HomeMy WebLinkAbout1756 TAMARACK AVE; ; CB070830; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-27-2007 Mechanical Permit Permit No: CB070830
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant
LEGEND SERVICE
SUITE 15
2588 PROGRESS ST
VISTA CA 92083
760-631-8397
1756 TAMARACK AV CBAD
MECH
2073100100
$0.00
KING RESIDNCE
REPLACE FAU IN GARAGE
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:
KING CINDY LIVING TRUST 12-14-06
1756 TAMARACK AVE
CARLSBAD CA 92008
Total Fees $24.00 Total Payments To Date $24.00 Balance Due:
Inspector: fv\ ~
FINAL Af PRQVAL
Date: I z_, I 17,, j c,7 Clearance:
ISSUED
03/27/2007
MOP
03/27/2007
03/27/2007
$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/exact1ons." 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 CDde 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 hc1ve oreviouslv been niven a NOTICE similar to this or as to which the statutA of limitations h;:is nrevinuslv otherwise exnired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. 6J-Bb0
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date _____________ _
Adlress (include Bldg/Suite #) ' Business Name (at this address) ~~D legal ~\,tion Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
Name Address
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Name Address
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(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 P~ssions 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 ermit subjects e applicant civil penalty of ore than five hu red dollars ($5001).
State license # -~~,,., ..... ~?=8'::½~c_,,__,_/_ ,..-
Address
license Class _ _.,c-_·~:.a-.=~-c;) ___ _ City State/Zip Telephone# "6':::::,,,, 8''">
City Business license # /,l [ !Jtf'i3 ~ ..:J/
Designer Name Address City State/Zip Telephone
State license # _________ _
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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.
@ 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 d policy number are:i:=C).' _ J /
Insurance Company s Policy No/4,/){rjlol w-0 s: Expiration Dat~~A?
ITHIS SECTION NEED NOT BE CO PLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 ""'!111!11..,,..lo,n coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars 1$100, the cost of compensation, damages as provided for in Section 3706 of the Labor co , lntere and attorney's fees.
SIGNATURE DATE
I 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).
D 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 owner of property who builds or improves thereon, and contracts for such projects with contractor(sl 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 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. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number):
4. J plan to provide portions of the work, but I have hired the following 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): __________________________________________________________ _
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? 0 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.
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I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS-________________________ _
:~;:; ::~liPl!ii:Af.lt:'!:QillFIMTIONr:i:.::
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 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 Offici~I nder 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 d s from the date of such permi if the building r work authorized by such permit is suspended or abandoned
at any time after the work is commenced fo period of 18 ays (Se · 106.4.4 Buildi ~
APPLICANT"S SIGNATURE , DAT!c, -,d. _, ');J-D7
PINK: Finance
UNSCHEDULED BUILDING INSPECTION
INSPECTOR -----'----'M'-'--L-__ _ DATE tz. :I?~ or
PERMIT# L-B> o'7o 0?o . PLAN CHECK# ____ _
JOB ADDRESS [,5 '=-1il.M.1..eALl.l. A-V
DESCRIPTION ____________________ _
CODE DESCRIPTION ACT COMMENTS
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