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Home My WebLink About2787 STATE ST; ; CB111844; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-25-2011 Mechanical Permit Permit No: CB111844 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Building Inspection Request Line (760) 602-2725 2787 STATE ST CBAD MECH 2032950101 Lot#: 0 $0.00 NEW VILLAGE ART:INSTALL WITH NEW 220V 30 AMP CIRCUIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/25/2011 JMA 08/25/2011 08/25/2011 Applicant: ACTION AIR COND.& HEATING-S.D. CITY OF CARLSBAD REDEVELOPMENT AGENCY 2750 S SANTA FE SAN MARCOS CA 760 727 4152 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 PUBLIC AGENCY 00000 Total Fees: $44.00 Total Payments To Date: $44.00 Balance Due: Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH c.e.c. SECTION 106 .. 4 AS AMENDED BY C ... 18.04.030 DA FINAL APPROVAL Date: Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $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 Garlsbad Municipal Ccx:le 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/exactionc: nf which ,,,.., , h:iv" "TAviouslv h,v,_n niv"'n a NOll"'E c:imil:ir •" •his or as to whir.h the statutA nf limit:1tions has nrevi"' ,,.1,, "'lheiwise exnirArl. . ' r't3t I"" I f-4~ Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558 www.carlsbadca.gov Date P(z~;/ 11 iswPPP JOB ADDRESS 2787 State Street, Carlsbad, CA 92008 ::;UITl:.lf/51-'ACE#/UNII # r" . -. CT/PROJECT# ILOT# I PHASE# I# Or UNITS I# BEDROOM::> # BATHROOMS I TENANT BUSINESS NAME I vONSTR. TYPE I OCC. uROUP DESCKIPTION OF WORK: Include Squa,w Feet or AIJechKf AIU(s) Installation of a, 5.0 ton, 13.0 Seer Heat Pump with Air Handler Adding 220v, 30amp circuit EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FlREPlACE IAIR CONDITIONING I FIRE SPRINKLERS Commercial Bldg Same YESO "'° YEs □No □ YES□No[J APPLICANT NAME(Prlmary Contact) Laura Kurner APPllCANT NAME (Secondary Contact) Glenn Ostmark ADDRESS ADDRESS 2787 State Street 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 San Marcos CA 92069 PHONE PHONE 760-213-6862 I FAX 760-727-4152 I FAX 760-727-0213 EMAIL EMAIL comfort@actionac.net PROPERTY OWNER NAME New Village Art Theater CONTRACTOR BUS. NAME • d" . . Action Air Con 1t1oninq, Heat1nq & Scd ADDRESS ADDRESS 2787 State Street 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 San Marcos CA 92069 PHONE PHONE 760-433-3245 IFAX 760-727-4152 IFAX 760-727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS I CITY BUS. LIC.# 509805 C-20 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 ttiat 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 exemi;it 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 {$500}). ~ ~ 1 1 ~ "' WORKER$' COMJ'EN$4'TION ~-' "' uffi , r ~ , ~ , ~ Workffl' Compensation Declaration: I hefel1J afflrm under penalty of pe(jury one of the following declarations: D I hlvt and wHI maintain a certificate of consent to salf•lnture for workers' compensation as provided by Section 3700 of the Lalxlr Code, for the perfonnance of the work for which this pennit is issued. 0 I have and will maintain workffl' compen111ion, as reQuired by Section 3700 of the Labor Code, for the performance of the work for Yiflich this permit is issued. My workers' compensation insurance carrier and i:olicy number are: lnsuraoce Co California Contractors Network Policy No. 4503-093 Expiration Date 12/31/2012 Jlli§,sectiOn need not be completed if the permit is fer one hundred dollars ($100) or less. liJ Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become sub}ect to the Workers' Compensation Laws of califomla. WARNING: Failure to tteure worbrs' com utlon COY9f191 II unlawful, and shall subject an employer to crtminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to th• coat of c:omptn-■tlon, damages H videcl ~ ln Sec:tlon 3706 of the labor code, lntertst and attorney's full. . J ,1/S CONTRACTOR SIGNATURE ?l_~~ OATE /?/2-3 I hef8by affirm that I am exempt lioo1 Contractor's Ucense Law for the fol/owing reason: D I, as owner of the property or my employees with wages as their sole compensalioo, will do the work and the structure is not intended or offered for sale {Sec. 7044, Business and Professions Code: The Contrac!Dr'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 sae. 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). □ □ I, as owner of the property, am eKClusively contracting with licensed contractors to construct the pro)ect (Sec. 7044, Business and Professions Code: The Contra:to(s License Law does not apply to an owner of property who builds or Improves thereon, Md contracts for such projects with contra:tor(s) licensed pursuant to the Contractor's license Law). 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 ?"()party improvement. Oves 0No 2. I (have/ have oot) signed ai appllcallon for a building pennit for the ?"()posed work. 3. I have contracted with the following person (firm) to provide the proposed construction Onclude name adli"ess I phone I contractors' license number): 4. I plan to provide i:ortions of the WOfk, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number): 5. I wlll provide some of the work, but I have contracted (hired) the follOWlng persons to provide the work indicated (include name I address I phooe / type of work): ,1/S PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a buslness.R!!!J, ~ely hazan:tous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acfl D Yes LJ No Is the appicant or future bullcf1ng occupant required to obtain a permit from the air pollution controL.s!i§lrict or alU!l,ality manai;iement district? Dves O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo 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 TME OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affinn that there IS a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) lender's Name Lender's Address I certify that I haw read the application and stats that the abollelrlomlallon Is com,ct and that the lnrormatlon on the plans lsacan18. I agl88 tocomply'Mth all City ORlnancesand State laws llllatlngto bulking construcUon. I hel8by aithorize '8p""811tai"' of the ClyofCafsbad ~ -upon the aboYe rreoooned propertyb"inspeclion Pl'J)068S. 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 AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requm tx emivations """ sa deep and demolUion or oonsfnK:oon of struc1utes over 3 stories i1 t,;ght EXPIRATION: EV&')' pennlt Issued by the Bulking Official urder the ~ of this Cooe shall &xpre by rrmit.coln ald become nuu .m void if the Ix.liking or 'Mlfk authorized by such pennil is oot commeoad v.flhin 180days from fhe dale ofsudl permit orif lhe buUding or-authorized by sudl pemit is suspended or allandorod at any fire aflerlhe-is oomrrenced tx a pefiod of 180 days (Section 1116.4.4 l!lm Buoing Code) . .@S' APPLICANT'S SfGHA -;.,,,,,ff-DAlE ~;? q