HomeMy WebLinkAbout10 GREENVIEW DR; ; CB130858; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-04-2013 Permit No: CB130858
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
Applicant:
10 GREENVIEW DR CBAD
PME
2152313200
ROTH RES-REPLACE FAU & A/C
UNITS -SAME LOCATION
ACTION AIR COND & HEATING-SD
2750 SOUTH SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Lot #: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/02/2013
RMA
04/04/2013
04/04/2013
ALPERT PETER&SUSAN TRUST 06-26-02
133 S LAS PALMAS AVE
LOS ANGELES CA 90004
$0.00
$0.00
$154.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE tha approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ·tees/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 capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f x i n f wh' h h v vi I T i ·1 hi r whi h f limi i n h vi I h
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING D ENGINEERING ,8J'eun.otio QFIRE •HEALTH 0 HAZMAT/APCD
«~~ Building Permit Application Plan Check No./1,,,IJ J ,? t<) PS?'
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~"'-" --
~ C ITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DepQslt CARLSBAD email: building@carlsbadca.gov rU-www.carlsbadca.gov Date '-/ f,:J I I t ISWPPP
JOB ADDRESS 10 Greenview Drive, La Costa CA I SUITlil /SPACEI/UNITI IAPN . . .
I "'I rnw<'-• f 1=•• r,,,.., .. I' Of UNITS 1 • a<cunvvMS f BA1 MKINI"" · , ,......,T BUSINESS NAM£ I OONSIR. , r,o I vw. uKvuP
DESCRIPTION OF WORK: Include Square Feet ot Alfectod Anla(s)
Remove and Replace Existing Furnace and Condensing Units
5~L~~
EXISTINO USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) IDECKS(Sf) FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
YES[],¥ NcQ YES IZJNO • YES• NoC)
APPLICANT NAME (Primary Contact) Janine Butler APPLICANT NAME (Socondary Contact)
ADDRESS ADDRESS 2750 S. Santa Fe Ave
CITY STATE ZIP CITY STATE ZIP San Marcos CA 92068
PHONE I FAX PHONE IFAX 760-727-4152 760-727-0213
EMAIL EMAIL janine.butler@actionac.net
PROPERTY OWNER NAME Mrs. Susan Roth CONTRACTOR BUS. NAME Action Air Conditionina, Heatina & Solor
ADDRESS ADDRESS
10 Greenview Dr 2750 S. Santa Fe. Ave
CITY STATE ZIP CITY STATE ZIP
La Costa CA San Marcos CA 92068
PHONE PHONE
760-438-0195 IFAX 760-727-4152 I FAX 760-727-0213
EMNL EMAIL ,,,. _,,, -comf ort@actlonac.net
ARCH/DESIGNER NAME & ADDRESS I STATE llC. • STIITEUC.J .Jtoa!ot lcio & C1f1TYsus.uc.0419aoo
(Sec. 7031.5 Business end Professions Code: Any Clly or County which requires a pennlt to construc.t, alter, Improve, demolish or repair any structure, prior to Its ls&uance, also requires the applicant for such pennlt to file o sll!l1ad atotement tfiat he Is licensed l)(!rsuant to the provisions of vie Conuactor's Ucense Law !Cha'f.ter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or !hat he Is exempt therefrom, and the basis for the alleged exempUon. Any vlolatlon of Section 703 .5 by any applicant for a permltsubJecls the epplloent to a cMI penalty of not more then five hundred dollars {$5001).
Wori!ers' Compeuatlon Dtclarstlon: / heroby llffllm unoo, pe11811yol/J-OlfurYone of tho k)Howfngdec/anlt/oM: D I ti,ve ind wlll maintain atertlflc:tte of consent to sell-lnS11re Jor worker3' oompensallon es prowled by Socfal 3700 of lhe labor Code, lor the peffo(mance ol lheWlllt< for vmlch this pem,lt Is Issued. 0 I have and will maintain wori!er1' cornpenaatlon, as rooulred b\l Section 3700 of tho Lallor Codo, for lhe pe,torm!l'lOO ot the work Jor which tNs permit ls Issued. My worl(crs' compensatkln l11S1Jrance carrier and polk:y
rKJmbor em: lns11rooco Co. Self Insured Solution, Polley No. 4503-G93 Elqwallon Dale 12-31-2014
'JlW,sedlon nood not be completed H tho pe1mll ls for one hundred dolen: ($100) 01 less. LJ Certlffcate of ExempUon: I cenJty that In Iha pe/lom\aooe oltho wo<I< for lihlch lhb permll ls lssuod, I shall not empl<>y Ill\' pe1$011 In Ill\' mamor so as to beoomo subject kl lf1e W01kers' Compeflllllllon l.Bws ol
COlllomla WARNING: F1lluro to seCtJro wol1(er1' compen11tton coverage II unlawful, and lhllll subftel an employer to criminal pen1ltle6 and civil fines up to one hundred thousand dollarw (&100,000), In
addition to the cost of compenllilon, damages u provided ror In SKUon 371>6 ot the Labor code, Interest ind attomoy's foos,
,1$ CONTRACTOR SIGNATURE
I her9by slllnn lhal I am emnpl from actor's Law frx ll10 fobrlng reason: D I, as ownor of tM property or my employoos vAlh Wlgl& as their sole compooaatk>n, wil do the WOl1I and the wuctu'o Is not Intended or olfered Jor sa'.e (Sec. 7044, Business end Professions Code: The Conlraclor's
Uoensa Law does no\ apply to an owoor or property who bulds or Improves thereon, and Who does such wOft hlmseK or thlou~ his own employees, prOYkled that SUCh Improvements are not illendod or offered lor
sale. K, howel'er, the bulldlr4 or lmpro'ltll1l8flt Is sold wlhil 0/18 yoar of ccmpleClon, the a..1ter-ruldaf wl h!Ml Iha burden of prowig lhat he dk1 nol bu'k1 or mprow for the purpose of sale). D I, as owner ol the property, am excklslve!y controcUno wl01 lblnsod ccnltectors to constnicl the project (Sec. 7044, Business and Professions Code: The Contractofs Lk:ensa Law does not apply 10 en owner of
property who bu l:ls or Improves thereon, end contraoo; for such projecis W:th contractor($) lloonsed pursuant to the Conlnlclor's License lJlw).
