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Home My WebLink About2858 ENGLEWOOD WAY; ; CB010254; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/2~/20d1 Mechanical Permit Permit No: CBO 10254 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2858 ENGLEWOOD WY CBAD MECH Status: Parcel No: 1674802015 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: VALENZUELA RES/ NEW FAU Applicant: SOUTHCOAST HTG & AC 4055 OCEANSIDE BL OCEANSIDE CA 92056 Entered By: Plan Approved: Issued: Inspect Area: Owner: VALENZUELA WILFREDO R 9212 BUTIERCUPAVE FOUNTAIN VALLEY CA 92708 ISSUED 01/22/2001 CB 01/22/2001 01/22/2001 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 TOTAL PERMIT FEES Inspector: 1 0 0 0 0 0 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 EXPIRED PERMIT · ""1:1E:D !N t',CCORDANCE WITH U.B.C. FINAL APPROVAL 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 vou have oreviouslv been oiven a NOTICE similar to this. or as to which the statute of limitations has nreviouslv otherwise exnired. PERMIT APPLICATION CITY .OF CA~LSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION cJ..3.s-t> Address {include Bldg/Suite II fOH Of Fl CE USE ONLY PLAN CHECK NOC: f?,;6 IQ ')S-q EST. VAL.~--~-~---- Plan Ck. Deposit--------- Validated By __ _.(_...,_0'"""~----- Date /-2 L -0 I Business Name fat this address) leg1I Description Lot No. Subdivision Name/Number Umt No. Phase No. Total I ol unrts Assessor's Parcel I Existing Use Proposed Use SO. FT. F '-'1 ({/1/ It Cc #of Stones , # of Bedrooms II of Bathrooms Doscnption of Wo•k ({FPL.A CE 7 (,,C> CONTACT PERSON ,Of dff.,.nt from oppll .. ntl 11 Gf.orJ i c.A c..oLL, tJ..5 )t,,~4 2. Pl/Ct Fi C. D~-OCt'll/11 S,'1Jt '141-?~oc> Neme Address 3. APPLICANT ~ Contrector 0 Agent for Contractor Name Address 4. PROPERTY OWNER wn Cl:2.\').. Neme Address &. CONTRACTOR • COMPANY NAME Downer City 0 Agent for Owner City State/Zip Telephone # Fa)( II State/Zip Telephone II Telephont1 I (Sac. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demo_hsh or repair any struc~ure,. prior to its issuinc1, 1110 requires tht applicant for such permit to file a signed statement that he is licensed pursuant .to the prov1s1ons of the Contractor s license Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or_ that he 1s eKempt therefro~, and the basrs for the alleged exemption. Any violation of Section 7031.5 by a~y applicant for a permit subjects the applicant to a civil penalty of not more than live hundre~ dollars [$50~ ), sou H · ct c. · 'sm I'. F,c J: o,nl/ll,10c r,;o,;, ?'7o·"4/~ Address City State/Zip Telephone # License Class C;Jo; C.3£>1 C..4 [3 City Business License I 0 :/ 7G, 0c) . ' Name Stote L,cen" I ...,.,,_4.....,5,c...:0::..=5c....=6c..._ Address Designer Name State UcenH I _.G.~4-'-'5=-...0c.....5~0c..._ City State/Zip Telephone I. WbRKEAS'. COMPENSATION Work1rs' Compensation Decl1t1tion: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain II certificate of consent to self-insure for workers· compensation as provided by Section 3700 of the labor Code, lor th!! performance of the work for which this permit is issued. ~ I have and will maintain work~rs· compens~tion, as r~quired by Section 3700 ol the labor Code, for the performance of the work for which this perm,t is 7000 issued. My worker's compensetlon insurance earner and policy number are: 7 (.) 'l ..3 4 lnsuronc,Company ill"IE'/1."1cl\N doVl'IG" ,1:55<-1iv\l\J(.(: Policy No. _o 8.;l I -Exp .. at,onDat, 0 -61 -0).. !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS J$100J OR LESS! 0 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: F•llur• to 1ecUTe worken' compens•tion coverage Is unlawful, end shell subject en employer to criminal penalties end civil fines up to one hundred thousand doll•r• 1!_ 100.0001,: In ed~ditlDf' to th~~ cost <Jf, compense 'on, d• ge1 •• provid for fl Sec ·on 3706 of the Labor C(?.d~. interest 11nd attorney's fees. SIGNATURE I · li DATE /-(;(-0/ 7. OWNER~LOEA DE CLARA HON X. I hereby affirm thlt I em exempt from the Contractor's License law for the follo 0 I, 11 owner of the property or my employees with wages 11s their sole compensation, will do the work and the structure 1s not intended or oflered lor sale !Sec. 7044, Business 1nd 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 oflered for sale. If, however, the building or improvement 1s 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) hcensed pursuant to the Contr1ctor's license law). 0 1 am exempt under Saction ------Business and Professions Code tor this reason: 1, I perJonaUy plan to provide the major labor and mater'lals for construction of the proposed property improvement. 0 YES ONO 2. I (have I have notl signed an applicati(!'n for a building permit for the proposed work. 3. I have contracted with the following perso·n 1f1rm) to provide the proposed construction !include name I address I phone number I 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 ma1or work hnclude name I address / phone number I contractors 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/ type ofworkl: ___________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETe THIS SECTION FOR NON-RESIDENT7AL BUILDINO PERMITS ONLY DATE _________ _ la the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progtam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtam a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 AND THE AIR POLLUTION CONTROL DISTRICT. B. CONSTRUCTION LENDING AGENCY I harebv affirm that there is• construction lending agency for the performance of the work for which this permit is issued /Sec. 3097(i) Civil Code) LENDER'S NAME-------------- '9. APPllCANT CERTIFICATION LENDER'S ADDRESS. ________________________ _ I certlfv th1t I have re1d 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. I hereby euthorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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: An OSHA permit Is required for excavations over s·a~ deep and demolition or construction of structures over 3 stories m height. EXPIRATION: Every permit issued by the building Official under the provisions ol this Code shall eKpite by hmilat1on and become null and v01d 1f the building or work authorized by such permit is nol commenced wilhin 180 days from the date ol such perm·11 or ii the building or work authorized by such perm1t 1s suspended or abandoned at any time after the work is commenced for a p~riod of 180 dilVS t~eclion 106.4.4 Unilori:n uilding Co e.i,. ,.. APPLICANT'S SIGNATURE ,;j;-DATE L L.5{ ----'(,._)....,_/ ____ _ WHITE: File YELLOW: Fmance