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HomeMy WebLinkAbout2380 SPRUCE ST; ; CB101769; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-27-2010 Mechanical Permit Permit No: CB101769 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2380 SPRUCE ST CBAD MECH 1560521700 $0.00 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: HARRIS: REPLACE FURNACE Inspect Area: Applicant: R M GRAHAM ENTERPRISES INC 1895 S CENTRE CITY PKWY ESCONDIDO CA 92025 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Ven• Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 Owner: R M GRAHAM ENTERPRISES INC 1895 S CENTRE CITY PKWY ESCONDIDO CA 92025 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL APPROVAL Date: fP · Z· (O ' Clearance: ISSUED 09/27/2010 JMA 09/27/2010 09/27/2010 $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 fo:1h in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Garlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure win 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/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. «~~; Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. CB O 110 ~ CITY OF CARLSBAD JOB ADDRESS 2380 Spruce Street Fax 760-602-8558 www.carlsbadca.gov UITE#/ PA #/UNI # Est. Value Plan Ck. Deposit Date Q SWPPP CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE CONTACT NAME (ff Different Fom App/leant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL 4 4 New furnace installation GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY Carlsbad PHONE F!REPLACE YESIZJ# AIR CONDITIONING No[] YES □No[Zj Jennifer Harris 2380 Spruce Street STATE ZIP CA FAX 760-412-0585 EMAIL FIRE SPRINKLERS YES0NO[Zj 92008 jennifer _harris05@yahoo.com PROPERTY OWNER NAME Jennifer Harris CONTRACTOR BUS. NAME ADDRESS Carlsbad CA 92008 PHONE FAX 760-412-0585 EMAIL (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 1s licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comme_nd1ng with Section 7000 of Division 3 of the Business and Professions Code} or Diat he is exemf)t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars [!!i500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afflnn under penalty of f)(Jljury one of the fallowing declarations: B I have and wm maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. I have and will maintain workers' compensation, as reQUired bv Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit 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: l certjfy that in the performance of the wor1<: for which this permit is issued, I shall not employ any person in any mcrmer so as to become subject to the Workers' Compensation Laws of Gallfomia. WARNING: Failure to secure wortl.ers' 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 compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the fallowing 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 C.ooe: The Coll tractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wor1<: 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). 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 contractor(s) licensed pursuant to the Contractor's License law). I am exempt under Section ____ Business and Professions Code for this reason: 1. ! personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number) 4. I plan to provide portions of the wor1<:, but I have hired the folk111ing person to coordinate, supervise and provide the major work (include name/ address I phone I contr.3::tors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wor11 indicated (include name I address/ phone/ type of work): .., 8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the a~licant or future building occupant required to submit a business..12!.WJ, acutely hazardous materials registration fonn or risk managemefll and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance .Account Act? D Yes LJNo Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or a!(..W;ality management district? [Jves D No Is the focility to be constructed within 1,<XXl feet of the outer tx:>undary of a school site? Oves LJNo 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1V11 Code) Lender's Name Lender's Address APPLICANT CERTIFICATION 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 Cityottlinances and Sta1e laws relating to building construction. I hereby aJlholize rei,eseo-of Ille City of Carlsbo:l to enter upon Ille abow mentioned propertylor inspeclon 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 pmnil is required for excavations over 5'0' deep and demolition or ronstruction of structures over 3 stories in height EXPIRATION: E~ pemiil issued by the Buik1ing Official under the provisions of this Code shall expre by limitation and oooome null and ',{lid if the buiiding or 'MJfk authorized by sudl permit is rot rommenood v.ilhin 100 days from the date of sudl pennlt or Wthe building oroork authorized by such permit is suspended or abancbned at anytime after the oork is rornmenced t>r a perioo of 100 days (Secoon 100.4.4 Uniform Building Code). -@S° APPLICANT'S SIGNATIJRE DATE I) City of Carlsbad Bldg Inspection Request For 10/06/2010 Permit# CB101769 Title: HARRIS: REPLACE FURNACE Description: Type: MECH Sub Type: Job Address: 2380 SPRUCE ST Suite: Lot: 0 Location: APPLICANT R M GRAHAM ENTERPRISES INC Owner: R M GRAHAM ENTERPRISES INC Remarks: Total Time: CD Description 43 AirCond/Furnace Set Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Requested By: JENNIFER Entered By: CHRISTINE