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Home My WebLink About2210 PLAZA BONITA; ; CB032091; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-29-2003 Mechanical Permit Permit No: CB032091 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: EXCEL AIR CO 2210 PLAZA BONITA CBAD MECH 2152322036 $0.00 SMITH RES REPLACE FAU AND NC 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 Status: Lot#: 0 Applied: ISSUED 07/29/2003 SB 07/29/2003 07/29/2003 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: SMITH LARRY C&HARRINGTON-SMITH ~HEILA 067B 07/29/03 0002 01 02 2210PLAZABONITA 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.of=I NAbrAPPROVAt. Balance Due: $24.00 DATE_-=_CLEARANCE s1GNATUBTr --l!--( vt(63 PERMIT l(PPLICATION FOR OFFICE USE ON~ . PLAN CHECK NO. c. \So3Zo'} I CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ 1. PROJECT 'pt.AMA TION I • :i.2-10 l-A-t>c0.v ,..,..,,,... Address (include Bldg/Suite #) 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 R~rto.~• Work f-MJ ~ ~(_ '-vs;~ #of Stories # of Bedrooms # of Bathrooms 2. CONTAC~SON (If different from applicant) -I Name Address 3. APPLICANT 1 QrJ' Contractor O Agent for Contractor O Owner E'ic eJ A, "-.. 361 d~b~ ~ ~ Name Address City 0 Agent for Owner 51:l/Jo f?«JL City State/Zip Telephone# Fax# State/Zip Telephone # 4. PROPERTY OWNER u L.4/U."f S,w ~ 3-10 p LA "l4J.. 8 (!)NI l-A· ~JJ CH-fhrl'f 7~-Y.ifi>S ~ 'f-7 Name Address City State/Zip Telephone # 5. 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 ex~ption. A viol~io'I of Section 7031.5 by any a plica for a permit subjects the applica Jl~1 a civil penalty of not more than five hundred dollars [$5001). _t>=--..!...Y.=c~~...:.m..:....!......L.=.--U!I..L.L..!.x...a....L-=-..1....:U:....=.....,W~::...=;,t.-...-.l-...l.'.J.......l.~l'.!:::b..:..../2-0tP_=.:~, ::...__..!io,CJC.......-L...!:::!2o~'l-lL.........:::!.s..~_~-Li:,,L.L...t....:, 7 Name Address City State/Zip Telephone # License Class __ (.;;;__-_UJ ____ _ State License # __.7'-1'_,/<-=-J..,j-=~'l'---City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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) Q 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 fci'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 1 ,0001, in a itio to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE:....2~~~~&..~~~,£.::e,.a._:._ ___________ --=:-DATE O 7-:J. 9 -0') 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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). 0 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. 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 _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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. 8. CONSTRUCTION LENDING AGENCY 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. ________________________ _ 9. APPLICANT CERTIFICATION 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 Cit\! 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 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 com for a p i of O ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE O7-;J..f-02 WHITE: File YELLOW: Applicant PINK: Finance • City of Carlsbad Bldg Inspection Request For: 12/26/2003 Permit# CB032091 Title: SMITH RES REPLACE FAU Description: AND A/C Type: MECH Sub Type: Job Address: 2210 PLAZA BONITA Suite: Lot 0 Location: APPLICANT EXCEL AIR CO ----- Inspector Assignment: Phone: 7604385247 Inspector: Owner: SMITH LARRY C&HARRINGTON-SMITH SHEILA Remarks: Total Time: CD Description Act Comment Requested By: LARRY Entered By: CHRISTINE 43 AirCond/Furnace Set f2k------ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments