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HomeMy WebLinkAbout2813 RANCHO RIO CHICO; ; CB071013; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-16-2007 Mechanical Permit Permit No: CB071013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2813 RANCHO RIO CHICO CBAD MECH Parcel No Valuation: 2226121200 Lot# $0.00 Reference #: Project Title: LENGEL ADD (2) A/C Applicant: MAJOR LEAGUE HEATING & AIR CONDITIONING 1356 BOBOLINK DRIVE VISTA 92083 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 2 0 0 0 0 0 Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: LENGEL DOUG&WYLENE 2813 RANCHO RIO CHICO CARLSBAD CA 92009 Total Fees· $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: Clearance: ISSUED 04/16/2007 JMA 04/16/2007 04/16/2007 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $0.00 NOTICE. Please take NOTICE that approval of your project includes the "Imposition" o! 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exac'ions of which "OU have "reviousl" been' iven., NOTICE similar to this rr as to which the ~•':lt11ie ti limita ion~ has nri=:.viouslv otherwise exnired FOR OFFICE USE ONL V PERMIT APPLICATI.ON PLAN cHEcK No. Cr:z o, Io l3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By _j ~ Date Lf { (q {Q1_ Busines~ Name (at this address) Subdivision Name/Number Unit No. Phase No. Total II of units Existing Use Proposed Use SO. FT, /lot Stories II of Bedrooms II of Bathrooms State/Zip Telephone II Fax II Name Addre11 ~~.t]).lfffllffiifl~((#jljjtj~titVDi!iei,,.~fi:l!B?.\.r',':fi!J\'t( ~,;; <'>'/.i :;', ; :.' :.:C:,/·S•',,t: /, '.\ ,;'., \ ., .,:i. t•,t ;·;1r..::1J~•;:~!:•f~;l\sf;:('°(f~';i'.!f;.::("1.:,,~;]\1K!.~:;";jl~ <!'il'~fi.:i1tii:rf~Ut1;:ir~'.~~!~~,:il'~ License Class _________ _ Designer Name Address City State/Zip Telephone State License II _________ _ M~tWJi.8l6ff~t'e~8J'iilttrt;;I~;~;ffk.:~J'-b:tii~=C.;~r·;gu:::~~4:{:.~•~t;ti::;;:,:t;:i~ .=·tr~·:~);:f:?!1;~·i'\; /·::~:-;:·~~~r,t;rJ;' ~l~~~;;t~ ~'-~t~-'iff~:i~·-,-1•1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' com·pensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ~I have and will m lntaln workers' compensation,: as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i11ued. My worker's o pensatlo Insurance cerrle nd pollcV, u bar are: Mo, 3 ~ 4'} ,,-~ f'ollcy Nofil!J.,I2.__ Orl!S!,_ J12!_12._ !:, Expiration Date ONE HUNDRED DOLLARS ($100] OR LESS) CERTIFICATE OF EXEMPTION: I certify that In the performance of tha work for which this permit Is Issued, I shell not employ any person In any manner so es to become aubject to the Worker•• Compensation Lews of California. WARNING: Fellur '9ecure worliera' compenutlon coverage I• uni wful, end •haft •ubJect en employer to crlmlnel p11neltl111 end clvll fln111 up to one hundred $1 0, , damegH .. provided for In Section 3708 of the Labor code, lnter111t and ettomey's feH. SIGNATURE-1.:,.,4.U~:C:::.,..,.'"1s,:....J'f4~~~.e;?,----==--=~====----DATE . t_/-/&-z::) t' 1i:iiJ.~ttiBr·· .. ~:~;:1>1a.11j;it_tffitijffg~ !~~~i~~t;i~~! :· · .:~r~:~:r ·· ~i~iflf~t't~r:~ri?~~~,,\~~~ifr~~?~1:~z~~;~;~::~v~i:.}{i/i,~~~~-~~;;tr¥;:•.~~-~:~Ifii~~~Tltf~TI;j~~~::if~~~1f~R~!11:~;v~~ir:11.:J~tf.~;r~i~· I he;eby affirm thet I em exempt from the Contractor's License Law for the following reason: · 0 I, es owner of the property or my employees with wages es their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Coda: 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, es owner of the property, am exclusively contracting with licensed contractors to construct the project '(Sec. 7044, Business and Professions Code: The Contractor's Llc11n111 Law does not apply to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lew). · 0 I am exempt under Section ______ Business end Professions Code for this reason: 1. I personally plan to provide the major labor and ~aterlals for construction of the proposed property improvement, 0 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 / 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 / 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 / address / phone number / type of work): _________________________________________________________ _ DATE _________ _ . . -•.· .~ /.,,. ,_;·.-. '"lti:i::,~,I Is the applicant or future building occupant required to submit a business plan, acutely hazardous mateclals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manage~ant district? ·O 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. !lftilits;.m..flffl~~iffl~~i{~.iii,Q,r.Jiji'A~i\N~~~;;r,;-,_;;1:{Ci'!1}ff;}.)2;:/(:•.'f1tft'.:'.C'\\j-;f;.t;;i,.:\i::::,,,:-l,;,;:!~,~{'' ' ':,·,::; '-;, '. i: 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 Codel. LENDER'S NAME-------------~-LENDER'S ADDRESS·---------------------~----. !i~~~i:k~lli.t14N1':CC_EfJ:tr11t~ut0N1~~:~~~:~w.~~~J:£;ri=;1;:~-~~:~::~J1:;0 ~-\:\~:~~ .. ;~~\:~1 ~~{Y:~:d: ;~· .{.~~j~-;:.. >u ·~:I:~ :~·:fui··i '1r~:'.>i{t..: :>t .. ;;,.:~~:~ ·:,~;.~?.:~-~::i::~~ r.;~; -~\.1rw:/·~ i:;ir~:~-::-.-t'. ?;J!~~:r.~ ;::~.::~~;)~;t:::tP }~:~:r-:;•·~~tr ,-~~~.~-~'~::;r-;?~~ I certify that I have read the application end state that the above Information Is correct and that the Information on the plans is accurate. I agree to comply with ell Citv ordinances end State laws relating to building construction. I herebv 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS l>ERMIT. OSHA: An OSHA permit la required for excavations over 5'0" deep end 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 not c e ced within 180 days lrom t e date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after lhe work Is c men d f rape od 80 day Section 106.4.4 Uniform Building Code). -(} -=,-- APPLICANT'S SIGNATURE\c:,_..,q4~;,A~a<,~:..::!<:=--I,:.+----------------DATE __ _.Y1.__-"'_f...;&:._ _____ _ .YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION INSPECTOR -~-"'--'-W)'-. ,....___ __ PERM:IT # Q'J 101..;:s . PLAN CHECK#--'------ JOB ADDRESS _ __,0'"""-=6~f..:..,,<3_~~h~<<t""'-<olL----'&~· "--"~'--. _· -"=a"--t_l<'.__,l ;y'"'-------'--- DESCRJPTION ____ _....:...1>,--::=:G::___ __________ _ CODE DESCRJPTION ACT COl\.1MENTS ti, . -~-----·-··-~--·~-----"