HomeMy WebLinkAbout1731 BRUCE RD; ; CB012152; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
0 6/2 212 0 0 1 Mechanical Permit Permit No: CB012152
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type: MECH Status: ISSUED
Parcel No: 2073604400 Lot #: 0 Applied: 06/22/2001
Valuation : $0.00 Entered By: JM
Reference #: Plan Approved: 06/22/2001
Issued: 06/22/2001
Project Title: ABULAFlA -ADD FAU 80K BTU Inspect Area:
1731 BRUCE RD CBAD
W/ ELEC
Applicant: Owner:
ARS ABULAFlA FAMILY TRUST 10-06-00
STE 100
6121 NANCY RIDGE DR
SAN DIEGO CA 92121
61 9-677-5445
Total Fees: $44.00 Total Payments To Date: $0.00 Balance Due: $44.00
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
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00 $0.00 $20.00
$0.00
$44.00
7
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the'lmposflion' of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "feedexactiins." You have 90 days from the date this permit was issued to protest imposition of these feedexadins. 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 Catisbad Muniapal Code Sedion 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 feeslexactiins DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar applicahn processing or service fees in connection with this project NOR DOES IT APPLY to any
feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
FOR OFFICE USE ONLY I PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Address (include BldglSuite #)
Legal Description Lot No Subdivision NamelNumber Unit No Phase No Total # of units
Business Name (at this address) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total>
PLAN CHECK NO. &d/ 2l5k
EST. VAL.
Plan Ck. Deposit
Validated By
Date
<Assessor NO> SFR <Proposed Use>
Install new 80k btu fau <SQ FT> <Stories> <Bedrooms> <Bathroom> Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ FT # of Stories # of Bedrooms # of Bathrooms
I <Name> <Address> <City> ST <Zip <Phone> <Fax> Name Address City Statelzip Telephone# Fax #
Name Address city Statelzip Telephone# llti Lewis Abulafia 1731 Bruce Rd CArlsbad Ca 92008 7604345922
5. CONTRACTOR *COMPANYNAME
(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 [SSOO]).
ARS of California Inc. 6162 Nancy Ridge Dr. #IO0 San Diego CA 92121 8586775455204
<Name> <Address> <CltY> ST <Ziw <Phone>
Name Address City State/Zip Telephone#
State License # 742039 License Class B C16 C20 C36 HIC
Designer Name Address City Statelzip Telephone
city Business License # 1030700
State Licence #
6. WORKERS COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 of the work for which this permit is issued.
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company American Residential
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- '*'^^ ^^ I), 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 06/19/2001
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 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 properly 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
1.
2.
3. I h v contracted with the following person (firm) to v' e the roposed construction (include name / phone number / contractors license number):
4.
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
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
Policy NO. WC7083869 Expiration Date 01/01 12002
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SIOO] OR LESS)
7. OWNER-BUILDER DECLARATION
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed properly improvement.
I (have l have not) signed an applicant for a building permit for the proposed work.
Business and Professions Code for this reason:
0 YES 0 NO
<%fame> <A?Iddress$ <&%vhone> <State License>
I plan to provide portions of the rk but I have hired the following person ordinate, supervise and provide the ma'or work include name I address I phpne
number I contractors license number):<fame> <XJ8re&> dark Phone> <State License>
5. I will r vide some of the work, but I have contracted ( ir d the following person to provide the work indicated (include name I address I phone u ber I type of work): -Name> -4Udress> <Work Phone> <worL Type>
PROPERTY OWNER SIGNATURE
F
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?
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
Is the facility to be constructed within 1,000 feet of the outer boundary of school site?
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.
0 YES 0 NO
0 YES 0 NO
0 YES 0 NO
a. CONSTRUCTION LENDINQ 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
s. mucANtmnFimnow
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
APPLICANT'S SIGNATURE 06/19/2001
a period of 180 days (Section 106.4.4 Uniform Building Code).
City of Carlsbad Bldg Inspection Request
For: 08/06/200 1
Permit# CB012152 inspector Assignment: PS
Title: ABULAFIA -ADD FAU 80K BTU
Description: WI ELEC
Type: MECH Sub Type:
Job Address: 1731 BRUCE RD
Suite: Lot 0
Location:
APPLICANT ARS
Owner: ABULAFIA FAMILY TRUST 10-06-00
Remarks:
Phone: 8586775455 EX 204
inspector: ';%s
Total Time: Requested By: TIFFANY
CD Description
Entered By: CHRISTINE
49 Final Mechanical
Associated PCRs
lnsoection History
Date Description Act lnsp Comments
07/16/2001 43 AirCond/Furnace Set CO PS SEE ATACHED NOTICE