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Home My WebLink About2704 WATERBURY WAY; ; CB013052; PermitJob Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB013052 Building Inspection Request Line (760) 602-2725 2704 WATERBURY WY CBAD MECH 1674411000 Lot#: $0.00 SHEFFER -INST ALL AC & FURNACE 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/21/2001 JM 09/21/2001 09/21 /2001 uP Applicant: Owner: 0697 09/21/01 0002 01 02 SOUTH COAST HEATING AND AIR CONDITIONING SHEFFER SHIRLEY E REVOCABLE TRUST~fr:99 53-00 2664 VISTA PACIFIC OCEANSIDE CA 92056 760-941-7000 2704 WATERBURY WAY CARLSBAD CA 92008 Total Fees: $53.00 Total Payments To Date: $0.00 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 TOT AL PERMIT FEES 2 0 0 0 0 0 Balance Due: $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $53.00 $53.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.QJ'6/.io5/ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. D e p Validated By ~;,---t-7"':rr-----:-"""1'-=--r- Date ______ --4:.,.....~~~'-- 1. PROJECT INFORMATION 270<i WATERBURY WAY-Carlsbad CA 92008 <Name> Address (include Bldg/Suite #) 2704 WATERBURY WAY <L ot> Business Name (at this address) <Subdivision N a m e/No> <U nit> <Phas e > <Total> Legal Description Lot No Subdivision Name/Number Unit No. Phase No. Total # of units <Assessor No> <E xisting U se> <Proposed Use> Assessor's Parcel # Existing Use Proposed Use INSTALL HEATER, AC AND T HERMOS TA <SQ FT> <Stories> <Bedrooms> <Bathroom> Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms ~-CONTACT PERSON (If different from applicant) <Name> <Address> Name Address City State/Zip <City> ST <Zip > <Phone> <F ax> Telephone# Fax # 3. APPLICANT Agent for Contractor C Owner C Agent for Owner N etClerk lnc·-----""""--no D ubaqu e 'Ave---Sooth San Fr,C;t,; 9 4080 8883301777 Name Address City State/Zip Telephone# 4. PROPERTY OWNER SHIRLEY SHEFFER ___ _ 2704 WATERBURY WAY CARLSBAD CA 92008 7 607298663 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 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 [$5001). Southcoast A \C 2664 Vista Pacific Drive Oceans ide CA 92056 7609417000214 Name State License # 794074 <Name> ~~~~----- Designer Name State Licence # _________ _ 6. WORKERS' COMPENSATION Address License Class C4,20,36,38 H IC <Address> Address City State/Zip Telephone# City Business License # 697600 <City> ST <Zip> <Phone> City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 penmit is issued. liZI 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 American H ome Policy No. WC7083869 Expiration Date 01/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the perfonmance 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' Compens Ion La of California. WARNING: Failure to secure workers' c p s r n c ve age is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition oN!Jtl.W'#tJ,rjij'flj,Jlsation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE -------(6:fllYill!'~~~~----------DATE_0_9_/1_8_/_20~0~1 ____ _ 7, OWNER-BUILDER DECLARATION I hereby affinm that I am exempt from the Con D 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). 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES O NO I (have I have not) signed an applicant for a building penmit for the proposed work. I h.iyi, contracted with the following person (firm) to 11rgvlde the~roposed construction (include name l ;;i\ldr~siil phone number I contractors license number): <N a m e> <Aaaress <worK Phone> <State Licen se> 4. I plan to provide portions of the "{Qrk, but I have hired the following person tp cqordinate, supervise and provide the major work (include name I address I 11h,one number I contractors license number):<Name> <Aaaress> <Work P hone> <State License> 5. I will P[QVide some of the work, but I have contracted (hir~) the following person to provide the work indicated (include name / address / Rt\Qne pu.Q)ber / type of work). <N a m e> <Aaaress> <Work Phone> <worK I ype> PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FO~'R::N;_..;O;:N;:;:_:;::R;:E:;:S;;ID:;E:;,N;;:TIA::;::;;l ;;B:::-:U:::-IL-:D:::IN::G::--:P:;;E;;R;;M:;IT;:S:;;:O;:;:NL:;:;:Y;;;;;==:-::===-:.::.:,;;;=:--::====~ 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? D 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? □YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of 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. 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. 3087(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 infonmatlon 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 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 o EXPIRATION: Every permit issued by the building authorized by such permit is not commenced wit • at any time after the work is commenced for a ' • d ep and demolition or construction of structures over 3 stories in height. e ll ovisions of this Code shall expire by limitation and become null and void if the building or work ate of such permit or If the building or work authorized by such permit is suspended or abandoned • l'\ 106.4.4 Uniform Building Code). DATE 09/18/2001 //Pb .r-'3 City of Carlsbad Bldg Inspection Request For: 10/19/2001 Permit# CB013052 Title: SHEFFER -INSTALL AC & FURNACE Description: Type:MECH Sub Type: Job Address: 2704 WATERBURY WY Suite: Lot 0 Location: Inspector Assignment: RCB Phone: 7607298663 Inspector: R (,,f!::, APPLICANT SOUTH COAST HEATING AND AIR CONDITIONING Owner: SHEFFER SHIRLEY E REVOCABLE TRUST 04-13-99 Remarks: TWO INSPECTIONS TODAY Total Time: CD Description 43 AirCond/Furnace Set Associated PCRs Act Comments ..if_ rl /f/ Ill/ Requested By: MRS SCHAFER Entered By: KAREN Inspection History Date Description 10/02/2001 16 Insulation 10/02/2001 43 AirCond/Fumace Set Act lnsp Comments WC RC NR RC SEE NOTICE ATTACHED