• I am exempt under Section ____ Business and Professions Code for 111& reason:
1. I personely plan to provide the major labor end maler1afs lor conslrucUon of lhe propo68d property !mproY811l611l 0 Yes Oo
2. I (have/ hM not) slgnod an 8f)f)llcatlon for a buldlng perml Jor 11\e proposed wort.
3. I havo oonltacted with tho foWng per,on {film) to f)IOwle the proposed construction Onclude name 8(i:lresa /phone/ cortreclors' Moense number):
4. I plen IO provide porttons of Ile wort, hilt I ha'l6 hired the lollow1ng porsoo to coordlnllte, ~ int provide the mi+>t wo!I( OnclJde name I address! phone I oontracl!n' loense number):
5. I v.11 provkle $OITl8 ol lhe WOik, but I have contracted (hlrod) the lolloW!ng porsoos to pl0Vkf9 the v.ork lndcaled (ilclude name/ address/ phone I type of v.«k):
~ PROPERTY OWNER SIGNATURE DATE =----
l COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY :
I ' J
Is the epplcant or future buldlng occupant required lo submit a business plan. arutely hazardous malerlals raQl&lratlon loon or risk management end IJ"Mlnlon program trxlar Sections 25505, 25533 or 25534 of Iha
Presler-TannerHazardousSubstanceAccoontAct? • Yes • No
ts the ll!)Plcant 01 future buklng occupan( raqulrad lo obtain a permit from the Elr poll\ltlon COll~OI clsb1cl 01 a-qualty maNlQament dlslt1ct? • Yes a No
Is the lacllty to be conslructedwlthtn 1,000 teet of the ooterboundary of a school de? O Yes • 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 TIE REQUIRElrlEMTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT,
[ _CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending ~ency for tho poiformance of lhe work this pennlt is Issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address ·
APPLICANT CERTIFICATION
I oertJfy thatl haw read lhe 8'll)llcatlon and state '1at1he aboYelrrbmatlon lscorrecland that 1he klkmnatlon en the plans Is accwalo. I agree to complyv.illl all City O!dlllal1C8S and Slal& laws ielatilg to oolktlg OOf\Sll\lctlon.
I hereby aulrollzs rep.-esantaive ol tie Cly ol Croibad to entor u~ tie above mentbled J:IOl)8lty ilr ilsµidion ~rposes, I ALSO AGREE TO SAVE, INDa.tllFY AND KEEP HARMLESS TIE CITY Cf CAR.SBN)
AGANST All. UNllLITIES. JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ~EAGPJNST SAID CITY~ COISEQUB'-ICE Cf THE GIWITTNG OF THIS PEPMrT,
OSHA: kt OOHA pe,rrit Is reqmd br excavations rN8r 5'0' deep and dedoo or construcloo of strucwres OVfJ 3 ~ In hetJrt,
EXPIAA To-l: E\18t}' pem11t Issued by the &toog Ofdal under Ile ~ of Ills Code shaD expi'e by mlaloo .w,d beoorre nul and~ If 1/'e bullJiY,J ()( \\00( auoorlzed by such permit ls not cooumnced v.tlwl
180 days torn Ile dale of sa::h penr,lt 01 If lhe buld'ng Of m aillorized 11,' wdl Is suspended or abirldoned at any tine m the \\a1( Is cornmenood ix a peood ol 100 days {Sedoo 106.4.4 Uiloon lll'klng Code).
DATE l.\ _ \ ~
Inspection List
Permit#: CB130858 Type: PME
Date Inspection Item
07/18/2013 43 AirCond/Furnace Set
07/18/2013 43 AirCond/Furnace Set
07/18/2013 49 Final Mechanical
07/18/2013 49 Final Mechanical
Inspector
PY
PY
Act
RI
AP
RI
AP
ROTH RES-REPLACE FAU & A/C
UNITS -SAME LOCATION
Comments
1-3 PM PLS IN GRG
Friday, July 19, 2013 Page 1 of 1