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HomeMy WebLinkAbout2885 SANFORD LN; ; CB082235; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-12-2008 Mechanical Permit Permit No: CB082235 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2885 SANFORD LN CBAD MECH 1674724900 Lot#: $0.00 Status: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: WALSH RES-REPLACE FAU-SAME LOCATION-NO DUCT WORK Issued: Inspect Area: Owner: WALSH PETER A&LAURA S WALSH PETER A&LAURA S 2885 SANFORD LN CARLSBAD CA 92010 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 2885 SANFORD LN CARLSBAD CA 92010 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL APPROVAL Date: 1-z.{ trot O e, Clearance: ISSUED 12/12/2008 RMA 12/12/2008 12/12/2008 $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 se'#er 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 ""ity of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UN!T# CT PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS {SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □ ·--NO □ YES □ NO □ YES D NO □ CONTACT NAME (ff Different Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ti CONTRACTOR BUS. NAME ADDRESS STATE ZIP CITY STATE ZIP ~1Afl FAX PHONE FAX E'cl'-g.a.pfJJ;.:~ @/lf)t.. VA1 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. UC.# (Se<. 7031.5 BusiMn and Profmions (ode: Any City or County: which requires a permit to construct. alter/ improvt, dtmoli1h or rtP.air any structure, prior to its issuance, also rtquim the ap_plicant for such P;trmit to ftlt a sfgn~ statement that he is ti<tnsed .J>Ursuant to the pro.,,sions of 1he Contractor's License Law {Chapter 9, commending with Se<tion 000 or D,~ision 3 of !ht Business and Pro1tssions Code} or that he is exempt there from. and the buis for 1he alleged txtmption. Any l'iola1ion of Sec1ion 7031.5 by ;iny applican1 for a p!rmit sub~cts the applicant 10 a civil penalty of not more than !i'I! hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/Owing declarations: 0 I have and wlll maintain a certificate of consent to self-Insure for worllers' compensation as provided by Section 3700 of the labor Code, for the performance of the worll for which this permit is issued. D I have and wlll maintain workers' compenaation, as required by Section 3700 of the labor Code, for the performance of the work !or which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. _______________ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: 1 certify that in the performance of the worll for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worllers' Compensation laws al California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney's fees. 2S CONTRACTOR SIGNATURE DATE OWNl!R•BUII.DER DECLARATION I hereby affirm 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 srne 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 worll himself or through his own employees, provided that such improvements are not intended or offered for ale. If, however, the building or improvement is sold within one year of completion, the owner-builder will haVe the burden of provi.ng that he did not build or improve for the purpose of sale). as owner of the property, am exclusively contracting with licensed contractors to cons1ruct the pr01ect (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply to an owner of roperty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section-· Business and Pro!essK>ns Code for this reason ~ 1. I ~rsonally plan to provide the maIor labor and materials for construction of the proposed property improvement □ Yes No _ti,, 2. ~have not) signed an application for a building permit for the proposed work -,,.,.. 5 /'3 / / 3. ve conira w the folio g person (firm) to provide the proposed constructt0n (include name address I phone I contractors' license number) /l 5 / 1/flf 71 fi/G,.5 work, but I have hired the following person to coordinate, supervise and provide the ma1or work (include name/ address/ phone/ contractors' license number): (hired) the frnlowing persons to provide the work indicated (include name I address/ ph ne / typ f work): 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 al the Presley-Tanner Hazardous Substance Account Act? 0 Yes □ No Is the applicant or tutu re building occupant required to obtain a permit from the air pollution control district or air quality management district? □ 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. I hereby authorize representative of AGAINST ALL LIABlLITIES, JUDGM OSHA: An OSHA permit is required lo EXPIRATION: Eve~ pem,n issued by 180 days from the date of such perm· J!5 APPLICANT'S SIGNATURE • UNSCHEDULED BUILDING INSPECTION INSPECTOR __._f1.._G ___ _ PERMIT# ~ o 0 Z'Z-?~ . PLAN CHECK# ____ _ JOB ADDRESS -Z.s 85 SA-t--1 'Fofl.:b 1-'4 DESCRIPTION ___ -______________ _ CODE DESCRIPTION ACT 4:4 fou~ -btJ~ bAtHfat~ A-? 4, r ~»JAc... ~I COMMENTS !5')c\-!,fl,Jt.:7 i-oc..a.n,,,, J I~ .A:111 G 7 'f:d? w · bucr~