HomeMy WebLinkAbout29 GREENVIEW DR; ; CB091884; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11 -12-2009 Mechanical Permit Permit No: CB091 884
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
29 GREENVIEW DR CBAD
MECH Status:
Parcel No: 2152315000 Lot#: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: WILSON: REPLACE EXIST. FURNACE
& AC CONDENSER & COIL
Applicant:
ACTION AIR COND.& HEATING-S.D.
2750 S SANTA FE
SAN MARCOS CA
760 727 4152
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
2
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
W ILSON KEITH E&DEBORAH K
9601 DESERT MOUNTAIN RD NE
ALBUQUERQUE NM 87122
Total Fees: $33.00 Total Payments To Date: $33.00 Balance Due:
ISSUED
11/12/2009
JMA
11/12/2009
11/12/2009
$15.00
$18.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.00
Inspector: Date: Clearance: _____ _
$0.00
approval of your project includes the 'Im ition" of ees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.' Y 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
f I X i f whi h h V r vio I N i ii r hi r which limi h r vi I th rwi
~ « ... ~) Building Permit Application Plan Check No. CBoc; t 1r 8-t/
~ CITY
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
0 F 760-602-2717 I 2718 / 2719
Fax 760-602-8558 Plan Ck. Deposit CARLSBAD www.carlsbadca.gov Date \l ( c-z,, lo'? l J vw:,-
JOB ADDRESS ~UITE#/~PA~E#/UNIT# IAPN 29 Greenview Drive ---
CT/PROJECT # I LOT# I PHASE# I # Of UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GRuUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Remove & Replace, Furnace, AJC Condenser & Coil
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
Single Family Residence Same YESO Nc{J YES [Z]No• YES•No•
CONTACT NAME (If Different Fom Applicant) Keith Wilson APPLICANT NAME Glenn Ostmark
ADDRESS ADDRESS 9601 Desert Mountain Road NE 2750 S Santa Fe Avenue
CITY STATE ZIP CITY STATE ZIP
Albuaueraue NM 87122 San Marcos CA 92069
PHONE PHONE
505-975-5910 I FAX 760-727-4152 I FAX 760-727-0213
EMAIL EMAIL
comfort@actionac.net
PROPERTY OWNER NAME Keith Wilson CONTRACTOR BUS. NAME Action Air Conditionina & Heatina
ADDRESS ADDRESS
9601 Desert Mountain Road NE 2750 S Santa Fe Avenue
CITY STATE ZIP CITY STATE ZIP
Albuaueraue NM 87122 San Marcos CA 92069
PHONE PHONE
505-881-0220 I FAX 760-727-4152 'FAX 760-727-0213
EMAIL EMAIL
comfort@actionac.net
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.#419800 509805 C-20
(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 applicant 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 the Business and Professions Code) or [hat 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 app1icant to a civil penalty of not more than five hundred dollars {$500)).
Worlters' Compensation Declaration: / hereby affirm under penalty of petjfXY one of the following declarations: D I have and will maintain a certificate of consent to self-insure for mr1<ers' compensalion as provided by Section 3700 of lhe labor Code, for lhe performance of lhe mr1< for which lhis permil is issued. 0 I have and will maintain worbrs' compensation, as reQuired by Section 3700 of lhe Labor Code, for lhe performance of lhe mr1< for which lhis permit is issued. My mr1<ers' compensation insurance carrier and policy
number are: Insurance Co Callfomia Con .. a<tor Nttworll Policy No. 4503-093 Explralion Date 1m11201o
~section need not be completed W lhe permit Is for one hundred dollars ($100) or less. l.!J Certificate of Exemption: I certify lhat in lhe performance of lhe wor1< for which lhis permit is issued, I shall nol employ any person in any manner so as to become subject lo lhe Wor1<ers' 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
addltlon to the cost of compensation, damages as p · ed f r in Section 3706 of the Labor code, interest and attorney's fees.
_15 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Cootractor's Ucense Law for the lo/towing reason: •
• •
I, as owner of lhe property or my employees wilh wages as lheir sole compensation, will do lhe mr1< and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does nol apply to an owner of property who builds or improves lhereon, and who does such wor1< himself or lhrough his own employees, provided lhat such improvemenls are not inlended or offered for
sale. If, however, the building or improvement is sold within one year of completion, lhe owner-builder will have lhe burden of proving lhat he did not build or improve for the purpose of sale).
I, as owner of lhe property, am exclusively contracting wilh licensed conlractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contraclo(s License Law does not apply to an owner of
property who builds or improves lhereon, and contracts for such projects wilh conlractor(s) licensed P1JT5uant lo lhe Contracto(s License law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personally plan lo provide lhe major labor and materials for construction of lhe proposed property improvement 0 Yes 0 No
2. I (have/ have not) signed an application for a building permit for lhe proposed mr1<.
3. I have contracted with lhe following person (firm) to provide lhe proposed conslruction (include name address/ phone / contraclors' license number):
4. I plan 10 provide portions of lhe mr1<, bul I have hired lhe following person to cooldinale, supervise and provide lhe major mr1< (include name / address/ phone / conlractors' license number):
5. I will provide some of lhe mr1<, but I have conlracled (hired) the following persons lo provide lhe mr1< indicaled (include name / address/ phone/ lype of mr1<):
_15 PROPERTY OWNER SIGNATURE DATE
Is the applk:ant or future building occupant required to submit a business..ll!filJ, acutely hazardous materials registration fom, or risk management and prevention program under Sections 25505, 25533 or i5534 of'th\!'
Presley-Tanner Hazardous Substance Account Act? O Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai~ality management district? O Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes LJNo
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 AJR POLLUTION CONTROL DISTRICT.
I ceftifythat I have read the application and state that the above infonnation iscooect and that the lnfonnatlon on the plans isacrurate.I a@'eeto comply v.ith all City Oltinancesand State laws relating to bt.ilding construction.
I hereby authorize representati\'8 of the aty of Caisbal to eoter upon lhe abo\'8 mentioned property for inspecoon 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 CONSEO.JENCE CF THE GRANTING CF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennit issued by the Building Official u ·sions of this Code shall expire by imitation Md become null and void if the building or work autrorized by such penmit is not commenced within
180days from thedateof sudl penmrtorifthe build r.»'d~ilhQizegbysudl pemitis suspended or abandoned at anytime after the work is commenced fora period of 180days (Section 106.4.4 Unifoon Building Code).
~ APPLICANT'S SIGNATURE DATE
~ ~
City of Carlsbad Bldg Inspection Request
For: 04/28/2010
Permit# CB091884
Title: WILSON: REPLACE EXIST. FURNACE
Description: & AC CONDENSER & COIL
Type: MECH
Job Address:
Suite:
Sub Type:
29 GREENVIEW DR
Lot: 0
Inspector Assignment: 4-
Phone: 5059755910
Location: Inspector:
OWNER WILSON KEITH E&DEBORAH K
Owner: WILSON KEITH E&DEBORAH K
Remarks:
----
Total Time:
CD Description
43 AirCond/Furnace Set
Requested By: KEITH WILSON
Entered By: CHRISTINE
~ Comments ~ (}
'I Fy"<W
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments