HomeMy WebLinkAbout1550 BASSWOOD AVE; ; CB132596; Permit10-23-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI32593
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
1550 BASSWOOD AV CBAD
PME
2050603500 Lot#
STAPLETON REPLACE FURNACE
SAME LOCAL
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/22/2013
JMA
10/23/2013
10/23/2013
Applicant
ACTION AIR COND & HEATING-SD
Owner
STAPLETON MARCIA S TRUST 05-01-12
2750 S SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
1550 BASSWOOD AVE
CARLSBAD CA 92008
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$158 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Payments To Date $158 00 Balance Due: $0.00
Inspector
FINAL APPROV/
Date _////:^//3 Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed to as "fees/exactions" You have 90 days from the date this perniit 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 Carisbad 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 FLIRTHER NOTIFIED that your nght 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING ^bfiUILDING • FIRE nHEALTH •HAZMATfAPCD
CITY OF
CARLSBAD
Building Permil: Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph. 760-602-2719 Fax: 760-602-8558
email, buildlng@carlsbadca,gov
www.carlsbadca.gov
Plan Check No. ChX^' 7S^ 3
Est. Value
Plan Ck. Deposit
Date ['o/^'til^ |swppp
JOB ADDRESS 1550 Basswood Ave
a/PROJECTS LOT* PHASE* I*OF UNITS I # BEDROOMS
SUITE#/SPAOE»/UNrr#
ff BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC. GROUP
DESCRIFTlOfil OFt/vORK: Include Square l=eet of Affected Area(a)
Remove and Replace existing Furnace (Like for Like)
EXISTING USE
Heat
PROPOSED USE
Heat
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE
YESQ# N0| I
AIR CONDITlONlNa
YES I INO I I
FIRE SPRINKLERS
YES I |N0| I
APPUCANTNAME (Primary Contact; Action Air Conditioning, Heat & ^ APPLICANT NAME (Secondary Contact)
ADDRESS 2750 S Santa Fe Ave ADDRESS
CITY San Marcos STATE
CA
ZIP
92069 crrY STATE ZIP
PHONE
760-727-4152 760-727-0213
PHONE FAX
EMAIL
comfort@actionac.net
EMAIL
PROPERTY OWNER NAME IVIarcia Stapieton CONTRACTOR BUS. NAME Action Air Conditioning. Heat & Solar
ADDRESS
1550 Basswood Ave ADDRESS 2750 S Santa Fe Ave
cnY Carlsbad CA 92008 crrY San A/larcos
STATE
CA
ZIP
92069
PHONE
760-505-2118
FAX PHONE
760-727-4152 760-727-0213
EMAIL EMAIL
comfort(^actionac.nel
ARCH/OESIGNER NAME & AODRESS
509805
CLASS
C20S.CEi
an BUS. UC.S
419800
{Se«. 70315 Business and Professions Code: Any City or County wliioti requires a permit lo construct alter, Improve, demolisti or repair any strueture, prloi to its Issuance, also requires the applicant forsuch permit lo file a signed statement that he Is licensed pursuant to the provisions of the Contractor's Ucense Law (Cnapter 9, commendingwith Section 7000 of Division 3 of the Business and Professions Code) or that tie is exempt therefrom, and the basis for the alleged exemption. Any violaton of Section 7031.5 by any applicant for a permit subjects the applicant to a cMI penalty of not more than five hundred dollars ($500)).
nj' u''?:t.f^!?P!-t.'.~'-15'*'.. ''!f;??'''S'
Wori(6r?'Compensation Dec\a!Sl6on^ I hereby alfinri under penalty of perjury one of the following declareiions
JI hava and will mamtain a certificate of consent lo self-Insure for workers' corapensalion as provided by Seclton 3700 of the Labor Code, for ths perfonnance of Ihe work for wWcli this pormit Is issued.
I have and will maintain workers' compensalion. as reauired bv Section 3700 of Ihe Labor Code, (or Ihe perfomiarce of the wcik for wtibh Ihis permit Is Issued My workers' comjiensatkm Insurance canter and polcy
number ate. Insurance Co _ Self Insured Solutions . PolicyNo . 4503-093 Expiration Dale . 12-31-14
This section need nol be completed If the permit is lor one hundred dollars ($1 OO) or less.
