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Home My WebLink About2621 ACUNA CT; ; CB062877; Permit10-04-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB062877 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation:' Reference #: Project Title: 2621 ACUNA CT CBAD MECH 2154911400 $0.00 JENKINS RES- REPLACE FAU CONDENSERS COIL Applicant: SOUTH COAST HEATING AND AIR CONDITIONING 2664 VISTA PACIFIC OCEANSIDE CA 92056 / 760-941-7000 . ' ' Status: PENDING Lot #: 0 Applied: 10/04/2006 Entered By: LSM Plan Approved: Issued: Inspect Area: Owner: JENKINS DAVID A 2001 TRUST 10-11-01 PMB 6965 EL CAMINO REAL #687 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 $18.00 - $0.00 $0.00' $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 Total Fees:$33.00 Total Payments To Date:$33 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 attach, 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 lo which the statute of limitations has previously-Otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. G-&O Cog^"^ *? EST. VAL. Plan Ck. Deposit Validated By _ Date jl-J^PROJECT INFORMATION 2621 Acuna Ct 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 Replace furnace, condenser and coil Proposed Use Description of Work SQ.FT.# of Stories # of Bedrooms # of Bathrooms CONTACT PERSON (if different from.applicant, D Name Address City State/Zip Telephone #Fax# D^Cjjnjractgr_ D Agent for Contractor _ JenniferCole P.O. Box 711564 Santee D Owner _Agent_fp_r_pwner_ CA 92072 619-405-2648 Name Address City State/Zip Telephone # Tamara Jenkins 2621 Acuna Ct Carlsbad CA 92009 760-533-9253 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, afso 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 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]). SouthCoast Heating & Air 2664 Vista Pacific Dr Oceanside CA 92056 760-941-7000 Name State License # 794074 Address License Class C20 City State/Zip City Business License*. Telephone # 697600 Designer Name State License # Address City State/Zip Telephone # E WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. [7] I have and will maintain worker's 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: fnsurance Company Zurich American Policy NO.WC293864901 Expiration Date 01/01/09 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverag^ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in addition to ttl'e cost of compensator), damages ateJprcSWed for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE ^—J{j?JiJ1f^J\ (<£/(-/ ^- DATE /&'-. ^ [7r~OWNJR^BUIj^R _.__^ ~ ^^ ^ ~ " ~~~^^,_I-....^..... ^ - -^--~:J 1 hereby affirm tha^lamexempt from ttie Contractor's License Law for the following reason: D I, as owner oTthe property or my em^gyees with wages as their sole compensation, will d 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). D 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 contractors) licensed pursuant to the Contractor's License Law). D 1 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. D YES D NO 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 / /ontractors 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 WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION * CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 fcbMPI:ETE~TO!S~SECilbN>bR~N^^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration far or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. [8r~~CONSTRUCTlbN'LEHblNGAGENCY"""_^'"' ' ' ' ^""j— ' H.T'" ^ '_~J."2^'~~~ I ~~~~~~( I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ; LENDER'S ADDRESS '... [9T __„ I certify that I have read the application and slate 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 City 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, JUDGEMENTS, 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 of 5'0" deep and demolition or construction of structures over 3 stories in height. by such permit is not commenced within ISO days from Jhe dats^f suc> permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of APPLICANTS SIGNAT ig Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/22/2007 Permit# CB062877 Title: JENKINS RES- REPLACE FAU Description: CONDENSER & COIL Type:MECH Sub Type: Job Address: 2621 ACUNACT Suite: Lot 0 Location: APPLICANT SOUTH COAST HEATING AND AIR CONDITIONING Owner: JENKINS DAVID A 2001 TRUST 10-11-01 Remarks: Inspector Assignment: Phone: 7605858807 Inspector: Total Time: CD Description 43 AirCond/Furnace Set 49 Final Mechanical Act Comment . Requested By: JESSICA Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date ' Description Act Insp Comments Oct 03 06 04:36p Jennifer Col 61S-33Q-479G p.4 . FROM :SOm«OBST HEftTIbG RND SIR Ffl* NO. :7Sfl 941 3680 Jut, 05 3906 9l:39PH P3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT STATE DP CAUFORWA v>3l p«reonally known to me (or proved to me on ft* bastetf 88ti8laDioiyevWence)tobeih8pt«on(s) wtiow nanw(s) to/are subscnbed to the wnWn instrument and aoKnowtedgect to me that tefehtf they executed the same in htemer/their authorized capacities), and that by his/her/lhetr orlheenl^i^nbe^ executed the instrument. WITNESS mv hand and official seal. OPTIONAL INFORMATION TiTLS OS TYPE OF DOCUMBNT SKatOKS) OTHER tHAN NAMED ABOVE 03 06 04:36P Jennifer Cole 619-330-4796 p.5 FTOM =SOUTK3(MST tCflTING PND flIR FfiX ND, :7G3 341 3680 Jul. 05 2806 01 =39^ P2 SOUTHCOAST HEATING & AIR CONDITIONING July 5,2006 To whom it may concern: This letter hereby Authorizen Jofao Batioff> David BatiofT. Nicfc Daniel Shubin, Jennifer Colo and all currently authorized PCETSOM on bcfcaJf of North Bay Pemiit Services/South Land Pctmit Servicfts to sign for any and nil building permits and licenses required by our company. Sincere irantLobr General Manager /sir PHYSICAL ADDRESS: aes4 VISTA PACIFIC DRIVE, OCEANSIDE, CAozose (TBO) MWOOO : 22260 NETWOHK PLACE, CHICAGO, IL OOBTS -p State Lie. *794Q74 ONI Got 03 06 04:37p Jennifer Cole S19-330-4796 p.6 92/91/2806 18:32 7bB94T..83«SOUTHCOftST PAGE 01 ......:* •*• •- -^ --1 v . *"jS"' .• A? •• ;.V- r-'f -fj ... ;..',. Sft '. *tf'j?<..". AON RISK SERVICES, INC OF 1 LUMOfi AON CENTER 200 EAST RANDOLPH STOEET AmrfcOT MnhniiMl Sana U£ & AMifia ul CnUtka MM Bdow MEMORANDUM OOD WOT AMsum -pro OR Auntim covntACtt COMPAHTA Mrthatfmttnrfl HHIilrt iipman •rmfcaa.iFA COMPANY ft COVERAGESTTO»TOCirnfYTOATTWroUCl«SO*wSOTiq<tXWTTO*nOW*AV*« wrwrnm'Ai'nmaAicritBQtnRSft^ BW» «t WV ratlVUJ*. 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