HomeMy WebLinkAbout1778 CALLISIA CT; ; CB141123; Permit05-20-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB141123
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1778 CALLISIA CT CBAD
PME
2158812714 Lot #:
TOULOS RES- REPLACE A/C UNIT
SAME LOCATION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/22/2014
RMA
05/22/2014
05/22/2014
Applicant:
EXCEL AIR CORP
STE B
530 OPPER ST
ESCONDIDO CA 92029
760-741-5550
Owner:
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$158.00
$0.00
TOTAL PERMIT FEES $158.00
Total Fees: $158.00 Total Paynnents To Date: $158.00 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
refen-ed to as "fees/exactions." You have 90 days from the date this pemnit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Seclion 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenA>ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING nBUILDING OFIRE QHEALTH nHAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. (^/f I ( XJ
Est. Value
Plan Ck. Deposit
SWPPP
JOB ADDRESS
rtOTS I PHASE # I # OF UNITS j # BEDROOMS
SUITE#/SPACE#/UNIT#
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nc/ude Square Feet OfAtfected Areafs)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr>, NOj I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NQ[ I
APPLICANT NAME APPLICANT NAIVIE (Secondary Contact;
ADDRESS
CITY STATE ZIP
EMAIL
PHONE
k EMAIL . EMAIL
PROPERTY OWNER NAIVIE ulcs_ CONTRACTOR BUS. NAME
ADDRESS
x» STATE
PHONE" _ , FAX
r~S4 SIg B
ITATE . ZIP.^-,
STATLLIC* T , ' I CLASS ICITYBUS. UCJ . . ^ ARCH/DESIGNER NAME & ADDRESS STATE LIC. # AIfc4.IC.# . < CLASS CITY BUS. UCJ ^
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construcL 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 tjy any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS PENSATION
Workers' Compensation Declaration: / teretiy affirm under penalty of perjury one ofthe following declarations:
• I have and will maintain a certificate of consent to self-Insure fcr workers' compensation as provided by Seclion 3700 of the Labor Code, for the performance of the work for which this permit is issued.
"BLLhave and will maintain woriiejglcompensatlon, as required by Section STOOglthe Labot^ode, for the performaniip of theyoftontibicAthis BVjnit^ issued. My workers' compensation teyrance caijieiaaipol
number are: Insurance Co (JL3 P^O^O^fe??^^ Policy No \"inViy^ ~- TOtLlogryfcpiratlon Date ~l ' 1 \
This section need nol be completed if the permit Is for one hundred dollars t$100l or less. A—C^CVVXV^ \ \ -t
I I Certificate of Exemption; I certify that in the perfomiance of the work for which this permit is issued, I shall not employ any person In any manner so as to become suHjeiWtM 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 hundrW thousand dollars (£100,000), in
addition to the cost of compensationjkiiiiges as provided for In Section 3706 of the Labor code, interest and attorney's fees
^ CONTRACTOR SIGNATURtl/Kl j ^ j ^XYW X [
licy
OWNER-BUILDER DECLi
^GENT DATE ^T^P" ] ^ )
/ hereby affimi that I am exempt from Contractor's Ucense Law for the following reason:
I I 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 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 build or improve for the purpose of sale),
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractors Ucense Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law).
I I 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. QYes I INO
2,1 (have / have not) signed an application for a building permit for the proposed work.
3,1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the wori(, but I have hired the following person to coordinate, supen/ise 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 SIGNAt DATE
PtETE THIS SECTION FOR N O N - R E S I D E N T I A L B U t L O I N G P E R M I T S O N L Y
is the applicant or future building occupant required to submit a business plan, acutely hazardous materiais registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a pennit trom the air poilution control district or air quality management district? Yes No
Is Ihe facility to be constaided wilhin 1,000 feet of the outer boundary of a school site? 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 THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
m I hereby affirm tfiat ttiere 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 certify ttiat I have read ttie application and state that tfie above information Is conect and ttiat the Information on ttie plans Is accurate. I agree to comply witti all CItyoidinancss and State laws relattng to building consttuctton.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecSon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAFWLESS 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 permit is requined for excavations over 5'0' deep and demolition or construction of stmctures over 3 stories in height.
EXPIRATION: Every pemiit issued by the BuikJing Official under the provisions of this Code shall expire by limitation and become null and void if the buikJing or woik authorized by such pennit is not commenced within
180 days from the date of such pemiit or if the building or •wA authorized by such pernio is suspended or abandoned at any time after the vwrk is commenced for a period of 180 days (Section 106.4.4 Uniform Buikjing Code).
^1 APPLICANT'S SIGNATURE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buiidinaOcarlsbadca.aov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
IVIAIL / FAX TO OTHER:
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
ASSOCIATED CB#
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
JCS"APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB141123 Type: PME TOULOS RES-REPLACE A/C UNIT
SAME LOCATION
Date Inspection Item Inspector Act Comments
05/26/2015 43 AirCond/Furnace Set - Rl AM PLEASE
05/26/2015 43 AirCond/Furnace Set PD AP
05/26/2015 49 FinalMechanical - Rl AM PLEASE
05/26/2015 49 FinalMechanical PD AP
Thursday, May 28, 2015 Page 1 of 1
Simplified Prescriptive Certificate of Compliance; 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 1 and 3-7
SiteAddress: 1778 CallisiaCt Enforcement Agency: City of Carlsbad Date: 5/22/14 Permit U:
Equipment Type' List Minimum Efficiency^
Conditioned Floor
Area
Duct insulation
requirement Thermostat
LJ Packaged Unit
O Furnace
[x| Indoor Coil
H Condensing Unit
D Other
• AFUE
raSEERIB.O
OEER
•COP
• HSPF
O Resistance
Served by system
1500 sf
Over 40 ft of ducts
added or replaced in
unconditioned space
nR6 (CZ 1,3-5)
13 Setback
(If not already present, must be installed)
/. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-1R-ALT-HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• 1 am eligible under Division 3 of the Califomia 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 1 and 6 of the Califomia 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 specificafions submitted to the enforcement agency for approval with the pfjrmit application.
Name: Howard Moxley Signature:__x2^ Q .A«^>A^ \
Company: Excel Air Corporation Date: ^ 5/22/14
Address: 530 Opper St. Ste B License: 847334
City/State/Zip: Escondido, CA 92029 Phone: 760-741-5550
2008 Residential Compliance Forms March 2010