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HomeMy WebLinkAbout1741 BRUCE RD; ; CB111158; Permit05-31-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB111158 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1741 BRUCE RDCBAD MECH 2073604200 $0.00 Lot#: DICKERSON RES INSTALL A/C UNIT AND 220 CIRCUIT Status: ISSUED Applied: 05/31/2011 Entered By: KG Plan Approved: 05/31/2011 Issued: 05/31/2011 Inspect Area: Applicant: ANDERSON PLUMBING INC.WALTER 11 SON MARS HALL EL CAJON, CA 92020 619-449-3852 Owner: DICKERSON RICHARD F&MERRILEE 1741 BRUCE RD CARLSBAD CA 92008 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 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees:$24,00 Total Payments To Date:$24.00 Balance Due:$0.00 / Inspector: FINAL APPROVAL Date: ^ ' /' fl Clearance: NOTICE: Please take NOTICE thai 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. Building Permit A| ^^> 1635 Faraday Ave., Carlsb \»7 C TY OF 760-602-2717/2718 C* A D 1 ' C D A Pi Fax 760-602-85 A_/\t\L5DALJ www.carlsbadca.g JOB ADDRESS 1 (~1 / I Y.T tl ) \ \ 1 lit"! Ifl P r\P CT/PROJECT* LOT* PHASE # # OF UNITS # BEDROOMS ,. .. Plan Check wL^x//' // ^ppiiccnion ad, CA 92008 Est. Value /2719 . . _, _, _^8 Plan Ck. Deposit ov Date^j %ff\ ] | SWPPP SUITE#/SPACE#/UNIT# APN ' # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) \ \ Y^3v\X/vv'': |~V 1 x_^> CUv^ Cj* C/v^ **^ l^k>/ *»•*' ' ^vA.1 v EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) : ADDRESS : ;. : CITY . STATE -ZIP PHONE FAX EMAIL . . . . ...... . ... .. PROPERTY OWNER NAME ILL ' f) [ V"\ ' y* I a Q ./"O >*. ADDRESS lT**J.J_/ HO /^ /O ^ I I /I Y*\<:l.(x^/5i>^jl DA ^O/^A^V_J Ul V Z> V/y' y^*^ L-TT1 1 *0*iJlJ 7}PHOiME ; FAX . "*' EMAIL • • ;•; -...;.. • .; . :: ARCH/DESIGNER NAMES ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS ; YESQ*. : '• NO[~~1 YES^NOQ YEs| |NO| [ APPLICANT NAME •• V _. _ 1 « i^/O *\ *~\V^ /7 ADDRESS ^"^ . 1 1 50 N. Marshall Avenue CITY STATE ZIP ElCajon CA 92020 PHONE . . FAX 619-449-3852 : • 619-449-0312 EMAIL reception@andersonpha.com CONTRACTOR BUS. NAME Anderson Plumbinq Heatina and Air ADDRESS 1150 N. Marshall Avenue CITY STATE ZIP " : ElCaion-: : • CA: : 92020 PHONE FAX 619-449-3852 619-449-0312 EMAIL : . : reception@andersonpha.com STATE LIC.# CLASS CITY BUS. LIC.# 493163 C36 1074400 (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 theapplicant 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 theBusiness and Professions 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 permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I 11 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. 1*^11 have and will maintain workers' compensation, as required by Section 3700 of !he Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co : ; ':6inrdlnair«iic« Group Policy No. ^_ flMwa 25590 Expiration Date 04/07/11 This sectton need not be completed if the permit is for one hundred dollars (J100) or less. | | 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 thousand dollars (&100,000), in addition to the cost of compensatioifojamages as provided for in SectionZTtJB of the Labor cade, interest and attorney's fees. >eS" CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: [ | 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). | | 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 contractors) licensed pursuant to the Contractor's License Law). [ | I am exempt under Section : Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement |~~|Yes I |NO 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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): 5.1 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 AGENT DATE Is the applicant or future building occupant required to submit a business clan, 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? I I Yes I *• iNo __^ Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airouality management district? I lYes Vs] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes K!NO IF ANY OF THE ANSWERS ARE YES,; EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 certify that I have read the application and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. 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 50' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued byJhe 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 o^f the building or work authorizedby sucjj^f rmit is suspended or abandoned at any time after the work is commenced fyr a period of(180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNAT City of Carlsbad Bldg Inspection Request For: 06/06/2011 Permit# CB111158 Title: DICKERSON RES INSTALL A/C UNIT Description: AND 220 CIRCUIT Inspector Assignment: Type:MECH Sub Type: Job Address: 1741 BRUCE RD Suite: Lot: 0 Location: APPLICANT ANDERSON PLUMBING INC,WALTER Owner: DICKERSON RICHARD F&MERRILEE Remarks: Phone: 7607294733 Inspector/:' Total Time: CD Description 49 Final Mechanical Act Comments Requested By: RICK Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments