HomeMy WebLinkAbout135 JUNIPER AVE; ; CB132592; Permit' '
10-23-2013
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB132592
Building Inspection Request Line (760) 602-2725
135 JUNIPER AV CBAD
PME
2042511700
GORMAN:REPLACEFURNACE
SAME LOCAL.
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/22/2013
JMA
10/23/2013
10/23/2013
ACTION AIR COND & HEATING-SD GORMAN THOMAS J JR&LOIS B REVOCABLE TRUST
2750 S SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
5824 S COLLEGE AVE
TEMPE AZ 85283
$0.00
$0.00
$158.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
Inspector:
FINAL APPBQVAL
Date /~ ·.5/ ·I~ . -Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective(y
referred to as "fees/exactions." You have 90 days from the date this pemiit 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 Ix in fwhi h h v r vi I i ii r hi r st whi h flimi in h I h iwi
THE FOtlOW!NG ~PPROVALS REOOIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING k'ttl!JJILDtNG QFIRE □HEALTH 0 HAZMAT/APCD . Ce; 13 -2--S-Cf Z-«i~ Building Permit Application Plan Check No.
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ C I TY O F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: bulldlng@car1sbadca.gov
www.carlsbadca.gov Date . {()/~2,/ I.~ ISWPPP
JOB ADDRESS 135 Juniper Ave SUITU/SPM:£1/UNITI 1~ ---
I"''"''"'""'# ILOT# r-· I' OF IA'lml I' llcOKUQMS J""IHRW""' I TENANT BUSINESS NAM£ I """"TR. lYPE I """' unvUP
DESCR1PTIOII OF WORK: Include Square Feet of Affected Area(s)
Remove and Replace existing Furnace (Like for Like)
EXISTING USE . I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE I AIR CONDITIONING I FIRE SPRINKLERS
Heat Heat YESD . Ne(] YES□No□ YESONoCJ
APPLICANT NAME (Primary Contact) Acti Ai C d'ti , H t & ~ on r on I onmg, ea APPUCANTNAME (Secondary Contact)
ADDRESS ADDRESS 2750 S Santa Fe Ave
Cl1Y STATE ZIP CITY STATE ZIP
San Marcos CA 92069
PHONE rAX PHONE irAX 760-727-4152 760-727-0213
EMAIL EMAIL
comfort@actionac.net
PROPER1Y OWNER NAME Lois Gorman CONlRACTOR BUS. NAME Action Air Conditloniria, Heat & Solar
ADDRESS ADDRESS
135 Juniper Ave 2750 S Santa Fe Ave
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 San Marcos CA 92069
PHONE PHONE
480-282-7208 IFAX 760-727-4152 IFAX 760-727-0213
EMAIL EMAIL comfort@actionac.net
ARC!V()ESIGNER ~E & ADDRESS I STATE UC. t STATE UC.# n;20 & Cd1C1lYBUS.uc.•41gsoo 509805
(Sec. 7031.5 Business and ProfesslOns COde: Arr/ etty or County wl\lcl\ requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also mqulres the appllcant for such permit to me a signed statement that he ls llcensed pu1suant to the provisions ofthe·contractor's License Law (Chapter 9, oommendlngwlth Section 7000 of Division 3of the Business and Professions COdeJ or lhat he is exem..11t therefrom, and the basis for the alleged exemptlor,. Arr, vlolallon of Section 7031.5 by any applicant for a permit subjec\s the applicant to a
cMI penal1y of not more than five hundred dollars (J500l).
Won<ers' Compensatloo Declaration: I hereby all/rm under penally of ()6(/IX'f one ol llie ~ docl8mlfoos:
0 I have md will malntasl a ceftlflcate of consent to self~nsura lorv.orker.;' compensation as provided by Section 3700 of the Labor Code, IOr ll10 pefformaice of tie work lor-..tllch Ills pc.mt Is Issued, IZl I have and will maintain workers' componu11on, as ll!Ql.(red by Secim 3700 of the Lallor Code, tor the pe,f011Tl81lC8 of !he work for which this DOOTlit Is Issued. My workers' compensalion lnsurar,;e carrle< and policy
nt.rnber am: Insurance Co. Solf ln•Lnd Solutions l'l>licy No. 4503-093 8q)iralk)n Data 12-31,-U
]l!§,sectlon need nol be com~ted It the pem,it is forono huncrad dolars ($100) orless. LJ Certfflt.lte of Exe11'4)11on: I certify that In Iha peiimmance of the WOl1( !0< 'llhlch lhls pem,il Is issued, I shal oot empi<)y "'1f pe!OOf1 In any manner so as lo berom8 subject lo lhe W0<1(ers' Compensation Laws of
Calfomla. WARNING: Falkire to secure worl<eni' compensation coverage Is unlawful, and shal subjecl an employer to crimlnal pooaltles and clv11 fl-up to one hundred thousand dollars (&100,000), In
addition to the eost of compensation, damagea a pl'OYlded 10< In Secilon 3706 ol lhe Labor code, lnter..t and attorney'• feos.
RS CONTAACTORSIGNATURE ..
I heroby afflrm that I em exempt hlllll Coowc,~oL/Qlo.e-faw
□ I, as owner of !he property or my employees with wages as their sole CO<ll)e<1S311on, will do lhe work and lhe structura Is not lnlended or offel9d for sale (Sec. 7044, Buslnoss and Prolesslons Code: The Conlractots
Ucense Law ooes not IIPltf lo an owner of propertyv.llo bukls or~ thereon, and who does such 'Mlrk linsell or l!Yoogh l'ls own employees, provided flat such improolements are nol Intended or oflered for
sde. If, however, the hlildilg or improvement Is sold 'Mtl'ln one year of oomplellon, tie owner-buldorWlll hal/0 Ille burdon of l)ro"ing that he did nol build or Improve lor the ptllJlOS8 o1 sale). 0 I, as owner of lhe property, am exclusr,ely conlradlng-wlth IIOOnSed contractoo. to oonswct !he prole<:1 (Sec. 7044, Busness and Professions Code: The ContraclO(s License Law does nol apply lo an Olffltlr of
property 'MlO bul<ls or rnproves t.eroon. and cootracts Jor such projecis with con1ractor(s) lcensed pursuant to lhe Cootraclor's Ucense Law).
□ I am exempt under Secllon ____ Btimess !nl ProlesslOll$ Code lor Riis reason:
1. I persooaJy plan lo provide lhe major labor ard mat~ for oonstruciion of Iha proposed properly Improvement. □Yes 0No
2. I (have/ have nol) sl<;Jled an applcata: for a bulking pennlt for the proposed work.
3. I have contracted wkh the folowlng person (ftrm) to pnwlde lhe proposed conslruclioo (Include nooie address / phone/ oontraclors' license nurrile<):
t I pm to provide portions ol the work, bu! I ha'l9 hlrod lhe folloY.lng person ID coor(jnalo, SUl)Of'liso Md provide them~ v.ork (ndude nM10 / address I phone / contra:tors' llc:ellse oomberj:
5. I Wil provide some ol the work, but I heve 0011tracted (hired) Iha folo,mg persons lo provide the wmt lndk:aled Onclude name I oodr= / phone / type of IMlrk):
,a:$ PROPERTY OWNER SIGNATURE DATE
·co'MPL~ETE THts s ·E .CTION FOR-NON -RESLDE_N_TIAL·B-U-ILDI.NG PE.RMITS o·NLY · · .. ·· . . -~ ' ~ . ~ " ~
Is the applicant or future lxildlng oocupanl required lo sutxnl a business plan, ooute!y haza-dous ma811als regstraOon form or risk m~emenl and prevention p-ogam under Seclons 25505, 25533 or 2553-1 of Iha
Presley-Tanner HazMious Bwllanoo Accoont Act? □ Yes □ No
Is Ille applicant or Muni lxildng oocupant reqlired lo oblan a pe,mll from the air pollution control dlwlctor air quality managementlfslrict'I □ Yes □ No
Is the fadlty lo be constructed within 1,000 Jeel of the outer boondlr)I of a school sle? o Yes o No
IF ANY OFTilE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS Of THE OFFICE Of
EMERGENCY SERVICES AHD THE AIR POLLUTION CONTROL DISTRICT.
C ,0 N S TR U CT I O N i. £ N O I N_ G . A-G E N C V
I hereby afirm lhat there Is a construction lencfmg agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lenders Address
I ca1ifythatl haw iuad the appbtklr1 and Slate that the abo,,,elnlonnatlon Is oom!Cland lhaUhe lnlonnatlononthe plari& lsaa:u1111&. I agmeto cmiply'Mtt ell Ci\yordlnancesend State laws rolalilg to buldilgconslrucllon.
I h!Jebyau1loffze rep-esentatve ottie Clyo(C;mood k>enklrupon tieabow11mlbned Pff)IXlllybr~ p.irposes. I ALSO AGREE TO SAVE, N)EMNIFY .AND KE8" HAAl,USSllE CITY a: CARI.SEW)
~ST A!.L l.vlBIL/TIES, Jt.OGMENTS, COSTSi\ND EXPENSES WHICH MAY IN N«WAY ACCRIJEAGAINST SAD CITY IN COOSEQUENCE a: THE ~G Cf THIS Pffi\4ff.
00-lA: An OSHApemit is requh,d b"excavalals owr Sf! deep in! oomolbn or cormctioo olstuctures (Ml( 3 smis n ~l
EXPRATION: EW!}' permit issued by the Buldrg ardal urrllr Iha plOl4Skxls o(tt;s Code shal 8X/i8 b'f mllak>n lWld becane rill ard \dj If theooikfrr;i OI v.ork aitiortzed b'f stdl pemt is notamnenood llttin
100 days tom Ile daE of such permit or tt tie buii~ or v.ork aullcmld by such perml Is suspenood or almlooed at any ttme afi!I' tie v.ork is aJ!ll1'lelrel i:Jr a period of 180 days (Sedlon 100.4.4 ~ifoon Buikmg Code),
..@S' APPUCANT'S SIGNATURE DATE
Inspection List
Permit#: CB132592 Type: PME
Date lnspectio_11 Item
10/31/2013 43 AirCond/Furnace Set
10/31/2013 43 AirCond/Furnace Set
10/31/2013 49 Final Mechanical
10/31/2013 49 Final Mechanical
Friday, November 01, 2013
Inspector
PD
PD
Act
RI
AP
RI
AP
GORMAN:REPLACEFURNACE
SAME LOCAL.
Comments
9-11 AM PLS
Page 1 of 1