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2849 CACATUA ST; ; CB101795; Permit
09-30-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB101795 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2849 CACATUA ST CBAD MECH 2153702100 $0.00 Lot#: SMITH RES- REPLACE A/C SAME LOCATION Status: ISSUED Applied: 09/30/2010 Entered By: LSM Plan Approved: 09/30/2010 Issued: 09/30/2010 Inspect Area: Applicant: ACTION AIR COND.& HEATING-S.D. 2750 S SANTA FE SAN MARCOS CA 7607274152 Owner: LAFLIN-SMITH TRUST 12-06-89 2849 CACATUA ST CARLSBAD CA 92009 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 $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:$24.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: .Clearance: 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. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. j&\ Q | ^ <T Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS Cacatua St, Carlsbad, CA SUITE#/SPACE#/UNIT# CT/PROJECT*# OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Remove And Replace A/C Condenser **SAME LOCATION** EXISTING USE Single Family Resid. PROPOSED USE Same GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES|~|# N0| | AIR CONDITIONING YES [71 NO | | FIRE SPRINKLERS CONTACT NAME (If Different Font Applicant)Norman Smith APPLICANT NAME Glenn Ostmark ADDRESS Cacatua St ADDRESS 2750 S Santa Fe Avenue CITY Carlsbad STATE CA ZIP 92009 CITY San Marcos STATE CA ZIP 92069 PHONE FAX PHONE (760)727-4152 FAX (760)727-0213 EMAIL EMAIL comfort@actionac.net PROPERTY OWNER NAME Norman Smith CONTRACTOR BUS. NAME Action Air Conditioning & Heating ADDRESS 2849 Cacatua St ADDRESS 2750 S Santa-PeAyenue CITY Carlsbad STATE CA ZIP 92009 CITY San Marcos STATE CA ZIP 92069 PHONE (760) 703-5093 FAX PHONE (760) 727-4152 FAX {760)727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS 509805 C-20 CITY BUS. LIC.# 419800 (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 theBusiness 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 acivil penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: LJ 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. liJ 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 workers' compensation insurance carrier and policy number are: Insurance Co California contractor Network Policy No. 4503-093 Expiration Date 12/31/2010 TJijs section need not be completed if the permit is for one hundred dollars ($100) or less. [/] 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost of compensation, damages-^pfovided.for in Section3706 of the Labor code, interest and attorney's fees. / hereby affirm that I am exempt from Contractor's License Law for the following reason: |_^| 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). |~J I.as owr|er 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 contractors) licensed pursuant to the Contractor's License Law). Q] I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I lYes |~~lNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): xgTpROPERTY OWNER SIGNATURE IAGENT DATE City of Carlsbad Bldg Inspection Request For: 10/22/2010 PermiW CB101795 Title: SMITH RES- REPLACE A/C SAME Description: LOCATION 2849 CACATUA ST Lot: Type: MECH Sub Type: Job Address: Suite: Location: APPLICANT ACTION AIR COND.& HEATING-S.D. Owner: LAFLIN-SMITH TRUST 12-06-89 Remarks: Inspector Assignment: Phone: 7607035193 Inspector: Total Time: CD Description 43 AirCond/Furnace Set Act Comments Requested By: NA Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of 1 «™» ,---j Contractors State Llj^n£e Board Contractor's License Detail - License # 509805 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••» CSLB complaint disclosure is restricted by law fB&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. ••» Per B&P 7Q7lr7 , only construction related civil judgments reported to the CSLB are disclosed. ••'!>> Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ••» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 509805 Extract Date: 9/30/2010 _^^^..^.^___^^.,^ - dba ACTION AIR CONDITIONING HEATING & SOLAR Business Information 2750 S SANTA FE AVE SAN MARCOS, CA 92069 BusJness_Phone^Number:[760) 727-4152 _ Entityj Corporation .Issue Date "IZ .1'°4ra/l987_^_I I,,'l',l JZL__I__ Expire Date^ 04/30/2011 Lioensestatus _ This license is current and active. All information below^should be reviewed^ CLASS DESCRIPTION Classifications: C2°_ ^A-B!^4!Jl^y!^ _C46 SQLAB CONTRACTOR'S BOND This license filed Contractor's Bond number 9052844 in the amount of $12,500 with the bonding company A.M.ERJCAN.CQM Effective Date: 01/01/2007 Contractor's Bondinp HistoryBonding: ,™~~~~™~™™™™™~™, ~.~™,~ ~..,,.~..,. ™,™™™™™_™ , ^^^^^__,,™..,._,™™™™™™™™_n ...................... BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) GILL GREGORY WARREN certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 05/26/2010 BQrs_Bondirig_History This license has workers compensation insurance with the D.EEMIM.E.N.I....Q.E...I.ND.US.I.RiALBE Policy Number:4503-093 Workers'Compensation: „,,-.-„,Effective Date: 07/25/2006 Expire Date: None Workers' Compensation History CondiJions.of .Use | .Privacy:. Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=5... 09/30/2010