HomeMy WebLinkAbout2581 NAVARRA DR; B; CB130663; PermitJob Address:
Permit Type:
Parcel No:
Reference #:
PC M.
Project Title:
2581 NAVARRA DR CBAD St: B
PME
216200270'
BERGER: REPLACE FURNACE
SAME LOCATION
Applicant:
ACTION AIR COND & HEAT
2750 SOUTH SANTA FE AV
SAN MARCOS CA 92069
760 727 4152 cEJ
Plumbing Fees Electrical Fees f Mechanical Fees Other PME Fees S
TOTAL PERMIT FEES ._1I
03-20-2013-
City of Carlsbad
1635 Faraday AV Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB130663
Building Inspection Request Line (760) 602-2725
Li
Status: ISSUED
Lot #: 0 Applied: 03/18/2013
Entered By: JMA
Plan Approved: 03/18/2013
Issued: 03/18/2013
Inspect Area:
(2nerAA~
eRFF-toEoRD FAMIL
NC1
(
$154.00
A 151°
$154.00
Total Fees: l$154.00 Total Paym /e$154.00'4,~"Balanoeehts'Tà Date: Due: / $0.00
\ 17 INCORPORATED 1952'
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FINAL APPROVAL
Inspector: . Date: 7f 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.5 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 iny 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 nreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations Jhasnrevi0us1v otherwise expired.
I
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE D HEALTH 0 HAZMAT!APCD
Building Perfflit Application Plan Check No. 'I (00
Est. Value <('> 1635 Faraday Ave., Carlsbad, CA 92008
CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit C/.\RLSBAD email: biiilding@carlsbadca.gov
Date 1 I Iswppp www.carlsbadca.gov
JOB ADDRESS ' 'V
2581-B Navarra Dr
SUITE#/SPACE#/UNIT#
I'
I APN
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CT/PROJECT # - LOT U PHASE U U OF UNITS It BEDROOMS It BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Remove and Replace Furnace
EXISTING USE PROPOSED USE GARAGE (SF) .• PATIOS (SF) DECKS (SF) I FIREPLACE AIR CONDITIONING
YES#. NODYES1Nor:
IFIRESPRINKLERS
YESEJ NOD
APPLICANT NAME (Primary Contact) Janine Butler APPLICANT NAME (Secondary Contact) -
.
ADDRESS - ADDRESS
2750 S. Santa Fe Ave V V
Cliv STATE ZIP V
• CITY V STATE ZIP
San Marcos CA' ,: 92069
PHONE FAX PHONE V IFAX
V 760-727-4152 I . 760-727-0213
EMAIL . EMAIL V•V
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comfort(actionac.net.
PROPERTY OWNER NAME •
V Anat Zeelim & Ron Berger 'V
CONTRACTOR BUS. NAME
- Action Air Conditioninq, Heat & Solor
V
ADDRESS ADDRESS V
V 2581-B Navarra Dr ' , 2750 S. Santa FE Ave
CIiY- - STATE .ZIP CITY ' , STATE ZIP
Carlsbad V V CA 92009 -' San Marcos CA' " 92069
PHONE V IFAX '. FAX V
760-931-8418 I -727-4152 V 760-727-0213
EMAIL ' V
comfortcactionac.net'
ffEMAIL,
ARCH/DESIGNER NAME& ADDRESS ' V STATE LIC. # I CLASS I CITY BUS. LIC.#
509805 I C20&C461 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 the
applicant for such permit to file a signed statement that he is licensed pursuant to theprovisions of the Contractor's License Law ter 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 by any applicant for a permit subjects the applicant to a
Civil penalty of not more than five hundred dollars ($500)). - -
Vgog®)p QØ(J :-:''',"
:--. •' . -'V
Workers' Compensation Declaration: I hereby affirm underpenalty of perjuiy one of the following declarations:
i:i
I. 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 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 carrier and policy
number are: Insurance Co._ Self Insured Solutions - ' policy No. ' V Expiration Date 123113 I
This section need not be completed if the permit is for one hundred dollars ($100) or less.
(J 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 (111,100,000), in
addition to the cost of compensation, damages as provided for in ction 3706 of the Labor code, Interest and attorney's fees. ' V
CONTRACTOR SIGNATURE V 'L')j. NT DATE •3 —' % . \ -
thereby affirm that lam exempt from Contrpr'S Uc e Law for the following reason:
El I, as owner of the properly or my employees with wages as thei(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 loan 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).'.
D 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 loan owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
lam 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 [:]NO
2.1 (have ! have not) signed an application for a building permit for the proposed work. . I'
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):
I 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, bull have contracted (hired) the following persons to provide the work idicated (include name! address phone! type of work): V
,.PROPERTY OWNER SIGNATURE - V : [E]AGENT ' ,
V
DATE '
Is the applicant or future building occupant required to subñita business plan, abitely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes 0 No -. .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? (3 Yes 0 No I Is the facility to be constructed Wthin 1,000 feet of the outer boundary of a school site? DYes 0 N -
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 01 THE OFFICE OF
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 . V
Mid 00001 14 0, Now_ NO
I certilythatl have mid theapplicatIon and slatethatthe above Inillomiation Is correiland daft hillormadon on the plan Isaccurate. I ain4to corn*vAth all C11yordinancesand State kin relatingto buildIngoonsti on:
Carlsbad to INDEMNIFY AND KEEP HARMLESS THE CITY pFCARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN MY WAY ACCRUE AGAINST SAID PITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required forexcavations over 69 deep and demolition or construction of structures over 3stories in height. .- . - I
EXPIRATION: Everypermit issuedbythe Wilding cullciatunderthèp expke pens tisnotccmmencedwthüi
18 from thedateof such pormtorffthebuingorork authorized bys is suspencled or abandonedatanytimeafterthe Kis commenced 106A.4 Uniform Building Code).
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£APPCANT'SSIGNATURES(J —
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Inspection List
Permut# CB130663 Type BERGER REPLACE FURNACE PME
• SAME LOCATION
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Date Inspection Item Inspector Act
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Comments
06/20/2013 43 AirCond/Furnace Set - RI CALL W/ETA
06/20/2013 43 AirCond/Furnace Set PB AP
06/20/2013 49 Final Mechanical - RI - -
06/20/2013 49 Final Mechanical, PB AP -
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Friday, June 21, 2013
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