HomeMy WebLinkAbout1332 CORDIVAE ST; ; CB071690; PermitCity of Carlsbad
\ 1635 Faraday Av Carlsbad, CA 92008
06-20-2007'' Mechanical Permit Permit No CB071690
Building Inspection Request Line (760) 602-2725
Job Address 1332 CORVIDAE ST CBAD
Permit Type MECH Status ISSUED
Parcel No 2156913500 Lot # 0 Applied 06/20/2007
Valuation $0 00 Entered By RMA
Reference # Plan Approved 06/20/2007
Issued 06/20/2007
Project Title HUGHES RES-2 NEW A/C UNITS Inspect Area
WITH ELECTRIC
Applicant Owner
MAJOR LEAGUE HEATING & AIR CONDITIONING HUGHES REVOCABLE TRUST 04-09-03
1356 BOBOLINK DRIVE 1332 CORVIDAE ST
VISTA 92083 CARLSBAD CA 92011
Mechanical Issue Fee $15 00
Install/Furn/Ducts/Heat Pumps Fee 2 $1800
Fireplace Installation Fee 0 $0 00
Exhaust Fan Fee 0 $0 00
Installation/Relocation Vent Fee 0 $0 00
Hood Fee 0 $0 00
Boiler/Compressor to 15HP Fee 0 $000
Other $20 00
Additional Fees $0 00
TOTAL PERMIT FEES $53 00
Total Fees $53 00 Total Payments To Date $53 00 Balance Due $0 00
FINAL
Inspector ->-i¥VV^ Date ^{, v*\ / 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY'OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1'• PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit.
Validated;
Date -7
Business Name (at this address)
Lot No Subdivision Name/Number Unit No Phase No Total # of units
Existing Use Proposed Use
jygCONTAJCT PERSON (if different -ant)
#of Stories # of Bedrooms # of Bathrooms
Address City State/Zip Telephone #
5 iJcoNfRAcfbR COMPANY NAME rr. j^iiJ'iu "':C«7. ...I" -... " '• VT r~"'" ":- .X- j :'T3Pf "HIT'? ?!'5'- E ....,;. i:"':";:-!"r
(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
xemption Any violation of Section 7031 5 by any applicant for a peimit subjectsthe applicant tola civibpenaltyipf notjnore thar^ive hugjlr$d dollaj^ I$500))_(tMi&.tflKP* folb. ••-•-•<-
NameJ (J
State License tt r)O-T&
' Address
M -T License Class ( ~C*£
City <• State'/fTp
J City Business License tt /(Jj/J (feaST"
Designer Name
State License tt
Address City State/Zip Telephone
6WWORKERS COMPENSATION£Lv "!"r" ,,. ...T'" " " ~~ " """"...;. -^
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
O 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
Tg^ 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^jampensa^on insurancecar/ier andriolicy number are
Insurance Compan/y^TUJ UOTTljO J^f\>Q> {-& Policy Isl/oVD rO^O OA-Sy lyT^Q Expiration Date_
(THIS SECTION NEED NC/FBE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS)
PJ 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
ost^>f compensation damages as provided for in Section 3706 of the Labor code interested attorney s fees
^ DATE "" ' ^ r
thousand dol
,
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
PI 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)
n 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(s) licensed
pursuant to the Contractor s License Law)
CD 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 Q 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 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 / 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)
PROPERTY OWNER SIGNATURE DATE
^COMPlLEfE-THISj^ECTlbNsFQR NON RESIDENTIAL BUILDING PERMITS ONLYT '.'??*. ,
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? Q 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? Q YES PJ NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? L~] YES PJ 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 , CONSTRycfiON LENDING AGENCY ^ """" ..J ;? : ; , .,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER S NAME _ LENDER S ADDRESS ~
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 CitV 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 Official under 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 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 commenc^e! for a period of ISCKiays^ctionJoe 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE
leant PINK Finance
City of Carlsbad Bldg Inspection Request
For 06/25/2007 _ ,
Permit* CB071690 Inspector Assignment
Title HUGHES RES-2 NEW A/C UNITS
Description WITH ELECTRIC
Type MECH Sub Type
Phone 7606039770
Job Address 1332 CORVIDAE ST
Suite Lot 0
Location Inspector
APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING
Owner HUGHES REVOCABLE TRUST 04-09-03
Remarks
Total Time Requested By HUGHES
Entered By KAREN
CD Description Act Comments
43 AirCond/Furnace Set
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
CERTIFICAI t ur L.IMDIL.I
<»«»» (800)524-7024
utonatic Data Processing
ADP Boulevard
:oseland, ND'O7068
5U8EO Major League Heating
FAX (800)524-4013
Insurance Agency, Inc
ft Air Conditioning, Inc.
