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Home My WebLink About2753 GALICIA WAY; ; CB101096; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-16-2010 Mechanical Permit Permit No: CB101096 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2753 GALICIA WY CBAD MECH 2162201500 Lot#: $0.00 Status: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: THOMAS: REPLACE FURNACE Applicant: EXCEL AIR CORP 361 NATALIE WY 92028 760-723-9294 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: THOMAS MARIANNE 2753 GALICIA WAY CARLSBAD CA 92009 Issued: Inspect Area: Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: Inspector: FINAL APPRO)IAL Date: 6./!2"1//0 Clearance: ISSUED 06/16/2010 JMA 06/16/2010 06/16/2010 $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 foUow the protest procedures set lorth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Garlsbad 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 specitied fees/exactions DOES NOT APPLY to water and sewer connection tees 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""'s/exactions of whirh · -~, · have nreviouslv been niven a NnTir.E similar to this or as to which the statute of limitations has orevio11<::111 otherwise exnired. «~~' Building Permit Application Plan Check No.CPJ! 0 ( Oq L... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.,Q~rlfJbaij!.;;a,gQv Date I JOB ADDRESS -;)...7r;:i G-, l-'c\" 11,,..,_'q SUITE#/SPACE#/UNIT# I"" --- t La/PROJt:.CT # LU,# I PHASt.# I# Of UNITS I# BEDROOMS # BATHROOMS I TENANT i!USIN~ NAME 1=•~ ....... I--= DESCRIPTION OF WORK: lnclufM SqueN Feet ol Atrect.d Area(•) ~ L,:'\"t<.. f ,H """1 c e EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPt.ACE I AIR CONDITIONING I FIRE SPRINKLERS YES •#_ NOD YES D NO • YES O NOD CONTACT NAME (If Dltfwent Fom Appllcant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE !FAX PHONE I'"' EMAIL EMAIL PROPERTY OWNER NAME /11 -.r:" 1111e.. ,"'-o,,... .. -.s CONTRACTOR BUS. NAME f:=° l<'ce-1 A:r C o/P ADDRESS ADDRESS I ~ I "<.. s ✓· <; ·. ,..,_,,,~".,.. ,..__,. ..._ -le_ .\°' CITY STATE ZIP CITY STATE , ZIP F-¥ a.--J-J" C ..I\-'l J-o.)...,, PHONE IFAX PH~6'u) 74'I-S55o I'"' EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC&' l-/ 7 3 3 <--( I 'I.ASS '-d"'O l'?'~i~;33 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, Improve, demoHsh or repair any: structure, pnor to its Issuance, also requires the applleant for such permit to fUe a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chaot.er 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exem_pt therefrom, and the basis for the alleged exemption. Any vlolaUon of Section 7031.5 by any applicanffor a permit subjects the applicant to a civll penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Worktrs' Compensation DedaraUon: / hereby Bfflml under penalty of f)6fjury one o/ the following declar•ions: • I hlvt and wHI maintain I certificate of content to sttf.lnautt for 'Mlfkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for wt.ch this pennit is issued. /i'f"1 have and wUI maintain work.,.' com_Pt"'ltfon, as required by Section 3700 of the Labor Code, for the performance of Iha~ for which this permit Is i&&ued. My workers' compensation lnstnnce carrier and polcy aumt,e,""''""""nceCo. ,j/,<f-, u""'I V"!"' F _y-,_ Poley No. '-v(O¢: 3 5Ro ~ I 7 E,q;ralionDalo 7/ I/&> This section need not be completed If the permit is for one hundred dollars ($1CHl) or less. D Certificate of Exemption: I certify that in the performance of lhe work for which this permit Is Issued, I shaH not employ any pen;on in any manner so as 10 become &Ubject to the Workers' Compensation laws of California. WARNING: F•llure to secure woritr1' compensation coverage Is unlawful, and shall subject an employer to crimlnU penalties and clvll flnas up to ont hundred thouland dolln (&100,000), In addition to tht cott of compenaatlon, damagn •• provkled for In Section 370G of Labor code, lnttrelt and attorney'• fen 6 / I AS CONTRACTOR