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Home My WebLink About2802 ATADERO CT; ; CB013016; Permit09-18-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Mechanical Permit Permit No: CBO13016 Job Address: Permit Type: MECH Status: ISSUED Parcel No: 2551 01 2200 Lot#: 0 Applied: 09/18/2001 2802 ATADERO CT CBAD Entered Bv: RMA Valuation: $0.00 Reference #: Project Title: DINSMORE RES-REPLACE FAU Applicant: EXCEL AIR CO 2045 CAMINO DR ESCONDIDO CA 92026 760 480-7557 Pian Approve;: 09/18/2001 Issued: 09/18/2001 Inspect Area: Owner: DINSMORE BETTY T 2802 ATADERO CT CARLSBAD CA 92009 0248 09/18/01 0002 01 02 CGP 24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee InstallationlRelocation Vent Fee Hood Fee BoiledCompressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES $1 5.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE mat approval of your proiect includes the 'Imposition" of fees. dedications, reswations, or other exadions hereaftsr wllectively referred to as 'feedexacians." You have 90 days from the date this permil was issued to protest imposition of these feeslexacions. If you protest them, you must follow the protest procedures set folth in Government Code Section 66@0(a), and file the protest and any omer required information with the City Manager for processing in acmrdanca whh Cadsbad Municipal Code Section 3.32.N. Failure to timely follow that procedure will bar any subsequent legal ation to attack. review, set aside. void, M annul their imposition. You are hereby FURTHER NOTIFIED that your ight to protest the speclied feedexations DOES NOT APPLY to water and Sew wnnection fees and capadiy changes, nor planning. zoning, grading or other similar appliceton pmcessing M servica fees in WnneCtion with this project NOR DOES IT APPLY to any feedexadions of which YOU have Dreviouslv been given a NOTICE similar to this. or as to which the statule of limitations has Dreviouslv othelwise BXDired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA .- 92008 FOR OFFICE USE PLANCHECKN -- EST. VAL. Plan Ck. Deposit Validated By Date Tw Address ImcIude BldglSuits XI Business Name I1 thm address1 Legs1 Description Lot No. Subdivision NsmdNumbei Unit NO. Phase No. Total X of units Arrsrror*r Parcel X Existing Use Reposed Use Osscnptcon of Woik sa. FT. #Of stones a of Badroomr a of Bathrooms &AY 2. Name Address Statalzlp Teiaphone X Fax X CONTACT PERSON (U dmennl horn @unll 6. CONTRACTOR - COMPANY NAME ISec. 7031.5 Businass and Pmfsrrionr Code: Any City 01 County which requires a permit to ~~nstruct, alter. improve. demolish or repair any RrYCtUre, prior to its issuance, also requires the applicant for such permit to fils a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapttar 9, commending with Section 7000 of Division 3 of the Business and Rofsrrionr Codel or that he is exempt therefrom. and the basis far the alleged exemption. Name Address ny violation of Section 7031.5 by any applicant for a psrmtt I Iects the applicant to a civil penalty 01 not mora than five hundred doilsrr lS50011. fisc. 9-24 c-4 aygo7s-s-7 City SOteIZip Telephone X E%?-@ #&/a cu state License 78 12 s-9 License Class c w x/'c City Business Licsnra X -2 Z9YCC;Aur' YD 2% Designer Name Address City StatdZip Telephone State License X 6. WORKERS' COMPEN&I\nON Workers' Compensation Declaration: I hereby affirm under wnahy Of wrjuw one of the following daclantions: 0 of th8 work for Which this permit is issued. ssued. My worker's Eompmsati n insurance Carrier L7 F Insurance company sfa~ A /ZI* ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 111001 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 parson in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fmllur. to sacwe w0rk.n' compmsmion coring. 