1316 North Mel rose Drive
Suite C
Vista, CA 92083
THIS CERTIFICATE IS ISSUED AS A MATTER QF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCHES BELOW
INSURERS AFFORDING COVERAGE
INSURER A. Employers Compensation Ins. Co
MsuRERB:
INSURER C: *~
INSURER D-
INSURER E:
MAICf
OVERAGES
THE POLICIES OF INSURANCE LISTED BS
ANY REQUIREMENT TERM OR CONOmOt
MAY PERTAIN THE INSURANCE AFFORDE
POLICIES AGGREGATE UMTS SHOWN M
BHTfl
A
uxn6SH TWE OF MSURANCE
GBetAL UABBJTY
COKM&tC*ALGE*OULLIAa&fTY
| CXAIMS MADE | | occun
GEMl AGGREGATE IMfr APPLIES PER:
^POUCY[~|2& ("I100
AinXTMOHLF LIABIlfTY
ANY AUTO
AaowfEOAtnos
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNH) AUTOS
GARAGE UABUrr
ANY AUTO
EXCSSAJMBRBJA UABOITY
OCCUR [ [CLAIMS MADE
OEDUCTOJE
RET&mON $
WORKERS COMPENSATION AND
EHPUJYERS- LWHUTY
ANY PROPRETOWPARTABVeOSCUTIVE
OFFUERMEMBER EXCLUDED?
ff yes, desatte underSPECIAL PROVISIONS betoir
OTHER
XHW HAVE BEEN ISSUED TO THE INSURED NAMED A
1 OF ANY CONTRACT OB OTHER DOCUMENT WfTH F
I> BY THE POUCUsS iASCn£ed[> HtHtlrJ IS SUBJECT!
IVY HAVE BEB4 REDUCED BY PAH) (XAMS.
POUCTNUIBER
^
. ADP0302592-05
POLICY EFFECTIVEoKTBouwnofm
07/24/2006
BOVE FOR THE POUCVPEFBOO INDICATED NOTWITHSTANOING
IESPECT TO WHCH THIS CE«TH=ICATE MAY BE ISSUED OR
r TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
MUCV ExMRRlKMOATEaninxvm
07/24/2007
UWTS
EACH OCCURRENCE
OAMftGEJfOHEMTH>
PMMISCS ^i nmaoiop}
MED EXP {Any one peison)
PERSONAL & AOV INJURY
GENERAL AGGREGATE
PRODUCTS COMPK3PAGG
COMBBKED StNGLE UMtT
(Ea accent)
8ODO.YMJURY _
(Perposon)
BOOOLY INJURY
(Paracchfent)
PROPERTY DAMAGE(Per accident)
AUTO ONLY - EA ACCtDEHT
OTMFSTHAN EAACC
AUTOONLY AGG
EACH OCCURRENCE
AGGREGATE
1 WCSTATU- 1 IOTH-1 TOHV i nurrs 1 1 FB
El. EACH ACCTOEHT
EJ_ DISEASE EAE6SPUOYEE
Ei. DISEASE - POLICY UMIT
S
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S
$
$
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$
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$
S
s 1,000,OOC
s 1,000,000
s 1,000,000
DesCMinraN OF OPERATOR fUlCATIONSfVaaCtJB/EXCtJUSXim
CERTIFICATE HOLDER CANC« » ATlftN
/
Insured 's Copy
SHOULD AWf OF THE ABOVE DESCtOBED POLICIES BE CANCELLED BEFORE THE
EXPmATON DATE THEREOF THE ISSUING INSURER VWU, ENDEAVOR TO MAIL
_1O_ DAYS WRITTEN NOTICE TO THE CERT1RCAJE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OP ANY KIND UPON THE MSURER, ITS ACENTS OR REPRESENTATWE&
AUTHORIZED REPRES£MTATrf£ *li*' — *— Jje^, -TZt^?** ,
Richard Cossett/ES ^Z£Z^*Z^Z=>
ACORD 25 (2001AM)@ACORO CORPORATION 1988