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HomeMy WebLinkAbout2752 LLAMA CT; ; CB050225; PermitJ~,51,\'\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-24-2005 Mechanical Permit Permit No: CB050225 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2752 LLAMA CT CBAD MECH 2154200500 $0.00 Project Title: HARDING RES-REPLACE FAU \J~pplicant: \ ALBERT PLUMBING HEATING & AIR 5933 SEA LION PL CARLSBAD, CA 92008 619-431-5536 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 Status: Lot#: 0 Applied: 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: HARDING FAMILY TRUST 07-06-87 2752 LLAMA CT CARLSBAD CA 92009 ISSUED 01/24/2005 RMA 01/24/2005 01/24/2005 $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: $0.00 Balance Due: .,,,, ,..,, Inspector: Clearance: $24.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection lees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exa ions of which have reviou I been iven a N Tl E imilar to hi r as to which he statute of limi lions has reviousl otherwi x ired. PERMIT APPLICATION FOR OFFICE USE <;Jl!L Y PLAN CHECK No{JJO S:o d 2S- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit-----~--- Validated By ~ . t{? 4== Date /(¢c_ S((tr_;_r 1. . PROJ~CT IN~OI\NiATION uY, \\ i e rn · ti fh-~.J iu ~ Legal Description Lot No. Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# ;fa,;,::;:,_'.U~liltbANt·-·,. ~antriCltor~ O:=·,o.-gent'fOr•COntr~ctor O O.wner.,□ Agent.to·r-OWn.er /tJl,<&vJ·~ Pl ,.1... m b<',o, _ ttfM7lnJ 6 6: ,-c Name Address City State/Zip Telephone# "'' t.:'i~e,•i::i· fb9 V-d I rJ 4-dJ. tJ !,-.2. I,, h Amo o, ettv/$ bt4d ('_j:J, 9">6o'i' -7E,tl ll!Jl-</l/,:JD Name Address City S.tate/Zip Telephone # r5,C•·••·· CO!IJIIAOTOR ,,,c;(lr,,~AN\':'liANiE· · (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 exemption. Any violation of ion 7031.5 by any applicant for a permit subjects the ap licant to a civil penalty of not more than five hundred dollars ($5001). r u. ' G-H l l Y' B"~o I.Al /.J ' mP-;c.o .. Name State License II __ C., __ 3-·~f,~---City . State/Zip Tel~ one, ..2 ob 9 License Class C. ? )t' City Busi~ess License # @ 0 {:,if: '-f'1 Designer Name ~ State Ucenso # _,(o"'-'-/_'7-'-I'L-'(J<-_Z.-__ Address City State/Zip Telephone (!i, <WQl!~~l!S'<0®!11Pl!\ISllTl!ll'f · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Jg. 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 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 compensation insurance carrier and policy numb}(_ are: lnsuroncoCompanvCLlf:re.-.udo l/)t97'/ W<> LO PollcyNL)//<,/2002999( Expiration Date 6-0I-OS'" ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 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: FaHure to atlon coverage la unlawful, and allall subject an employer to criminal penalties and clvH flnea up to one hundred thousand dollar• ( ompenaatlon, damages as provided for In Section 3706 of the Labor code, lnter8Jl and attomey'a feea. SIGNATURE .. DATE /-,;I lf-0~ "'' aWNEl\,ii iieititii!cii-<\R I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure ls 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 auch work himself or through his own employees, provided that such improvements are not intended or offered for sale. 1f, 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, 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). 0 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 ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. J 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 linclude 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 _________ _ OOM,¢i;'rf\,lHIS\SEci:tlONaFOR,NON-lfESli;JENT/AL.BUllDING•PERMITS·oNLY 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future buildlng occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ills/. ¢9~~1:!!I/CTIO!\li~ENDIN(UICGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS __________________________ _ 'ihiai :':,lit'Jl~iciAN;t•Cli8i:iFi,Cl'Tl()t4· 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 Citt 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 l='ERMIT. 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 u he provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co need within 180 d e 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!p>~,,,_f ectio 106.4.4 Uniform Building Code). APPLICANT'S SIGNATU DATE _,_/_ ... ......,,.-<'-'-_V,___ .. __cC)""-• ... f-" __ _ WHITE: File YELLOW: Applicant PINK: Finance ti' . • . City of Carlsbad Bldg Inspection Request For: 01/27/2005 . Permit# CB050225 Title: HARDING RES-REPLACE FAU Description: Type: MECH Sub Type: Job Address: 2752 LLAMA CT Suite: Lot 0 Location: APPLICANT ALBERT PLUMBING HEATING & AIR Owner: HARDING FAMILY TRUST 07-06-87 Remarks: OR WILLIAM 931-9430 Total Time: ----- CD Description Act Comment Inspector Assignment: Phone: 7607528900 Inspector: b Requested By: DOROTHY Entered By: CHRISTINE 44 Rough/Ducts/Dampers ..Y.)V_ __________________ _ h---+--'FA'-'1--<t ...... ,.. ___ lf(,c _________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments