Loading...
HomeMy WebLinkAbout2858 ANDOVER AVE; ; CB110812; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-19-2011 Mechanical Permit Permit No: CB110812 Building Inspection Request Line (760) 602-2725 Job Address: 2858 ANDOVER AV CBAD Permit Type: MECH Status: ISSUED Parcel No: 1674801848 Lot#: 0 Applied: 04/19/2011 Valuation: $0.00 Entered By: JMA Reference*: Plan Approved: 04/19/2011 PC#: Issued: 04/19/2011 Project Title: BUETTNER: REPLACE FAD Inspect Area: Applicant: Owner: MOOR CO SERICE INC BUETTNER CANDACE A 2858 ANDOVER AVE1531 S COAST HWY 92054 CARLSBAD CA 92010 (760)722-1541 Mechanical Issue Fee $15.00 Install/Furn/Ducts/Heat Pumps Fee 1 $9.00 Fireplace Installation Fee 0 $0,00 Exhaust Fan Fee 0 $0.00 Installation/Relocation Vent Fee 0 $0.00 Hood Fee 0 $0.00 Boiler/Compressor to 15HP Fee 0 $0.00 Other $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $24.00 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: $0.00 FINAL APPROVAL Inspector: -/"*' <Jg^C£4^»s Date: <> V "^-^ / K Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No.V \ O <S^1 Z- Est. Value Plan Ck. Deposit Date swpp SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP IPTION OF WORK: Jnclude Square Feet of Affected Area(s) Lt .hs T* ^ hll EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESD #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES O NOD CONTACT NAME (If Dlffetent Fomjfppllcant)feient Fomjp/$£*** ij^ff^jif , 7$?] AusMcL r/*# /%/J STATE; f APPLICANT NAME ADDRESS ZIP CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME (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'~'"~ "', _ _ _ ..... . ..... -_-._....,_ jLjf VI v/uui ny ni ni/ii ic^uuca a pdniiL LW v*wi lou u\*L, and , MII^IUVC, uciuuiiaii ui icpaii ai ly ou u\*i.ui c, ^IMUI Ly 110 laauaii^c, aiau ic\^unca LIICappjicant for such permit to^ile'a~^ne'd'BtateTnBntth3lrhe~isr1iceTTsedTKn'Suantljrtrie provisionsTDfthe'eontractor'sticense 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 subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declarationi/iete/iy:affirm-under-penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this perm it is issued. 5) I have and will maintain workarsL compensation, asiequired by Section 3700 of the Labor Code, for the performance of the.wort(for which this permit is issued. My workers' compensation insurance cajier and policy numberareHnsuiCTeesHBorg^/feftg^'P-l-N?-' PolicyNo.^{i^$&tlBD6%| -ExpirationPale£- 3>v"/•»•*- This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 dollars (&100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. / hereby affirm that I am exempt from Contractor's License Law for the following reason: G 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 for the purpose of sale). O 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). d I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes d No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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): 5.1 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 LlAGENT 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-Tanij?r Hazardous Substance Account Act? GYes ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? G Yes G No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G Yes G 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 stats that the above information is correct and that the information on the plans is accurate. I agree to comply with all Ci^ ordinances and State laws relating to building construction. I hereby authorize 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 CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over SO' deep and demolition or construction of structures over 3 stories in height. 180 days from the date of such permit or if the, TAPPLICANT'S SIGNATU mil is suspended or abandoned at any time after the work is commenced lor a period of 180 days (Section 106.4.4 Uniform Building Code). DATE (J _ ui luuuety iL7 City of Carlsbad Bldg Inspection Request For: 04/27/2011 Permit* CB110812 Title: BUETTNER: REPLACE FAU Description: Inspector Assignment: 2858 ANDOVER AV Lot: Type: MECH Sub Type: Job Address: Suite: Location: OWNER BUETTNER CANDACE A Owner: BUETTNER CANDACE A Remarks: EARLY AFTERNOON PLEASE Phone: 6199259567 Inspector: Total Time: CD Description 49 Final Mechanical Act Comments ft Requested By: BOB Entered By: KATHY Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# y£TTl<S Inspection History Date Description Act Insp Comments CARLSBAD CITY OF STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: Building Permit Q Right-of-Way Permit Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home urnbinQ Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge kl My project is categorically EXEMPT from 1 \the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Project Storm Water Threat Assessment Criteria No Threat Assessment Criteria Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tierl - Low Threat Assessment Criteria O My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 • Significant Threat Assessment Criteria Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge^). / certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit typefs) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Page 1 of 1 Rev.03/09 Check a License - Contractors State License Board Page 1 of2 of Li Contractor's License Detail - License # 413621 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information 413621 wDORcl^ 1947 AVENIDA PLAZA REAL OCEANSIDE, CA 92056 Extract Date: 4/19/2011 Jssue Date_ ExpireJD>ate License Status j^itionaTstatus: Classifications: Bonding: Corporation^ 11/01/1981 Workers' Compensation: J1/30/201JL This license is current and active. Ail information below should be reviewed. CLASS C20 C38 DESCRIPTION WARM-AIR HEATING. VENTILATING AND AIR-CONDITIONING REFRIGERATION CONTRACTOR'S BOND This license filed Contractor's Bond number 9003216 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) MOORE HAROLD GAYLORD certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 11/01/1981 BQI's Bonding History This license has workers compensation insurance with the EVEREST NATIONAL INSURANCE COMPANY https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=4... 04/19/2011 Check a License - Contractors State License Board Page 2 of 2 Policy Number:760000150111 Effective Date: 03/20/2011 Expire Date: 03/20/2012 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=4... 04/19/2011