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Home My WebLink About2826 CHATSWORTH WAY; ; CB004106; Permit11/06/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB004106 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2826 CHATSWORTH WY CBAD MECH 1674801943 Lot#: $0.00 WELCH RES/NEW 60 BTU FAUCET Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/06/2000 CB 11/06/2000 11/06/2000 Applicant: TORREY PINES PLUMBING STE101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619677-5445 Owner: WELCH FAMILY TRUST 07-28-93 2826 CHATSWORTH WAY CARLSBAD CA 92008 3448 11/06/00 0002 01 02 CGP 24.-00 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 TOTAL PERMIT FEES 1 0 0 0 0 0 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 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 capactiy 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 irx~ PROJECT INFORMATION 2826 Chatsworth "~" FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date l Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. SFR Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel # Replace 60k btu fau Existing Use Proposed Use Description of Work SQ. FT.# of Stories n of Bedrooms # of Bathrooms 2, CONTACT PERSON (if different from applicant) ST Name 3. APPLICANT J^j Contractor [ Tiffany Mclntire" Name Joe Welch Name Address City TJ Agent for Contractor Qbwner |~~| Agent for Owner 6162 Nancv'Ridqe Dr #100 San Dieqo "~" Address City 2826 Chatsworth CArisbad Address City State/Zip Ca'9"2121 State/Zip Ca "92008 State/Zip Telephone* Fax # " " 8/677-54"55"x2bT Telephone # 7/43474841 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 [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 [$500]). ARSof California Inc. 6162 Nancy Ridge Dr. #100 San Diego CA 92121 8586775455204 Name State License # 742039 Address License Class BC16C20C36 HIC City State/Zip Telephone* City Business License # 1030700 ST 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: CD 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. 0 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 Home Ins. Policy No. WC7082973 Expiration Date 04/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 1 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 employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of cmiofemsation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ffJK'iklr^) .. DATE. 11/01/2000 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Licerf§e Law for the following reason: f~1 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). CD 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). I I I am exempt under Section Business and Professions Code for this reason: D YES NO1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 2. I (have / have not) signed an applicant for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): <Name> <Address> <Work Phone> <State License> 4.I plan to provide portions of the wnrk hut I have hired the fnllowinn person to coordinate, supervise and provide the major work (include name / address / phone <Work Phone>number / contractors license number) <Name> <Address> 5. I will provide some of the work, but I have contracted (hired! the following person to provide the work indicated (include name / address / phone number / type of work): <Name> <Address> <Work Phone> <Work Type> PROPERTY OWNER SIGNATURE DATE <State License> £^pi:£jI3^^ " - - - — 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? l~l YES l"j NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? Q YES F~l 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, 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 withjru180 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»er«5$pf 180 days (Section 106.4.4 Uniform Building Code)./jfo ^" APPLICANT'S SIGNATURE <tr-DATE 11/01/2000 City of Carlsbad Bldg Inspection Request For: 11/28/2000 Permit# CB004106 Title: WELCH RES/NEW 60 BTU FAUCET Description: Inspector Assignment: RB 2826 CHATSWORTH WY Lot 0 Type: MECH Sub Type: Job Address: Suite: Location: APPLICANT TORREY PINES PLUMBING Owner: WELCH FAMILY TRUST 07-28-93 Remarks: Phone: 