HomeMy WebLinkAbout2610 COLIBRI LN; ; CB112559; Permit12-06-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB112559
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2610 COLIBRI LNCBAD
PME
2155340900 Lot #: 0
MCCALLUM RES REPLACE FURNACE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/06/2011
KG
Applicant:
ANDERSON PLUMBING INC.WALTER
1150N MARSHALL
EL CAJON, CA 92020
619-449-3852
Owner:
MCCALLUM DONNA L
2610 COLIBRI LN
CARLSBADCA 92009
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: 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
refened to as "fees/exactions." You have 90 days from the date this permit «fas 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have creviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise 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
JOB ADDRESS lio\otp^i\y^i Lp^Q_C.frrlsbj^^^
'#OFUNITS |#BEDROOMS
SUITE#/SPACE#/UNIT#
CT/PROJECT (f # BATHROOr^S TENANT BUSINESS NAME
DESCRIPTION OF WORK: /ncfude Square Feet of Affected Areafs)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESfn* Nd I
AIR CONDITIONING
YES I INO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAMEfPrfmary Contact; Jolene Johnson APPLICANT NAME ^Secondary Contact; Meqan Morris
ADDRESS 1150 N.MarshailAve Same as primary
El Cajon
STATE
CA 92020
CITY STATE ZIP
619-449-3852
FAX PHONE
619-449-0312
FAX
PROPERTY OWNER NAME CONTRACTOR BUS. NAME Anderson Plumbina, Heat & Air
ADDRESS ADDRESS 1150 N.Marshall Ave.
CITY„ STATE
da
ZIP CITY El Caion
STATE
CA
ZIP
92020
PHONE FAX
EMAIL EMAIL
reception@andersonpha.com
ARCH/DESIGNER NAME & ADDRESS
493163 C36
CITY BUS. LIC.#
1074400
(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 the provisions ofthe Contractor's License Lav* (Chapter a, commendingwlth Section 7000 of Division 3 ofthe 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 civll penalty of not more than five hundred dollars ($500)).
Woriiers' Compensation Declaration; / hereby affinn under penalty ofpeijury one of the fbllowing declarations:
_ I have and will maintain a certificate of consent to self-insure fbr workers' compensation as provided by Section 3700 of the Latrar Code, for the performance of the work forwhich this permit is Issued.
I have and will maintain wortters' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the work for which this pernilt is Issued. My workers' compensation Insurance earner and policy
number are: Insurance Co Lumbermans Underwriting Alliance , PolfcyNo.. 418453 Expiration Date _ 06/29/12
Thjs section need not be compteted if the pemiit is for one hundred dollars ($100) or less.
I I Certificate of Exemption; I certify that In the performance of the work for which this pemiit is Issued, i shall not employ any person in any manner so as to become subject to the Workers' Compensation 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 thousand dollars (&100,000), in
addition to the cost of compensation^mages as provided for in Section 3706 of the Labor code, interest and attomey's fees.
CONTRACTOR SIGNATURE C-^iLl?\j2>^JL-C-Xc) VYT~VSXD ^ VZ^A^EI SENT DATE \'3LI f^l I I
Cl W N ER - B U j L D E R D E C L A RAT ION
I hereby affirm that i am exempt from Contractor's Ucense Law for the foiiowing 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 fbr sale (Sec. 7044, Business and Professions Code: The Cbntractbr's
License Law dbes not apply to an bwner of property whb builds or improves thereon, and who does such work himself or through his own emplbyees, provided that sxh Improvements are net intended or offered for
saie. If, hbwever, the building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he dki not build or Improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an ovmer of
property who builds or Improves thereon, and contrxts for such projects with contractor(s) licensed pursuant to the Contractor's Lteense Law).
I I I am exempt under Section _
•
.Business and Professtons Code for this reason:
1.1 personally plan to provide the major labor and materials for constnKtion of fhe proposed property impravement Qves I INO
2.1 (have / have not) signed an applicatibn fbr a building permit fbr the proposed werk.
