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Home My WebLink About1715 TAMARACK AVE; ; CB040268; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-27-2004 Mechanical Permit Permit No: CB040268 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: ARS STE 100 1715 TAMARACK AV CBAD MECH 2072605600 $0.00 LOWE RES-REPLACE FAU 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Status: Lot#: 0 Applied: ISSUED 01/27/2004 KMT 01/27/2004 01/27/2004 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: JENSEN JUDY W LIVING TRUST 04-26-00 C/O LOWE FAMILY TRUST 5129 PALM DR LA CANADA CA 91011 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 FINAL APPROVAL DATFZ~f~oy~~ SIGNATUR~""·--""------ PERMIT APPLICATION PLAN CHECK CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ I. I ogal Description Plan Ck. Deposi~t ValidatedlBy~ Date 1)1(~ Business Name (at this address) bdivision Name/Number Unit No. Phase No. Total # of units Lot Nos -------------------c"''-'-c----'-==------------c---c-cc--------Assossor's Parcel # Existing Use Proposed Use #of Stones # of Bedrooms # of Bathrooms State/Zip Telephone # Fc1x # 6. CONTRACTOR· COMPANY NP.Me [Sue /LlJ l .!J Bu:,111u5s ,mJ Profo!:is10ns Cude; Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its I:,:,11J11r:u, obo Jtll.JIJirus tho applicarll for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChaµtur D, cor1rn1c,nJi111:i with Sdction 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alltJgod u ~UI/V;,lllUfl, _Any -~i-ul.itiun of S 'Ctio~ 7.j31 .5 by any Jppl~.il,nt f~r ~ P_, ermit subj cts;tie, ~pplicant to a _civil pa al~y f not rno;f than _fjv~ hu_ndr~r9□1~s 1 $ ?0?I)("} J',j~_,,;_( \I ,'I;{\ 'JJld!JW -· .. ?,\j\(\ ·. <.:/1:l_ '-·c(l' L ' . . V (IL) ;;,.f.,J. C/i !,)/ tJame \\( :-I ,... Address _ __1 · City State/Ii Telephone # ,s.·.:,_<,.~ (_£i'0·7 ::::-- Sldto l1con:,o rl .. 1 ll\2dO__ l1censeClass (1.:J.,_(),L:J{o CityBusinesslicense#~)'3.O']0D .. --., -...) Dosigner Name Sta!t1 ! IUHl'Stl # -------·-·-----~------------~-----~--------------Address City State/Zip Telephone 6 VJORKoRS' COMPENSATION Worker:,' Compun:;ation Dc..1claratiun: I hereby affirm undar penalty of perjury one of the following declarations: [-] I hava and will rnamta1n a certificate at consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of tho work fur which this permit is issued. U .-! liJvu ,md 1,\,1!1 m.i111tain w_mkers' compens. ation, as required by Section 370. 0 of the labor Code, for the p. "_fmmance of tha wmk for \h~ tT _porm.1t is ~od. My we<ko,s co~rµonsauo.'.' l~~rarrcolI~",{nd pohcy numba< are: ,/)9 0 / i /2 ·-\ / ( 1i1,,,ir.i11cu Cumpc111y _ f'i \:LL~ '?_{_\ Polley No, 0\ -~ ~ ,0 ~ .. .J O _ Expiration Date I _____::_) _ (}_ ( I HJS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) [J CERTIFICATE OF EXEMPTION: I CtJrtify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so es to llecomtj suLjuct tu tho Workers' Compensation laws of California. WAHNJrJG: Fuilure to secure workers' compensation coverage I• unlawful, and ,hall subject an employer to criminal thutisamJ i.Jollars ($100,00_□_ J, in ai.J,JUon to the cost of compensation, damages as provided for In Section 3706 of th La SlriNAllJ11' ___ l._J a(_J'.::~1 DATE _-'-,>----"-t-----\- 17iiuro~~~~r~~Bt~~t~E:x.b)x~~p~~:~~~he. Conf./o;}~ li~~ns-~T~'~-:f·~/;tt;;~;f,~f/;;~;/~~i~~,~-~;n;: , .... ,, ·. -~ .. · · · · [1 I, a:. 01.v11er u/ 1/ie propurty or my employees with wages as their sole compensation, will do the work and the structure is not intonded or offered for sale lSuc. 70-14, Bus111u:.:. anJ Profus:;ions Code: The Contractor's license low does not apply to an owner of property who builds or improves thereon, and who due:, ~,1c.l1 wcrl,, tmn:;ul/ 01 thwu1::1h hi:; uwn employei.s, provided that such improvements are not intended or offered for sale. If, however, the building or improvtJmunt is sulcl within G110 y1Jdr of cumpltJtion, the owner-builder will have the burden of Proving that he did not build or improve for the purpose of sale). [] I, as uwrw, of the p,upo,ty, ,m a,clusi,-ly contracting with licensed contractors to construct tha project (Sac. 7044, Business and Professions Coda: Tire Contractu,'s Lic1mse Law Joos not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pub!JJnt tu th1:1 Cuntractor's Liconse Law). LJ I um oxomp! tmd,n Soctwn ______ Business and Professions Code tor this reason: I µursonally pldn 10 prnvii.Jo ttie major labor and materials for construction of the proposed property improvement. 