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Home My WebLink About2841 LEVANTE ST; ; CB042978; Permit~ f(-flj.,\ t,,._'( City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-02-2004 Mechanical Permit Permit No: CB042978 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2841 LEV ANTE ST CBAD MECH Status: Parcel No: 2162301500 Lot#: 0 Applied: ISSUED 08/02/2004 RMA 08/02/2004 08/02/2004 Valuation: $0.00 Reference #: Project Title: RASSELL RES-NEW A/C & REPLACE FAU Applicant: EXCEL AIR CO 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 2 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: DOAN LAW&PROFFESSIONAL TERRACE LL C · 2850 PIO PICO DR #D CARLSBAD CA 92008 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $53.00 Total Fees: $53.00 Total Payments To Date: $0.00 Balance Due: $53.00 FINAL APPROVAL DATE ?fa.3/2'( CLEARANCE __ / __ SIGNATURE l27J __ t ii , PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O~g)' PLAN cHEcK No.Cµ o c:1 Jlf ?f EST. VAL. _________ _ Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use II of Bedrooms I of Bathrooms City State/Zip Telephone II Fax, l~ '•· ' :..,. :I,,, !, ' ' . ildo-..!>°k -..SY'~ Name Telephone I (I; (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 exemption. An'(,:!iollfJon?'iction 7031. by any a lica for a ermit subjects the epplica enalty of not m re tha five hundred dollars 1$50011. t:;;---yc,e,r Jl::1.-R. , , &Vi rz,~ ~-~ Designer Name Address City State/Zip Telephone State License I _________ _ L ·' WO.il.!tERS' ~OMi,;f!ISATIO ,._., ....... , .. ·-' ~..... . ~.. ..... ~-: •.•. Workers' Compensation Decleration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 ($1001 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 es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure worb,a' c:ompenHtlon coverage la IA'llewful, and ahell aubject en employer to criminal penaltlH and civil finH up to one hundred thouaend dollar• ( • 100 O • In addition to the o of co ens on, damages es provided for In Section 3706 of the Labor code, lnterHt end attorney's feea. sIGNATURE DATE oJ -tJ 2 -It') V > ~Yh!.ffl¥iffi ~(Jt.~tfo •~• • ••:.•lir!.c\1!1..-~l"::~•t,,•:_;.~;~•-;::r,,;,-c~•·•~...,;,,i'"'""·d t • • •.,,.: .•• ¥•woq, ,f--: I heieby 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, BusineH and Professions Code: The Contractor's License Law does not apply to an owner of property w,ho builds or improves thereon, and who does such work himselt or through his own employees, provided that such improvements ere not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will h1va the burden of proving that he did not build or improve for the purpose of sale I. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profea1ions Code: The Contractor's License uw does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pu,suant 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 1pplic1tlon for • 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 l have contracted (hiredl tha following persons to provide the work indicated (include name / address / phone number / type of wo,k): ________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ ~OMi!Lu(~H1s·s~CT!Of('FOl,'NON:/l{S/DENOO'B01!;.QJt40\Pt:RMIIS...Q.NCYi!forutilii.!~,~j.~1:!r.t..:!J.l • ..::n~.:.il;;.;:;,d 10.,./l~ ~· .. ;::,i;:.r.' Is the applicant or future building pccupant required to submit a business plan, acutely hazardous materials registration form or tisk management and prevention program under Sections 26605, 26533 or 25534 of the Presley-Tenner 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 f1111t of 1i,e outer t;,;undary of" ■chool cite? 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 ANO THE AIR POLLUTION CONTROL DISTRICT. B -.:~., ~Ufill~U!Jl.!mi™ffiCJ'_ ..... ...,.t'i~;.::..'.'.:::..:_•··.:::.:... .'' •!L,~ -~►'.:,,,.....:~, ..... ~ .... ~ •• :._ .. _i._, ·-~------- 1 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. ________________________ _ flJ · eP1.Jc~_r{~E&tlF.1CA.11911l~ · -~~~; ......... ., •ff•,,;: -~ -..n ,_ .. ~ .. ::.-·.,,..~ .. :~-, I certify that I have read the application and state that the above information 11 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 Citt 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 ANO 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 com me ce within 1 BO days from the le of ch It or If the building or work aulhorized by such permit Is suspended or abandoned at any time after lhe work is comme a period of 180 day .4. iform Building Code). DATE _;;~;,___::c__,__a_?:A_-_o_~..,LJ __ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/10/2004 Permit# CB042978 Tille: RASSELL RES-NEW A/C & REPLACE Description: FAU Type: MECH Sub Type: Job Address: 2841 LEVANTE ST Suite: Lot 0 Location: Inspector Assignment: 0' .. -+19 /'- // (/ Phone: 7602074607 Inspector: ---- OWNER DOAN LAW&PROFFESSIONAL TERRACE LL C Owner: ROUSSEL PHILIPPE&LAURIE W Remarks: Total Time: CD Description Requested By: PHILIP Entered By: CHRISTINE 43 AirCond/Furnace Set ~ Comment~ J} Associated PCRs/CVs Inspection History Date Description Act lnsp Comments -------------------·--------------