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HomeMy WebLinkAbout2668 SAUSALITO AVE; ; CB100206; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-03-2010 Mechanical Permit Permit No: CB100206 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2668 SAUSALITO AV CBAD MECH 1675612500 Lot#: 0 $0.00 KIMBALL RES-INSTALL 2 DUCTLES NC UNITS WI ELECTRIC Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02103/2010 LSM 02/0312010 0210312010 MAJOR LEAGUE HEATING & AIR CONDITIONING KIMBALL RAYMOND&MICHELLE TRUST 01-09-04 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 2668 SAUSALITO AVE CARLSBAD CA 92010 Total Fees: $53.00 Total Payments To Date: $53.00 Balance Due: Inspector: FINAL APP Date: Z.. Clearance: $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $53.00 $0.00 NOTICE: Please take NOTICE tha. ·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, Of" 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 f IX in I n j n N Tl imil r hi r i h h flimi in h I h l'Ni A. /'\J'I. • ,... .,...._ ,,,,.... r ·;.. «"~ Building Permit Application ,-,nu l'IIU0 '--""!.. J "-"' - 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~c I TY OF 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit ' CARLSBAD www.carlsbadca.gov Date~ 03 / lU ~~..,--vJ '1 - JOB ADDRESS • . di r t,5/.,, _,J q7o, 0 SUITE#/SPACE#/UNIT# IAPN ,?, 66'6" -::,4,.; <; aJ, -/-c, Ave --- CT/PROJECT# ILOT# I PHASE, I# OF UNITS # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) r 7 l /:,_, "-1--sz.> Dvc.+I.:: ss , Sol:../-l'•ssetl-J ,,)/ ov-1-TV>t>r v,.J,+-s /:, seer ~ V u.J/~ I EXISTING USE I PROPOSED USE GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES O NO □ YES O NOD CONTACT NAME (ff Different Fom Appllcant) APPLICANT NAME !It. h .. HIJ.Tt:>t!. l~6 ,:.,e ~ 1r.1,r ei,-,,/ //11t .. ADDRESS ADDRESS sea-fl-le <:Jew ./ /&tf U)/N CITY STATE ZIP CITY STATE 9 ZIP CJC.tar1s;de cw ';/OS-7 PHONE 1FAX PHONE 7t0--94s-097S-1'~60-"'Jf.S--d.;uO EMAIL EMAIL //4 u /l:TCJl2{.e,I!/ l,te 'v /!I~¢ I@, Sb c.a ld6a / ,v-e-f PROPER£~~··;;!. ~} I CONTRACTOR BUS. NAME .LJ . <',1;;.:.e, ,5 II J/1 -.,,,-e_,., Aol•,s68'"-S7Ju5a..l ;;c, ADDRESS -t111e CITY ~ C,,,L.5. 61 STATE CJ,),oJ C> ZIP CITY STATE ZIP PHONE lFAX PHONE I FAX 7 6 ()-7 JA-0 ~ol EMAIL EMAIL / l'Z...161.J.I ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.~OI ~q-, I CLASS \l.Cl~B~S ... LIC.# ----_, c-zo (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also r~uires 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 Code} or that he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the appUcant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the following declarations: D I 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 of the work for which this permit is issued. _ii 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 issued. My workers' compensation insurance carrier and policy numbe,ar_e:lnsu,anceCo. bt,R/4:>YC,,f C"'W'JLJ z,<IS<,1/,;;,na:: PolicyNo. //DP 030),,:flt Zc>'i{ Expi,ationDale 7-.l-1-/0 r , This section need not be C001pleted if the pennit is for one hundred dollars ($100) or less. D Certificate of Exemption: l certify that in the P. ance 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 wo rs' mpensatlon coverage I ul, 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, dam provt 17'~ Seetio f the Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE ~ I hereby affirm that I am-exempt from Contractor's Ucense 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 Ot lhrough his own employees, provided that such improvements are not inteoded 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 contraclor(s) licensed pursuant lo 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/ have not) signed an application for a building permit for the proposed work. 3. t have contracted with the following person (finn) to provide the proposed construction (include name address I phone/ contractors' license number): 4. ! plan lo 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): AS PROPERTY OWNER SIGNATURE □AGENT DATE CGM'PlETE THIS SECTION FOR NON•Rl!:SIDENTIAL BUii.DiNG PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No 1s the facility to be constrJJctedwithin 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF fHE 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 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'Mth all City ordinances and State laws relatlng to bulldlng construction. I hereby aufoize representative of ~e City of Carlsbad to enferupon ~e above mentioned property for nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF ms PERMIT. OSHA: M OSHA perm~ is requred fcf excavations 'O' deep and demolition or conslruc:tion of structures over 3 stories in hei!1lt- EXPIRA TION: Every permit issued by the Buildi I under the provisions of thi shall expire by limitation and become nuN and void if the buildiig or v.ork authorized by such permit is not coovnenc:ed 'M1twl 180 days from the date of such pennitor if the.. or WOO< authorized by su is suspended or abandoned at any time after lhe WOO< is oommenced ft( a perkxl of 180 days (Seclion 106.4.4 Uniform &liking Cooe). ,f!5 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 02/05/2010 Permit# CB100206 Title: KIMBALL RES-INSTALL 2 DUCTLES Description: A/C UNITS W / ELECTRIC Type:MECH Sub Type: Job Address: 2668 SAUSALITO AV Suite: Lot: 0 Location: Inspector Assignment: Phone: 7607200852 Inspector: ---- APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING Owner: KIMBALL RAYMOND&MICHELLE TRUST 01-09-04 Remarks: 10:30AM • 2PM WINDOW PLEASE. CALL if NO Total Time: CD Description Act Comments Requested By: MICHELE Entered By: CHRISTINE 43 AirCond/Furnace Set C!J #------+-~---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act tnsp Comments