0 YES ONO L I (/1Jvu / hav1, not] siumid an application for a building permit fo, the proposed work. J. I 1l.i1.·o i.:uritrJdu<l w1tt1 ct1e following person (firm) to provide the proposed construction (include name/ address / phone number/ contractors license n11mbtir): -~---------------------------------· --·· 4 I µI.in tu prnvido portio11s of U1e work, but I have hired tho following person to coordinate, supervise and provide the major work (include name/ address/ phone lllimlrnr / cuntli.iclors license number):. ________________________________________________ _ Li I will µrov1Jo some of the wo1k, but I have contracted \hired) thti following persons to provide the work indicated (include name/ address / phone number/ type of work): ___________ -~--- f'HOP!:A 1 Y OWNER SIGNATURE_ DATE COMPLETE TltlS SECTION FOR N.ON.-fl/,Sl{lf/'IT/.',t @µILPJNij,PERMlT$ QljlY-.:ii Is c/iu dppl1L.:<mt or future Lui/Jing occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention 1Hu9r<1111 unJur Soctmns 25!i05, 25533 or 25534 c,f the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO I:, thu .ippl1,;ant ur future 1.Ju1lt.l111y occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO I:, 11 ,ll facil11y to Le co11-structtHJ within 1,000 feet of the outer boundary of a school sito7 0 YES D 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 B[QU!REMENTS Of TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. O. CONSTRUCTION LENDING AGENCY··· I J,uruby dtl1rm Uiat ltltlru 1:; a cunwuclion lenJmg agency for the performance of the w9rk for which this permit is issued (Sec. 3097(i) Civil Code). LUJU!:::H'S NAME LENDER'S ADDRESS. _______________________ _ 9 APPLICANT CERTIFICATION I curt1ty thu1 I h.ive 1eot.l 1lw ,iµpilcation and slate that the above information is correct and that the information on the plans is accurate. I agree to comply with c1II City ord111Jnce~ ,md StJta I.iv,·:; rlll<1ting to building construction. l hereby authorize representatives of the Cit\' of Cdrlsbad to enter upon the above muntioned ~r,Ji--,urry f □r 111~puct1u11 purpos'-'s I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS HIE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlJDGMi..NTS. COSTS AND EXPENSES WIIICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An OSIIA permit 1s requiuid for excavations over 6'0ff deep and demolition or construction of :,tructures over 3 stories in height. EXPIRAT!OfJ_ [v..:1y pdr111t 10,~ued by the buikJing Ofticiat under the provisions of this Code shall expire by limitation and become null and void 11 t e building or work d11ll1u11Lcd Uy s11cli purmit b 11ul cummencell within 180 days from the date of such permit or ii the building or work authorized by uch permi is su pe dad or atiundoned cit c111.y l1rrn; c11lcr !he wu1k is conupu,ced for ~flerfd o. I 180 _days (Sect' n 106.4.4 Uniform Buildlng Code). \ Al'l"I ICAtffS SIGNA fURE -·-\c. \ i L.\}\_fl'\Ji2;, ' ,2_ DATE -'--l-'-'-'-'=-1----+-____ _ PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/06/2004 Permit# CB040268 Title: LOWE RES-REPLACE FAU Description: Type: MECH Sub Type: Job Address: Suite: Location: 1715 TAMARACK AV Lot APPLICANT ARS 0 Owner: JENSEN JUDY W LIVING TRUST 04-26-00 Inspector Assignment: PS --- Phone: 8586775455 EX 204 ,,.,~,ocr:ti- Remarks: BRING OUT AN EXTRA INSPECTION RECORD CAR Total Time: CD Description 43 AirCond/Furnace Set ,l;!J!Comment Associated PCRs/CVs Inspection History Date Description 01/30/2004 43 AirCond/Furnace Set Act lnsp Comments CA PS Requested By: YOLANDA Entered By: CHRISTINE