HomeMy WebLinkAbout1096 GOLDENEYE VW; ; CB111575; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-19-2011 Mechanical Permit Permit No: CB111575
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1096 GOLDENEYE VW CBAD
MECH
2121800100
$0.00
PROVINE RES ADD A/C UNIT
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/19/2011
KG
07/19/2011
07/19/2011
ASI HASTINGS Rfi'1Vll>J§~OHN W&KATHLEEN A FAMILY LIVING TRUST 05
1250 GREENFIELD DR
El CAJON, CA 92167
619-223-9016
Mechanical Issue Fee · ..
lnstall/Furn/Ducts/Heat.J;it:i!nE~~~~L·.·••··•··
Fireplace Installation Fee•·•' :•:,,•2••"*·'· • · · ·
Exhaust Fan Fee ... ;·. ·
lnstallation/Relocati~l;li;~ent1fi!~i9
Hood Fee ""'., ... : .: .: ... :;;:,.~;i;j•<:
Boiler/Compressor ti:) 15HP F Other · .·.
Additional Fees
TOTAL PERMIT
Total Fees:
Inspector: f~
1
0
0
0
0
.0,!~
FINAL A~rROVAL
Date: r/~//I
' "'}'iJ-J>, '<'
,,/
0
,,,):!!it:::;i;,,
$15.00
·.::)''.:'.ri§9.00
... · $0.00
·r]ipl\;f#':t•">'$$}.OO
·• .. :::.·f~'.)$fLQO
·.$Q:.iO
,~Q,QQ
Clearance: ------
$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 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
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has areviouslv otherwise exoired.
£ Plan Check N B//-/57S-~ Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
CITY OF 760-602-2717 I 2718 I 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558
www.carlsbadca.gov Date 7-{CI.-/ / lswPPP
JOB ADDRESS /di' SUITE#/SPACE#/UNIT# IAPN 4895-GOLDEN EYE - --
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
ADDA/C
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESO No[Z] YES[Z]Nol:J YES[]No[:J
APPLICANT NAME (Primary Contact) TIFFANY RYAN APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
4870 VIEWRIDGE AVE#200
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123
PHONE I FAX PHONE I FAX 619-590-9300 EXT 329 619-590-9363
EMAIL EMAIL
TRYAN@ASIHEATINGANDAIR.COM
PROPERTY OWNER NAME CATHY PROVINE CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS [Q(l(p ADDRESS
4995-GOLDEN EYE 4870 VIEWRIDGE AVE#200
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92011 SAN DIEGO CA 92123
PHONE PHONE
760-918-6822 I FAX 619-590-9300 EXT 329 IFAX 619-590-9363
EMAIL EMAIL
TRYAN@ASIHEATINGANDAIR,COM
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# t~; lcJ;3'f lTY BUS. LIC.1200804 513115
(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}).
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Se6tion 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 workers' compensation insurance earlier and policy
number are: Insurance Co CASTLEPOINT Policy No. WCP·BC10902•10 Expiration Date 10/16/2011
This section need not be completed if the permit is for one hundred dollars ($100) or less. I 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall no\ 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 compensation, dam ges as provided for in S ·on 3706 of the Labor code, interest a~d attorney's fees.
Ji5 CONTRACTOR SIGNATUR
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: i D
D
D
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 wo~ 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).
I, as owner of the property, am exclusively contracting with licensed contractors 16 const~ct the project (Sec. tD44, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contiactor(~), licensed pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason: .
1. I personally plan to provide the major labor and materials for construction of the prpposed property imp/pvement. 0Yes 0No
2. I (have I have not) signed an application 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 I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coo~inate, supervise andiprovide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
R$ PROPERTY OWNER SIGNATURE @AGENT DATE 1 /0 {\
c<llieLE:17E iliilllS: SEC!if!IC>N EQR NC>tll-RES:IDEl!Hl,.AiL BIUIUIIIIICi PE'Rii'ti1!:S CUHY: ' .
Is the applicant or future building occupant required to submit a business~, 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? D Yes LJ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aiL,9.!lality management district? 0Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJ 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.
