HomeMy WebLinkAbout2775 CARLSBAD BLVD; ; CB163448; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
09-07-2016 Permit No: CB 163448
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2775 CARLSBAD BL CBAD
PME
2031430700
ST MICHAELS: ADD 2 DUCTLESS
Lot#: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
UNITS AT OFFICE I ADD AIC AT PRESCHOOL I REPLACE HEAT & AIC
AT CHAPEL
Owner:
ISSUED
0910712016
SLE
0910712016
0910712016
MOOR CO SERVICE INC
STEA
ST MICHAELS-BY-THE-SEA EPISCOPAL CHURCH
3239 ROYMAR RD
OCEANSIDE CA 92058
(760) 722-1541
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
P 0 BOX 127
CARLSBAD CA 92018
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: ' Clearance:
$0.00
NOTlCE Rease fa(e NOTl cJ }WI" ~ed irdudes tre "lrrpa;ition" cJ fees, dedcaions, reservations, or diB" ex.cdiorlS h3reafter cdledivay
· ." Yoo l'ave 00 days fran tre date ths pemit ltlaS iS9.Jed to prctest irrpa;ition cJ these feeslexcdions. If~ pretest them, ~ rrust
fdlo.vtre pretest set fath in GNernrent COOe Slrlion 00120(a), crd file tre prctest crd crry diB" req..ired il1fornl:mon wth tre Oty rvmager for
pooossirg in acmda mwth Ga1si:B:I M.ridpal COOe Slrlion 3.32.030. Faih . .retotirrelyfdlo.vtta p-ocecirewll ber crrySI..Ib;eqJert legal a:tion toatta::k,
n:Mew, set aside, \tid, or ClllJ treir il"flXEtion.
I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING
{"City of
Carlstiad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNITt
#BATHROOMS
0BUILDING OF IRE
Plan Check No.
Est. Value
DCC. GROUP
FIRE SPRINKLERS
YEsONoD
Primary Contact
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 of the Contractor's License Law {Chapter 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}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affinn under penalty of pefjury one of the following declarations:
D 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. D I have and will maintain wo ers' com ns on, as required by Section 3700 of the Labor Code, for the performance of the~~ for which this P!lrmit is issued. My workers' com:ztion insurance carrier and policy
number are: Insurance Co. Policy No. );.,..Wt C/)tf,,j?-JJ. Expiration Da -,)(!-" J /
]:!!i§,section need not be completed if the permit is for one hundred dollars ($1 00) or less. /
U 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 compensation coverage unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
of the Labor code, interest and attorney's fees.
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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 Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himseff 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, 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 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. DYes 0No
2. I (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 I phone I 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 I address I phone I 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 I address I phone I type of work):
Ji5 PROPERTY OWNER SIGNATURE 0AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Act? Ll Yes Ll No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Ll Yes Ll No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ll Yes Ll No
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.
I certify that I have read the application and state that the above information is conectand that the information on the plans is accu~ate.l agree to comply with all City ordinances and S1ate laws relating to building construction.
I hereby aulhorize representative of lhe City of Cal1sbad to enter upon lhe above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OFTHIS PERMIT.
OSHA: An OSHA perrnn is requied for excavations over 5'0' deep and demolnion or construction of structures over 3 stories in height.
EXPIRATION: Every permn issued by lhe Building OIOCial under lhe provisK>ns of lhis Code shall expire by lim nation and become null and voi:l if lhe building or \Mlrk aulhorized by such permit is not commenced ..whin
180 days fiom lhe date of such perrnn or if lhe building or\Mlrk aulhorized by such · is suspended or abandoned at any time after lhe \Mlrk is commenced for a period of 180 days (SedK>n 106.4.4 Uniform Building Code).
;@5 APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
(Office Use Only)
CA
DELIVERY OP110NS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATEDCB#------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER: ________________ _
o CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CB163448)
BLDG-Commercial 09/07/2016Application Date:Permit Type:Owner:PARISH OF ST
MICHAELS-BY-THE-SEA
EPISCOPAL CHURCH
Subdivision:P/M/E 09/07/2016Work Class:Issue Date:
2775 Carlsbad Bl
Carlsbad, CA 92008
Address:Issued - Active 03/06/2017Expiration Date:Status:
IVR Number: 716966
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
12/06/2016 12/06/2016 BLDG-43 Air
Cond./Furnace Set
004304-2016 Passed Paul York Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final
Inspection
004303-2016 Passed Paul York Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
December 20, 2016 Page 1 of 1
I
I
BEECH STREET
·-·-·-·-
CHRISTIANSEN WAY
\ •.1 \'
PROPOSAL OF
HEATING
MoorCo, Inc. AIR CONDITIONING
HEAT PUMPS
RESIDENTIAL -COMMERCIAL
MAINTENANCE • REPAIRS • SERVICE • INSTALLATION
(760) 722-1541 • fAX 1760) 722-0594 • 3239 ROYMAR ROAD, SUITE A • OCIANSIDE, CALIFORNIA 92058 • CONTRACTORS'UC I 413621 • OFFICf@MOORCO.COM
To
Job Location:
St. Michaels's By-The-Sea Church
2775 Carlsbad Blvd.
Carlsbad, CA 92008
Mike Miller
760.522.8656
mmfuego59@gmail.com
Unda 760.729.8901 Ext.105
760.729.8381
Date: August 26, 2016
Bstimllle Amount:
We submit for your acceptance the hereinafter proposition. Acceptance. in order to constitute a contract, must be returned to MoorCo
within 30 days from the date above and must be evidenced by your signature hereto.
SJ,el.)z Scope of Work
$'14yf-0v6-Bid # location
( J) () ~C@P
AdamsSt
{ '-J St. Michael's Office
(If) .,-St. Michael's Preschool
(5) St. Michael's Chapel
"10% Discount
*Discount only applies if all jour bids are accepted
<Q(}_% '{/J'cY
------·---Pri~~------~ (}f)\ \i)~ t-\ l-
$4,948.00 ~\ --c!\NO\,)
$5;898~00 ~-----------
$6,600.00
$6,200.00
$23,646.00
-2364.60
c~ \ UJY\~CZS
2\\VJ
CO\'<\<; \?0\ t:>
~--JO ~~
/ ';J
Total after discount $21,281.40 ~~{'.
Price includes building permit for jobs at 2775 Carlsbad Blvd and 3880 Adams Stand .f''\7 "()~ ~
duct testing on Bid #11 3 and 4. r:::t\) \~ ~0\?
40% Down, balance due upon completion LQ \ <1 -'1·2. C) -
qVj\J)l-
By 8X8CUim below, fle par1ie8 awee ID tis Proposal and the Terms and Concllions allached hereb. By tJe sv-n below, tJe signalory represents flat hellhe
(a) Is an Uhori2lld ,..,......... of Customer, (b) has tJe authority to legaly and financially commlllle Cullcmer, (c) has had the oppoi1Lrlity to seek advice
as m 118 legal rigNa 11om legal cooosel, and (d) has read and understood alllhe prOIIIIIons of this Proposal and all of the documents incorporated herein.
MoorCo Inc
Representative
PrW~rholz ' ~/26/16