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HomeMy WebLinkAbout2368 SUMMERWIND PL; ; CB061974; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2006 Mechanical Permit Permit No: CB061974 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2368 SUMMERWIND PL CBAD MECH Status: Parcel No: 2081703200 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: GINSBURG RES INSTALL A/C UNIT Applicant: HUTCHINSON HEATING AND AIR 37824 VERANDA WY MURRIETA CA 92563 951-375-7385 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 Entered By: Plan Approved: Issued: Inspect Area: Owner: GINSBURG ROBERT $&LINDA S 2368 SUMMERWIND PL CARLSBAD CA 92008 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: Clearance: ISSUED 07/11/2006 KG 07/11/2006 07/11/2006 $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 pemiit 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 Cartsbad 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 f es/exactions f whi h hav r vi I b n iv n N Tl i ii r his r as I whi h h f limi ation h i I FOR OFFICE USE ~LY PLAN CHECK NoLW'JJq) tj PERMIT APPLICATION EST. VAL. _________ _ Plan Ck. Deposit --------,¥.t'--- CITY OF CARLSBAD BUILDING DEPARTMENT Validated By-~~-,,.-l,tl---- 1635 Faraday Ave., Carlsbad CA 92008 Date ---K-=t-.J-Jll.~'1------ Address (include Bldg/Suite#) Business Name (at this address) Legal Description Loi No. Subdivision Name/Number Unit No. PhaseNo. Total# of units Assessor's Parcel# Proposed Use # of Bedrooms State/Zip Telephone# Fax# Name <..::, 1"' ~b "',.-"'--' Add,ees 5. CONTRACTOR -COMffiNY NAME ~ .. OWne,- Telephone# Qty Slala/Zlp (Sec. 7031.5 Bueinen and Profnslonl Code: Any City or County Whictl requiree a pennlt to construc:t, alter, improw, demolish or repair any structure, pnor to its issuanoe, also requires Iha appHcant for such permit to file a signed atatement that he ill licaneed PUl"SU8nt to the provlslona of the Contractor's Licen8e Law (Chapler 9, commending with 88clon 7000 of OM91on 3 of the Business and Prornsions Code) ot that ti. 19 exempt therefrom, and the basil for the aUeged .-,nption. My violatiOn of Secllon 7031.5 by any ~•perm•subl ~"c"';:CMl-<lfnolmora :[ovehund dolia,s{$500]). L..) I)~"'-S'~3'1,S"'-7'3-1'~ = Ucense # 'J, LI-:) CaJ. S Adaes8 Uoenoe Class __ __,______ City e..::::.. Ucenoe# Telephone# Designer Name City Telephone# Stale License# ______ _ I. WORKER'S COlll'ENSATION Workerw' Compensation DeclaratiOn: I hereby affirm under penally cl perjury one of the following declarations: □ I have and wiH maintain a certificate of consent to salf•inaura for work9"S' compenYtiOn es provided by Section 3700 of the Labor Code, for the performance of the work forwhid'I thi• permit i& issued. □ I have and will maintain worker's oompensation, as required by Section 3700 of the labor Code, for the perfonnanca of Iha wont for whidl this permit ia iBsued. My worker's oompenution insurance canier and policy number are: Insurance Company ______________ Policy No. __________ Expiration Dale _________ _ l lS SECTION NEID NOT BE COMPLETED F THE PERMIT 18 FOR ONE HUNDREO DOUARS ($100] OR LESS) CERTIFICATE OF EXBIPTION: I certify that in lhe performance of the worit for which this permit Is Issued, I shaU not employ any person in any manner 90 as k) become subject 10 the Workera' Compensation Laws of Cellfomla WARN1NO: failure to N wortcers' compenutfart ooverage 51 unlawful, llnd ahafl aubjHt an MiP1oYW to crfmtnal penalties and chll tlnM up to 0119 hunchd lhouaand :)._ doltar.($100,NO), 1 ... ""'°"1D the cnt:JJl!,o.....&..ton. .....,_..,. provtclNfor In SN:tlon 370lofthe Labor Cods,,..,... llnd attontay'~/ / 1 \,) SIGNATURE ,...-.,~.J. ~. /'7'1.,.. DATE 'V7 JI, i).., 7. OWNER-BULOER DECIARATION ~ I hffltbyaffirm that I am -,.mptfromthe Conltaclor's Licenae Law for the following reason: CJ l, as owner of th& property or rny emplo)eas with wages as their sole compensation, win d the work and the structuNI is not intended or olferad for sale (S.C. 7044, Business and Professions Code: The Contractor's Lieense Lew doe9 not apply to an owner DI property who builds or irnpr0V91 lherwon, and who does such 'Mll'k himself or through his own employees, provided that sueh improvements are nol intended or offered i:)r sale. H, however, the building or imp!'OY8ffl9rlt is aold Within one year of completion, the owner-builder