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 representative 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penmit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every penmit 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 penmit is not oommenced within
180 days from the date of such penmit or if the building or work authorized by such penmit is suspended or abandoned at anytime after the work is oommenced for a period of 180 days (Section 106.4.4 Unifonm Building Code).
R$ APPLICANT'S SIGNATURE DATE 1 /b ff
City of Carlsbad Bldg Inspection Request
For: 07/29/2011
Permit# CB111575 Inspector Assignment:
Title: PROVINE RES ADD A/C UNIT
Description:
Type:MECH Sub Type:
Lot: 0
Phone: ~22
Inspector:
Job Address:
Suite:
Location:
1096 GOLDENEYE VW
APPLICANT ASI HASTINGS
Owner: PROVINE JOHN W&KATHLEEN A FAMILY LIVING TRUST 05
Remarks:
Total Time:
CD Description
43 AirCond/Furnace Set
Act Comments
Requested By: KATHLEEN
Entered By: CHRISTINE
'/_1__~~~~~~~~--~~~~~~~~~~~~~
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
L~STALLA TION CERTIFICATE
Space Conditionin2 Systems, Ducts and Fans
Site Address: -lDqs etb\ A_o _n . -
Space Conditioning Systems
Heati11g EqL1ip111e11t
Equip
Type
(package-CEC Certified Mfr. Name
heat pump) and Model Number
-~ ...
,.:c. .. ··'-· ..
Cooling E q11ip111e11t
Equip
Type
(package
heat CEC Certified Mfr. Name
pump) and Model Number
'tC)KK
'TC.JtO lf~'SL{ l
~'-1~
ARI
Reference
Number 2
ARI Reference
Number 2
4-413 LfD I
#of
Identical
Systems
. ·-
#of
Identical
Systems
l
CF-6R-l.\lIECH-04
(Page 1 of2) I Enforcement Agency: l Permit Number:
Duct
Efficiency Location
(AFUE, (attic,
etc/ 3 crawl-Heating Heating
(;,:CF-IR space, Duct Load Capacity
value)4 etc.) R-value (Btu/hr) (Btu/hr)
----)-,__
Efficiency Duct
(SEER Location
and EER) (attic,
l,J crawl-Cooling Cooling
(;,:CF-IR space, Duct Load Capacity
value) 4 etc.) R-value (Btu/hr) (Btu/hr)
1?J u.q) {2.-LR
l. If project is new construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative
compliance.
2. ARJ Reference Number can be found by entering the equipment model number athttp://www.aridirectory.org/arilac.php#
J. listed efficiency on this page must be greater than or equal(?.) to the value shown on the CF-! Rform.
4. rffhen CF-JR is reference it is also applicable to the CF-JR, CF-IR-AA or CF-JR-ALT
ALL BOXES MUST BE CHECKED TO BE AV ALID FORNI 00 § 110-§ 113: HV AC equipment is certified by the California Energy Commission.
~ § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACCA.
Q9 § 150(i): Setback The1mostat on all applicable heating and/or cooling systems meet the requirements of§ 112( c ).
~ §150(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and biine lines meets minimum
requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
.Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF-lR-AL T-HVAC
Climate Zones l and 3 -7
Site Address: S lA -
E ui ment Type1
D Packaged Unit
0 Furnace
, D),ndoor Coil
;ei-condensing Unit
D Other
List Minimum Efficiency2
D AFUE O COP li®:ERl:5 0 HSPF _
(1EER J.bS? D Resistance
£11/orcement Agency:
Conditioned
Floor Area
Served by system
___ sf
Duct insulation
re uirement
Over 40 ft of ducts
added or replaced in
unc ditioned space
(CZ/, J-j)
Date: Permit#:
Thermostat
~tback 'lJ·7:; already present, must be
ins railed)
I. Eqllipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT -HVAC for each system.
2. Minimum Equipme11t Efficiencies: lJ SEER, 78% AF'UE, 7.7HSPF for typical residential systems.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• [ certify that this Certificate of Compliance documentation is accurate and complete.
• [ am eligible under Division J of the California Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• I certify that the energy features and perfonnance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts l and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable
compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit
a lication.
13 J!sS
Phone: (_p I °I .~ I) -'J3£!!J
2008 Residential Compliance Fom1s iv/arch 2010
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning; Systems, Ducts and Fans (Page 2 of 2)
Site Address: I E11fol'cement Agency: I PermltNumber: \Oq5 e, [)\ ri O 11") t== 1 1-e....
\
D'ucts an.d Fans
§!SO(m): Duct and rans
~ 1. All l'lir-distnbution system ducts and pknums installed, scaled and insulated to meet the requi~ements of CMC
Sections 601, 602,603,604, 605 and Standard 6-5; supp!y-air and return-air ducts and plenums are in,rnlated to a
minimum instalkd level of R-4.2 or enclosed entirely 'in conditioned space. Openings shall be sealed with mastic, tape
or other duct-closure system that rnws the applicable requirement~ ofUL 131, UL 181 A, or UL 13 l B or aerosol
,e1!11nt that meets the requirements of UL 723. If m,mic or rape is used to seal opc-nings greater than 1/4 inch, the
~bir.ation of mastic and either mesh or tape sh.i.11 be used; and
~ 1. Building cavitic:3, supporc platforms for air handlers, and pknums defined or comtructed with materials orhc:r
th.ln scaled 9hcet metal, duce board or tlexible duct shall noc be used for conveying conditiouc:d air. Building cavitie~
and support platfo1ms may contain ducts. Ducts installed in cavities and support platforms shall not be comprrncd to
ca.us~ reductions in the cross-sectional area of the ducts. ~ 2D. Joints and seams of duct ~ysrems and thdr components shall nae be sealed with cloth back rubber adhesive
duct tapes unless mch tape is used in comb1natlon with mastic and draw b;,nd:3.
v;/1 7. E:chaust fan syst~rns have: back draft or automatic dampers.
~ .8. Gravity ventilating .systems serving conditioned ~pace h~ve .::lthcr automatic or readily accessible, manually
operated dampers.
~ 9. Protection of fnsulation. Insulation lha!l be protected tl'om d:tmage, including thilt due to :rnnlight, moish1re,
equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is
wat:::r retardant and provides shielding from solar radiation that can caus~ degradation of the material. ~ 10. Fle:dble ducts canllot h.we porous inner cores.
I
DECLARATION STATEMENT
~ l certify under ?enalry of perjury, under the lawi ofilie State of California, the information provided on thi, fonu is tn.1e lnd cor.ect.
• l ~Ill eligible under Division 3 of th.e Bu.,iness and Profession, Code to accept resporuibility for con,trnction, or an Juthorizcd
representative ofthcpmon reJponsible for construction (responsible person).
• l mtify that the instllled tearures, mate~ills, componenl1, or manufactured d~v!c~s id.:11tifi.::d 011 this cedfic<1te (the installation)
c~nforms ro all applic~bl~ codes and regulations, and the install:i,ion is com;istenc with the plans and apeciticatioo. approved by the
eafocceminc :1gency.
• l revi~wed :t copy of the Certificate of Cornplilnce (CF-lR) form approved by the ~uforcemcnt agency th1t idcntifie3 the specific
rcquircment.3 for the installation. I certify th1t the requirements detailed on the Cf-lR that apply to the instalhtion have been met.
• f will rnsure that a complated, signed copy of this Inltall,l!lon CertlflcMe sh~ll be po;tc:d, or mi1d~ av:11!,tble with tile bu!l<llng
permit(s) issuc,1 for the huildlng, rnd rnHle 11v:1i1 .. ble to th¢ enforcement agency ro r all ipplicable inspectii)n.,. I under,tllnd
th:1t i sfg,ud copy or ihisinsr~Jl:Hion Certificate i, required to be included with the document.llion the builder providej to
tbt buildi11~ own~r it occupgncy.
2008 Re;idential Compliance FormJ August 2009