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Home My WebLink About2630 SAUSALITO AVE; ; CB092005; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-01-2009 Mechanical Permit Permit No: CB092005 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: AIR SERVICES STE 104 2630 SAUSALITO AV CBAD MECH 1675116700 $0.00 NEWSOME RESIDENCE REPLACE FAU 7040 AVENIDA ENCINAS CARLSBAD CA 92011 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 Status: Lot#: 0 Applied: 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: NEWSOM THOMAS A TRUST 2630 SAUSALITO AVE CARLSBAD CA 92010 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL APPROVAL Date: / ;;z_ -.:z -p.:;, Clearance: ISSUED 12/01/2009 MDP 12/01/2009 12/01/2009 $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 infonnation 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 x i n f whi h h v r vi ! T 'mil r hi r whi h h f imi i n I ..-- Plan Check No. (f{ -L,OO') «~~~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date APN PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NOD YES □ NOD CONTACT NAME (If Dlffetent Fom AppllcantJ APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL ZIP '1Z..o/ 0 ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS C-z.o (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 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 Code} or that he is exem[lt 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 {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pa,jury ooe oftha following declarations: D I have and will malntaln 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. 'l'a I have and will maintain workers' ired by Section 3700 of the Labor Code, for the performance of lhe ~ ~ich this~rmil is issued. My workers' compensati, inT~er and policy /-numberare:lnsuranceCo._'.~~~'C...1:"<£:--e.\.. __________ ~PolicyNo. (f'.2.~"4 -L.-l>d:3 ExpirationOate \(-l,-..2J:D. 20( D This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of ExempUon: 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 lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage 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 compenutl ages as provkt n Section 3706 of the Labor code, Interest and attorney"s fees. _.MS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucensa 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 Contrac!Of's License Law does not apply to an owner of property v.,tio builds or improves thereon, and who does such WOO( himself or through his own employees, provided that such improvements are not intended Of offered for sale. II, 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 ownBf of property who builds or improves thereon, and contracts la such projects with conlractor(s) licensed pursuant to tile Contractor's license Law). □ I am exempt under Section _____ B,usiness and Professions Code for this reason: 1. t personally plan lo 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 the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. 1 plan to provide portions of the woo, but I have hired the following person to coordinate, supeivise 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/ address/ phone/ type of work): ,.15 PROPERTY OWNER SIGNATURE □AGENT OAT£ 'COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven~on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is lhe applicant or future building occupant required to obtain a pem1il from lhe air poUon 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? D Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFK:ATE Of OCCUPANCY MAY NOT BE ts SUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDIN(FAGENC'Y I hereby affirm that there 1s a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) Civil Code) Lender's Name . Lender's Address APPLICANT CERTIFJCATlOI\I I certify that I have read the application and state that the ab!M! Information Is conectaod that the lnfonnation oo the plans is accurate. I agree to complywktl all City oldinances and State laws relatlngtD bulldlng construcUon. I hereby autiorize representative of the City of Carlsbad b enter upon tie above menooned property for inspecoon purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 0:-CARLSBAD AGAINST ALL LW!ILITIES, JUDGME1'1TS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGl'JNST SAO CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA ~rmH is requi'ed br excavations over 5'0' deep and dernolilicx'l or construcoon of structures over 3 sbies ii height. EXPIRATION: Every permit issued by lhe Building Oflk:ial under lhe provisK:ins of lhis Code shall er.pre by Imitation and becoole nul and void N lhe buildi'lg or work auflorized by such peorit is not conmenced ~ 180 days frcrn the date of such pemil a: buldng or · by such permtt is suspended or abaoooned at any line after lhe \WfK is rommenced for a period of 180 da),, (Secti:ln 106.4.4 Unibm Buiklng Code). ,65 APPLICANT'S SIGNATURE DATE ~ w City of Carlsbad Bldg Inspection Request Permit# CB092005 Title: NEWSOME RESIDENCE Description: REPLACE FAU For: 12/02/2009 Type: MECH Sub Type: Job Address: 2630 SAUSALITO AV Suite: Lot 0 OWNER NEWSOM THOMAS A TRUST Owner: NEWSOM THOMAS A TRUST Remarks: Total Time: CD Description Act Comments n? Inspector Assignment: Phone: 7607397259 Requested By: REV Entered By: JANEAN 44 Rough/Ducts/Dampers 49 Final Mechanical -I------ -------------------------·-·- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments