HomeMy WebLinkAbout2823 ANDOVER AVE; ; CB133162; Permit12-19-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No:CB133162
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2823 ANDOVER AV CBAD
PME
1674801914 Lot#
FREY RES-
LOCATION
REPLACE FAU - SAME
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
12/19/2013
RMA
12/19/2013
12/19/2013
Applicant
MOOR CO SERICE INC
Owner
FREY FREDERICK C&GLORIA C LIVING TRUST 10-10-08
1531 S COAST HWY 92054
(760) 722-1541
1686 BRADY CIR
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0 00
$0 00
$158 00
$0 00
TOTAL PERMIT FEES $158 00
Total Fees $158 00 Total Paynnents To Date $158 00 Balance Due: $0.00
Inspector
FINAL
Date ^1
APR! RROVAL
M Clearance
NOTICE Please take NOTICE that approval ot your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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
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 nght 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired
THE FOLLOWING APPROVALS REQUiREO PRIOR TO PERMiT ISSUANCE- QPLANNING QENGINEERING nBUILDING DFIRE OHEALTH nHAZMAT/APCD
Plan Check No. . / J 3 / IX
CITY OF
CARLSBAD
Est. Value
Building Permit Application
1635 Faraday Ave , Carlsbad, CA 92008
Ph 760-602-2719 Fax 760-602-8558
email building@carlsbadca gov
www.carlsbadca.gov Date ^^J^ /^^^^^
Plan Ck. Deposit
IOB ADDRESS
2823 Andover Ave Carlsbad 92010.
SUITE#/SPACE#/UN1T#
CT/PROJECT * PHASE # # OF UNITS # BEDROOMS # BATHROOMS j TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK' Include Square Feet of Affected Area(s)
Replace heater like for like
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~l# NOj I
AIR CONDITIONING FIRE SPRINKLERS
YES I [NO I I YES I \m{~[
APPLICANT NAIVIE (Primary Contact) Frederick C. Frey APPLICANTNAME (Secondary Contact;
G'loria C Fre-y
ADDRESS
1686 Brady Circle
ADDRESS
s ame
CITY
Carlsbad
STATE ZIP CITY STATE ZIP
CA 92008
PHONE
(760) 525-2094
FAX PHONE
(760)729-2991h
EMAIL
f.Cameron.freyggmail.com EMAIL gloria.f reySgmail.com
PROPERTY OWNER NAME Fred & Gloria Erey CONTRACTOR BUS. NAME.
MoorCn
ADDRESS
1686 Brady Circle kDDRESS 3239 Roymar Road
CITY
Carlsbad
STATE
CA
ZIP
92008
CITY STATE ZIP
Oceanside CA 92058
PHONE
(760) 729-2991
FAX PHONE
(760) 722-1541
# Z '•"9 P ^ [CLASS ICITY.BUS Lies ~, T _• ARCH/DESIGNER NAME & ADDRESS
(Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 Law (Chapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, and the basis forthe 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 Declaration I hereby affirm under penalty of perjury one of the following declarations
C 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 pennit is issued
• I liave and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfornnance of the work for which this permit is issued My workers' compensation insurance carrier and policy
* Expiration Date number are Insurance Co _ Policy No ,
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate of Exemption-1 certify that in the perfonnance 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 (&100,000), in
addition to the cost of compensation, damage^s provided for in ^ction 37^ of the Labor code, interest and attomey's fees
J8i CONTRACTOR SIGNATURE • AGENT DATE
i
/ hereby affm that I am exempt from Contractor's License Law for the following 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 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, 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 tor the purpose of sale)
I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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 I I am exempt under Section Business and Professions Code for this reason
1 I personally plan lo provide (he major labor and matenals for construction of the proposed property improvement •Yes-•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 1 have hired the following person to coordinate, supen/ise 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)
>eS^ROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf Yes ' No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distncP Yes < No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site'' , Yes 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 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 certif tt\at I have read the applicabon and state that ttie above infonnaton is conectand thatthe infomiaton on the plans is accurate. I agree to comply vinth all City ordinances and State laws relatng to building constructon
I hereby authors representative ofthe City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 demolitKin cr constmction of staictures over 3 stones in height
EXPIRATION Eveiy pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within
180 days from the dale of such perniit or if the building or vvork authorgsd-by such p§fmi s suspended or abandoned at any time after the viioik is commenced for a penod of 180 days (Section 106 4 4 Unifomn Building Code)
APPLICANT'S SIGNATURE
% STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
T I F I C A T I C C U P A
Fax (760) 602-8560, Email buildina(S)carlsbadca gov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS UC No
DELIVERY OPTIONS
PICKUP: CONTACT (Listed above) 0(XU PANT (Listed above)
, CONTRACTOR (On Pg 1)
MAIL TO: CONTACT (Listed above) ^ , OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB133162 Type: PME FREY RES-REPLACE FAU - SAME
LOCATION
Date Inspection Item Inspector Act Comments
01/09/2014 43 AirCond/Fumace Set - Rl CALL W/ETA PLS
01/09/2014 43 AirCond/Furnace Set MC AP
01/09/2014 49 Final Mechanical - Rl
01/09/2014 49 Final Mechanical MC Fl
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