HomeMy WebLinkAbout2862 Andover Ave; ; CBR2016-0287; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 05/18/2017 Residential Permit Permit No: CBR2016-0287
www.carlsbadca.gov
Job Address:2862 Andover Ave
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:1674801846 Lot #:Applied:12/06/2016
Valuation:$0.00 Reference #:Issued:12/06/2016Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:SHIELDS: REPLACE FAU
Owner:Co-Applicant:
TRUST SHIELDS THOMAS J FAMILY TRUST THA HEATING AND AIR
11-10-09
2862 Andover Ave 3240 F St
CARLSBAD, CA 92010 San Diego, CA 92102-3395
858-571-8865
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction."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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
-.
ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:OPLANNING OENGINEERING 0 BUILDING OFIRE 0 HEALTH 0 HAZMATIAPCD
•City of Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Plan Check NoWbR2..„01L0 —0261
Est. Value
Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date 12.—()...—IL g SWPPP
JOB ADDRESS
ps..7 6 n(0.....\ovre:(Z t9 Ve-
SUITE#/SPACE#/UNIT#APN ---
CT/PROJECT #LOT #PHASE ##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
es2_ c. \c!...sz_cc 0
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESElit NOE YES D NO D YESD NOE
APPLICANT NAME fro PROPERTY OWNER
Primary Contact a -f-fki 42AAJ ri/V fa ita -/-TO leY)Skel t&--lS
A ESS ADDRESS
Q8a (4.0 c--s-S 0 c6.ks 2 3 b g_A JO okI L_e_Alle-
CcA"I el (..)C..ii)
STATE ZIPCtratjZ—
CITY
CC1 I VS bar STATE
e_iel-
ZIPq2-0 1 0
PHONE FAX PHONE FAX
465 F —S 11 17(e1:5 •Irs -.s76 -FM 1 (po -4-15.-/-6z_ 3 '-/
EMAIL EMAIL
DESIGN PROFESSIONAL
CONTI...rABLIi)NAME
i
4-k vt(i 6 re
ADDRESS ADDRESt3a4O 's -k'So
CITY STATE ZIP CITY STATE ZIP
SCA.'"...'b.t -e so il.-°I 2-1
'-z-
PHONE FAX PHONE FAX
3 Cr-15-14 -WA s -.M3 -5-1.76 -ci q
EMAIL EMAIL--tla V2./2AL vIlf a q0.1A66 .Cii---.
STATE LIC.#STATE LIC.#CLASS CITY BUS. LIC.#
'''l 3.7-44 I q C 2-0
1 9‘.5 I 0 (2._3
(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, commanding 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 fora permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations:
laTiave 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.
111 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.My workers' compensation insurance carrier and policy
number are: Insurance Co.KtU C .-.12.-t S N.3"....S 0-4C4A..01.flit Policy No.1°C1 CS97).Expiration Date Oa./070 a
This section need not be completed if the permit is for one hundred dollars ($100) or less.0 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 wo .•••'••--••n coverage is u --•,•••.all subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (5100,011), in
addition to the cost of compensati•-,•.mages as provided for in -••••••••.••••code,I -and attorney's fees.
.Ie CONTRACTOR SIGN •--"d1111.11111111111111111111111111111111111111.111.1."
--
NT DATE —C•4----.---I
OWNER -BUILDER DECLARATION
I hereby affirm that tam exempt from Contractor's License Law for the following reason:EI,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).DI,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).0 lamexempt 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.ElYes DNo
2.I (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted 'kfuG reuideythe proposed construction (include name address / phone / contractors' license number):
plan to nsof the work, but I have hired the following ordinate, supervise and provide the major work (include name I address / phone / contractors' license number):
me of the work, but I have contracted (hired) the following perso rovide the work indicated (include name / address / phone / type of work):
.1I5PROPERTY OWNER SIGNATURE AGENT DATE (g "--‘-----1 4
IF•OMPLETE 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?Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?Yes No
IFANY 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 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
APPLICANT CERTIFICATION
I certify thatI have lead the application and state that the above information is cortect and that the information on the plans is accurate.I agree to comply with all City ordinances and State lava 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 INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 50' deep and demolition or construction ofstructures over 3 stories in height.
EXPIRATION: Every pe is •-•.y 1 e Building Official un •-r -••''•1 ofthis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from -•e of such permit or if the buildin1 or work authorized by suP •.1 is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
AIKAPP DATE .---11/
TOP)
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 building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above)
CONTRACTOR (On Pg.i)NO CHANGE IN USE /NO CONSTRUCTION
MAIL/FAX TO OTHER:CHANGE OF USE /NO CONSTRUCTION
AKAPPLICANT'S SIGNATURE DATE
.,.....
w .'.
