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Home My WebLink About2196 CORTE LIMON; ; CB101237; Permit07-06-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB101237 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2196 CORTE LIMON CBAD MECH 2552514400 $0.00 Lot #: STEFFERUD:REPLACE FUR. & ADD A Status: ISSUED Applied: 07/06/2010 Entered By: JMA Plan Approved: 07/06/2010 Issued: 07/06/2010 Inspect Area: Applicant: ACTION AIR COND.& HEATING-S.D. 2750 S SANTA FE SAN MARCOS CA 7607274152 Owner: CLINTON CURTIS A&STEFFERUD KAY C 2196 CORTE LIMON CARLSBAD CA 92009 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:J/H 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 760-602-27 17/2718/2719 Fax 760-602-8558 www.carlsbadca.gov JOB ADDRESS 2196CorteLimon, Carlsbad, CA 92009 CT/PROJECT # LOT #PHASE # # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT* # BATHROOMS TENANT B Plan Check No. O5> 1 O I Z- 3"7 Est. Value Plan Ck. Deposit Date APN JSINESS NAME CONSTR - TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Remove And Replace Furnace And A/C Condenser EXISTING USE PRO! Single Family ResiderQ CONTACT NAME (If Different Fom Applicant) 'OSEDUSE GARAGE (SF) Same Curtis Clinton ADDRESS 2196CorteLimon CITY STATE ZIP Carlsbad CA 92009 PHONE F (760) 634-3626 EMAIL « PROPERTY OWNER NAME ._ . _.,. „ „ _ ,- .Curtis Clinton & Kay Stefferud ADDRESS 2196CorteLimon CITY STATE ZIP Carlsbad CA 92009 PHONE F (760) 634-3626 EMAIL ARCH/DESIGNER NAME & ADDRESS w STATE LIC. # PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS FIREPLACE AIR CONDITIONING YES| |# NO| [ YES FT] NO [ 1 Glenn Ostmark 2750 S Santa Fe Avenue CITY STATE ZIP San Marcos CA FIRE SPRINKLERS 92069 PHONE FAX (760) 727-41 52 (760) 727-021 3 EMAIL CONTRACTOR BUS. NAME ADDRESS comfort@actionac.net Action Air Conditioning & Heatinq 2750 S Santa Fe Avenue CITY STATE ZIP San Marcos CA 92069 PHONE FAX (760) 727-41 52 (760) 727-021 3 EMAIL comfort@actionac.net STATE LIC.# CLASS CITY BUS. LIC.# 509805 C-20 419800 (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 Declaration: / hereby affirm under penalty of perjury 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' 11 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 earner and policy number are: Insurance Co California contractor Network p0|icy No "SQ3-093 Expiration Date IMIOOIO This section need not be completed if the permit is for one hundred dollars ($100) or less. | | Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost of compensation, damages a,s jKBvldedfpr in Section 3706 of the Labor code, interest and attorney's fees. / JS$ CONTRACTOR SIGNATURE ^ ^/^ l\^jiL/S yHt^AGENT DATE 1/(* / 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 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 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 contractor(s) licensed pursuant to the Contractor's License 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. ^^Yes 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 (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 AGENT DATE .:..&.'&#££' -^' ' ') Is the applicant orfuture building occupant required to submit a business plan, 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? | |Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ainjuality management district? I lYes [~~| No Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? r~lYes flNo EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 I certify that I have read rjie application and state that the above information is correa and that the information 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 OSHA: An OSHA permit is required for excavations over SO deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit 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 permit is not commenced within 1 80 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE -/ DATE City of Carlsbad Bldg Inspection Request For: 07/22/2010 Permit* CB101237 Title: STEFFERUD:REPLACE FUR. & ADD A Description: Inspector Assignment: 2196 CORTE LIMON Lot: 0 Type: MECH Sub Type: Job Address: Suite: Location: APPLICANT ACTION AIR COND.& HEATING-S.D. Owner: CLINTON CURTIS A&STEFFERUD KAY C Remarks: Phone: 7606343626 Inspector: / Total Time: CD Description 43 AirCond/Furnace Set Act Comments 43 Comments/Notices/Holds Requested By: NA Entered By: CHRISTINE Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments CITY OF STORM WATER COMPLIANCE ASSESSMENT B-24 Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: Of Building Permit a Right-of-Way Permit My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level iswarranted. Project Address: emsrL Owner/Owner's Authorized Agent Name: \c Owner/Owner's Authorized Agent Signature: City Concurrence: ems a NO By: Assessor Parcel No. Date: Title: Date: Project ID: OC23? B-24 Page 1 of 1 Rev. 03/09 CONDITIONING & HEATINO January 18, 2008 To Whom It May Concern: This letter is to inform you that Glenn Ostmark is an official representative of Accurate Comfort Systems Inc., dba Action Air Conditioning & Heating and is fully authorized to receive any documents, permits or information on behalf of Action Air. Sincerely, Gregory W. Gill President ACKNOWLEDGMENT State of Caljfpmia . County of On (insert name and title of the officer) (*=>personally appeared _ _ _ _ who proved to me on the basis oPsatistyebry evidence to be the | subscribed to the within instrument and acknowledged to me thatficfohoftfty executed the same in (Ijjgfrier/theip-authorized capacityJJegi, and that by^h^jfesritfeeir signaturefcjron the instrument the nfcjTor the entity upon behalf of which the person(d£icted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature „(Seal) OFFICIAL SEAL I L. E. PASQUALE *[NOTARY PUBLIC-CAUFORNIAS1 COMM. NO. 1770552 " SAN DIEGO COUNTY f MY COMM, EXP. SEPT. 28,2011 I 2750 S. Santa Fe Ave. • San Marcos, CA 92069 Lie. #509805 www.actionac.net (760)727-4152 (800)400-4152 FAX (760) 727-0213