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Home My WebLink About2703 SOMBROSA ST; ; CB081648; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-29-2008 Miscellaneous Permit Permit No: CB081648 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2703 SOMBROSA ST CBAD MISC 2551120100 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: BERNAOTAS RES-DEMO EXISTING INTERIOR FIREPLACE REPLACE W/UL LISTED WOOD Applicant: Owner: BERNOTAS SUSAN L BERNOTAS SUSAN L 2703 SOMBROSA ST CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES FIREPLACE INSPECTION 2703 SOMBROSA ST CARLSBAD CA 92009 Total Fees: $162.00 Total Payments To Date: $162.00 FINAL APPROVAL Inspector: t'.h ~ Date: o o2, Issued: Inspect Area: Bal2nce Due: Clearance: ISSUED 08/29/2008 LSM 08/29/2008 08/29/2008 $97.00 $65.00 $0.00 $162.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "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 bf:~ any subsequert legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your light to protest the specified fees/exactions DOES NOT APPLY to water 1md sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this prcjcct. NOR DOES IT APPLY to any f i n f whi h h v r vi l n iv n N Tl E imil r hi r as whi h h f lim' , City of Carlsbad 1635 Faraday Ave .• Carlsbad, CA 92008 760-602-2717 / 2718; 2719 Plan Check No. OB" /Co48 Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date ~.;;lCi 08' JOB ADDRESS SUITE#/SPACE#/UNIT# h---~~~27_0_3~SO=M~B_R_O_S_A_S~T,=C=A=R_LS~B=A=D=,C~A~9=2=00=9~·+..--.c=~~,====f---=25c..c5~~1--'-12~-=~0~1~00 CT/PROJECT# I LOT# . I PHASE# 1 • OF UNITS I "'°"';MS # BATHR;MS TENANT BUSINESS NAME C0NST!UYPE OCC. GROUP APN DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) --'---'-------'---------------- Remove original (30 yr old) concrete fireplace; replace with brand new fireplace box & ventilate out through new chimney. 8w...(d /leuJ CA'itrnlles "'-~(a.ce _s-f-<,,uc...c.o , -po, {!,I rlv. W, /Y\ fJrlt V f I l',)s---/,'f-/ CJ ,.J F, /:< c.e EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS FIREPLACE YESO AIR CONDITIONING No[] YES0No[ZJ SUSAN BERNOTAS FIRE SPRINKLERS vESONo[ZJ CITY STATE ZIP CITY 2703 SOMBROSA S._,_T __ ~---" STATE ZIP CARLSBAD CA 92009 PHONE PHONE FAX 760-632-0324 760-454-2376 EMAIL EMAIL -------SBERNOTAS@,AOL.COM ec•=•o=•=••=tv_o_WN_••_N_A_M_• ____ S_A_M __ E_cA_S_A_P_P_L_IC'--A_N_T ___ -+l~co=NrR=~cro• eus. NAME/(' J) /?-U l'..1/ <Y-S 0/'1/$ ADDRESS ADDRESS.= __ ' /I ,,.-:- ._:, 7 / /:;::::;;co IV I) i /j O /V f/r::, CITY STATE ZIP STATEU PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. I# (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 tt\at he rs licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of D1vis,on 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: / hereby affrm under penalty of perjury one of the following declarations: 0 I have and will maintain a certlftcate 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 worters' compensation, as required by Sectioo 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No.~------------Expiration Date ________ _ ~ section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: l certify that in the performance of lhe 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 19 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 compensation, dama vided !JI' ;!!J.ll"'6"")'706 of the Labor code, interest and attorney's feet. NS CONTRACTOR SIGNAT\JRE I hereby affrm that I am exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my erll)loyees with wages as their sole COfll)ensalion, 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. lf, 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 □ t, 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 impmves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). I am eKempt under Section ___ ~Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo 2. I (have I have not) signed an application for a building permit f()( the proposed work. 3. l have contrcK:led with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the wori,;, but I have hired the following person to coordinate, supervise and provide the major worl<. (include name I address I phone I contractors' license number)· 5. I wiU provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): ,...,..;(---__, PROPERTY OWNER SIGNATURE"'-.......{____,.,:-~ -DATE Is the applicant or future' buikting OCQ!pant required to submit a business.,Q!i!Q. acutely hazardous materials registratbn form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes L..JNo Is the applicant or future Dllilding occupant required to obtain a pennlt from the air polhJtion conlro!J.ifilrict or ai,LJlll,ality management district? Ores O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TFtE REQUIREMENTS OF THE OFFtcE OF EMERGENCY SERV1CES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a I certtfythat I have read the application and Slate that the abow information Is conectand that the information on the plans is accurate. I agree to compty with aff Cily ordinances and S1Bte laws relating to bulldlng constructioo. I hereby autholize ~ of the City ol Caisboo """""-the -mentiored property I<, inspedioo puposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE crrv OF CARLSBAD AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Atf'/ WAY ACCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pemit s lll(Jired nexcavations""' 50' deep "1<1 de!oollioo orllYIS1ruclol1 olstrudures """ 3-;, heigl'< EXPIRATION: Eve,y pemil issued by the Buiking ~ under theproyisilns ollhis Code shall e,pire by inilatioo md become ll.f "1d IIOid rrthe b!iklng or-au1horized by such pemit s r<JI oomnenced v.ilh11 days from the dale of such pemit orrrthe buiding. · or-au1horized. by such pemil s suspended or-at a,y lll'e after the-is oomnenced n a period ol 180 days (.Secoon 100.4.4 Umxm Buiking Code). --, 0-,0 APPLICANT'SSIGNATURE . , /~f DATE O · < 7 -c7r City of Carlsbad Bldg Inspection Request For: 11/07/2008 Permit# CB081648 Inspector Assignment: MC --- Title: BERNAOTAS RES-DEMO EXISTING Description: INTERIOR FIREPLACE REPLACE W/UL LISTED WOOD BURNING UNIT AND REBUILD CHIMNEY Type:MISC Sub Type: REPAIR Job Address: Suite: Location: 2703 SOMBROSA ST Lot: 0 ONTRACTOR K DRURY AND SONS CONSTRUCTION Owner: BERNOTAS SUSAN L Remarks: Total Time: CD Description Act Comments 19 Final Structural .£:L Comments/Notices/Holds Associated PCRs/CVs Original PC# lns~ection Histo[Y Date Description Act lnsp Comments 10/20/2008 18 Exterior Lath/Drywall AP MC 10/16/2008 13 Shear Panels/HD's AP MC 10/16/2008 17 Interior Lath/Drywall AP MC 10/15/2008 14 Frame/Steel/Bolting/\Nelding AP MC 10/15/2008 24 Rough/Topout WC MC Phone: 7608223039 Inspector: -~tv(_t.. __ Requested By: KEITH Entered By: CHRISTINE 10/15/2008 34 Rough Electric AP MC DBL CK FOR SPARK GUARD @ SWITCH BOX 10/15/2008 44 Rough/Ducts/Dampers WC MC 10/06/2008 11 Ftg/Foundation/Piers AP MC fireplace ftg and steel only 0 s <J,aditi.lJ-lt. Installation and Operating Instructions This installation manual will help you obtain a safe, efficient, dependable installation for your fireplace and chimney system. Please read and understand these installation instructions before beginning the installation or operating the fireplace. CAUTION: Do not attempt to modify or alter the construction of the fireplace or its components. Any modification or alteration of construction may void the warranty, listings and approvals of this system. In that case, Security Chimneys International Ltd will not be responsible for damages. Install the fireplace _,Jmly'as described in these instructions. i ~ 1.\'l ~ DLEASE RETAIN THIS MANUAL FOR t,_\'iU xi.: £>~1 . FUTURE REFERENCE ,. Ct" xS' c/1.'l o, ,~G ,.. ---•···--·-------------.... , .. ,mo"'"L we :suggest tl\4l our woooburn1ng l'>lliarth • r!JlCPLACE , I >NUlTlJTE ptodu,cts l>e 1n6'1aJled and 5e,,v,ced by ti prole~BIOMIS who are ~•lihll(l In lhc U.S. b~ the. tiatiorial Fire,plaoe Ins.I. 1tute' (NFll as NFI 'Mlodburning Sp«iahsls or \\tlo a1e cei1if1ed 1n Csnada by At, ;_~, ~~.!1;:r~rhrl«:al ~~~ WARNING: This fireplace cannot be operated without doors. Consult your dealer to select the correct door model of your choice. Listed to standards: ULC-S610, UL-127 Report# 3047213 SECURITY CHIMNEYS INTERNATIONAL 2125 rue Monterey, Laval, Quebec, Canada, H7L 3T6