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HomeMy WebLinkAbout2883 CAMINO SERBAL; ; CB090805; Permit05-13-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB090805 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2883 CAMINO SERBAL CBAD MECH 2552813300 Lot#: $0.00 STAMOS RES-REPLACE 2 FAU & 2 A/C UNITS Status: ISSUED Applied: 05/13/2009 Entered By: LSM Plan Approved: 05/13/2009 Issued: 05/13/2009 Inspect Area: Applicant: ASI HASTINGS 1250 GREENFIELD DR ELCAJON, CA 92167 619-223-9016 Owner: STAMOS DEAN&FIORE JUSTINE M 2883 CAMINO SERBAL CARLSBAD CA 92009 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 3 0 0 0 0 0 $15.00 $27.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.00 $0.00 $48.00 Total Fees:$48.00 Total Payments To Date:$48.00 Balance Due:$0.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.8. SECTION 108.4.4 AS AMENDED BY C.M.C.18.04.Q30 DATE . Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any tees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. City ol 1635 Faraday 760-602- Fax:' Building P< JOB ADDRESS F\ '^V oO >oXx CT/PROJECT » F Carlst Ave., Carlsbad, Cf 2717/2718/27 ?"60-602-8558 jrmit Appl <^~\ •tv.x.x-'x^ ^} LOT* »ad ^ 92008 '19 ication ^{JlSQy PHASE » ^^_ * OF UNITS f5% \i \j^$"3 * BEDROOMS fr Plan Check No. GfcOftOftOS Est. Value Plan Ck. Deposit Date SUITE»/SPACE*/UNIT» * BATHROOMS 571^(0^ t<$wJ APN TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Fe.et of Affected Area(s) . \ "-C „. . Al /YT-. xJcci — > \ S-N EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES[~~]# AIR CONDITIONING YES[~ ]NO| | FIRE SPRINKLERS CONTACT NAME (If Different Font Applicant)APPLICANT NAME ADDRESS ADDRESS CITY Z'P CITY STATE ZIP PHONE FAX PHONE °^3f>FAX -'VbV, b EMAIL EMAIL PReKBTY OWNER NAME CONTRACTOR BUS. NAME , -ADDRESS ADDRESS ^5CITYZIPCITY STATE Z'P PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. »STATE LIC.*CITY BUS. LIC.# (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. 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 ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I 11 have and will maintain a certificate of consent to self-insure lor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation as required by Section 3700 of the Labor Code, for the performance of the work for whi£h ttjis permit isjssued,. My workers' compensation irjsuranc^carri^and policy number are: Insurance Co Policy No. This section need not be completed if the permit is for one hundreajjojlars ($ 100) or less. \JO *a \) "S^06 ^1 ^Vl 0 0 ^^Certificate of Exemption: I certify that in the performaraieof the woSfoiwhich 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' comiensation coverages 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, dfirfSg^as provided for in Section 37|0&*(trie Labor code, interest and attorney's fees. ^ CONTRACTOR SIGNATURE V ( ^ ^ ^ ' or which Ibis oertnit is issued. My workers' compensation insurance carrista - fi^jT\Ai\L%<£A Expiration Date v-* V^>° \ 0 " DATE OWNER-BUILDER DECLARATION / hereby affirm thai I am exempt from Contractor's License Law for the following reason: | | 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 sale. If, however, the building or improvement is sold wilhin 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 Ihereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [ I I am exempt under Section __8usiness and Professions Code for this reason: 1,1 personally plan to provide the major labor and materials for construction of the proposed property improvement. I |Yes Q J^o 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 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 / 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): J&$PROPERTY OWNER SIGNATURE DATE THIS SECJIOM FOR NOM^REM 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? I I Yes I iNo Is the applicant or future .building occupant required to obtain a permit from the a'r pollution control district or air_guality management district? d]Yes I I No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? I lYes FlNo IF ANY OF THE ANSWERS ARE YES,> ~ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. C O N S T R U C TI O N L EN DING A C E N C V 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 A P P L 1C A N T C E H TI F I C A TI O N I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City 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 AWFTEXPENSESJtfHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for exi EXPIRATION: Every permit issued by the Build 180 days from the dale of such permit qrjiJ ^APPLICANT'S SIGNATURE tSS deep and c /Official under the provisions^ ding or work authorized by s or construction of structures over 3 stones in height.: this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within t is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). °ATE City of Carlsbad October 21,2009 DEAN STAMOS & JUSTINE FIORE 2883 CAMINO SERBAL CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: 2 FAU/A-C Building Department Permit Number: CB090805 Issue Date: 05/13/2009 ADDRESS: 2883 CAMINO SERBAL PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 11/09/2009. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION. Every permit 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 permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760)602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-7314 « (760) 602-2700 • FAX (760) 602-8560 A CORD, CERTIFICATE OF LIABILITY INSURANCE PRODUCER (619)58'4-6400 FAX: (619)584-6425 Westland Insurance Brokers 3838 Camino Del Rio North #315 P.O. Box 85481 San Diego CA 92186-5481 INSURED A S I Hastings, Inc. 1250 Greenfield Drive El Cajon CA 92021 DATE (MM/DO/YYYY) 10/16/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A. Travlrs Prop/Gas Co of Am INSURERS Travelers Indemn Co of CT INSURER c Insurance Co of the West INSURER D INSURER E COVERAGES NAIC# 25674 25682 278470 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A B C ADD'L INSRD TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE |_X_J OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X| POLICY PI JECT 1 koc AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR 1 | CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOFUPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED^ If yes describe under SPECIAL PROVISIONS Delow OTHER POLICY NUMBER DTE-CO-6737M598-TIL-08 DTE-810-6737M598-TCT-08 WSD500074700 POLICY EFFECTIVE DATE(MM/DO/YY) 10/16/2008 10/16/2008 10/16/2008 POLICY EXPIRATION DATE (MM/DD/YY) 10/16/2009 10/16/2009 10/16/2009 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTh AU1 4ER THAN EA ACC '0 ONLY AGG EACH OCCURRENCE AGGREGATE X E.L EL EL WC STATU-TORY LIMITS EACH ACCIDENT OTH-ER DISEASE - EA EMPLOYEE DISEASE - POLICY LIMIT $ 1,000,000 $ 300,000 $ 10,000 S 1,000,000 $ 2,000,000 $ 2,000,000 $ 1,000,000 $ $ $ $ S S S $ S $ $ s 1,000,000 s 1,000,000 S 1,000,000 DESCRIPTION OF OPERA TIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: ISSUED AS EVIDENCE OF INSURANCE *10 DAX NOTICE IN THE EVENT OF CANCELLATION FOR NONPAYMENT CERTIFICATE HOLDER CANCELLATION A S I HASTINGS, INC, KP EQUIPMENT LEASING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE , „ ACORD 25 (2001/08) INS025lC1Q8:08a © ACORD CORPORATION 1988 Page 1 of 2