HomeMy WebLinkAbout1230 TAMARACK AVE; ; CB101940; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-20-2010 Mechanical Permit Permit No: CB101940
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
1230 TAMARACK AV CBAD
MECH
2054306800
$0.00
ROSSALL: REPLACE FAU
ACE CONTRATORS
27065 N. BROADWAY
92067
760-7 49-4 702
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
Status:
Lot#: 0 Applied:
1
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ROSSALL BARBARA J 1995 TRUST
1230 TAMARACK AVE
CARLSBAD CA 92008
Total Fees: $24 00 Total Payments To Date: $0.00 Balance Due:
Inspector: y"n ~s
FINAL A~PROVAL
Date: li,h hi '"' Clearance:
ISSUED
10/20/2010
JMA
10/20/2010
10/20/2010
$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 t\"e "Imposition" of fees, dedications, reservations, or other exactions hereailer collect1vely
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. 11 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 mlormation 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
fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute ol limitations has nrevioushi otherwise Pxrnred.
«~> ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
--Fax: 760-602-8558
www.carlsbadca.goy
SUITE#/SPACE#/UNIT #
Plan Check No, Cf:;,
Est. Value
Plan Ck. Deposit
APN
# BATHROOMS TENANT BU INESS NAME CO~TR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#~ NOD YES □ NOD YES □ NOD
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS CITY BUS. LIC.#
-2.D
(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 1s licensed pursuant to the provisions of the Contractor's License law /Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code] or fuat he is exempt therefrom, and the basis for the alleged exempt1on. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars ($500}).
Workers' Compensation Declaration: I hereby affirm under penalty of peljury 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 whict, this permit is issued.
~ve and will maintain wo kllfS' compensation, as required o/ Section 3700 of he Labor Code, for the performance of the work for w~ich this permit is issued. My worllers' compens:z· in~rance carrier and policy
number are: Insurance Co. • . -t , ·) Policy No./JJf.J{)(;) 445 51:Xi I Expiration Dale ~-£ > / / I I This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perfo(lTiance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to Iha Workers' Compensation Laws of
California. WARNING: Fallure to secure worker lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damage the Labor code, interest and attorney's fees.
_8$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from 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 app~ to an owner of property who bliilds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered fCI'
sale. If, however, the building or improvement is sold within one year of complebon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sate).
□ I, as owner of the property, am ex.elusively contracting wrth 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. I personally plan to provide the major labor and maten'als for construction of the proposed property improvement. 0 Yes O No
2. I {have/ have not) signed an application for a building permit for the proposed work.
3. I have conlracted with the folK>wing person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan lo provide portions of the worll, but I have hired the following person to coordinate, supervise and provide the major work {include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of WOO):
_85 PROPERTY OWNER SIGNATURE □AGENT DAT"f
COMPLETE THIS SECTION FOR NON•RESIDENTIAL SIJILDING PERMITS ONLY
Is lhe awJicant or future building occupant required to submit a business plan, acutely hazardous materials registralioo form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act.? 0 Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution COf1lrol 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? □ Yes □ 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.
I certify that I have read the application and state that the above lnfonnation Is correct and that the infonnation on the plans Is accurate. I agnie to comply~ all City on:linaoces and State laWs relating to building construdkJn.
I hereby auflorize represeolati,e of lhe Cilyof Garlsbad ID enter upoo lhe above mentioned property~, nspeclkx, pu,poses. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS lliE CITY Of CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF lliE GRANTING Of llilS PERMIT.
OSHA: AA OSHA pennd is required for excavations ovet 5'0' deep and demolfon er conslructi:ln of slructures ovet 3 si>res il heght.
EXPIRATION: Every penntt issued by the BuK!ing · !J.H'lde' the provisbns of this Code shall expre by limitation and berome nul and vokl f the buiklilg or \YOl1( autlorized by such pennll is not oommenced 'Mlhi'1
180 days from the date of such pennll or iflhe .-;~~-,;av.ori(; • sudl is suspended or abandoned at any time aklhe \YOl1( is commenced for a peood of 180 days {Section 1004.4 Unibm Buikiilg Code). / tl, /
. ,t:', ..8$ APPLICANT'S SIGNATURE DATE 0
City of Carlsbad Bldg Inspection Request
Permit# CB101940
Title: ROSSALL: REPLACE FAU
Description:
For: 10/25/2010
Type:MECH Sub Type:
Job Address:
Suite:
Location:
1230 TAMARACK AV
Lot: 0
OWN ER ROS SALL BARBARA J 1995 TRUST
Owner: ROSSALL BARBARA J 1995 TRUST
Remarks: Tony
Total Time:
CD Description Act Comments
44 Rough/Ducts/Dampers
Inspector Assignment:
Phone: 7602725648
Inspector: /'.It(, _ _._ __
Requested By: JULIE
Entered By: CHRISTINE
c.tl-et> e,,j :St$,
~ .-f'~~l-. ---~-~· r1 ~
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
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