HomeMy WebLinkAbout2280 CALLE BARCELONA; ; CB120844; Permit05-07-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBl20844
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2280 CALLE BARCELONA CBAD
PME
OOOOOOOOOO Lot#:
LA COSTA VALLEY MASTER
CLUBHOUSE- REPLACE HEAT PUMP & AIR HANDLER IN
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/07/2012
RMA
05/07/2012
05/07/2012
Applicant:
ACTION AIR COND.& HEATING-S.D.
2750 S SANTA FE
SAN MARCOS CA
760 727 4152
Owner:
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$150.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00
Inspector:
FINAL APPROVAL
Date: vT'/f" Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition'' of fees, dedications, resen/ations, or other exactions hereafter collectively
refenred to as lees/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 foliow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
Vou 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been qiven a NOTICE similar to this, or as to which the statute of limitatbns has previously othenArise expired.
«!•>
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est Value
Plan Ck. Deposit
!EVUNm»^'^""'""TAPN^'"'^^^^^^"
SWPPP
JOB ADDRESS 2280 Calle Barcelona, Carlsbad, CA 92009
CT/PROJECT # # OF UNns # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
<:i/ccior7au.^
CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /ne/uife Square Feet of/Utactsd Area(s>
Change-Out Heat Pump & Air Handler
Same Locations
EXISTING USE
Clubhouse
PROPOSED USE
Same
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQf N0| I
AIR CONDrriONING
YES ITINO I I
FIRESPRINKLERS
YEsQ N0| I
APPLICANT NAMECPr/mary Contact; La Costa Valley Master HOA APPLICANT NAME rSecondary Contact; Glenn Ostmark
ADDRESS 2280 Calle Barcelona ADDRESS 2750 S Santa Fe Ave
CITY Carlsbad STATE
CA 92009
CITY San Marcos STATE CA ZIP 92069
PHONE
760-635-8633
FAX PHONE 760-727-4152 FAX
760-727-0213
EMAIL EMAIL glenn.ostmark@actionac.net
PROPERTY OWNER NAME La Costa Valley Master HOA CONTRACTOR BUS. NAME Action Air Conditioning, Heating & Solar
ADDRESS
2280 Calle Barcelona
ADDRESS 2750 S Santa Fe Ave
CITY
Carlsbad
STATE CA ZIP 92009 CITY San Marcos STATE CA ZIP
92069
PHONE
760-635-8633
FAX PHONE
760-727-4152
FAX
760-727-0213
EMAIL EMAIL comfort@actionac.net
ARCH/DESIGNER NAME & ADDRESS
509805 C-20
cnY BUS. uc.#
419800
(Sec. 7031.5 Business and Proressions Code: Any City or County which requires a pernnit to construcL alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License LawlChapter 9, commending with SecUon 7000 of Division Sof the Business 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 fbr a permit subjects the applicant to a civil penalt of not more than five hundred dollars {$500}).
WORKERS' COIMPENSATION
Workers' Ckimpensatlon Declaration:; tmreby affirm undei penalty of peijuiy one ofthe loliowing declarations:
S I have and wHI maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of Ihe Labor Code, for the perfonnance of the work fbr which this pennit is issued.
I have and will maintain workers' compensation, as required by Sectkm 3700 of the Labor Code, for the perfonnance of the work for whk;h this pemiit is issued. My workers' compensation insurance carrier and policy
number are: insurance Co _ California Contrators Network PolteyNo.. 4503-093 Expiratkin Date _ 12/31/2013
Bsectkin need not be completed If the pennit is for one hundred dollars ($100) or less.
Certificate of Exemption: I certily that in the perfbmiance of the worfi fbr which this pemiit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensatkin Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred Uiousand doiiars (&100,000), In
addition to the cost of compensation, damages asjtrevided for in Section 3706 of the Labor code, interest and attomey's fees.
>6ir CONTRACTOR SIGNATUR&^,^J^mv3^I>t^^ [JAGENT DATE
O W N E R - B U I L D E R DECLARATION
/ /lereby affim) (hat / am exempf from Contractor's License Law for the following reason;
I I I, as owner of the pmperty or my empkiyees with wages as their sole compensatkin, will do the wortt and the stnxiture is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of pmperty who bulkls or improves thereon, and who does such wortt himself or thniugh his own empkiyees, provkled 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-buikler will have the bunlen of proving that he dkl not buM or improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with Iteensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who buikis or improves thereon, and contracts for such projects with contractor(s) Iteensed pursuant to the Contractor's License Law).
• I am exempt under Section _ .Business and Professions Code fbr this reason:
t. I personally plan to provkle the major labor and matenals for constnxitkin of the proposed property ImprovemenL Yes I iNo
2.1 (have / have not) signed an applteatten fbr a buikfing pennit fbr the proposed worit.
3.1 have contracted with the fbHowlng person (finn) to provkle Ihe proposed constmction (include name address / phone / contractors' license number):
4.1 plan to provide porttens of the worit, but I have hired the folkiwing person to coonlinate, supenrise and provkle the major worit (include name / address / phone / contractors' license number):
5.1 will provkle some of the worit, but I have contracted (hired) the fbllowing persons to provkJe the worit indtealed (Include name / address / phone / type of worit):
^STPROPERTY OWNER SIGNATURE •AGENT DATE
COIMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERIMITS ONLY
Is the applteant or future building occupant required to submit a business p|an, acutely hazardous materials registration fomi or risk management and preventten program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazantous Substance Account Act? QYes [^No
Is the applteant or future building occupant required to obtain a pemiit from the air pollution control district or airauaiitv management district? I IYBS I I No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? I lYes IINO
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency fbr the perfbnnance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name , Lenders Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infbnnaflon Is conect and thatthe Infonnation on the plans Is a^
I hereby authorize representative of the City of Carisbad to enter upon Ihe above menttoned property for inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 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 pennit is required for excavattons over S'C deep and demolitton or constmctton of stmctures over 3 stories in heighl
EXPIRATION: Every pennit issued by the Buikling Oflicial under the proviskms of this Code sh^l expire by limitatton and become null and vokl if the buikling or worit authorized by such pennit is not commenced within
180 days irom the date of such pennit or if the building orffiMt authcxized by such pennit is suspencled or abandoned at any time alter the worit is commenced for a period of 180 days (Sectkin 106.4.4 Unifonn Building Code).
>£S'APPLICANT'S SIGNATURI DATE
City of Carlsbad Bldg Inspection Request
For: 05/16/2012
Permit# CB120844
Title: LA COSTA VALLEY IVIASTER
Inspector Assignment:
Description: CLUBHOUSE- REPLACE HEAT PUMP & AIR HANDLER IN
SAME LOCATIONS
Type: PME Sub Type:
Job Address: 2280 CALLE BARCELONA
Suite: Lot: 0
Location:
APPLICANT ACTION AIR COND.Si HEATING-S.D.
Owner:
Remarks:
Phone: 7606358633
Inspector:
Total Time:
CD Description
43 AirCond/Furnace Set
49 Final Mechanical
Act Comments
Requested By: NANCY
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments