HomeMy WebLinkAbout18 GREENVIEW DR; ; CB012340; PermitCitv of Carlsbad
Mechanical Permit
Job Address: 18 GREENVIEW DR
Permit Type: MECH
Status:
Applied:
Permit No: CB012340
ABANDOND
07/10/2001
Paree/No: 2152313900 Lot#: 0 Approved:
Reference No: Issued:
PC#: Inspect Area:
Project Title: GOLDFARB -REPLACE 3 TON AC
Applicant:
NORTH COUNTY HEATING AND AIR
890 VALE VIEW
VISTA CA
760-941-0018
Fees: $24.00 Additional Fees: $0.00
Owner:
GOLDFARB I JAY&ARLENE S
16004 SABANA LN
ENCINO CA
Total Fees: $24.00 Balance: $24.00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
j, PROJECl iNFclRMATIOf.l; _________ _
18 G REENV IEW DR CA"RCSB'.A:D CA 92009 <Suite> <Name>
FOR OFFICE USE ONI,. Y
PLAN CHECK NO. C/30/ 25
EST. VAL. ________ _
Plan Ck. D ep....__rr..,....-----,~~-
Val idated B.,_.c......;:.....:.....~=-+:--.--r--:---
Date ______ _,_+-'.......,,-1-1:::.++--
Address (include Bldg/Suite #)
18 g reen view dr
Business Name (at this address)
<Subdiv ision Name/N o> <Unit>
Legal Description
<Assessor N o>
<L ot>
Lot No. Subdivision Name/Number
<E xisting Use>
<Phase> <Total>
Unit No. Phase No. Total # of units
<Proposed U se>
Assessor's Parcel #
replace 3 ton ac unit
Existing Use
<SQ FT> <Stories>
Proposed Use
<Bedrooms> <Bathroom>
Description of Worl< SQ. FT # of Stories # of Bedrooms # of Bath rooms
2. CONTACT PERSON (If different from a llcant
<Nam e> <Address>
Name Address
<City> ST <Zio> <Phone> <Fax>
City State/Zip Telephone# Fax #
3. APPLICANT C Contractor
N etCle rl<"'lnc
Agent for Contractor C Owner
720 Dubuque Ave C Agent for Owner
Sooth San Fr. Cf:\ 94080-8883301777
Name Address City State/Zip Telephone#
4. PROPERTY OWNER
JAY GOLDFARB <Address> <City> ST <Zio> 7604381362
Name Address City State/Zip Telephone#
(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
[Chapt~mendiAg-with Section-7000 of 0MS~oMhe-Busi~d Professions Code) or that he is exempt therefrom, and the basis for the alleged q X"!!l'iijition. Any violation of Section 7031.5 by any applicant for a permit subjecistt, applicant to a civil penalty of not more than five hundred dollars [$500)).
o rth County Heating and Coolin! 890 Vale View Dr V ista CA 92083 7609410018
me Address _.-City State/Zip Telephone#
ate License# 738619 Licen_i;ft-Class-c20 c36 City Business License#
N ame> . • --~ress> <City> ST <-=z'""io_> ___ <_P=:-hone>
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:
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 permit is issued. D 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 exempt Policy No. exem pt Expiration Date 12/01/2001
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) i2I 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.~~~,). 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~0~7~/0~9""'/..cc2c.c.0...c.0....c.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).
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). 0 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 / have not) signed an applicant for a building permit for the proposed work.
I hay!) contracted with the following person (firm) to prqvlde the~roposed construction (include name z 9QdrtisV phone number/ contractors license number):
<Name> <Aaaress <WorK Phone> <State Licen se>
6
4. I plan to provide portions of the 'YQrk, but I have hired the following person IP co.ordinate, supervise and provide the m_ajqr work (include name I address I P.h,one
number I contractors license number):<Name> <Aaaress> <Work Phone> <State L icense>
5. I will P[QVide some of the worl<, but I have contracted (l]irtid) the following person to provide the worl< indicated (include name / address / Rti.o.ne pumber / type
of work): <Name> <Aactress> <Work Phone> <WorK I ype>
PROPERTY OWNER SIGNATURE 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? 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? •YES •No
Is the facility to be constructed within 1,000 feet of the outer boundary of school site? D 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 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 worl< for which this permit is issued (Sec. 3087(i) Civil Code).
LENDER'S NAME;:;,;;;:~;;;::;,;;;;;;:===:-:-=--=-==--=-=-= LENDER'S ADDRESS -====--::;-;_::,.;::;_=...;;;_;;:_---:-;===--::=::-:---=::--
9. APPLICANTCERTIFICAflO
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'-7-'-/-'-0_9_/2_0'-0'-1 ______ _
04/22/2002
NORTH COUNTY HEATING AND AIR
890 VALE VIEW
VISTA CA92083
Re:
Application Date: 07/10/2001 0:00:00
Plan Check#: CB012340
Address: 18 GREENVIEW DR
Expiration Date: 07/10/2002 0:00:00
Permit Type: MECH
Description: GOLDFARB -REPLACE 3 TON AC
You applied to have your plans checked on the date noted above. To date, the related building
permit has not been obtained. The original plan review application will expire as no building permit
has been issued.
Plans submitted and not retrieved from the building department prior to the plan check expiration
date noted above will be destroyed.
The provisions of sections 304 (d) of the Uniform Building Code state:
"Section 304 9d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be returned to the applicant or destroyed by the Building Official.
In order to renew action on an application after expiration, the applicant shall
resubmit plans and pay a new plan review fee."
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department.
__ Project Abandoned -I will pick up plans within 10 days
__ Project Abandoned -Plans may be destroyed.
If you have any questions, please contact the Building Department at (760) 602-2718.
Raenette Abbey
Building Department