HomeMy WebLinkAbout2612 CABRILLO PL; ; CB091553; Permit09-23-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No CB091553
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
2612CABRILLOPLCBAD
MECH
1552714103
$000
Lot#
BIGGS RES- REPLACE FURNACE
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/23/2009
LSM
09/23/2009
09/23/2009
Applicant
ACTION AIR COND & HEATING-S D
2750 S SANTA FE
SAN MARCOS CA
7607274152
Owner
BIGGS MILLARD R TR&BIGGS EVELYN TR
2612CABRILLOPL
CARLSBAD CA 92008
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
$1500
$900
$000
$000
$000
$000
$000
$000
$000
$2400
Total Fees $24 00 Total Payments To Date $24 00 Balance Due $000
Inspector 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
lollow 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
C I T Y O F
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 (L&O^ \ S~
Est Value
Plan Ck Deposit
Date
JOB ADDRESS 2612 Cabnllo Place SUITE*/SPACE»/UNIT*
ft BATHROOMS I TENANT BUSINESS NAMECT/PROJECT ft PHASE ft * OF UNITS * BEDROOMS CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Areafs)
Remove And Replace Existing Furnace
EXISTING USE P
Single Family Residence
CONTACT NAME (If Different Fom Applicant)
ROPOSEDUSE GARAGE (SF)
Same
Miiiard & Evelyn Biggs
ADDRESS 2612 Cabnllo Place
CITY
Carlsbad
PHONE
760-720-9131
STATE ZIP
CA 92008
FAX
EMAIL
PROPERTY OWNER NAME aMillard & Evelyn Biggs
ADDRESS 2612 Cabnllo Place
CITY
Carlsbad
PHONE
760-720-9131
EMAIL
ARCH/DESIGNER NAME & ADDRESS
STATE ZIP
CA 92008
FAX
STATE LIC ft
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONINd
YES | |# Nd| | YES [ | NO ["71
APPLICANT NAME _. _ , ,Glenn Ostmark
FIRE SPRINKLERS
YESQNOQ
ADDRESS
2750 S Santa Fe Avenue
CITY STATE ZIP
San Marcos CA 92069
PHONE FAX
760-727-4152 760-727-0213
EMAIL
comfort(S>actionac net
CONTRACTOR BUS NAME . . - .Action Air Conditiomnq &Heatmq
ADDRESS 2750 S Santa Fe Avenue
CITY STATE ZIP
San Marcos CA 92069
PHONE FAX
760-727-4152 760-727-0213
EMAIL
comfort@actionac net
STATE LIOS, rt &C\ C" CLASS CITY BUS LIC A — N
(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 subje( ts the applicant to acivil penalty of not more than five hundred dollars ($500))
Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
I I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued
1/J I have and will maintain workers compensation as required bv Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation in urance earner and policy
number are Insurance Co antenna contractor Network Policy No K03-093 Expiration Date wmw
This section need not be completed if the permit is for one hundred dollars (S100) or less
I I Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand collars (&100 000) in
addition to the cost of compensation damages asBfo5Bed_Jorin Section 3706 of the Labor code interest and attorney s fees
JS$ CONTRACTOR SIGNATURE-x^^T/ ^^U^^J^T} DATE 9 ~23 " £> I
/ hereby affirm that I am exempf 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 ( ode 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 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 contractors) 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 matenals for construction of the proposed property improvement fJ^Yes I No
2 I (have / 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 / phone / contractors license number)
4 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 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)
^PROPERTY OWNER SIGNATURE DATE
Is the applicant or future 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 Act9 | |Yes I iNo
Is the applicant or future building occupant required to obtain a permit from the air pollution controldjstrict or airjjuality management distnct? QYes I I No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' I lYes l\ No
IF ANY OF THE ANSWERS ARE YES ,
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 the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relatngtc building construction
I hereby authonze 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 CIT" 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 permit is required for excavations over 5 0' deep and demolition or construction of structures over 3 stones in height
180 days from the date of such permit or if the buildinaor work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code)
JS$APPLICANT S SIGNATURE DATE 9-
City of Carlsbad Bldg Inspection Request
For 09/29/2009
Permit* CB091553
Title BIGGS RES- REPLACE FURNACE
Description
Inspector Assignment
2612 CABRILLO PL
Lot
Type MECH Sub Type
Job Address
Suite
Location
OWNER BIGGS MILLARD R TR&BIGGS EVELYN TR
Owner BIGGS MILLARD R TR&BIGGS EVELYN TR
Remarks
Phone
Inspector
Total Time
CD Description ct
43 AirCond/FurnaceSetf^rC
mments
Requested By NA
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments