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HomeMy WebLinkAbout1711 CAMASSIA LN; ; CB080806; Permit05-01-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB080806 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 1711 CAMASSIA LN CBAD MECH 2158810102 $000 Lot# SHOWAH RES-ADD NEW A/C PRE-PLUMBED Status Applied Entered By Plan Approved Issued Inspect Area Applicant LEGEND SERVICE SUITE 15 2588 PROGRESS ST VISTA CA 92083 760-631-8397 Owner SHOWAH GEORGE F 1711 CAMASSIA LN CARLSBAD CA 92011 ISSUED 05/01/2008 LSM 05/01/2008 05/01/2008 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 $1500 $900 $000 $000 $000 $000 $000 $2000 $000 $4400 Total Fees $44 00 Total Payments To Date $44 00 Balance Due $000 Inspector FINAL APPROVAL/ f>Q ClearanceDate , 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 feeypxactions 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 requireo 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 £-ny subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water .--md 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 tsas previously otherwise exoired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 7^0-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS CT/PROJECt~S DESCRIPTION OF WORK Include Square Feet of Affected Area(s) SUITE#/SPACE#/UNIT# > BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP Sfiff 3 ^EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESD # NOD AIR CONDITIONING YES Q NO D FIRE SPRINKLERS YES D NO D CONTACT NAME J/f ADDRESS APPLICANT NAME ADDRESS STATTcvr FAX FAX PROPERTY OWNER NAME ARCH/DESIGNER NAME & ADDRESS STATE LIC #7o.?5y/CITY BUS (Sec. 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure, pnor 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 exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {(500}) fit Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations G 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|ve and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performancepf the work for which this permit is issued My workers' compensation insurance carrier and policy Insurance Co fffC & "£ A/S . .C V g 'J Policy No *G. /Afejl Q $_. BUMIdh LMe 6, ' f ^ ^f^. U/C-.V o yitf 7?-0 / mploy any person in any manner so as to become su -Q ?ationlaws of This section need not be completed if the permit is for one hundred dollars ($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 \o become subject to the Workers' Compensation! 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 thousand dollars (&100.000), in addition to the cost of compensation, damages as provided for in Section 370fltof the Labor code, interest andjMtorney's fees, JSZ CONTRACTOR SIGNATURE-^ (hereby affirm that I am exempt from Contractors License Law for the following reason n 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) CJ 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) O 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 a No 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 / 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 / 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 / type of work) ^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? n Yes O 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 O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' O Yes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 5i v™™ <*v^f"^"y"yy^^''^"^^^" I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address 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 representative 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 stones in height. 180 days from the date of such permit or if the building or work autjtonzed by such permit is suspended or abandoned at any tome after Die work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)^* ^ ./^ - T DATE 1 City of Carlsbad Bldg Inspection Request For 10/28/2008 Permit* CB080806 Title SHOWAH RES-ADD NEW A/C Description PRE-PLUMBED 1711 CAMASSIALN Lot Type MECH Sub Type Job Address Suite Location OWNER SHOWAH GEORGE F Owner SHOWAH GEORGE F Remarks before 12 Inspector Assignment Phone 7608158610 Inspector Total Time CD Description 44 Rough/Ducts/Dampers 49 Final Mechanical Act Comments Requested By GEORGE Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ACPRD^ CERTIFICATE OF LIABILITY INSURANCE "TSST0 PRODUCER STEFANY COAKLEY PIKE INSURANCE SERVICES, INC. 3910 VISTA WAY STE 107 OCEANSIDE CA 92056 PHONE: (800)411-7453 FAX- (800)901-7453 Ag«K»Uc* OD405S8 INSURED LEGEND SERVICE CENTER C/0 STEPHEN EHART 2930 NORMAN STRASSE. STE 105 SAN MARCOS CA 92069 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A Preferred Contractors Insurance Company, RRG NAICft INSURERS Endurance Workers' Compensation : INSURER C ! INSURER 0 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INW LTR A B fan TYM OP INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY [ CLAIMS MADE [V] OCCUR GEN-L AGGREGATE LIMIT APPLIES PER — iTl 1 1 PRO- 1 IX| POLICY) 1 JECT I ILOC AUTOMOBILE LIABILITY j ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS / UMBRELLA LIABILITY ] OCCUR F | CLAIMS MADE DEDUCTIBLE RETENTION t WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UH PflOPFItTOfOT>ARTNeiWKKUT7V6 OFWCBHUHMBSR UCLUDfO? Hyti.dMcltlinMM 3PECWL PROVISIONS Mlmr OTHER POLICY NUMBER PC1262-02 WEN043879-01 POLICY EFFECTIVE ' POLICY BXPIHATtON DATI IHWMWYI { DATE (MMDWYYI 06/12/07 04/18/08 06/12/08 04/18/09 LIMITS EACH OCCURRENCE DAMAOE TO RENTED PREMISES (El Mammal MED eXP(Anjr<rap<non) PERSONAL ft ADV INJURY GENERAL AGGREGATE PROOUCTS-COMPTOP AGO COMBINED SMQLE LIMIT (En accident) BODILY INJURY (Pwpawn) BODILY INJURY (PtraeeMint) PROPERTY DAMAGE (PwaeddenQ AUTO ONLY • EA ACCIDENT OTHER THAN EAACC AUTO ONLY AQfl EACH OCCURRENCE AGGREGATE X WCSTATU- 1 IOTHBITDRYuurre I IOTOER EL EACH ACCIDENT EL DISEASE EA EMPLOYES E.L DISEASE POLICY LIMIT S 1,000,000 * 50,000 t 5,000 * 1,000,000 s 1,000,000 s 1,000,000 s $ t t s t s s » 1 » s 9 1,000,000 t 1,000,000 I 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS •Reinsured with Aspen Insurance, UK, LTD CatUn Insurance Company Ltd and certain underwriters at Lloyd's A rated by A.M. Best This Is to serve as Proof of Insurance for the above listed. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. Attention: AUTH0IWZEO REPRESENTATIVE ACORD 25 (2001/08) Certificate* 6799 £/ / v_Stefany A. Coakley T ©ACORD CORPORATION 1988