HomeMy WebLinkAbout1662 CALLIANDRA RD; ; CB040562; Permit).
02-20-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
Mechanical Permit Permit No: CB040562
Job Address:
Permit Type: MECH Status: ISSUED
Parcel No: 2159005600 Lot#: 0 Applied: 02120/2004
Valuation: $0.00 Entered By: MDP Reference #: Plan Approved: 02/20/2004
Issued: 02/20/2004
Project Title: NICHOLS RESIDENCE Inspect Area:
1662 CALLIANDRA RD CBAD
ADD AfC W/ELECTRIC
Applicant: ASPEN COOLING & HEATING
3925 ALIPAZ CT
OCEANSIDE CA 92054
760 754-2625
Owner:
NICHOLS THOMAS M
P 0 BOX 91 593
LOUISVILLE KY 40291
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
$15.00
$9.00
$0.00 $0.00 $0.00 $0.00
$0.00 $20.00 $0.00
$44.00
Total Fees: $44.00 Total Payments To Date: $0.00 Balance Due: $44.00
5735 02/20/04 0002 Of. 02 CGP 44.00
You are hereby FURTHER NOTIFIED that your tight to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity
PERMIT APPLICATION
CITY OPCARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. fY.5 %
EST. VAL.
Plan Ck. Deposit
Validated By
Address (include. BldalSuite #) Business Name (at this address) /h&Z CAU //iMJ/ZP
Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
DescriDtion of Work n/ SO. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City Statelzip Telephone # Fax #
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 is 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 1$5001).
Namd
State License 1 L/o 3 License Class C- Zq/3E: City Business License I /2/// 5 3
City Statelzip Telephone Designer Name Address
State License #
L/& d HH nN4 TqZs HLtMZd7 && GG- 0 4 2d.w ' 73if-Z6ZS A5Pd /!
Addred City Statelzip Thephone #
@p 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
of the work for which this permit is issued.
s-1- &,f Zued. My worker's compensation insurance carrier and policy number are:
Insurance Company /SB .?SO. 3 L S7AZ FUPD Policy NO. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS)
0 to become subject to the Workers' Compensation Laws of California.
WARNINQ: Failure to ae
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
' compenaation coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred st of compensation, damages as provided for in Section 3706 o attorney's fees.
(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 propeny, 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
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0
I (have I 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 I address I phone number I contractors license number):
Business and Professions Code for this reason:
4.
number I contractors license number):
5.
of work):
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 I phone
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address 1 phone number I type
PROPERTY OWNER SIGNATURE DATE
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 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 management district?
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 APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
0 YES 0 NO
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).
I certify that I have read 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 authorize representatives of the City of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND 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 5'0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is dion 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE z-z@@V
City of Carlsbad Bldg Inspection Request
dm For: 03/09/2004
Permit# CB040562 Inspector Assignment:
Title: NICHOLS RESIDENCE
Description: ADD A/C W/ELECTRIC
Type: MECH Sub Type:
Job Address: 1662 CALLIANDRA RD
Suite: Lot 0
Location:
APPLICANT ASPEN COOLING & HEATING
Owner: NICHOLS THOMAS M
Remarks:
Phone: 7607542625
Inspector: Jj
Total Time: Requested By: DON
CD Description Act Comment
Entered By: ROBIN
39 Final Electrical
43 AirCond/Furnace Set
Associated PCRs/CVs
Date Description
Inspection History
Act lnsp Comments
License Detail .
iEiCl
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Page 1 of2
WARM-AI R H EA.TI N G VE NTI LA^ N G AN 9 AI R-CON D ITI o N I HI
REFRIGERATION
License Detail CALIFORNIA CONTRACTORS STATE LICENSE-BOARD
Contractor License # 506403
A license status check provides information taken from the CSLB license data base.
Before relying on this information, you should be aware of the following limitations:
DISCLAIMER
CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is
subject to public complaint disclosure, a link for complaint disclosure will appear
below. Click on the link or button to obtain complaint and/or legal action
information.
are disclosed.
the arbitration.
onto the Board's license data base.
Per B&P 7071.17, only construction related civil judgments known to the CSLB
Arbitrations are not listed unless the contractor fails to comply with the terms of
Due to workload, there may be relevant information that has not yet been entered
Extract Date: 02/20/2004
* * * Business Information * * *
DONALD CHARLES DALPHIN JR DBA ASPEN COOLING & HEATING
3925 ALIPAZ COURT
Business Phone Number: (760) 754-2625
Entity: Sole Ownership
Issue Date: 02/27/1987 Expire Date: 04/30/2004
* * * License Status * * *
OCEANSIDE, CA 92054-7994
This license is current and active. All information below should be reviewed.
* * * Classifications * * *
llclassll Desc ri D tio n II
* * * Bonding Information * * *
http://www2.cslb.ca.gov/CSLB~LIBRARY/L,icense+Detail.asp 02/20/2004
License Detail Page 2 of 2
I CONTRACTOR'S BOND: This license filed Contractor's Bond number 948961 in the
amount of $10,000 with the bonding company
SURETY COMPANY OF THE PACIFIC.
Effective Date: 01/01/2004
Contractor's Bondincl History
* * * Workers Compensation Information * * *
This license has workers compensation insurance with the
STATE COMPENSATION INSURANCE FUND
Policy Number: 1583503 Effective Date: 05/31/2000 Expire Date: 05/01/2004
Workers Compensation History
Personnel List
License Number Request Contractor Name Request Personnel Name Request
Salesperson Request Salesperson Name Request
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02/20/2004