8586775455 Inspector: Total Time: CD Description 43 AirCond/Furnace Set Act Comments Requested By: TIFFANY Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 11/22/2000 43AirCond/FurnaceSet NR RB 11/22/2000 49 Final Mechanical NR RB NO LADDER @ SITE UNSCHEDULED BUILDING INSPECTION DATE U-S3L-Dg> INSPECTOR M.X rrvoA/va^i PERMIT # QOHl/yo PLAN CHECK # JOB ADDRESS _ DESCRIPTION _ CODE DESCRIPTION ACT COMMENTS 720 Dubuque Ave., South San Francisco, Ca. 94080 Government Services: 888-330-1777 Fax: 877-846-5888 hermit Application Mail To: Carlsbad Building 1635 Faraday Ave Carlsbad CA 92008 7606028558 Permit Handling Instructions Mail The city will mail the approved permit to contractor. Contractor Information Company: ARS of California Inc. Address: 6162 Nancy Ridge Dr. #100 c'ty: San Diego State/ZIP: CA 92121 Phone: 8586775455204 Fax: 8586775479 Email: tmcintire@ars.com Worker's Comp Carrier: American Home Ins. Worker's Comp: WC7082973 State Contractor's License:742039 BusinessJcense #: Credit Card Information Notes Exp. 04/01/2001 Exp. 10/31/2001 Exp. Exp. Exp. Credit Card Number: / Expiration Date: Card Holder Name: Visa: Mastercard: Other: n Pre-reg: YES Payment: VISA Agent Authorization: YES ORCD NOlD FV.D Project Address: 2826 Chatsworth Comments: one form for all Attachments: 0 Permit Type: Paper Permit ID: 64126 0 AA ACQBD. CERTIFICATE OF UABIUTY INSURANCE OATIIMU/OD/n) product* Lipscomh 6-Pitta Ins., LLC 2670 Union Avenue Extended Suite 200 Memphis, TN 38112 i AS A MM ONLY AND OONNKS NO HWHT5 UPON THt CBnVKATC HOUR. THIS CWTWCATH DOB NOT AMB0, 6XTBB OR AOCT THE COVERAGE AFPCROB) BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED American Residential Services Inc. dba INSURER A: National Union Fire Ins. Co. INSURER a: American Home Assurance 860 Ridge Lake Blvd Memphis, TN 38120 INSURERo.-American International South Ins, INSURER a Illinois National Insurance Co. INSURER E COVERAGES THE POLICES OF WSURANCE LUTED BELOW HAVE BEEN ICSUED TO THE MSUfED NAMED ABOVE FORTHEPOJCYPEROONDCATED. NOTWTTHSTANDNS ANY REOUW-MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTRCATE MAY BE ISSUED OR MAY PERTAIN, THE WSURANCE AFFORDED BY THE POLICES DESCRBED HEREH IB SUBJECT TO ALL THE TERMS, EXO.U90N8 AND CCNDmONSOF SUCH POLICES. ASGRE<»TEL1^S»CWN MAYHAP SEEN REDUCED BY PACCLWMS. NSRLTH A B B D B B C 0 TYPE OP INSURANCE SEN ERAL LIABILITY — COMMERCIALGeNEHAL LIABILITY | CLAIMS MAOEJ X 1 OCCUR GEVL AGOfl EGATE LIMIT APPLIES PER: 1 POLICY (YljPcf fxlLOC AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANYAUTO EXCESS LIABILITY _ 1 OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICYNUHBEH |™AK,?u/nn!vvi I^ATEMMJOtMYin 9330417 OS: 8260281 TX: 8260280 BE3097907 OS: 7082974 CA: 7082973 GA: 7082982 IL: 7082976 04/01/00 04/01/00 04/01/00 04/01/00 04/01/01 04/01/01 04/01/01 04/01/01 LIMITS EACH OCCURRENCE FIRE DAMAQE(Anyont Rn) MED EXP(Anyontp*rian) PERSONAL k ADV INJURY 3ENERALAQQREGATE PRODUCTS -COMP/OPAGG COMBINED SINGLELIMITIbicctdml) BOOILVINJUHY(P»p«rton) BODILYINJURY PROPERTY DAMAGE (PtriEddml) AUTO ONLY- EA ACCIDENT OTHeqTH^ EAACC AUTOONLY: AflQ EACH OCCURRENCE AGGREGATE Y JWCSTAIU- [OTH-ITORYLIMITS 1 ER EU EACH ACCIDENT e.L.OISEASE-EA EMPLOYEE EL DISEASE -POLICY LIMIT tl,000,000 il.OOO.OOO i5,000 il,OOO.OOQ il.OOO.OOO 11,000,000 11,000,000 t t * t S t 12,000,000 12,000,000 1 *t si, 000, 000 si, 000,060 $1,000,000 DESCRIPTION OF OPEBATION3/LOCAT10N3/VEHICLE3/EXCLU8ION8 ADDED BY ENDORSEMENT/SPECIAL PROVISIONSBranch f CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER CANCELLATION 1 SHOULDANYOFTNEABOVEOESCHBEOroUCI 63 BECANCELLEDBEFOflETHEEXPI BATON DATETHERCOP, THE1MUINQ INSURER WILL ENDEAVOR TO MAIl3IL_ DAYS WRITTEN IWTICETOTME CERTIFICATE HOLDER NAMED ID THE LEFT, BUT FAILURE TO 00 SOSHALL IUPOMNOOBLIOATION OR LIABILITY OF AMY HI NO UPON THEIN8URER,ITS AQ6NT5 OR HIPRDCNTAT1VEI. AUTHOMIIID MMBEMTATIVE ACORO 29-9(7/97)1 Of 2 f S13830/M13828 AIW 0 ACCRD CORPORATION IBM State of California CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE LJCUB KlMlbM 742039 EH, CORP A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC DBA TORREY PINES PLUMBING 10/31/2001