I I Certlfloata of Exemption: I certify that in Die perfomance of the wodt for whteh this permit Is Issued, I shaS not employ any person In any nranner so as to become subject to tbe Workers' Compensatton Laws of
Callfiimia WARNIMG: Failure to secure woriiers' compensation coverage Is unlawful, and shall subject an employer to citmlnal penalties and civil lines up to one hundred thousand dollars (&100,000), in
addilion to the cost of compensation, damag^S'SS'Drovlded for in Section 3706,BUh«.Labor code, biferest and attomey's fees,
JSi CONTRACTOR SIGNATtJRE [71 AGENT DATE \ ^ N":^
/ hereby affimi thai t am exempt Irom ConSSJtwStfcense Law for the fo/bw/ng reason'
I I I, as owner of the properly or my employees wllb wages as Ibelr sole compensation, w(1 do Ihe work and Ihe sliuctura fc not intended or offered lor sale (Sec 7044, Business and Pratessions Code The Conlractoi'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, provided that such improvements are nol Intended or offered for
sala. If, hovrever, Ihe building or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving lhat he dkJ not buSd or Improve (or Ihe purpose ol sale),
I I 1, as oiimor of the properly, am exclusively oorlracting with Iteensed contractors lo conslrucl the proiect (Sec 7044, Business and Professfons Code; The Contractor's License Law does not apply to an ovmor ot
pnjperty who builds or improves thereon, and conlracts for such p;o|ecls with conlractor(s) licensed pursuani lo tho Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason' • 1.1 personally plan to provide the major labor and malerials (or oonslruotton of the proposed property Improvemeni QYes I |No
2.1 (have / have nol) signed an application for a buHdlng perniil for the proposed work.
3,1 have contracted with Ihe foliowing person (firm) to provide the proposed construdion (Include name address / phone /contractors' license number)'
4.1 plan to provide portions of Ihe work, but 1 have hired the followtng peison to coordinate, supervise and provide tha major work (indude name / address / ptione / contractors' license numbei),
5.1 win pn3vlde some of the work, but I have conlracled (hired) the following persons to provide Ihe work indicated (include name / address / phone / type of work);
ygS'PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applfcant or future buikling occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sectons 25505,25533 or 25534 of the
Presley-Tanner Hazardous Subslance Account Act? (DYes a Mo
IstheappllGantorluturabulkBngoccupantrequliBdtoobtainapeimltfromthealrpollultonconhiildislriclorairquali^ a Yes • No
Is the Mity lo be conslnjcted within 1,000 feat of tie outer boundaiy of a school site? • Yes O Nc
IF ANY OF THE ANSWERS ARE YES, A FiNAL CERTiFICATE OF OCCUPAMCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFHCE OF
EMERGENCY SERVICES AND THE AJB POLLUTION CONTRa DISTRICT.
I hereby affirm that there is a construction lending agency for the performance ofthe work this permit Is issued {Sea 3097 (i) Civil Code).
Lerxler's Name Lender's Address
^ ;•'''.- .•••'iJi'j';'r!v":i^^sMj'gi;';ti^.;T-':j''|j -t-'JMW«iU'''''-r-'~''M^^^^M
f^^hy^'W-i-y ' <-Jc iji.''A.<r-^;W,;.rvjirM---'T.;i^w>.-"j'g-^^^ " •• •• • v . - >• ^ ..... • • •_ ..
I catlly that I have lEad the applicatton and stats Siattheabove InbiTiiation Is coiiectand tbat ttie
I heraby auJionzB [epresentative of the aiy of Caiisbad lo enter upon the above mentcned property br iispecton purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF Ci^RLSBAO
AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AMY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT,
OSHA fit\ OSHA perma Is requiied for excavations over 50 deepand dennolitioii or consttuction erfstnjciures over 3 slones ii height.
EXPIRATION: Every pemiit fesusd by Ihe Buikling OflicHi under the proviskxis of (his Code shall expire by Umitation and beeonie null and votl if tie IxiMng or work aulhorized by such pemiit's not comnienced within
IWdayslhom Ihe date of such pmnit or if he buiiding or wirk authoiized bysuch p
>€f APPUCANT'S SIGNATURE
Inspection List
Permit#: CB132593 Type: PME STAPLETON: REPLACE FURNACE
SAME LOCAL.
Date Inspection Item Inspector Act Comments
11/08/2013 43 AirCond/Furnace Set - Rl CALL W/ETA PLS
11/08/2013 43 AirCond/Furnace Set 49 AP
11/08/2013 49 Final Mechanical - Rl
11/08/2013 49 Final Mechanical 49 AP
Wednesday, November 13,2013 Page 1 of 1