1s uIdaw(UI. and shdl subj.ct an .rnployn 10 cdrnirul p.n.lh and dvH Hrvs up to one hundrd 1 have and will maintain a certificate of Consent to self.insure for workers' cornpanration as provided by Section 3700 of the Labor Code, for the performmce I have and will maintain worked compsnration. as required by Saction 3700 of the Labof Code. for the performance of the work for which this permit is d policy number are: policy NO. 16 Y &TQ1 - 0 1 Expiration Date 0 7- o/- 0 2 ensation. dunaQes as provided lor in Section 3706 of the Labor de. intarest an6 anomev's fns. DATE 09 -/8- o/ 7. OWNER.EUILDER DEcwnarmN I hereby affirm that I am exempt from the Contractor's License Law for the foilowing rea60113 0 i. as owner of the property 01 my employees with wags as their 101. compensation. will do the work and the rtructura is not intended or offered for 1.1. (Sac. 7044, Business and Profsrsionr Code: The Contractor's Lisanse Law does not apply 10 an owner of property who builds 01 impIoYes thmaon. and wha dael such work himreif 01 through his own empioyees, provided that such improvements am not intended 01 offered for sale. If. hmwever. the building 01 improvement il sold within one qear of compietion. tha owner-builder will have the burdm of proving that he did not build or improve for the p~rpo6e of del. I, as owner of the property. am exciudwly contracting with licensed Contractors to construct the project ISec. 7044, Business and Prafessions Code: The Contractor's License Law does not apply to an owner of property Who builds or improves lheieon. and contracts for such projects with EOntmCtOllsl licensed pursuant to the Contractor's License Law). 0 1, 2. 3. 4. number I contractors license numberl: 5. Of WOILk PROPERTY OWNER SlGNATURE DATE COMPLm THIS SECTION FOR NolydEslDwML BUILDINNC PERMITS ONLY Is the applicant or future building OCCupmt required to submit business plm acutely h.mrdOUs materials reginretion form or risk management and prevmtion program under Sections 25505, 25533 or 25534 of the Pre,slsvTannsr HazardOUs Substance Account Act? YES 0 NO 1s the applicant or future building Occupant required to obtain I permit from the air pollution control district 01 air quality managsmsnt district? YES 0 NO 1s the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT E€ ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0. CONSTRUCTION LENDiNG AGENCY I hereby affirm that there is a Construction lending agency for the pertormancs of the work for Which this permit is issued ISsc. 309711) Civil Cadel. LENDER'S NAME LENDER'S ADDRESS I am exempt under Section I personally plan to provide the major iabor and materials for construction of the prop0l~d property improvamant. 0 YES ON0 I (have I hive not) signed an application for II building permit for the proposed work. I have contracted with the following person lfirml to provide the proposed Construction linduds name I address I phone number I Contractors license numbrl: I pian to provide poRiOM of the work. but I have hired the following perron to coordinate, supervise and provide the major work lincluds name I address I phw I will provide some 01 the work, but i have contracted (hiredl the foliowing persons to provide the work indicated linclude name I address I phons number I tqw Business and Rofsrrionr Code for this rsaron: 9. AmicmT CERnFicAnoN I certify that I hava read the application and state that the above information is coirect and thm the information on the plans is aCCWat1). i agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize mprcsentatives of the Citv of Carisbad to enter upon the above mentiand property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UA0ILITIES. JUDGMENTS. COSTS AN0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA10 CITY IN CONSEOUENCE 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 lhe building Oniciai un&r the provisions Of this Code shall expire by limitation and become null and void If me building or work aulhonzed by such permit IS not commenced within 100 days lrom fhe dale of such pmit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is I a perio Q 00 d s ection 106 4 4 Uniform Building Code). APPLICANT'S SiGNATURE //g#&~-. DATE 0 WHITE: File YELLOW: Applicant PINK: Finance G' \r . STATE COMPENSATION INSURANCE FUND CONDITIONAL RECEIPT . This I5 to cefti@ that we, In consIdaration of tha total depwR premium and my mand.tocy surd18 b f $ and the full protnlq to ar later upon tha total remunercltion of employees dudng the policy pMiod % to Commlurioner to: , agrw to lrrua a valid workar's companrativn insurance policy In a form approved by the Cdlfamla lnsuranoe THE EXECUTIVE OFflCEPF THE FUYD RESERVES THE AUTHORrlY TO QRANT INSURANCE COMRAQE AND THE RlQHT TO REJECT ANY AND AU APPWTIONS, BUT WHEN-ACCEPTED. INSURANCE WILL BE MADE EFFECTIVE AT 1241 A.M. PACIFIC 6TANDARD TIME THE DAY FOLLOWINQ RECEIPT OF THE COMPLETED APPLICATION FOR CALIFORNl4 WORIQR6 WMPENSATlON INSURANCE AND YOUR CHECK FOR THE DEPOSIT PREMIUM AND ANY MANDATORY 8URCHARQE BY ME FUN0 UNLESS A LATER DATE IS REQUEST60 BY YOU. ,, DIVIDEND STATEMENT ! UNDER CALIFORNIA LAW IT IS UNLAWFUL FOR AN INSURER TO PROMISE THE FUTURE PAYMENT OF DMDENDS UNDER AN UNEXPIRED WORRER6' COMPENSATION POLICY OR TO MISREPRESENT THE CONDITIONS FOR DIVIDEND PAYMENT. DIVIDENDS ARE PAYABLE ONLY PURSUANT TO CONDITIONS DETERMINED BY THE BOARD OF DIRECTORS OR OTHER QOVERNINQ BOARD OF THE COMPANY FOLLOWING POUCY EXPIRATION. IT IS A MISDEMEANOR FOR ANY INSURER OR OFFICER OR AQENT THEREOF. OR ANY INSURANCE BROKER OR SOLICITOR TO PROMlSE THE PAYMENT OF FUTURE WORKER6 COMPENSATION DIVIDENDS. * ruE STATE COMPENSATMN INSURANCE FUND HAS AN ~"TERRUPTELY nisrm OF DMMND PAYMENTS SINCE ni~ INCEFTION OF OPERATONSIN 1014. OURDlVlOENDPR~PROVlDES~TUWNTHETERMINA~ OFEACH WUCYYUIRANDAFTER ADJUSTMPITOFPR~UM,YOUWIU~EHTmEDTOP~~A~ INANYDIVIDEND P~Appuc*BLETOTH16wucYWHlcHMAYBf APPROVED FOR DISTRI6UWN BY OUR BoltRD OF MRECTORS IF THE FIUAL PREMIUM DETERMNED AT THE END OF THE PWCY PEWOE IS MORE THAN THE MINIMUM PREMIUM, WlTH THE FOUOWlNO EUXPTlON& YOU WILL NOT BE ALLOWED TO PARTICIPATE IF YOU FAIL TO PAY ANY PART OF THE PREMIUM FOR THIS WUCY AFTER WE REOUEST PAYMENT IN WRV OR ALLOW IT TO REMAIN UNPAID FOR DD DAYS AFTER WE MIL A STATEMENT OF PREMIUM TO YOU AT THE -0 ADDRESS SHOWN M M DECIARATTK)M. YOU DO NOT MEP ADEOUATE RECORDS OF INFORMATION NEEDED TO COMPUTE PREMIUM. OR DO NOT PROVlDE THEM TO US WHEN WE ASK FOR THEM; OR WE MUST BRINQ SUIT AGAINST YOU TO OBTAIN THE RECORDS NECESSARY FOR US TO ColwlE PREMIUM. OR TO ENFORCE THE COLLECTION OF Au OR ANY PART OF THE PREMIUM FOR THIS PWCY. YOUR PARTICIPATION WILL BE ACCORDING TO THE RULES ADOPTED BY OUR WARD OF MRECTORS. mTE HOME OFFICE SAN FRANCISCO POLICY DECLARATIONS I N s u R A N c E COMP6NSATlON Fu N D CALIFORNIA WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY THESE DECLARATIONS ARE A PART OF THE WORKERS COMPENSATION POLICY INDICATED HEREON. L EXCEL AIR COMPANY 2045 CAUINO DRIVE ESCONDIDO, CALIF 92026 DEPOSIT PRgllIUn MINIMUM PRENIUU PREMIUM ADJUSTMENT PERIOD NAHE OF WLOYER- KUiiTAKEV, ALEX AND KUATAREV, UEXIA (RIISBAND AND WIFE) TRADE N&- EXCEL AIR COMPANY LOCATIONS- 2045 CAXINO DRIVE ESCONDIW CA 92026 $1,253.00 56SO.00 QUARTERLY N SD 1. WORKERS' COMPENSATION INSURANCE - PART ONE OF THIS POLICY APPLIES TO THE . -- L __ -__ - - - . -.__ WORKERS' COMPENSATION LAWS OF THE STATE OF CALIFORNIA. - 2. WIPLOYER'S LIABILITY INSURANCE - PART TWO OF THIS POLICY APPLIES TO LIABILITY UNDER TEE LAUS OF TEE STATE OF CALIFORNIA. LIABILITY INCLUDING DEFENSE COSTS UNDER PART TWO IS, THE LIMIT OF OUR $1, OOO, 000 - CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE FROM 07-20-01 TO 07-01-02 % INTERIM BASE BILLING RATE RATE* - 5542 SHEET UETAL WORK--ERECTION, INSTALLA- 9.35 7.93 TION OR REPAIR--SHOP AND OUTSIDE- INCLUDING INSTALLATION OF FURNACES OR AIR-CONDITIONING SYSIEXS-EIPLOYEES WROSE REGULAR HOURLY WAGE EQUALS OR EXCEEDS $20.00 PER HOUR-N.O.C. TEE USE OF THIS CLASSIFICATION IS SUB- JECT TO VERIFICATION AT THE TIME OF FINAL AUDIT TtUT THE EMPLOYEE'S REGULAR TOTAL ESTIMATED ANNUAL PRiMIuW $4,175 .- POLICY FORN L 1 lUNTlLRSIGNED AND ISSUED AT SAN FRANCISCO JULY 27. 2001