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HomeMy WebLinkAbout1374 CASSINS ST; ; CB052801; Permit07-27-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB052801 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1374CASSINSSTCBAD MECH 2156914700 Lot#: $0.00 WILLIAMS RES-NEW 4 TON A/C WITH ELECTRIC Applicant: MAJOR LEAGUE HEATING & AIR CONDITIONING 1356 BOBOLINK DRIVE VISTA 92083 Status: ISSUED Applied: 07/27/2005 Entered By: RMA Plan Approved: 07/27/2005 Issued: 07/27/2005 Inspect Area: Owner: WILLIAMS ELIZABETH CARLSBAD CA 92009 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 1 0 0 0 0 0 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 Total Fees:$44.00 Total Payments To Date:$0.00 Balance Due:$44.00 EXPIRED PERMIT PERMTT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE-T(-> r. Inspector FINAL APPROVAL Date: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 sracifiedfees/exactkxistWES NOT APPLY to water and sevra 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 previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 02 44.00 PERMIT APPLICATIONt ^ r » CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By f Date Address I Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total * of units Assessor's Parcel #Existing Use Proposed Use Description of W FT.f of Stories pt"« ft.**"?- * of Bedrooms * of Bathrooms Name Address State/Zip Telephone * Fax» Name Address City State/Zip Telephone * (Sec. 7031.6 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 raqulrea 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, end 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 1*5001).4. /. /?/fe/t/. ' Name ,-, s-**\ ' ' AddressV/f *•» v> 'j "7 /^State License * ^ 0 / 0 / f License Class c City State/Zip. Telephone * '^<^ City Business License * ll 1 D 2L2. / Designer Name Address State License * City State/Zip Telephone •'" **• 1l *-* * ' 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 serf-insure for workers' compensation aa provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. H I have and win maintain workers' compensation, aa required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is nsued. My worker's compensatiopJnsurance carrier and policy number are: ___ Insurance Company fr^r /tyf • Policy Ho./Hsr/^fl **-^V £d^ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS If 100] OR LESS) ' ' ' O 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: FaNura to secure workers' compaAatlon coverage la unlawful, and aha! subject an employer to criminal Panamas and chrl fines up to one hundred thousand doRars (»100,000). In^adgition tDtjuTcoat of compensation, damages aa provided for hi Section 3706 of the Labor, code, interejt-and attorney's fees. SIGNATURE M/2fs\ ^^ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). 0 I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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 contrsctorls) licensed pursuant to the Contractor's License Law). D I am exempt under Section _ Business and Professions Code for this reason: 1 . 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O YES I (have / have not) signed an application for a building permit for the proposed work. 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 6 *%'••< -' Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINI REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. •-''•••,,•'•' ' , •. . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097U) Civil Code). LENDER'S NAME LENDER'S ADDRESS prevention D NO 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 City 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/rom 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^-yeriod of/§0days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance FROM :John Batioff Southland Permits FflX NO. :714 5620969 Jul. 27 2005 07:SW1 Pll PERMIT SERVICES INC pw*- 0b 7003430873 p.1 :J7/25/2895_14.- 53 .HVAU SXMK DATS PROJECT/ JOB* CITV .t :'*+w CROSS SrRIZT 'VUXJOOKTZOH OWNER'S ADDRESS NORTH BAY C.I3 . . CITY ,or COOMtY _ _(CHECK OOT) f Of STORIES _ OSB OF BUILDING _ # OMITS PLOT PLANS- YE$/HO FO«T OK JOB «IfBi YES _ NO gnoiire rl8Q CITY S b.*jt tig CONTRACTOR STATE LICENSE » COMP. » MfiBBS. f »W „__ i COMTAC? CLASS C-'lo EXPIRES COMPANY Abf '£\n«iul*.tJL. TONNACW LSI CXBCU OMB) LOOUTCOH - .-*r WLPLUMBNG OR ELECTJUCAL PERMIT BK NEEDED? _ S/ JOB DESCRIPTION^^ / PERMIT filVlCff, INC. (707) 527-7727 •(800)6274764 • Fdx (707) 528-7663 2635 Ctevwkand Avarue. Suits 6 • Santa Rosa CA 96403 • \vww.permlt4ervF<;»s,com License Detail Page 1 of 2 California Home lesdav. J License Detail Contractor License # 807897 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by taw (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure win appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&PJTQTJ/LZ, only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply wltti the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 07/27/2005 * * * Business Information * * * MAJOR LEAGUE HEATING & AW t&NDHTbNff*3 INC 1356 BOBOLINK BRJVE VISTA, CA 92083 Business Phone Number: (760) 945-0975 Entity: Issue Date: 05/09/2002 Reissue Date: 01/Oft/2004 Expire Date: 01/31/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Additional Status Information * * * The license may be suspended on 08/24/2005 if the workers' compensation insurance polic filed with the CSLB. * * * Classifications * * * Class C20 Description WARM-AIR HEATING,VENTILATING AND AIR-CONDITIONING http://www2.cslb.ca.gov/CSLB JJBRAJiY/License+Detail.asp 07/27/2005 License Detail Page 2 of 2 * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 10120198 in the an $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/08/2004 Contractor's Bonding History BOND OF QUALIFYJNG INDIVIDUAL(I): The Responsible Managing Officer (RMO) AN1 CARL SHUTE certified that he/she owns 10 percent or more of the voting stock/equity c corporation. A bond of qualifying individual is not required. Effective Date: 01/08/2004 /x* * * Workers Compensation Information * * * This license has workers compensation insurance with the EMPLOYERS COMPENSATION INSURANCE COMPANY 4748-0 Policy Number: ADPO30259203 Effective Date: 07/24/2004 Expire Date: 07/24/200 £ Workers Compensation History *** Miscellaneous Information *** Date 01/08/2004 Description LICENSE REISSUE! TO ANQtHiUlNTITY Personnel LJst ILicense Number Request Contractor Name Request [^ Personnel Name Request [salesperson Request [salesperson Name Request © 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLBJLIBRARY/License+Detail.asp 07/27/2005