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Home My WebLink About1612 STARLING CT; ; CB053622; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-19-2005 Mechanical Permit Permit No: CB053622 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1612 STARLING CT CBAD MECH Status: Parcel No: 2155906500 Lot#: 0 Applied: ISSUED 10/19/2005 LSM 10/19/2005 10/19/2005 Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: GAMBLE RES-REPLACE A/C & FAU Inspect Area: Applicant: ULTIMATE ATMOSPHERE STE 304 4241 JUTLAND DR 92117 858 274-5717 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 Owner: GAMBLE WARREN LIVING TRUST 1996 12-30-96 1612 STARLING CT CARLSBAD CA 92009 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due: Inspector: E){PIREO PERMIT PERMIT HAS EXPIREO_IN t,CCORDAN~EC~~~~o:oc. SfGl ION ·\06.4.4 AS AMENDED BY C. . • I , /'\OJ,< . , OAl' " " FINAL'.: A~-, rtuVAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval ot your project includes the 'IIT'jlOSilion" ct fees, dedications, reservations, or other exactions hereafter oollectively referred to as iees/exactions." You have 90 days from the date this permit was issued to protest i"l)Osition 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 prooessing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely fellow 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/exactons DOES NOT APPLY to water and sewer oonnection fees and capacity changes, nor planning, zoning, grading or other simlar application processing or service fees in oonnection with this project. NOR DOES IT APPLY to any . nf .. .h:.:.i.. '""' . • . • . • -.. . -~-~-... _ nf . . . 1,,,.,. • • • PERMIT APPLICATION • • CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. OB OS B~c?-~ EST. VAL. _________ _ Plan Ck. Deposit --~hr------ Validated By ___ -"'~___:::,:;.:.._..,,,... __ _ Date. ____ _,_\ O~)...:\C\.~J'--0=-~;;:.._ __ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units AsPJlssor' s Parcel II f-_1!.. (-'lg Cf AC t PAU Existing Use Proposed Use Description of Work J SO. FT. #of Stories II of Bedrooms II of Bathrooms Name Address City State/Zip Telephone # Fax# (Sec. 7031 . 6 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 exempt therefrom, and the basis for the alleged exem_mion. An violatipn of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). -a fMA~ r,er Ya-'4. v~ M · 5 -- Name State License II __,7......,..b<...<...,.3:...q.._..g._ __ Address City State/Zip Telephone II License Class C -'(}..f2 City Business License # _______ _ Designer Name State License # Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. 0 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 worker's compensation Insurance carrier and policy number are: Insurance Company_____________________ Policy No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) bZJ"' CERTIFICATE OF EXEMPTION: I certify that in the performance of he work for which this permit is issued, I shall not employ any person in any manner so as /o'liecome subject to the Workers' Compensation Laws of Califor · . WARNING: Failure to secure worker,· compenH ege 11 unlawful, end ahaN 1ubject an employer to criminal penaltlH and civil flnea up to one hundred', thouaand dollen ($100,000). In addlt t ~?f"t¥1P Ion, damages aa provided for In Section 3708 of the Labor !°i' lnt7•t ~ttomey'a feea. SIGNATURE DATE lO' G °I _(f 15 . 0 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). 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 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. 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 (inciude name / address / phone number/ contractors license number):. ______________________________________________ _ 6. 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):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ~~~;;,;;:;~.:;;;..;:.=::.;;-~-~~™'.;;;· ::;_:;:;,u;:;;u,m;;;;.;;,N.!;;;!lm~R;;M!I::.:•'r~s ;;;_::oN;;;. !.1~~==-~~:.i-=.:..:=.~:.~~-=.:.ii:.:.~5i~=:.~i:.:.~:.~;;;;;;;:....,.._ --- 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 26505, 25633 or 26634 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 management district? 0 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~·~ c::,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(11 Civil Code). LENDER'S NAME ~Qllig 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 with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permll 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 commenced within 180 days from the date of such permit or if the bui · · -or work authorized by such permit is suspended or abandoned at any time after the work Is commenced for a ~ of 180 days JSection 1 . 4 Unilo · 1ng Code). DATE __ (o--J/'--1-41-+/o-1.<--:,1-s=-- PINK: Finance