HomeMy WebLinkAbout2834 CAZADERO DR; ; CB120746; Permit04-24-2012
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB120746
Builciing Inspection Request Line (760) 602-2725
Job Address:
Pemiit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2834 GAZADERO DR CBAD
PME
2153401400
JOHNSON RES
REPLACE FAU
Lot#:
Status: ISSUED
Applied: 04/24/2012
Entered By: LSM
Plan Approved: 04/24/2012
Issued: 04/24/2012
Inspect Area:
Applicant:
ACTION AIR COND.& HEATING-S.D.
2750 S SANTA FE
SAN MARCOS CA
760 727 4152
Owner:
JOHNSON ROLAND W&VIRGINIA C
2834 GAZADERO DR
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: $150.00 BalanceDue: $0.00
Inspector:
FINAL APPROVAL
Date: ^'1'/^ 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/exactlons." You have 90 days from the date this pemiit was Issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment 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/exactlons of which vou have previoushf been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired.
«!•>
^ CITY
CARLSBAD
O F
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbadca.gov
PlanCheckNo. (LAllD'?H^
Est. Value
Plan Ck. Deposit
Date^/iW/ SWPPP
JOB ADDRESS 2834 Cazadero Dr., Carlsbad, CA 92009
CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: /nclude Square Feet of Atfectod Area(s)
Change-Out Furnace (FAU)
Same Location
EXISTING USE
House
PROPOSED USE
House
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[~|* N0| I
AIR CONDITIONING
YES I |NO| I
FIRESPRINKLERS
YEsQ NOj I
APPUCANT NAMEfPrfmary Contact; Roland & Virginia Johnson APPLICANT NAME ^Secondary Contact; Glenn Ostmarl<
ADDRESS 2834 Cazadero Dr ADDRESS
2750 S Santa Fe Ave
CITY
Carlsbad
STATE
CA 92009
CITY
San Marcos
STATE
CA
ZIP
92069
PHONE
760-438-3999
FAX PHONE
760-727-4152
FAX
760-727-0213
EMAIL EMAIL
PROPERTY OWNER NAME Roland & Virginia Johnson CONTRACTOR BUS. NAME Action Air Conditioning. Heating & Solar
ADDRESS
2834 Cazadero Dr
ADDRESS 2750 S Santa Fe Ave
CITY
Carlsbad
STATE CA ZIP
92009
CITY San IVlarcos STATE CA ZIP
92069
PHONE
760-438-3999
PHONE
760-727-4152 760-727-0213
EMAIL comfort@actlonac.net
ARCH/DESIGNER NAME & ADDRESS
509805 C-20
CITY BUS. LIC.#
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 applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commending »iith 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 ($500}).
WORKERS' COIMPENSATION
Workers' Compensation Declaration: f hereby affirm under penalty of perjury one ofthe fbilowing declarations:
S I Iiave and will maintain a certificate of consent to selMnsure for workers' compensation as piovkled by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as reguired by Section 3700 of the Labor Code, for the perfomiance of the woht for which this pemiit is issued. My workers' compensation insurance cairier and policy
California Contractors Network 4503-093 cv™„«„nn,.<. 12/31/2012 number are: Insurance Co _ . PolicyNo.. Expiration Date _
This sectton need not be completed if the permit is for one hundred dollars ($t 00) or less.
I I Certificate of Exemption: I certify that in the perforniance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subiect to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' ceffi^sation 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^^rSfovide|>1br In Sectiop 3706 of the Labor code, interest and attomey's fees.
CONTRACTOR SIGNATURE—
OWNER-BUILOER DECLARATION
•AGENT DATE ^/Z^Z/Z
i hereby affimi that I am exempt from Contractor's License Law for the foiiowing reason:
I I I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the stnicture is not intended or offered fbr sale (Sec. 7044, Business and Professtons 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 emptoyees, provided that such improvements are not intended or offered for
sale. If, however, the building or impiovement is sold within one year of completion, the owner-builder will have the burden of proving that he dto not build or improve for 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 buitos or impraves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
• I am exempt under Section _ .Business and Professtons Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, •ves I INO
2.1 (have / have not) signed an applicatton for a building pemiit for the proposed wort(.
3.1 have contracted with the following person (firni) to provide the proposed constniction (include name address / phone / contractors' license number):
4.1 plan to provide porttons of the wori<, but I have hired the following person to coordinate, supen/ise and provide the major wori< (include name / address / phone / contractors' license number):
5.1 will provide some of the worit, but I have contracted (hired) the foitowing persons to provide the vioik indicated (include name / address / phone / type of worii):
>eS'pROPERTY OWNER SIGNATURE •AGENT DATE
COIVIPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDINC PERMITS ONLY
Is the applicant or future building occupant requiied to submit a business plan, acutely hazardous materials registration fomi or risk management and preventton program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? QYes ^3 No
Is the applicant or future buitoing occupant required to obtain a pennit from the air pollution control district or air qualitv management district? I Ives I I No
Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? Oves FlNo
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.
CONSTRUCTION LENDING AGENCY
I hereby affimi that there is a construction lending agency fbr the perfonnance of the work this permit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certliythati have read the applicaUon and State that the alxweinfomiatjon is conect and thatthe inlbmation on tlie plans
I hereby authorize representative of the City of Carisbad to enter upon the above mentbned property for inspectton purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGIVIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permil is required for excavations over SOf deep arxi demolition or oonstiuction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Oflidal under the pnjvistons of this Code shall expire by limitatton and become null and void if the building or work authorized by such pemiit is not oommenced within
180 days tiDm the date of such pemnit or if the buikling OMSlljrautholized by such pemiit is suspended or abandoned at any time after the wori< is oommenced for a period of 180 days (Sectton 106.4.4 Unifonn Building Coie).
APPLICANT'S SIGNATI DATE
City ofCarlsbad BIdg Inspection Request
For: 05/04/2012
Permit# CBl20746
Title: JOHNSON RES
Description: REPLACE FAU
Inspector Assignment: iL
2834 CAZADERO DR
Lot: 0
Type: PME Sub Type:
Job Address:
Suite:
Location:
APPLICANT ACTION AIR COND.& HEATING-S.D.
Owner: JOHNSON DEBBIE S
Remarks:
Phone: 7604383999
Inspector: P£
Total Time:
CD Description
25 Water Heater/Vents
HI-
Act Comments
D^C^
Requested By: ROLAND
Entered By: CF
4£-
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments