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Home My WebLink About2348 PASEO SAUCEDAL; ; CB062507; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-31-2006 Mechanical Permit Permit No: CB062507 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2348 PASEO SAUCE DAL CBAD MECH 2552724900 Lot#: 0 $0.00 ADELMAN RES REPLACE A/C UNIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/31/2006 KG 08/31/2006 08/31/2006 TELFORD JONES INC STE 13A 400 ADELMAN LINDA Y 2005 FAMILY TRUST 25920 IRIS AV MORENO VALLEY CA 92551 951 486-0337 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 0 0 0 0 0 1 2348 PASEO SAUCEDAL CARLSBAD CA 92009 Total Fees: $31.50 Total Payments To Date: $31.50 Balance Due: $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.50 $0.00 $0.00 $31.50 $0.00 PER.MIT Hf\S ::,.:; :: : t:;~:·W.F.,NCC WiTM C.B.C. Inspector: FINAL APPROVAL Date: ~;Ec;i,:3\\1 ·:0GAA :\:';; ;~V C.h4.C.18.04.030 1lAr'.' -~=1..-SIGi'lATURE_~--··-··-- Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this peimit 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any limitati n h s revi · ex ired. h .... OFFICE USE ONLY PLAN CHECK No{;f;{Md-. 57) 7 PERMIT APPLICATION EST. VAL __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 A Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. ~r's Parcel# ~kt,, Existing Use Proposed Use Description of Work SQ. FT # Of Stories # of Bedrooms Address City State/Zip Telephone# Address City Name Total # of units # of Bathrooms Fax# "' ., • , . ··~·· ___ '""'"-.. . yJJillfki§t;;?tlz!Hirlii~~j:fll;~-Jllf¥!ht~UJ!~~JlllE4¥1:MJF!l!IIfr--1~Ji1tl :·:'1;:::. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish or repair any structure, prior to rts 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 Sedion 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 ~plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). i:el:fur:a ':S'"°".'L\, ;;)S'f;20::J/:ts /w ,cS-K.1Yi::7'£Xs motmo•Alitv . c?i Name Ai:1dress City 8'ietZ1p' State License # ffl::'J License Class Q_ '?fJity Business License # Designer Name Address City State/Zip Telephone# State License# _______ _ ••*i~i'.;i:;t;,u~a,ffg;lf;jli'.Bi!{IT:i:iiif~Zii1;~i~-~@~1•111i111•---~-!i1h1ir ;:U;t;;r;-r<:'.":5/t Wort•ra' Compi11nllllllion D•d■raloo: I h■r.by •rm und•r p■naly cl r-rjury on■ cl th• follOlllling d■c:l■r■tiona· □ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sect.ion 3700 of the Labor Code, for the performance of the work for which this permit is issued. □ 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 i~urana: cani~nd policy number are: "'\./ Insurance Company c~ ±:VU'\~., Policy No.()4',-t.f') l4:J.... 'tl Expiration Date J I /07 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [S100R 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($100,0 ditlon to the cost of com pen atlon, damages are provided for in Section 3706 of the Labor Code, interest and SIGNATUR -~;;ir, -:.m:ti¾\Yi\ -. , ~""'-"'· . I hereby affirm that 1 am exempt from □ 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-builder 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 sueh 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 maior 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 (indude 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 won< (include name I address/ phone number/ /ontractors license number): ----------------------------------------------- 5. I will provide some of the work, but I have contraded (hired) the follOWing persons to provide the work indicated (indude name I address/ phone number f type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance