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Home My WebLink About2247 PASEO SAUCEDAL; ; CB052656; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB052656 Building Inspection Request Line (760} 602-2725 Job Address: Permit Type: 2247 PASEO SAUCEDAL CBAD MECH Status: Parcel No: 2552602800 Lot #: o Applied: Valuation: $0.00 Reference #: Project Title: JOHNSON RES INSTALL NEW A/C UNIT--4-TON 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 o o o o o Entered By: Plan Approved: Issued: Inspect Area: Owner: JOHNSON RICHARD P&CYNTHIA M 2247 PSEO SAUCEDAL CARLSBAD CA 92009 ISSUED 07/19/2005 KG 07/19/2005 07/19/2005 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: EXPIRED PERMIT $24.00 PERMIT HAS EXPIRED IN ACCORDANCE WITl;t C.B.~:.. . SECTION 106.4.4 AS AMENDED BY C.M.C.18.ci'-f.830' '/l9/0S DATE g(l....,\o(;;IGNATURE o(& 0002 01 CGP Inspector: 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 '1ees/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 coonection 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 f==11•'exaction!'; "f which··-· have nrevio••sl" been aiven a NOTlr-E similar to thic, or as to whi"h the statut1:1 of limitations h;:ic, nreviou"I' nthi:irwise exnir",..;. 24-00 PERMIT APPLICATION FOR OFFICE us~ PLAN CHECK N . Z(f '5(p CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units # of Bathroo~_0 q Designer Name Address City State/Zip Telephone State license # _________ _ :,0;,:,:,i\Y&.~---110N&v'.J: ··'.:?,f.::,,", Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have a 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 wo or which this permit is issued. ave and will maintain workers' compensation, as required by Section.J;lC0 oJe Labor Code, for the performance of the work for which this permit is issued. My worker's co/ nsation'nsurance arrier ndpolicyn '!12'1iar · . _ /L.r..LJ.. JcY,Jl?'7 -l")v_ b ~.,-:.u /,..-,..-'1fnh/_ Insurance Company _:,_c...,__.,,,_4 :.1,,.,_,-4-..1..~L....L-..l.--'""~Y_"_ lµcc. Polley o. [J_Jd..[:_'() U Q_ 1 'E""is,t!irat1on Date~VV-'C.? (THIS SECTION NEED NOT BE IF THE PERMIT IS FOR O HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNIN0: Fallu thousand dollars I$ SIGNATURE ,7,i'".IPWNP'i!QI! - I hereby affirm that I am exempt from the Contractor's license Law for the following reason: an employer to criminal penalties end civil fines up to one hundred Jn Section 3708 of the Labor coda, Interest and •!),°mey'a fees. DATE _ 7-(9 -:-op 0 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 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). 0 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). 0 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. I have contracted with the following person (firm) to provide the proposed construction (include name I 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 I address / phone number/ 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 of work): ________ ~---------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ ffl>M~llltH011011111'QR;;!IQN,-l>ffll7,Q; 81!1tJIWllll'l;IIMl:f5:,,QN~'(-,: ,,;, --: .,-, ;·- 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D 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? D YES O NO Is the facility to be constructed within 1,000 faet of the outer boundary of a school site? D 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. ,f,c:,.:'l,QNSTl!\l!mON,LENQmo'iAG~CY;,,, t hereby affirm that there is a construction lending agency for tha performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ 'Uli!,i'Aal!ll.lllm-mNJii;,:i:,,; I certify that I have read the application and state that the above information is corract 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 authorize representatives of the Citt of Carlsbad to enter upon the above mantionad 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 Off1cIal under the provIsIons of this Code shall expire by llmItatIon and become null and void 1f the bu1ldmg or work authorized by such penmt Is not commenced w1th1n 180 ctf6s from the date of such permit or 1f the buildmg or work authorized by such permit Is suspended or abandoned at any time after the work Is commenced for a penod of 1mJ days ( n 106 4 4 rnform Build de). ! Cif' ~ b APPLICANT"S SIGNATURE -----tL,..qJ-:IJ-f.::~~---,,,--./--,,,L4,..6.L;,,:...t.+-----DATE __ J~_--1__. __ / ______ _