3.1 have contiacted with the following person (fimi) to provide the propesed censtnicBbn (include name address / phbne / ccntractbrs' license number):
4.1 plan tb provide portions of the vrori(, but I have hired the following person to coordinate, supen/ise and provide the major wori< (include name / address / phone / contractcrs' license number):
5.1 will provide seme of the work, but I have contracted (hired) the foltowing persens tb provide the wort indicated (include name / address / phone / type ofwork):
^PROPERTY OWNER SIGNATURE QAGENT DATE
COMPtETE THIS SECTION FOB NON-RESIDENTIAt BUILDING PERMITS ONLY
Is the applicant or future buikiing occupant required to submit a business.plan, acutely hazardous materials legislratlon form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? nVes flNo
Is the applicant or future building occupant required to obtain a penult from the air pollution control district or air quality management district? I lYes I I No
Is the facility tb be constructed within 1,000 feet of the buter boundary of a schbbi 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 POUUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGE NCY
I hereby affinn that there is a construction lending agency for the performance of the mtk this pennit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address ^ i ';^^^ ^^^^^^^ ,
APPLICANT CERTIFICATION
I certif that I have read the application and state that the above infonnation Is conect and thatthe infonnation on the plans Is accura^^
I hereby authorize repnasentativB of the City of Carisbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITf IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: Afl OSHA pennit is requited for excavalions over S'C deep and denrolition or oonstruction of stmctures over 3 stories in height
EXPIRATION: Every permit issued by the Buildiig OflKial under the provisions of this Code shall expire by IWtatton and become null and void if the building or wori< authorized by such pennit is not commenced within
180 days from the date of such pennit or if the buikiing or wori< authorized by such pemnit is suspended or abandoned at any lime after the wori< is commenced Ibr a period of 180 days (Sectbn 106.44 Unifiomi Building Code).
>eS'APPLICANT'S SIGNATURE ^]c>\j^;^^C--J^^Yy-yg^: DATE MM
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 to 15
'"'^'"'^'^/^'/lOr/Iji'/P^y/Zh^l. ^c?^
Enforcement Agency: Date: Permit U:
Equipment Type' List Minimum Efficiency^ Duct insulation requirement
Conditioned Floor
Area Thennostat
•,^afikaged Unit
-SlFup/iace
'• Indoor Coil
• Condensing Unit
• Other
• AFUE
• SEER
• EER
• COP
• HSPF
• Resistance
Over 40 ft of ducts added or
replaced in unconditioned space
• R 6 (CZ 10-13)
• R8 (CZ 14-15)
Served by system
sf
• Setback
(If not already
present, must be
installed)
1. Equipment Type: Choose tiie equipment being installed: if more tlian one system, use anotiier CF-IR-ALT-HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPFfor typical residential systems.
HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and
picks one of the appropriate Options. Each Option lists the FERS measures that must be conducted. A copy of the forms shall be left on site for final
inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the
installer. The inspector also verifies tliat each appropriate CF-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and
signed. Beginning October 1,2010, a registered copy of the CF-IR and CF-6R shall also be on site for final inspection.
• 1. HVAC Changeout Required Forms:
All HVAC Equipment replaced CF-6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH- 25-HERS
CF-4R forms: MECH- 21 and (for split systems) MECH-25
Condenser Coil and /or
Indoor Coil and /or
Fumace
CF-6R forms: MECH-21-HERS and (for split systems) MECH- 25-HERS
CF-4R forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flew Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leakage testing if:
• 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
• 2. Duct systems with less than 40 linear feet in unconditioned space, or
• 3. Existing duct systems are constructed, insulated or sealed with asbestos
• 2. New HVAC System Required Forms:
Cut in or Changeout with new
ducts: (all new ducting and all
new equipment)
CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
CF-4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
• 3. New Ducts with Replacement Required Forms:
Includes replacing or installing all new ducting
and/or outdoor condensing unit and/or indoor
coil and/or fumace. Not all equipment changed.
CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
CF-4R forms: MECH-20 and (for split systems) MECH-25
For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
• 4. New Ducting over 40 feet Required Forms:
Includes adding or replacing more than 40
linear feet of duct in unconditioned space. CF-6R fomis: MECH-04, MECH-21-HERS CF-4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
• EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance.
• 1 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 California Code of Regulations.
• The design features identified on this Certificate of Coinpliance are consistent with the infonnation documented on other applicable compliance forms, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Signature:
Company: Date:
Address: License:
City/State/Zip: Phone:
2008 Residential Compliance Forms March 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 1 and 3-7
Site Address: '''(^h/0,C/)/ihl/'//h-'iQ, Enforcement Agency: Date: Permil #:
Equipment Type' List Minimum Efficiency
Conditioned
Floor Area
Duct insulation
requirement Thermostat
CJfeckaged Unit
CLWmace "^^iC-
• Indoor Coil
• Condensing Unit
• Other
'•SEER
• EER
• COP
• HSPF
• Resistance
Served by system
sf
Over 40 ft of ducts
added or replaced in
unconditioned space
• R 6 (CZ 1, 3-5)
• Setback
(If not already present, must be
mstalled)
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-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.
• I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 ofthe 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 specifications submitted to the enforcement agency for approval with the permit
application.
Name: Signature:
Company: Date:
Address: License:
City/State/Zip: Phone:
2008 Residential Compliance Forms March 2010