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1185 TAMARACK AVE; ; CB102107; Permit
11-09-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB102107 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1185 TAMARACK AV CBAD MECH 2062611400 $0.00 Lot#: SILVERMAN RES REPLACE FAU, NEW DUCTING.AND A/C UNIT Status: ISSUED Applied: 11/09/2010 Entered By: KG Plan Approved: 11/09/2010 Issued: 11/09/2010 Inspect Area: Applicant: SHERLOCK HEATING & AIR CONDITIONING INC 514HILOWY VISTA CA 92081 760-295-5014 Owner: SILVERMAN TIMOTHY J&LORRI A 1185 TAMARACK AVE CARLSBAD CA 92008 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 3 0 0 0 0 0 $15.00 $27.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.00 Total Fees:$42,00 Total Payments To Date:$42.00 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 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check I Est. Value Plan C Date CT/PRCUECT#Tori"PHASE # I # OF UNITS I # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) o-f -£Vrn*.e«. Coil EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES[~|# N0| | AIR CONDITIONING YES | |NO I I FIRE SPRINKLERS CONTACT NAME (If Different Fom Applicant) EMAIL ER NAME.003.ADORES: ITY orSTATE ZIP STATE C/T ZIP PHONE FAX"PHONE FAXtap- EMAIL live, ARCH/DESIGNER NAME & ADDRESS STATE LIC. #cwss£-10 CITY BUS. LIC.# (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars {$500}). »^^ Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: Bl 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. I have and will maintain workers' compensation, as required by Section 3700 ofJhe Labor Code, for the performance of the work for which thisr»rmit is issued. My workers' compensation insuranoe carrier and policy number are: Insurance Co 6 0 VtlLtjr n 1^ gittSsUV^-g. CJOmfl-laM Policy No. \^jg)O^H T/O 1~ Expiration Date ff / I /!( This section need not be completed if the permit is for one hundred dollars ($100) or less. I I 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 employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. fi&SUL&U (?. I hereby affirm that I am exempt from Contractor's License Law for the following reason: | | 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). I I 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). [ | I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I |Yes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): >£if PROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? F~|Yes CIlNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? LJYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes I I No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CO N S T RUCTION L E N DING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address :X-P P tff'C A NBT C E RT I F I C A T TO N I hereby authorize representative 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, JUDGMENTS, 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 SO 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 daysjpm the date of such permit or if the building or work authorized by sujh-pptnit 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). DATE toio CITY OF UNSCHEDULED BUILDING B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008. 750-502-2700 DATE:INSPECTOR: PERMIT #: \o-u\o-x CONTACT: PHONE #: JOB ADDRESS: DESCRIPTION: CODE DESCRIPTION ACT COMMENTS Bldg Inspection Form Page 1 of 1 Rev. 06/09 Check a License - Contractors State License Board Page 1 of 1 Contractors State License Board Contractor's License Detail - License # 804838 Jlli DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. •'» CSLB complaint disclosure is restricted by law (B&P7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. ~» Per B&P.Z071J.7, only construction related civil judgments reported to the CSLB are disclosed. -» Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 804838 Extract Date: SHi]=Eoaai;AT^ ~ 1355 GRAND AVENUE #100 Business Information SAN MARCOS, CA 92078 Busjj|ejs_njo^J^ujTTbjr[7JpJ_29J:50t4_ _ _ __ __Entjty: __ _Corporation _ _ ZZZZZZ^MMZ ZZZZ ZZZ "1 1_, ]ZIIIlZZM12(2p08 _ _ Z1I ,„ I _ Expire Date 08/31/2012 License Status ^JlHfJl!:?!11?^ cijrrent_anc' act'vei_^i?^E!?!i??l^?iow ^""l*! *>e MditipnaiStatus^ CLASS DESCRIPTIONClassifications:_CB°_ _ ^?!!M^E4JMli^ CONTRACTOR'S BOND This license filed Contractor's Bond number 10143218 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 08/12/2008 CentrBcaQ!i.EpMina...HisteryBonding:BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) SHERLOCK AARON DANIEL certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 08/12/2008 This license has workers compensation insurance with the SOUTHERN INSURANCE COMPANY Policy Number:WSI002647902 Workers'Compensation: _„ . _ ,„., .„Effective Date: 08/01/2010 Expire Date: 08/01/2011 yVQrkers!..CQ.rnpensation History DATE DESCRIPTION Miscellaneous Information:08/12/2008 LICENSE REISSUED TO ANOTHER ENTITY Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=8... 11/09/2010