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Home My WebLink About2680 LEIGHTON CIR; ; CB070886; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-03-2007 Mechanical Permit Permit No: CB070886 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2680 LEIGHTON CR CBAD MECH 2131900517 Lot#: $0.00 Status: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: EAKIN RES A/C CONDENSOR UNIT CHANGE OUT Issued: Inspect Area: Owner: FIRE & ICE HEATING & AIR CONDITIONING EAKIN KEVIN B&OLIVIA L 9911 MAIN AVE LAKESIDE CA 92024 619 561-8100 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 2680 LEIGHTON CIR CARLSBAD CA 92009 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: fu 0~ FINAL APPROVAL Date· o,;jos/o--z Clearance: ISSUED 04/03/2007 KG 04/03/2007 04/03/2007 $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 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY o-vt _ PLAN CHECK Nc:£f3,67 D~ ~~ EST. VAL. _________ _ Plan Ck. Deposit ------,¥-""'17"-- Validated By-:--J--=----=-~,-.a...--,,.'::--- Date ___ 4-_.J::._.....:::____.'--..,;c.---- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description ff Work SO.fFT. #of Stories # of Bedrooms # of Bathrooms La\'.)!~V'~O<' UV\~-\-v'-"4 e 0 '1-f--~ 2. COJlfACT ~ON (If different from appl~tl Name Address City State/Zip Telephone# Fax# 3. APPLICANT D Contractor Cl.Agent for Contractor O Owner l:jl Agent for Owner Name Address City State/Zip Telephone# ~ PROPERTY OWNER )'Se-.,\¥'\ E-c,.\...,-(\ Name City State/Zip 6. CONTRACTOR • COMPANY NAME (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Fl!s-J.i:C<&:c: 0.4!1 N;,nc ,r,.."c,. kakes,Je... l,A-. gd::l?YO (?\'i-$ol-&'lro Name Address City State/Zip/ ;'JJ Telephon~ State License # fo 7 <1 0 3 g License Class _________ City Business License # ~7,. "37.5-U Designer Name State License # ----------8. WORKERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone (B' 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 Coda, for the performance of the work for which this permit is issued. My worker's compensation Insurance carrier and pollcy number are: Insurance Company Ronc,bo t'::\&1, J.11SbtollV ~rn<-)£ Policy No.j4}£N' \ChJ$:4q-01 Expiration Date Y -\ -08 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS ;jR OkE HUNDRED DOLLARS ($1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenaatlon coverage la unlawful, and shall subject an employer to criminal penaltlea and civil fines up to one hundred thousand dollara ($ 00,000), I addition to the coat of compensation, damages as provided for in Section 3706 of the Labor code, intereat and attomey'a fees. SIGNATURE~~~~~~~~~&.:-----===--------::==:-:-DATE _t.j~-,:;-3._-_...tJ..,l~;--:=:._-~--- 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 tha 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(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plen to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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 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): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE __________ _ COM~THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ON 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? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. B. CONSTRUC ON LENDIN~CY 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 ________________________ _ Ae.el.!C'W! 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 6'0" 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 commenced within 180 days from the 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). /4PLICANT'S SIGNATURE ?4&1.cre.........c j crtp HITE: File YELLOW: Applicant PINK: Finance DATE l.f-3 -o z ' m-City of Carlsbad Bldg Inspection Request m For: 04/05/2007 Permit# CB070886 Title: EAKIN RES A/C CONDENSOR UNIT Description: CHANGE OUT Type:MECH Sub Type: Job Address: Suite: Location: 2680 LEIGHTON CR Lot 0 APPLICANT FIRE & ICE HEATING & AIR CONDITIONING Owner: EAKIN KEVIN B&OLIVIA L Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 7602680837 Inspector: ~ Requested By: NA Entered By: CHRISTINE 43 AirCond/Furnace Set R--------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments