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Home My WebLink About2636 LA COSTA AVE; ; CB031731; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0(3-24-2003 Mechanical Permit Permit No: CB031731 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2636 LA COSTA AV CBAD MECH 2162800700 Lot#: 0 $0.00 TERWEY RES REPLACE HVAC LIKE FOR LIKE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/24/2003 SB 06/24/2003 06/24/2003 EXCEL AIR CO TERWEY 1991 MARTIAL TRUST,03...29,9./12 !ll.~Y 116 4/03 0002 01 02 2045 CAMINO DR ESCONDIDO CA 92026 760 480-7557 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 2636 LA COSTA AVE CGp 24-00 CARLSBAD CA 92009 $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: $24.00 Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.Ck70J 1?$' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ it,:1r~c,.~~z ;Address Hncludo Bldg/Su;to #I Validated By~ j3 Date LIZ. ~3 ~~J Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 'L _=:,use Proposed Use SO. FT. # of Bedrooms # of Bathrooms Name City State/Zip Telephone# Fax# Name Telephone # ~4-l'!,tF~ W 7u,-4136/oS X ~:~~;~=~!!':~~==e::;:, ":~;:;ty or County wh;ch roqu;ros a perm;, to construct, alter, ;mprovo, demoUsh or rep:::•:n: 0 ::r:cture, pr;or to ;,, 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 eg;~i°;,fy · l~n of Section 3;1 .5 by any a licant or a permit subjects the applicant civil penalt of n;;,;,,re}fl.i]}undrj ~a;_sJ/;o;.)733 7 Name City State/Zip Telephone # State License # 7 R / ~ License Class C ---z._.o City Business License # / 2 / / · 7--:::>------Z ( I Designer Name Address City State/Zip Telephone ) l;~it~;~~~;~~~~!~~~~ I hereby afflrm under panalty of porju,y one of the follow;ng doclarat;ons: D 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. D 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 number are: Insurance Company_____________________ Policy No._____________ Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) '6lfl CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ~ become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred housend dollars ($ ,000), in a on th ost of compensation, damages as provided for In Section 3706 of the Labor co~ Interest a attorney's fees. SIGNATURE'_/!J~e},~-J.5!~(:1,_~~'°'.'c'.~:::::'.'::::::_ ____________ DATE dl •.J. 7 -0 ,,,, • QWNER:+BIJIU!iiR,11Elll/ll;~Ao'Tl!lN'·· · , ,A , 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 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), D 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). D 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 (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): ___________________________________________________________ _ 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ts 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 7 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. i!!i'tI:i!r.li!.N$:1'1'lJO:rf ON'Ll!llll;,1tlij't,"~(!!(ey:, : ·;; •,· , ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ,,,iiL;~I/PUC'AN'P'CliR"Tll'lbliffiN:;;iri;;;,";,; 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 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 com n d within 180 ys f e date of such permit or if the building or work authorized by such permit is suspended or abandoned ; any time after the work is comm 18 (Section 106.4.4 Uniform Building Code). PPLICANT'S SIGNATURE -~"!d_~~~~C;,t~~':=:~~~---------DATE d/6 -pr -0_3 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/09/2003 Permit# CB031731 Title: TERWEY RES REPLACE HVAC Description: LIKE FOR LIKE Type: MECH Sub Type: Job Address: 2636 LA COST A AV Suite: Lot 0 Location: APPLICANT EXCEL AIR CO Inspector Assignment: JM --- Phone: 7604361057 __...>j\A A Inspector: yv '--"""''---- Owner: TERWEY 1991 SURVIVORS TRUST 03-29-01 ET AL Remarks: AM INSPECTION Total Time: CD Description 43 AirCond/Furnace Set f'6'.-J Comment ~ Requested By: MR TEWRY Entered By: ROBIN Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 07/03/2003 43 AirCond/Fumace Set NR JM NO ONE HOME