Loading...
HomeMy WebLinkAbout2742 SOUTHAMPTON RD; ; CB122585; Permit12-04-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB122585 Building Inspection Request Line (760) 602-2725 2742 SOUTHAMPTON RD CBAD PME 2081530700 Lot #: 0 ALLEN: REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/04/2012 JMA 12/04/2012 12/04/2012 MAJOR LEAGUE HEATING & AIR CONDITIONING ALLEN RICHARD H JR&PATRICIA E 1664 SEATTLE SLEW WY OCEANSIDE CA 92057 760-945-0975 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2742 SOUTHAMPTON RD CARLSBAD CA 92010 $0.00 $0.00 $154.00 $0.00 $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: Y"l· ~ Clearance: $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 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 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMlT ISSUANCE: ENGINEERING -~ ~:. :f;,: ~ CITY 01 CARLSBAD Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov JOBADDRESS~74 d-3,'-1..,R~ h '2.d.. SUITE #/SPACE# /UNIT# Est. Value Plan Ck. Deposit Date SWPP CT/PR0-J1fi_#_____ IL~:-# I P~~SE~,!""-:;);;o~F~U~N:n:s-:;_#BfDR~o~o-M·s--+--,~s-AfffRooMs oESd~IPTION OF WORK: Include Square Feet of Affected Area(s) __ _1 ______ ---"'---------------------'-------'--- C ~c.x ~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL -------------1-,E"' ________ =-,_,~~ ARCH/DESIGNr.R NAME & ADDRESS STATE UC.# STAT FIREPLACE YES □# __ NOD AIR CONDITIONING YES D NO □ FIRE SPRINKLERS YES D NOD (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 per_m1t to file a s1,e:ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9. commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a perm rt subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). aaJJJaammn:,,r Workers' Compensation Declaration: I hereby affirm under penalty of peljur; one of the following declarations 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 perm it is issued, 9' I have and will maintain worke tio , as requ· egJy Section 3700ofthe Labor Code, for the .perform~~9t.ofJlle work f:wh~~rmit iiiss_u~My workers' compen~1insura e arrier n number are: Insurance Co. _ _l_Jf:_~!;;:f!,l,,,\CA,Jj~O,~~----------Policy No."~~~~=~~ Exp1rat1on Date _jt This section need not be completed il the permit is for one hundred dollars ($100) or less 0 Certificate of Exemption: I certify that in 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 secure w r lawful, 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, da ion 3706 o the labor code, interest and attorney's fees. 1 ~ CONTRACTOR SIGNATURE<..__ I hereby affirm that I am exempt from Contractor's Ucense 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 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). D I, as owner of tile 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) D 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 o! the proposed property improvement □Yes □ Ne 2. I (have I have not) signed an appl1cat1on 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. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ 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 I address I phone l type of work): ~ PROPERTY'OWNER SIGNATURE □AGENT DATE Inspection List Permit#: CB122585 Type: PME Date Inspection Item 12/05/2012 43 AirCond/Furnace Set 12/05/2012 43 AirCond/Furnace Set 12/05/2012 49 Final Mechanical Wednesday, December 05, 2012 ALLEN: REPLACE FAU Inspector Act Comments RI CALL W/ETA PLS MC AP NEW FAU, EXISTING LOCATION RI Page 1 of 1