SIGNATURE ~ ~ AGENT / / 6 / C) I hereby affirm that I &'11 exempt from Contractor's License Law for the folJowing reason: • I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and the strucltJre 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 bu~ds cw improves thereon, and who does such work hmself or through his own employees, provided that such improvements are not intended cw offer9d for sale. II, however, the building or improvement Is sold within one ye• of completion, the owner-builder wlN have the burden of proving that he did not build cw 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 Cootractor's License Law does not apply to an owner of property who buMds or improves thereon, and contracts for such projects wilh contractor(s) licensed plnuanl to the Contractor's license Law). • I am exempt under Section ----~•usinasa and Professions Code for this reason: 1. I personally plan to provide the major labor and meterials for construction of the proposed property improvement. • Yes • No 2. I (have I have not) signed an aPPicatlon for a bu~ding permit for the proposed work. 3. I have contracted 'Mth the folO'MJIII person (llnn) to provide lhe proposed constructioo (include name address I phone/ contractors' license number): 4.1 plan lo provide portions of the work, but I have hired the following pe11,0n to coordinate, superv!M and provide the major 'Mll'k (include name/ address I phone I cxmac:kn' Mcense number): 5. l wll provide some d the work, bul I have contracted (hired) the following persons to provide the work indicated (include nama I address / phone I type of work): AS PROPERTY OWNER SIGNATURE CIAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo sOO!Tllt a business plen, acutely hazardous materials registration form or risk management and prevention progam under Sections 25505, 25533 or 25534 rl lie Presley-Tanner Hazardous Substance Account Ad't • Yes • No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quaMty management district? • Yes • No Is the facility lo be constructed within 1,000 feel of the outer boundary rA a school site? • Yes • No F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFfCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVtcES AND THE AIR Pot.LUTION CONTROL DISTIUCT. CONSTRUCTION LENDING AGENCY I hereby affim, that there ~ a construction lend,rg agency lor the perfomianoe of the work this pem,lt is ,ssued (Sec. 3097 (i) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I oertllythat I hM 1'811dttle appllcation and state that the above lnbmatloo Is c:on&et and tltatthe lnfonnatlon on the plans Is acauate. I &gn,e:to comptf wtth all ClfJ Oldlnanoes Md Stallt 11Ms l'llatln.:1D bulkflnt 00ftStructlon. I 11818by auhlrize ,_,iaweol Ile City olCarlsbad tlenlerupoo Ile above ""'11ilned propellyilr ;_.,,, purposes. I ALSO AGREE TO SAVE, NOEMNIFY NlD KEEP IWM.ES5 TIE CITY OF CARLSBAD AGAINST All LLI\BUTIES, JUDGMENTS, COSTS Ai'IJ EXPENSES WHICH MAY IN Alf'IWAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSAA An OSHApemil is l8QUied ilre,cavalonsover s~· deep and-or""1Slruciion of .-...-3 sb'os" height EXPIRATION: EWI)' pemil-bylhe Blikling Official under Ile pro,isionsollhis Code shall expie by 011ialiln and become nuH and YOd Ille buidr,g or-autlorized bysuch pemi1 Is ootoomror<:ed- 180 days illm Ile dale ol such pelnil or i Ile buidr,g or-autlorlzed by such pemil ii or abandoned at any tire after Ile -is oomror<:ed ilr a period of 180 days (Slcli:lo 106.4.4 Uniilnn Buttg Code). ~ APPLICANT'S SIGNATURE DATE n!\ -City of Carlsbad Bldg Inspection Request For: 06/25/2010 Permit# CB101096 Title: THOMAS: REPLACE FURNACE Description: Type:MECH Sub Type: Job Address: 2753 GALICIA WY Suite: Lot: 0 Location: APPLICANT EXCEL AIR CORP Owner: THOMAS MARIANNE Remarks: am please Total Time: CD Description Act 43 AlrCond/Furnace Set i!/!_ 49 Final Mechanical _J_ Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: 151 lnspector;___,;&...L--- Requested By: NA Entered By: CHRISTINE