HomeMy WebLinkAbout2879 RANCHO CORTES; ; CB071855; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008 ..
07-12-2007 Mechanical Permit Permit No: CB071855
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 602-2725
2879 RANCHO CORTES CBAD
MECH
2226602000 Lot #: 0
$0.00
NAYLOR RES-INSTALL NC
PRE-PLUMBED
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/12/2007
LSM
07/12/2007
07/12/2007
Applicant:
ASI HASTINGS NAYLOR WAYNE&DIXIE FAMILY TRUST 12-27-99
1250 GREENFIELD DR
EL CAJON, CA 92167
619-223-9016
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
0
0
0
0
0
2879 RANCHO CORTES
CARLSBAD CA 92009
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
Inspector: ,ZB FINAL APPROVAL
Date:"?---..:z.3-0 "7 , Clearance:
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
$0.00
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 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 se1Vice fees in connection with this project. NOR DOES tT APPLY to any
x in f i h h r i I N Tl E imil r hi h flimi 1
City of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
'fax: 780-602-8558
Building Permit Application
JOB ADDRESS ~'ol q
T/PROJECT # LOT# PHASE# # Of UNITS # BEDROOMS
DESCRIPTION OF WORK: aad A-0 AC rrod
Plan Check No. Q.8 (:)"') I '&° 5S"'
Est. Value
Plan Ck. Deposit
Date -, I \ ";>--( o /
SUITE#/SPACE#/UNIT# APN
# BATHROOM TENANT BUSINESS NAME UP
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS
YES D NOD YES □ NOD
CONTACT NAME (If Different Fom Applicant) l) APPLICANT NAME
ADDRESS~
CITY CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
V
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
/Sec. 7031.5 8u1i11ess and Professions Code: Any City or County: which rtquirts a permit to con1truct, alter/ improve, demolish or rtP,air any structure, prior ID its iuuance, al19 rtlluim the a_pplicant su pel'.fflit to file a sientd statement that he is ricensed _1111n11an1 to the provisiom of the Contraccor'1 Licen1e law {Chapter 9, commending with Section 000 of Division 3 or the Business and Pro1es1ion1 Code} or that he IS exempt thefefi'om, and the ha111 for tht alleged bemption. hly violation of Section 7031.5 by any applicant for a pennit 1ubj«ts the if>plicant to a civ~ penalty of not more than five hundred dollan {$500}).
WORKERS' COMPENSATION
Worken' Compensation Oeclsratlon: I hereby aff,rm under penalty of petjury one of the following declarations:
have and wfll maintain a certificate of consent to selUnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
have and will maintain WOciff.,..;J"'M'""•.8 ~5'fllt•fflJh8 Labor Code, for lhe _perfo~e~ ml"'i ~MiiJl-;ssued. My wo~era· compens'1ifi'l,~•m1n.,.,,,n• policy
umber are: Insurance Co . .\.V....11.'.~' V l,_ ~____\il UJj..._\,-Policy No.~"-~~= l»~L\\IJ=i\d~iL__~rJ~l~ J'./ ___ Exl)lralion Date~'-V.,l~t~ lll~~i;•V~·~ I __ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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' compenuti overage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages p fo n Ion 3706 of the Labor code, Interest and attorney's fees.
_,g CONTRACTOR SIGNATURE
I hereby aff,rm that I am exempt from Contractor's License Law for the following reason:
□ 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).
□ 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).
□ 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 □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with !he following person (firm) to provide the proposed construction (include name address I phone/ 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 I phone 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/ type of work):
JE5 PROPERTY OWNER SIGNATURE DATE
'r ~ ,,, '''""' '"' " ----✓--="' --COMPLETE THIS $1!CTION FOR NON•RESIDiilllTIAL liUILDING PERMITS ONLY
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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dislrict? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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.
CONSTRUCTION ll!NDING AGl!III(
I hereby affinn that there LS a coostruct,on lendmg agency for the pertonnance of the wo~ this penn,t ,s issued (Se<:. 3097 (1) Cwil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the aboYe Information Is correct and that the infOrmatlon on the plans Is accurate. I agree to oomplywlth all City ordinances and State laws relating to buildlng oonstructlon.
I hereby aulhorize n,presentalive of~• City of Carlsbad lo enler upon ~•--ed property for inspectioo purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARt.LESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN Atf'f WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pennlt is requied for excavations over 5'0' deep and deroolition or construction of strucbJres <Ner 3 stories i'I hei;;lhl
EXPIRATION: Every permit issued by the Buikling Official under the pn:MSions of lhis Code shall expire by limitation and become nun and void if the buildilg or WOl1<. aulhorized by such permit is not commenced wiltl
180 days from \he dare of such pemil or ii~• bilking or-· by such permit is suspended or abandooed atlll)' lime aller\he-is "''""'Mbd.for a period of 180 days (5eclion 106.4.4 Unlonn Bukli1g Code) .
..@S°APPLICANT'SSIGNATURE ao '1J DATE , lcl/ 07
I
m . City of Carlsbad Bldg Inspection Request
⇒ For: 07/20/2007 .
Permit# CB071855
Title: NAYLOR RES-INSTALL A/C
Description: PRE-PLUMBED
Type:MECH Sub Type:
Job Address: 2879 RANCHO CORTES
Suite: Lot: 0
Location:
Inspector Assignment: __l-ft
Phone: 7609189313
Inspector: ----
OWNER NAYLOR WAYNE&DIXIE FAMILY TRUST 12-27-99
Owner: NAYLOR WAYNE&DIXIE FAMILY TRUST 12-27-99
Remarks:
Total Time:
CD Description
43 AirCond/Furnace Set
49 Final Mechanical
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Requested By: WAYNE
Entered By: CHRISTINE