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HomeMy WebLinkAbout2357 TERRAZA SALVO; ; CB072424; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-26-2007 Mechanical Permit Permit No: CB072424 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2357 TERRAZA SALVO CBAD MECH Status: Parcel No: 2155713700 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: GUSTAFSON: REPLACE A/C & FAU Applicant: AVALANCHE MECHANICAL P O BOX 27355 92198 858 505-9678 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 2 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: GUSTAFSON OAVID&TRACY 2357 TERRAZA SALVO CARLSBAD CA 92009 Total Fees: $33.00 Total Payments To Date: $33. 00 Balance Due: Inspector: Clearance: ISSUED 09/19/2007 JMA 09/19/2007 09/19/2007 JM $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 $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/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 lo timely follow that procedure will bar any subsequent legal action to attacll, 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 lees in connection with this project. NOR DOES IT APPLY to any fu . City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax:'760-602-8558 Building Permit Application ioe ADDRESS 2 ? s-7 I CfjP.ROJECTii--I LOT" I DESCRIPTION OF WORK: .i {Zer:la re I , I EXISTING USE I CONTACT NAME (If Different Fom Applicant) ?DDRESS--. lc1TY I PHONE -- 1 EMAIL PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CITY Pf-lONE EMAIL Pl~_I!_ Ch ~ck 'i_O:_ C_~()] ~'{~ '-/__ Est. Value Plan Ck. Deposit Date FIREPLACE YES □#_ NOD uq l D7 AIR CONDITIONING FIRE SPRINKLERS YES O NO □ YES □ NO □ -STATE ___ _ ZIP llec )O)U B11,inesi and Profe.1ion1 (ode: Any Gry or Counry which require1 a permit to conitruct airer, impro,e, demolish or reP.air any 1truc1ure, prior ID ill i11uance, al10 requires the appliam1 for mh permit to file a signed 11a1ement 1hat he i1 licensed purwanl to the provision, of lhe (ontractor"1 Li<en,e Law {Chapter 9. commending wi1h lmion ,oorr of 0i,ision J of the Bu1inm and Prormion1 Cade} or 1hat he is erempt theretrom, and the bair1 for me alleged e1'mpri011. Any ,iolation of Swion 7031 .I by any applicant for a permir 1ubjem the applicant to a civil penalty of nol more than five hundred dollars {$500)1. Workers' Compensation Declaration: I hereby ;;ff,rm underpenalfy of pefJU,Y one of the folfowmgdecl;;rations: D r have and will maintain a certificate of consent to serf-insure for workers· compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which lhis permit is issued. 10-'1 have and will maintain worke_ rs' compensatl~. as required bl.§eclion 3700 ~the Labor C~e. for the perfonnance of the work for which this ~ermit is issued. My workers' compensation insurance carri~~d policy numher are Insurance Co~ _}"-fD'_r_ Le?..!'>1.jt?___J._J-,____':)_~_r~~fJ 4---Policy No. 2... ;,__ '/ .!2.t2. J ~-, a_ ~ Expiration Date 'z': -/ -~ C, __ This section need nol be completed ii the permil is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify thal in the performance of the work for which lhis permil is issued. I shall no! employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal1forn1a 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. g CONTRACTOR SIGNATURE - I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of lhe properly or my employees wilh wages as lheir sole compensation, will do lhe work and lhe structure is not intended or offered for sale (Sec. 7044, Business ;:md 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 tha! such improvements are nol intended or offered for sale. If, however, the building or ·,mprovemenl ·,s sold within one year of complelion, !he owner-builder will have the burden of proving Iha! he did not build or improve for the purpose of sale) Cl I, as owner of the property, am exclusively contracting with licensed contraclors to conslmct the pro;ect (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursL:ant lo the Conlraclor"s License Law). Cl I am exempt under Section __ _ Business and Professions Code for this reason 1. I personally plan to provide the ma;or labor and materials for conslruction of the proposed property ·mprovement. n Yes D No 2 I (have/ have not) signed an applicalion 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 contraclors· license number): 4. I plan lo provide portions of lhe work, but I have hired !he 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. btrt I have contracted (hired) lhe following rersons lo provide the work indicated (incl11de name I address I phone/ type of work)· g PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required lo submil a business plan, acutely hazardous materials registration form or risk managemenl and prBvention program under Seclions 25505. 25533 or 25534 of the Presley-Tanner f-lazardous Suhstance Account Act? □ Yes n No Is the applicanl o, future building occupant required to obla,n a permil from the ai, pollution control district or ai, quality management dislrict? D Yes □ No Is the facility lo be consrru::led wilhin 1,000 feet of the outer boundary of a school site? □ 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. I certify !hall ha1<e read the application and state that the above Information is oonect and thatthe information on the plans is accurate. I agree to comply wlll1 all City ordinances and State laws rela~ng to building construction. I hereby aulhori::e representative of lhe City of Ca~sbad !o enter upon lhe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations Over 5·0· deep and demolttion or construction of strucb.Jres over 3 stories in height. EXPIRATION: Every permil issued by lhe Building Official under lhe provisions of this Code shall expire by limilation and become null and vcid if lhe building or work aulhmized by such permit is not commenced wilhin j 180 days from the dale of such permit or if lhe building or work authorized by such permit is suspended or abandoned al any time aner the work is commenced for a period of 180 days (SectiOn 106.4.4 Uniform Building Code). I .i!APPL<ANTSS~•"UR' ···~~~--~~~-1_j__u_/p1 L--~---~- (i) ' . City of Carlsbad Bldg Inspection Request For: 12/21/2007 . Permit# CB072424 Title: GUSTAFSON: REPLACE AJC & FAU Description: Type:MECH Sub Type: Job Address: Suite: 2357 TERRAZA SALVO Lot 0 Inspector Assignment: JM Phone: 7605183814 Location: Inspector: OWNER GUSTAFSON DAVID&TRACY Owner: GUSTAFSON DAVID&TRACY Remarks: Total Time: CD Description Act Comments ---- Requested By: DAVID Entered By: CHRISTINE 43 AirCond/Furnace Set f:C~~~~~- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 11/20/2007 43 AirCond/Furnace Set CO JM NO ONE HOME -NOTIFIED