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Home My WebLink About1963 SWALLOW LN; ; CB011094; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/05/2001 Mechanical Permit Permit No: CB011094 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1963 SWALLOW LN CBAD MECH 2150521340 $0.00 BRISKEN RES/ NEW FAU Lot#: 0 Applicant: Owner: SOUTHCOAST HTG & AC BRISKIN BERNARD SEPARATE PROPERTY TRUST 07-27-93 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/21/2001 CB 03/21/2001 03/21/2001 4055 OCEANSIDE BL OCEANSIDE CA 92056 1010 WOODLAND DR BEVERLY HILLS CA 90210 5936 04/05/01 0002 01 CGP Total Fees: $24.00 Total Payments To Date: $0.00 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 Inspector: Ud't.. -~ 1 0 0 0 0 0 FINAL APPROVAL Date: 'a-/'iJ-o I Balance Due: Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $24.00 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 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, or annul their imposition. You are hereby FURTHER NOTIFIED that your r~ht to protest the specrried fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 02 24-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoLBa //Oq4 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_C;:,·~• 8=------- Date "?z::2-1-(j 1. PROJECT INFORMATION /748 8<,'.)A'-:(-PW Address (include Bldg/Suite I) Business Name {at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use Description of Work Ref lo...t.L. 'F\.AfVl.O...C.o__. sa. FT. z; :CONTACT'PERSON.-Of dff.,.nt from appllcantl ·,_ \ #of Stories # of Bedrooms # of Bathrooms tu: ::fn :m, s 6:1 l 'n:, .J(i,,l.jl v,~ m rf'c ur 92-QS:Ca 700·'141-2000 Name Address 3. APPLICANT O Contractor □·Agent for·contractor O Owner Name Address 4. PROPERTY OWNER Name Address G, , ·CONTRACTOR· COMPANY NAME City D Agent for Owner City State/Zip Telephone # State/Zip Telephone# Fax I ;i_-0757 (Sec. 7031.5 Busine11 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 allaged exemption. y violation Section 7031.5 by •~Y applicant for a permit subject the a Ucant tr9,civil enalty of not more th,n five hundred dollars [$50011. 4-.'h -9<//·')DOO Name Address City State/Zip Telephone # State License • (qt./ f:5?).s,"'Q ucen,e c, .. ,c,,w , c, :3 a ,C/tB. I City Business License # {IZf 7 G,q) Designer Name Ste to License # I/ Y 50 S'Q &. WORKERS' COMPENSATION Address City Workers' Compensation Declaretion: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. riJ' I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My worker's compensation insurance carrier and policy number are: 1nsuranceCompanyQwuflran l:\om,. f\$lA((LV\,c.t... PolicyNo.]Qf;J..9 73, ExpirationDateW-Ol -Q().... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100) OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to HCUre worker•• compenntion cov•rap la unlawful, and aheH subjact an employa, to criminal penalties and civil fines up to on• hundred thousand doUan f$ 0,0 ) In addttlon to th c of c mpensatlon, damages u provided for in Section 3706 of thl"l labor coda, Interest and attorney's fees. SIGNATURE_.£:,.1".J!l:.'.l.,:Zl.ClJ~'-4---<:a,!::'i:J.:!~~---------------DATE 7. OWNER•BUILOER DECLARATI N I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 t, JI$ 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, 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 ownar of property who builds or improves thereon, and contracts for such projects with contractorls) 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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following parson (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 (include nama / address / phone number/ 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 number / type of workl:, ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ COMPLETE THIS SECTION /:OR NON-RESIDENTIAi; 8UILD1Ntl'PERMITS ONLY. 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO , .. ,1:,,,. .-~r,lir1tnt n~ ft 1tur,. h1 tilding occuoi1nt r&t'.!Uired to obtain a permit from tha air pollution control district or air qvality manegement district1 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the applicetion and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinancas 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 permit 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 th dale of such permit or if the building or work authorized by such permit is suspended or abandoned al 8ny time after the work is com need t r period of 180 d s tio 106.4.4 Uniform Building Code). DATE PINK: Finance ------·-·-··---- t/)1E-S" City of Carlsbad Bldg Inspection Request Permit# CB011094 Title: BRISKEN RES/ NEW FAU Description: For: 08/09/2001 Type:MECH Sub Type: Job Address: Suite: Location: 1963 SWALLOW LN Lot 0 Inspector Assignment: I( C/!, Phone: 7606020757 Inspector: /? C 8 OWNER BRISKIN BERNARD SEPARATE PROPERTY TRUST 07-27-93 Owner: BRISKIN BERNARD SEPARATE PROPERTY TRUST 07-27-93 Remarks: Total Time: CD Description 43 AirCond/Furnace Set Associated PCRs Inspection History Date Description Act Comments Act lnsp Comments Requested By: JEFF Entered By: CHRISTINE