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Home My WebLink About2876 ENGLEWOOD WAY; ; CB011060; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/20/2001 Mechanical Permit Permit No: CB011060 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2876 ENGLEWOOD WY CBAD MECH 167 4802023 Lot#: 0 $0.00 WASUNG RES/NEW FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/19/2001 CB 03/19/2001 03/19/2001 SOUTHCOAST HTG & AC WAS UNG FAMILY TRUST 08-09-95 4055 OCEANSIDE BL OCEANSIDE CA 92056 13033 TRIUMPH DR POWAY CA 92064 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: 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 EXPIRED PE p~~·•·r HAS EXPIRED ff ACCORDANCE I · ,Jl'l 106.4.4 SIGNAME .... olM, ........ \.....__ FINAL APPROVAL Date: 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 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 Secilon 3.32.030. Failure to timely foUow that procedure wm bar any subsequent legal action to attack, reVtew, 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 app!ication processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOT!CE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.( 17:(>1/000 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ ~ Plan Ck. Deposit--------- Validated By ( /?-~'-'-'--------- Date 4·· ( C( 0 ( /. 1. PROJECT INFORMATION gl? 74, £Nfz,/5,. ?OQ !) 'l) IL. Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of umts Assessor's Parcel # Existing Use Proposed Use Description ot Work ~PLAC.c Fuf!J\JAcJ0 FT /lof Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different hom applicant) 'IERotJic.A c:01.. Li tJS ..2""4 \JI s m (),tlc, F, C })1~, IC.o - 941-7000 Name Address 3. APPLICANT J&( Contractor D Agent for Contractor keR C::I\ ) (,oASUN6i oZP'(X, Name Address 1' 4. PR9fERTY OWNER ~A .., Name 6. CONTRACTOR -COMPANY NAME Address City 0 Owner D Agent for Owner &;rve,1.£.;.l,)ooD sr tJ,tBJ) City City State/Zip Telephone If Fax# State/Zip Telephone# State/Zip Telephone II !Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demohsh 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 Codel or that he 1s 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 [$5001). 50UTHC.OA5T Hr6 { !fie .,2t,t,4: V'i719 r/lc,fic. 01< occfW')IQ,;;-9,;io5(p 7t,,,-<J"'/I-70l•O Name Mdress City State/Zip Telephone II State License I '1f 5CJ 50 license Class City Business license II 4} '/] 4,, CJO Designer Name sme ucen,e, IP45o 5o 8. WORKERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. Jd 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: lnsu,ence Company &r:it.elcAN Hom~ Aj'.Su£AI\ICG' Policy No. 708..217 3 E,pi,otion Date() 4-0/-0,,} (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 11s to become subject to the Workers' Compensation laws of California. WARNING: Fellu,e to secure workers' compensation coverage ls unlawful, and shell subject an employer to criminal penalties and civil fines up to one hundred thousand doHal'I 100,000), In addition to th st of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. SIGNATURE ~ 4/. DA TE _'3_,_"-L/'j_,_-_'O,w.l __ _ 7. OWNER-BUILDER DEClARATION ,.. I hereby effirm that I am exempt from the Contractor's license law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, wdl do the work and the structure is not intended or offered for sale (Sac. 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 bwlding 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 t·he 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 !or such projects with contractor!s) licensed pursuant to the Contractor's license Law). D 1 am exempt under Section------Business and Professions Code for this reason: 1. 1 personally plan to provide the major tabor and materials for construction of the proposed property improvement. 0 YES ONO 2. l (have I have not) signed an application for II building permit for the proposed work. 3. I have contracted with the following pers':'n (firm) to provide the proposed construction {include name I address I phone number I contractors license number!: 4. I plan to provide riortions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I 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 f type of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON../IES1DENT1AL BUILDING PERMITS ONLY DATE __________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials reg1strat1on 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 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. 8. CONSTRUCTION LENDING 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. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans ,s accurate. I agree to comply with atl City ordinances end State laws relating to building construction. I hereby authorize 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 ANO 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Otticial under the provisions of this Code shall expire by hm11at1on and become null and void 11 the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aher the work is commenced 1or a period 1180 ays (~ 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE • fV, -Q1} DATE _3_-__ /'l"-----'O'-'-l _____ _ WHITE: File YELLOW: Applicant PlNK: Finance ,