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Home My WebLink About2758 SOUTHAMPTON RD; ; CB020568; Permitj ~ \9" -City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-25-2002 Mechanical Permit Permit No: CB020568 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2758 SOUTHAMPTON RD CBAD MECH 2081403000 Lot#: 0 $0.00 DEATON, BROWN RESIDENCE REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/25/2002 MOP 02/25/2002 02/25/2002 DEATON MICHAEL&BROWN CANDACE DEATON MICHAEL&BROWfitJ9&,t'-!flA§E02 2758 SOUTHAMPTON RD 2758 SOUTHAMPTON RD GARLSBAD CA 92008 CARLSBAD CA 92008 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 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: ~ {/J.,,/,,,.:._, 1 0 0 0 0 0 FINAL APPROVAL Date: 3/ 0 •I/ 0 2- $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Clearance: ______ _ 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 lega! 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 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 nreviouslv otherwise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ~1 1 •. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK N0.62 ·')'"" 8 EST. VAL. __________ _ Plan Ck, Deposit ________ _ Validated By __________ _ Date, _______________ _ ,, -,2,,58 So,2+b:z,n::ir100 Roacl Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Ass~rcel # ---I '~ \ D c e E A ! J Existing Use Proposed Use · Description of Work SQ, FT. #of Stories # of Bedrooms # of Bathrooms -f--/V\oo, co r o L.~--,, I_ s op,1,"\ (..c .,-H 2.' CONTACT'PERSON (If dlffirant'from applfuant) L j lA.) y Y eNt¢c'f1 -,,e B,\J Sc 612sI"' cJ/lonccO 72,2- OCRCV>"\.Qtou.. Name Address City State/Zip Telephone# Fax# a-." APPLICANT O Contractor O Agent-for-Contractor &owner D Agent for Owner -f (aoclac£ Bc,Jc00 2758 So,/\bofrl/)To0Ral Name( !;/ ,o,,; /) ~ )I\, ( h Q el ,-..._ Address I G;ty 4. PROPERTY OWNER -~-nx, 27~E Name Address City Ca c(, blilct State/Zip (.A q)Q{] z Telephone# '>CJ, , 7ba mp ID D Rd 7 2 '7 Telephone# 52'::IS 6. CONT.RACTOR, COMPANY NAME (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 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 exemption. Any violation 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). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. D 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) D 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 secure workers' 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. SIGNATURE _____________________________ _ DATE _________ _ 7. OWNER-BUILDER DECLARATION J hereby affirm that l am exempt from the Contractor's License Law for the following reason: D 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). "1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The tontractor'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. 2. 3. 4. I plan to provide portions of the work, but I have hired the followin person to coordinate, supervise and provide the major work (include name / 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 work): __________________________________________________________ _ 'J PROPERTY owNER stGNATURE Ca &1./eia& &r 2 l. .J\.,'.\..,,...I -,L. .COMPLETE THIS,SECTION FOR NON-RESIDENTIAL BUJLDING PERMITS ONLY DATE Joh 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 Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 1 hereby affirm that there is a construction lending agency for the performance of the woik 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 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 Cit\t of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 nul! 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 building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _ __.Q__,Vi-""M'-"-'-'<'-'C-j_._',,?,j"<"'-',,('."'-'<!,c._~bcr;.,L..-'-0"-<'.,s..,LM"'-.__,,c_ _______ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/28/2002 Permit# CB020568 Title: DEATON, BROWN RESIDENCE Description: REPLACE FAU Type:MECH Sub Type: Job Address: 2758 SOUTHAMPTON RD Suite: Lot 0 Location: APPLICANT DEATON MICHAEL&BROWN CANDACE Owner: DEATON MICHAEL&BROWN CANDACE Remarks: Total Time: CD Description Act Comments 43 AirCond/Furnace Set If f' f IV /1'- Associated PCRs Inspection History Date Description Act I nsp Comments Inspector Assignment: /( {,,/!) Phone: 7607295245 Inspector: /I cJ3 Requested By: CANDICE Entered By: CHRISTINE