...PERMIT INSPECTION HISTORY REPORT (CBR2016-0287)
Permit Type:BLDG-Residential Application Date:12/06/2016 Owner:TRUST SHIELDS THOMAS J
FAMILY TRUST 11-10-09
Work Class:P/M/E Issue Date:12/06/2016 Subdivision:
Status:Closed -Finaled Expiration Date:11/13/2017 Address:2862 Andover Ave
Carlsbad, CA 92010-7003
IVR Number:650
Scheduled Actual
Date Start Date Inspection Type inspection No.Inspection Status Primary Inspector Reinspection Complete
05/18/2017 BLDG-Final 023829-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Mechanical Final Yes
05/15/2017 05/15/2017 BLDG-43 Air 023324-2017 Passed Jonathan West Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
May 18, 2017 Page 1 of 1
V ..
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)(Page 1 of 3 )
Project Name:2862 Andover Ave Date Prepared:2016-12-05
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT-02 document for each dwelling unit.
01 Project Name 2862 Andover Ave 02 Date Prepared 2016-12-05
03 Project Location 2862 Andover Ave 04 Building Type Single family
05 CA City Carlsbad 06 Dwelling Unit Name 2862 Andover Ave
Dwelling Unit Conditioned07Zip Code 92010 08 1112Floor Area (ft2)
Number of space conditioning
09 Climate Zone 7 10 (SC)systems in this dwelling 1
unit.
B. Space Conditioning (SC)System Information
01 02 03 04 .05 '06 07 08 09 10
Is the SC lnstalling a
SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System (ft2)system?component?components?feet of ducts?duct system?SC system?Alteration Type
System 1 Location 1 1112 Yes No Yes No No No Altered space
conditioning system
C.Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
•Registration Number: 216-A0448357A-000000000-0000 Registration Date/Time:2016-12-05 14:42:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-05 14:42:54
Schema Version: 0.555SDD
...
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)(Page 2 of 3 )
D.Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
Central gas No heating This field or This field or No cooling This field or This field or This field or This field or
System 1 component section is not section is not No cooling component section is not section is not Setback section is not section is notfurnacealteredapplicableapplicablealteredapplicableapplicableapplicableapplicable
..
Reauired Documentation:.
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums:R6.
CF2R-MCH-20-H &CF3R-MCH-20-H —Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable inCZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flowt 300 CFM/ton required when MCH-25 is required.
Exceotions:.
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-20 Duct Leekage Testing requirements lit i-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow
MC123,pr
Refrigerant Charge li.IECH 75.
-Existing duct systems constructed, insulated or sealed with aSbestorre e.'empt from mcM-2t1Du Leakage Testingfequiremerrts
7 •r --.
E.Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(bpiia and 150.2(b)1E,F)
i1 i_-_"-''
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
.i Registration Number: 216-A0448357A-000000000-0000 Registration Date/Time:2016-12-05 14:42:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-05 14:42:54
Schema Version: 0.555SDD
I
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-HVAC)(Page 3 of 3 )
Documentation Author's Declaration Statement
1.I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:Documentation Author Signature:
eee(SL AzokuplInostros, Cleo
Company:Signature Date:
THA Heating & Air, Inc.2016-12-05 14:42:33
Address:CEA/HERS Certification Identification (if applicable):
3240 F Street
City/State/Zip:Phone:•
San Diego CA 92102 858-571-8865
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the lawsof the State of California:
1.The information provided on this Certificate of Compliance is true and correct.
2.I am eligible under Division 3 of the flusiness and Professions Code to acceptresporribiiityfor the building design or system design identified on this Certificate of Compliance (responsible designer).
3.That the energy features and performance specifications, materials, components, and manufactured devicns for the building design or rystem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of wulations
4.The building design features or system design features identified oath's Certificate of Compliance arecon„$istent with the information provided on other applicable 'compliance documents, worksheets,
1
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application
5.I will ensure that a registered copy of this Certificate of Compliance Shite bwmacieavailitle with**permit(s) issued forthe building. and made avaliebleito*beenforcement agency for all applicable
inspections.I understand that a registered copy of this Certif Irate of Compliance is required to be included with the documentation the builder provjdes to the building owner at occupancy.
Responsible Designer Name:=Responsible Degigner Signature:
'eee:;(91
(I
Inostros, Cleo _V714516
Company :Date Signed:
THA Heating & Air, Inc.2016-12-05 14:42:33
Address:License:
3240 F Street 732419
City/State/Zip:Phone:
San Diego CA 92102 858-571-8865
Digitally signed byCaICERTS.This digital signature is provided in order to secure the contentofthis registered document, and in no way implies Registration Provider
••responsibility for the accuracy of the information.
Registration Number: 216-A0448357A-000000000-0000 Registration Date/Time:2016-12-05 14:42:33 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-12-05 14:42:54
Schema Version: 0.555SDD