will havetht bordeo of pl1Mng that he dld not build or improw for ttle purpose of sale). CJ I, as owner of tne property, am exdusively oontracling with llcensed coulracbs t, comltrud the project {Sec. 7044, Business and Profeslions Code: The Contracklr's License Law dOas not app!y t, an owner of property who builds Of improves thereon, and 00ntradl for such projects with c:ontrador(s} licensed purauant to the Contractor's LiconNLaw), 0 I am exempt under Section _______ Business and Professions Code for this reason: 1. I penwnally plan to provide the major labor and ma1Brials for construction cl the ptOp098d property improvement. CJ YES CJ NO 2. I {have/have not) eigned an application for a buildlng permit for the proposed work. 3. I have contracted with 1118 followinlil p,nori (fifm} to provide the proposed conslrucllon ~ndude name I addl'8SI I phone number I contnlclors licenae number): 4. I plan to provide pot1ions of th& 'M>rit, bul I have hired the folloWing person to coordinate, supervise and provide the major wont {intlude ,..me I address I phone number I lontradorslicansenumber): -----------------------------------------5. I will provide 90ffle d ~ work, but I have contracted (ttlred} the followmg parsons lo provide the wonc. indicated (include name I addran I phone number I type of work}: PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Aol>llcant Pli'I<: Finence ------·--------~---. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page2of2 COMPLETE THIS SEC110N FOR NON-RESIDENnAL BUILDING PERMffS ONLY ts the applic:ant or future building occupant required to submit a business plan, acutaly haZardoU8 mat&rials registndlon for or risk manar,ement and pteYenllon program under Sections 25505, 25533 or 25534 of 1he Presley-Tanner Hazardous Substanca Account Adi □ YES □ NO ts the applicant or future building OCOJpanl required to obtain a permit from the air pollutloo control district or air quality management district? tJ YES O NO Is th& facility to be constructed within 1,000 feet of 1he outer boundary of a school site? □ YES □ NO IF ANY OF Tlfll ANSWERS ARE YES. A FINAL CERTFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR 18 MUTING TltE Rf.QUIREM&NTI OF THE OFFICE OF l!IIERGENC'Y' SERVICES AND THE AIR POU.UTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that th8l'e is a oonetruclion lending agency for the performance of the work for which this permit is issued {Sec. 3097(1) Civit Code). LENDER'S NAME _________________ _ LENDER'S ADDRESS __________________ _ 9. APPLICANT CERTFICATION I certify that I have read Iha application and stalti that Iha above inforrnetlon Is corred: and that the information on the plans is accurate. I agree to comply \Mth alt City ordinancee and Stale laws relating to building c:onstruc:tion. I heraby authorize repnmentatives of the City al Carlsbad to enter upon the abcwa mentioned property for inspection purposes. I ALSO AGREE TO SAVE, NDEIINIFY AND KEEP HARMLESS THE CITY OF CARL.8BAO AGAINST AU. UABI.ITES. JUDGEMENTS, COSTS AND EXPl:NSES WHICH MA.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS Pl!RIIIT. OSHA: An OSHA permit is required for excawd:ions of 5'0" deep and demolition or cons1ructlon of slruetu1'91 over 3 stories In height. EXF'tRATION: Evety permit issued by the building Official under the provisions of lhis Code shall expire by limitation and become null and void if the buMdlng or~ authorized by such permit is nOI commenced within 180 da)l9 from the date of SUCh permit or if the building or work authortzed by such permit Is suspended or abandoned al any time after the work. is commenced fora period of 180 days (Section 106.4.4 Unlfonn Buik:llng Code). APPllCANr·s SIGNAruRe. Tc----'--12 ,._ · I' ~X,,__ oAre~~+-/~10_,,_,J-=-o_& ___ _ WHITE: FIie YELLOW: Alllllicant PINK: Finance . . m ' City of Carlsbad Bldg Inspection Request . . For: 08/09/2006 . Permit# CB061974 Title: GINSBURG RES INSTALL A/C UNIT Description: Type: MECH Sub Type: Job Address: 2368 SUMMERWIND PL Suite: Lot 0 Location: OWNER GINSBURG ROBERT S&LINDA S Owner: GINSBURG ROBERT S&LINDA S Remarks: Total Time: Inspector Assignment: Phone: 9513757385 Inspector: Requested By: THERESA Entered By: CHRISTINE CD Description 43 AirCond/Furnace Set ~-o_m_m_e_n_t ----------------- t.lff f\~ -N{J- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments