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HomeMy WebLinkAbout1643 CORTE ORCHIDIA; ; CB101025; Permit06-08-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB101025 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1643 CORTE ORCHIDIA CBAD MECH 2159502700 $0.00 Lot #: COLLINS RESIDENCE INSTALL TWO CONDENSERS AND COILS Applicant: WEST COAST APPLIANCES SUITE B 10728 PROSPECT AV 92071 619-557-0446 Status: ISSUED Applied: 06/08/2010 Entered By: MDP Plan Approved: 06/08/2010 Issued: 06/08/2010 Inspect Area: Owner: COLLINS FAMILY TRUST 08-16-07 1643 CORTE ORCHIDIA CARLSBAD CA 92011 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 2 0 0 0 0 0 $15.00 $18.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.00 Total Fees:$33.00 Total Payments To Date:$33.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. £ Building Permit Application ^". 1635 Faraday Ave., Carlsbad, CA 92008 NX CITY OF 760-602-2717/2718/2719 (~* A D 1 CD A Pi Fax 760-602-8558 V_* /Al\ L.J Or\LJ www.cartebadca.gov JOBADDRESS J (^ 3 ^^ £VO^lVt CT/PROJECT* LOTjP"^^ PHASE* # OF UNITS # BEDROOMS SUITE#/SPACE#/UNrr# * BATHROOMS TENANT Plan Check No. \ &T [ O C<S Est. Value Plan Ck. Deposit Date APN BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Install 2 condensers and 2 evaporator coils EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ... . - ...Melonie Collins ADDRESS 1643 CORTE ORCHIDIA CITY STATE ZIP CARLSBAD CA 92011 PHONE FAX 760438-1142 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (S APPLICANT NAME ADDRESS :) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES | |# NO| | YEsQNoQ] YES| | NO| | West Coast Appliance Services 10744 Prospect Ave. Suite # B CITY STATE ZIPSantee CA 92071 PHONE FAX 888-694-2480 619-448-3708 EMAIL ALEXPOD7432@GMAIL.COM CONTRACTOR BUS. NAME .... «West Coast Appliance Services ADDRESS 10744 Prospect Ave. Suite # B CITY STATE ZIP Santee CA 92071 PHONE FAX 888-694-2480 619-448-3708 EMAIL ALEXPOD7432@GMAIL.COM STATE UC.# CLASS CITY BUS. LIC.# 810930 C-10.C-20 (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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penaltyofperjury one of the following declarations: I 11 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I/] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co Endurance Workers Conpunsalion Ins. Co policy No WEN009419-03 Expiration Date 11-14.aio This section need not be completed if the permit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the performance of the work fof which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation covmge 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, damages as provided for in Seofion 3706 of the Labor code, interest and attorney's fees. / / .^CONTRACTOR SIGNATURE -*==!===°~TK' :==a> |fl*GENT DATE <£ /£ / (O OWN E R - B U I L D E R D E C L A RAT I O N ; hereby affirm that I am exempt from Contractor's License Law for the following reason: | | 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 rtereon, and who does such work 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 buBd or improve for the purpose of sate).n I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractors) licensed pursuant to the 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 materials for construction of the proposed property improvement. I lYes I ho 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name /address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name /address / phone / type of work): ^PROPERTY OWNER SIGNATURE BAGENT PATE £ ( COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business Djan, 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? I I Yes I IMP Is the applicant or future building occupant required ID obtain a permit from the air pollution control district or air quality management district? LJYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes FlNo IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitify that I have read tne application and state that the alwve information is c^ OSHA: An OSHA permit is required for excavations over 5'ff deep and c EXPIRATION: Every permit issued by the Building Official under the provisions! 180 days from the date of such permit or if the building or work authorized by 3 ^APPLICANT'S SIGNATURE or construction of structures over 3 stories in height.: this Code shall expire by limitation and become nun and void if the building or work aijthonzed by such rjermit is rx)t commenced within i permit is suspended or abandoned at any time after the work is commenced for a pericxl of 180 days (Section 106.4.4 Uniform Building Code). DATE C City of Carlsbad Bldg Inspection Request For: 08/26/2010 Permit* CB101025 Title: COLLINS RESIDENCE Description: INSTALL TWO CONDENSERS AND COILS Inspector Assignment: MC 1643 CORTE ORCHIDIA Lot: 0 Type: MECH Sub Type: Job Address: Suite: Location: APPLICANT WEST COAST APPLIANCES Owner: COLLINS FAMILY TRUST 08-16-07 Remarks: AM PLEASE Phone: 7604381142 Inspector: Total Time: CD Description 44 Rough/Ducts/Dampers 49 Final Mechanical Act Comments Requested By: GREG Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 08/24/2010 43 AirCond/Furnace Set CO MC 1127 C5 NO ACCESS, CALLED & NO ANSWER, LEFT DOOR HANGER WEST COAST APPLIANCE SERVICES, INC. db£. WEST COAST SOLAR 10744 Prospect Ave, Suite B, Santee, Ca 92071 Toll Free 877-704-7652 License# 81O930 Attention: County Building/Planning Department To Whom It May Concern: Our representative, Syndic Pich, is hereby authorized to apply, submit and pick up plan(s) and/or city permit(s). If any questions, you may call our office at 877-704-7652. Thank you. Sincerely, Alex Po President Policy Number Date Entered: 11/12/200? CERTIFICATE OF LIABILITY INSURANCE ™*Z%£ PRODUCE* Phorw: Fax: INSURE) EIS FINANCIAL & XN30HANCB 3BRVXCB8 19553 PARTHRWXA STRMT SOTTB 1A NOKTtOUDGB CA 9X324 (618) 700-1494 (810)700-1416 WSST COAST APPLIANCE SERVICES, XHC 10744 PROSPKCT AVB, SUITS 8 SANTBB, CA 92071 THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND. EXTEND ORALTER THE COVERAGE AFFORDED BY THE POUCHES BELOW. INSURERS AFFORDINO COVERAGE MSURERAjASPn ZHflORAWCK CO INSURER ft OOLOBI BA0LB ZMOXANC8 CO INSURER C:"*B|I'»"I'C» NDBKBKS COMPKMSATIOH IMS. C INSURER 0: INSuACRfc NJUC* p COVERAGES THE POUCIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MOICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPSCT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY TUB POUCIES DESCRIBED HEREM IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMS* JOB. 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