HomeMy WebLinkAbout1170 HARBOR VIEW LN; ; CB013019; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-18-2001 Mechanical Permit Permit No: CB013019
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1170 HARBOR VIEW LN CBAD
MECH
2061401100 Lot#: 0
$0.00
SCIORTINO RES-REPLACE FAU
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/18/2001
RMA
09/18/2001
09/18/2001
TORREY PINES PLUMBING
STE 101
SCIORTINO ANTHONY T&J~l ~/18/01 0002 01
6121 NANCY RIDGE DR
SAN DIEGO CA 92121
619 677-5445
608 MISTY ISLE PL · WAl=tR
RALEIGH NC 27615
Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00
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
TOTAL PERMIT FEES
lnspector:~ht-.:,
1
0
0
0
0
0
FINAL APPROVAL
Date: /O/olfa/ ; > Clearance:
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "tees/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 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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service lees in connection with this project NOR DOES 1T APPLY to any
fees/exactions of which vou have nreviouslv been a!ven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
06
24.00
PERMIT APPLICATION
PLAN CHECK N O . ....,..:;-,....c.-""'-/,-....._...
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _______ _
Validated By • -~~ Plan Ck. Deposit ~
Date D / I £7 i'.} · -=t~~ l
<Suite> <Name>
Business Name (at this address) Address (include Bldg/Suite#)
<L egal Descr> <Lot> <Subdivision Na m e/No> <Unit> <Phase> <Total>
Legal Description
<Assessor N o>
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
S FR <Proposed Use>
Assessor's Parcel #
replace 70k btu fau
Existing Use
<SQ FT> <Stories>
Proposed Use
<Bedroom s> <Bathroom>
Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms
CONTACT PERSON If different from applicant)
<Name> <Address>
Name
3. -sAP=P..,..U.,..,C""ANT-:-:=,--=c,,,...C""o~n-tr_a_ct ... or
NetClerk Inc
Name
Address
Agent for Contractor C Owner 720 Elabaqae Ave
Address
<City> ST <Zip> <Pho ne> <Fax>
City State/Zip Telephone# Fax#
C A ent for Owner
Sooth San Fr. C"/f. 94080 8883301777
City State/Zip Telephone# ------4. PROPERTY OWNER
Joe Sciortino 1170 Harbo r View Lane Carlsbad Ca 92008 7607303953
Name Address City State/Zip Telephone#
5. CONTRACTOR -COMPANY NAME ----------
(Sec. 7031.5 Business and Pro,essions 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 CodeJ 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).
ARS of California Inc. 6 162 Nancy Ridge Dr. #100 S a n Diego CA 92121 8586775455204
Name Address City State/Zip Telephone#
B C16 C20 C36 HIC State License# ..:7c..4.:..:2=-0=3.::c9 ____ _
<N am e>
License Class
<Address>
City Business License# 1030700
<City> ST <Zip> <Pho ne>
Designer Name Address City State/Zip Telephone
State Licence# ________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 t have and wlll 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. li2] 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 Residential 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) 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 coverage is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand doll.~"1), in addition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE _____________________ DATE -'0;.;:9;.:../-'-17;..c/=2-=-00-=-1-'------
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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).
0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement.
I (have / have not) signed an applicant for a building permit for the proposed work.
• YES O NO 1.
2.
3. t hayl) contracted with the following person (firm) to 1,rqviile the~roposed construction (include name ( 1;1\ldr~sV phone number / contractors license number):
<N ame> <Aaaress <WorK Phone> <State License>
4. t plan to provide portions of the ytqrk. but I have hired the following person Ip ~ordinate, supervise and provide the m!'ljqr work (include name I address / 11h_one
number I contractors license number):<N am e> <Aaaress> <Work Phone> <State License>
5. I will P[QVide some of the work, but I have contracted (l)iri:d) the following person to provide the work indicated (include name / address/ 111'!.o.ne flUJDber / type
of work): <Name> <Aadress> <Work Phone> <worK I ype>
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ts 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 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? •YES 0NO
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 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 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ~------------------DATE ..:0:..:9::../1.:...:7c...:./=2=-00::..1.:..._ _____ _
m
//0~-(.,-1,
City of Carlsbad Bldg Inspection Request
For: 09/28/2001
Permit# CB013019
Title: SCIORTINO RES-REPLACE FAU
Description:
Type:MECH Sub Type:
Job Address: 1170 HARBOR VIEW LN
Suite: Lot 0
Location:
APPLICANT TORREY PINES PLUMBING
Owner: SCIORTINO ANTHONY T&JODY E
Remarks: I 2 ·ioO -I : PO
Total Time:
CD Description Act Comments
Inspector Assignment: Je@
Phone: 8586775455 EX 204
Inspector: II c!3
Requested By: TIFFANY
Entered By: CHRISTINE
43 AirCond/Furnace Set ~----'--'f1'-'--lll.....,A=v _________ _
Associated PCRs
Inspection History
Date Description Act lnsp Comments