HomeMy WebLinkAbout2322 LA COSTA AVE; B; CB102470; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-16-2010 Mechanical Permit Permit No: CB102470
Building Inspection Request Line (760) 602-2725
Job Address: 2322 LA COSTA AV CBAD St: B
MECH . Status: Permit Type:
Parcel No: 216310140~ Lot#: 0 Applied:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
$0.00
HARRIS: REPLACE ROOF TOP
A/C
BUILDERS TECH HEATING & AIR
1697 SAN PASQUAL ST
CHULA VISTA
CA 91913
619-947-1129
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
1
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MARTINEZ EDWARD D
1625 BACCHARIS AVE
CARLSBAD CA 92011
ISSUED
12/16/2010
JMA
12/16/2010
12/16/2010
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due:
Inspector: Date: Clearance:
$0.00
pproval of your project includes the 'lmpos on' of fees, dedications, resefVations, or other exactions hereafter collectively
referred to as "fees/exactions.' You have 90 days from the date this pem1it 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 ln accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wrn 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
I x i n I i h v Tl imi! r hi wh. h h f !imi i n i I h
«~')> Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No. CB I () 2..l-170
~ CITY OF
CARLSBAD
'(L '
CT/PROJECT# LOT# PHASE#
DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(s)
Fax 760-602-8558
www.carlsbadca.gov
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNIT# AN
# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
Cf/-ttn6,E a« {JAe.J4Cie Ae VIWr e;n f!-.-0-of
SWPPP
CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS(SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES0, "'° YES0No □ YES □No□
CONTACT NAME (If Dltfetent Fom AppHcant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
(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 issue e, lso 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 O of Division 3 of the B_uslness and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars 1,soon.
WORKERS" COMPENSATION
Workers' Compensation Declaration: / hereby affinr, under penalty of perjury one of the following dsclarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by SecllOll 3700 of lhe Labor Code, for the performance of the work for which this perrml Is issued D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the wotk for which thlS permit Is issued My workers' compensation msurance camer and policy
number are Insurance Co }:=yv~ Pohcy No ______________ Expiration Date _________ _
~s_,;lion need not be completed 11 the permb ~rs ($100) or less
l.lf'Certificate of Exemption: I certify that in the pe,formance of the work for which this permit is issued, I shall not employ any person in any manner so as to beoome subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure w rs' c~pensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hund thousand dollars (&100,000), In
addition to Iha cost of compensation, dam g a ro~ad for In Section 3706 of the Labor code, Interest and attorney's fees.
,8$ CONTRACTOR SIGNATURE
□
□
J, 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, lhe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not bu~d or improve for lhe purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe 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 am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes Oo
2. l (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phooe I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following persoo to coordinate, supervise and provide the major work (include name I address/ phone/ contractM' license number):
5. I 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):
,85 PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business.a!wJ, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Ao:::ount Act.? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollulion control district or a~alily management distrid? []ves O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo
IF AtfY 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 OFACE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s rssued (Sec. 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I oeitlfythat I have read the application aod state that the abOYe infonnatlon Is conectand that the lnfonnatlon on the plans Is accurate, I agreetD comply\litth all CNy ordinances and State laws ielatlng ID buHdlng mnsbuctlon.
I hereby authorize repieseNBliw of lhe City of Carlsbad to enter upon lheabove meotiorod property for inspection purposes. I ALSO AGREE TO SAVE, INDE~IFY AND KEEP HARMLESS TtiE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST S!'JD CITY IN CONSEQUENCE OF TtiE GRANTING OF TtilS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and derrlailioo or coostnl:tiCJ1 of stndures over 3 stories in heiglt.
EXPIRATION: Every pennit issued by lhe Bui . Off"qJI under lhe provisions of this Code shall expire by limitatioo and becane l'IJII arxl -.1lid if the blilding or work autrorized by suet, permit is oot oonvnenced Yttthin
180 days from the date of sudl pennit or if ing or work authorized by such pemvt is suspended or abardoned at any Ima after the work is coo,menced for a "od r:J 180 (Section 106.4.4 Uniform Building Code).
' '--l
DATE
ffl m City of Carlsbad Bldg Inspection Request
For: 01/31/2012
Permit# CB102470
Title: HARRIS: REPLACE ROOF TOP
Description: A/C
Type:MECH Sub Type:
Job Address: 2322 LA COSTA AV
Suite: B Lot: 0
Location:
APPLICANT BUILDERS TECH HEATING & AIR
Owner:
Remarks: am please
Total Time:
CD Description Act Comments
Inspector Assignment: TP ---
Phone: 8583441465
Requested By: MANNY HARRIS
Entered By: CHRISTINE
43 AirCond/Furnace Set M I I e:~ 49 Final Mechanical {II~ Ill 1 7
----·~----·-·-
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
lb . r
01/03/2011 43 AirCond/Furnace Set CO TP .FLEX CONDUIT SUPPORT REQ, NEED ACCESS TO ROOF