HomeMy WebLinkAbout1738 SCHOONER WAY; ; CB012815; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
08-29-2001 Mechanical Permit Permit No: CB012815
Job Address:
Permit Type: MECH Status: ISSUED
Parcel No: 2073200600 Lot #: 0 Applied: 08/29/2001
Valuation: $0.00 Entered By: JM Reference #: Plan Amoved: 08/29/2001
1738 SCHOONER WY CBAD
Project Title: SEAMAN - REPLACE FAU
Applicant: ARS . .. ._
STE 100 ,3121 NANCY RIDGE DR
SAN DIEGO CA 92121
61 9-677-5445
.. Issued: 08/29/2001
Inspect Area:
8693 08/29/01 0002 01 02
COP 24.00 Owner: BLOOM KATHERINE E
1738 SCHOONER WAY
CARLSBAD CA 92008
Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00
Mechanical Issue Fee
InstalllFurnlDuctslHeat Pumps Fee 1
Fireplace Installation Fee 0
Exhaust Fan Fee 0
InstallationlRelocation Vent Fee 0
Hood Fee 0 Boiler/Compressor to 15HP Fee 0 Other
' Additional Fees ' TOTAL PERMIT FEES
$15.00 $9.00
$0.00
$0.00 $0.00
$0.00
$0.00 $0.00
$0.00
$24.00
EXPIRED PERMIIT
PLAN CHECK NO.BP&k PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA92008
Address (include BldglSuite (I)
<Legal Dew> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total>
Legal Description Lot No. Subdivision NamelNumber Unit NO. Phase No. Total # of units
<Assessor No> SFR <Proposed Use>
ASLBSSO~ Parcel # Existing Use Proposed Use replace 100k btu fau <SQ FT> <Stories> <Bedrooms> <Bathroom>
Description Of Work SQ. FT. (I of Stories (Io1 Bedmom8 # of Bathrooms
BuSineSS Name (at this address)
~Nllll~ i~~!ni!iin~i~ ST <Zip> <Phone> <Fax> ~!l~~l~ <Name> <Address> <City>
Cil" Teleohonetl Fax #
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to cons11uct. alter. improve, demolish or repair my structure, prior to 11s
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant lo the provisions of the ContraCtOr's License Law
[Chapler 9, commending with Section 7000 Of Division 3 Of the Burinerr and Professions Code] 01 that he is exempt therefrom, and the basis far 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 [$5001).
ARS of California Inc. 6162 Nancy Ridge Dr. MOO San Diego CA 92121 8586775455204
Name Addreas City Statelzip Telephone#
state License ~t 742039 License class B C16 C20 C36 HIC ~usiness License 1030700 <Name> <Address> <city> ST <Zip> <Phone>
Designer Name Address City Statelzip Telephone
State Licence I)
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty Of peW One Of the fallowing declarations:
0 of the work for which this permit is issued.
issued. My worke+8 compensation insurance carrier and poliq number are:
I have and will maintain a certificate Of consent to Self-insure for workera' 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 permil is
company American Residential Policy NO. WC7083869 Expiration Date 01/01/2002
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SlOO] OR LESS)
CERTIFICATE OF EXEMPTION I certify that in the pertormance Of the Work for which this permit is issued, I Shall not employ any person in any manner SO as lo become subject to the Workers' Compensation Laws Of California.
WARNING: Failure to sewre 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 3708 Of the Labor code. interest and anome~s fees.
SIGNATURE DATE 08/28/2001
7. OWNER-BUILDER DECLARATION I hereby amrm that i am exempt from the Contractor's License Law for the tollowing reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the Structure 1s not intended or offered for sale (Sec. 7044, Business and Pmfessions 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. Dmvlded thaf such improvements ate not intended or offered for sale. If, however. the building or improvement is
sold within one year of completion. the owner-builder MI1 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 (see 7044, Business and Professions Code: The
ConttactaCs License Law does not apply to an owner of property who builds or improver thlereon, and Contracts for such projects with contractar(r) licensed
pursuant to the Contractoh License Law).
1.
2.
I am exempt under Section
I per~onally plan to provide the major labor and materials for COnStrUCtion of the proposed pmperty improvement.
I (have I have not) signed an applicant for a building permit for the proposed work.
Business and Professions Code for this reason:
YES 0 NO
contraded with the following perron (firm) lo v' e the loposed construction (include name I dr s phone number I contractors license number): 3. IhTf < ame> ~K3dIess~ <dfor%%hone> c State Li c ense>
4. I plan Lo provide portions of UDa k, but I have hired the following person rdmafe. supewfhe and provide the ma. wrk include name I address I phpne
number I contractors license numberl:<Wame> <XJ#eis> <ark Phone> <State License,
18 the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form 01 risk management and prevention
pmgram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
Is the applicanl or future building occupant required to Obtain a permit fmm the air pollution contml district or air quality management district7
0 YES 0 NO
0 YES 0 NO
s tne fac Q 10 06 wnsfmctea w th n 1 000 feet of Me o.rer oa.ndary of Mhool site?
IF AhY OF THE AhSWERSARE YES A FlhA. CERTIF CATE OF OCCLPANCY MAY NOT BE ISSUED bNLESS TH€ APPuCANT HAS MET OR IS MEETAG THE REOL REMENTS OF THE OFFICE OF EMERGENCY SERVICESAND THE AIR PO..UTION CONTROL D STRICT
YES 0 hO
~~~ ~~ ~i~~tltlll~iil~!!llllli!il!i~l!i~ illiillll!
I hereby afflrm that there is a construmon lending agency for the pelformance of the work for Which this permit is issued (Sec. 3067(i) Civil Code).
LENDERS hAME LEhDERS ADDRESS
$. APPLICAUTCERTIFZAlION' a'.' ' I' I, 1 ,I.. .,,1 1 .r;i,.) .I . :q!,i,<, ,' 'nh:,,.
I certify that I have read the application and State that the above information io WrreCt 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 Carisbad 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, COSTSAND EXPENSES WHICH MAY IN ANYWAYACCRUE AGAINSTSAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for excavations over SO 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 160 days from the date of Such permit or if Vle building or work authorized by such permit is suspended 01 abandoned at any time after the work is commenced for a Mod Of 180 daw fSedion 106.4.4 Uniform Building Code).