include name / address / phon
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I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide t
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I phone number / contractors license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (i
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of work):
PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials reg
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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 man
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0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary 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 APPLICA
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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 the performance of the work for which this permit i
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LENDER'S NAME LENDER'S ADDRESS_______________________________________________________
APPLICANT CERTIFICATION . . . .
I certify that I have read the application and state that the above information is correct and that the information on the pl
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City ordinances and State laws relating to building construction. I hereby authorize representatives of the
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property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF
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JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUEN
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OSHA: An OSHA permit is required for excavations over 5'0 deep and demolition or construction of structures over 3 stori
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EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation a
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authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized b
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at any time after the work is commeacedjor period 01180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATUR . I J' f7-4) 7 '' '77.SDATE
WHITE: File YELLOW: Applicant PINK: Finance