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Home My WebLink About1750 NOLINA CT; ; CB080273; PermitCity of Carlsbad ... . 1635 Faraday Av Carlsbad, CA 92008 02-13-2008 Mechanical Permit Permit No: CB080273 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1750 NOLINA CT CBAD MECH Status: Parcel No: 2158810701 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: SAMONS RES-ADD A/C UNIT-NO ELECTRIC OR DUCT WORK Inspect Area: Applicant: SAMONS FAMILY TRUST 1750 NOLINA CT CARLSBAD CA 92011 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 Owner: SAMONS FAMILY TRUST 1750 NOLINA CT CARLSBAD CA 92011 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: FINAL APPROVAL Inspector: Dale: Lf -I -/7 r Clearance: ISSUED 02/13/2008 RMA 02/13/2008 02/13/2008 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 $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 pennit was issued to protest imposttion 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 f hi "hh f" i I City of Carlsbad Plan Check No. )7 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS D NOL)~ A COU(2.:T LOT# PHASE# # OF UNITS # BEOR MS IPTION OF WORK: o In fa.LL Est. Value # BATHR OMS TE ANT USINES NAME C. GR UP EXISTING USE PROPO ED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES D NO □ YES □ NOD CONTACT NAME (If Different Fom Appll~nt) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME 5 M /1 <'. H,' hJ CONTRACTOR BUS, NAME ADDRESS 1, {) D{ ADDRESS , M a.. c ovf't- CITY STATE ('_ ZIP CITY STATE ZIP (CAV[S Pt-;;Lo L PHONE FAX !,o-bo2 -o PHONE FAX EMAIL a.__o L, EMAIL Col--lA--- ARCH/DESIGNER NAME II, ADDRESS STATE UC.# STATE UC.# CLASS CITY BUS. LIC.# <Sec. 7031.5 Bu1inen and Profe11ions Code: Any City or Councr. which requires a permit to con1truct. alter/ improve •. demoliih or rtP.air any structur~, prior to i_a issuance, also teijuim the appliWlt for such permi1 to file a signed slah!ment that ht is ricensed JlUl'Mnt to th, provision1 of the Contractor's License Law {Chapter 9, commending with lection 000 of D1vuion 3 of the Business and Prore11ions Code} or that he is exempt therefl'Om, aDd the bas11 for lite alleged eumption. Any riolation of 5ection 7031.S by any applicant fOf a permit subjeca the appficant to a civil penalty of not more than five hundred dollars {$500})- Worken' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and wlll maintain I 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. D I have and wlll maintain workn' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensalion insurance earner and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permij 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 workffl' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doNars (&100,000), In addition to the cost of compensation, damagn as provided for In Section 3706 of the Labor code, interest and attorney's fees. RS CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my em~oyees wijh wages as their sole compensaf1on, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions C.ode: 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-bu~der will have the burden of proving that he did not build or improve for the purpose of sale). □ J. 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 controcts for such p-ojects wijh contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: V 1. I ersonally plan to provide the major labor and materials far construction of the proposed property improvement □ Yes -~ No l l t~ .:ff 00 'J €" 1 7 2 (have have not) signed an application for a building permit for the proposed work. L . · 3. contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): M ().. Jo I Q ~ 4. I plan to provide portions of the WOfk, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' llcense number): 5. / will provide some of the work, but I have contracted (hired) the following persons to provide the WOik indicated (include name/ address I phone/ type of work): Js 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 Act1 □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 that I haw read the appllcatton and state that the a bowl lnfonnation is oonect and that the Information on the plans Is accurate. I agree to oomplywlttl all City orclinana!S and state laws relating to buffdlng construction. I hereby aulholize repiesenlalive of lhe City of Cac!sbad lo enter upon ~e above mentioned property for ilspection pulJ)OSeS. I ALSO AGREE TO SAVE, INDEl>t!IFY AND KEEP HAAM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: /vi OSHA pem11t is requwed for excavations CN8f 5'0' deep and demolition or constructioo of s11\JCUJreS over 3 stories in height EXPIRATION·. Eve,y pemrit lSsued bylhe !M~irlg 0111cia1 underlhe pro,isions of !his Code shall expire by hlitation and become nul and void ff !he buildrg or-aulhorlzed by such pemit is r.Acu111"'1Ced .ilhil 180 days from lhe dale of such pemit 17!1he buldrg .. -aulhorlzed by such pem1I is suspended .. -at any line allerlhe-is C0i1Yl1el1a!d for a period of 180 days (Secllon 106.4.4 Uniilnn &Jidrg Code) . ..s"APPLICANT'SSIGNATUREl,/£.~ ~ DATE 2--/( 3/ ocf- City of Carlsbad Bldg Inspection Request For 03/31/2008 Permit# CB080273 Title SAMONS RES-ADD A/C UNIT-NO Description ELECTRIC OR DUCT WORK Type MECH Sub Type Job Address 1750 NOLINA CT Suite Location Lot 0 OWNER SAMONS FAMILY TRUST Owner SAM~O~N!SJ;FADlll,l.l'-lilWIM"--...., PLEASE -8 AM -TO NOON Total Time CD Description Act Comments 43 AirCond/Furnace Set Lf1 ~~/~ ( Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: -~ Phone: 7606020677 Inspector: ? B ~"' Requested By: SAMONS Entered By: CHRIS