HomeMy WebLinkAbout1808 ASTON AVE; 290; CB061011; Permit04-13-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Mechanical Permit Permit No: CB061011
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1808 ASTON AV CBAD St: 290
MECH
2121200700
$0.00
Lot#:
CONVERA , COMP. SERVER ROOM
ADD TWO A/C UNITS
Status: ISSUED
Applied: 04/13/2006
Entered By: MDP
Plan Approved: 04/13/2006
Issued: 04/13/2006
Inspect Area:
Applicant:
BRIAN COX MECHANICAL
10625 SCRIPPS RANCH BLVD
SANDIEGO.CA92131
619-271-1123
Owner:
MCR6212LLC
CIO GUY MCROSKEY
1808 ASTON AVE #295
CARLSBAD CA 92008
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
$15.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$225.00
$0.00
$240.00
Total Fees:$240.00 Total Payments To Date:$240.00 Balance Due:$0.00
PLANS
IN STORAGE
ATTACHED
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
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL.Plan Ck. DepositValidated ByDate _<C Or-'Address (include Bldg/Suite #)Legal DescriptionAssessor's Parcel #Description of Work Business Name (at this address)Lot No. Subdivision Name/Number Unit No. Phase No. Total # of unitsExisting Use Proposed Use, SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone* 0,-, Fax #
' "' " 1'*
Name Address City State/Zip Telephone #
Name Address City State/Zip Telephone #
(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 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 ($5001).
Name _ _ Addresss* ^ "7 ^ K ^ j-State License # -6 *•* / *^ y ^ License Class <_
City State/Zip /^Telephone #
•—3-D city Business License # T&rr~~~^
Designer Name Address
State License #
City State/Zip Telephone
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 1 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 permit is issued.
O 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 worker's compensation insurance carrier and policy number are:——. fl f / x* I r) ^J n / f\/Insurance Company J fi^A>-^^*~^^m( Policy No. .-? < ^ b / Expiration Date *-/ * -~u I•*.*-'*
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] OR LESS)
Q 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 fine* up to one hundred
thousand dollari ($100,000), In addition to th&cost af compensation, damages as provided for tn Section 3706 of the Labor code, inte/est and attorney's feei.
SIGNATURE J^L^^^t^ ? V%// rmTF «/—/3 — O^
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
Q 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).
Q 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 contractor(s) licensed
pursuant to the Contractor's License Law).
f~l I am exempt 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. Q YES QfMO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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
number / contractors license number): ._. .
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work): ,
PROPERTY OWNER SIGNATURE 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-Tanner Hazardous Substance Account Act? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES LT] NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q NO
IF ANY OF THE ANSWERS ARE YES, A RNAL 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.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
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 representatives 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over B'O" deep and demolition or construction of structures over 3 stories in height.
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 1 80 days from the date of such permit or if the building or work authorized by such permit 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).
/" *^A^T __ DATE ^ — / O ^- O £APPLICANT'S SIGNATURE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/23/2006
Permit* CB061011
Title: CONVERA , COMP. SERVER ROOM
Description: ADD TWO A/C UNITS
Type: MECH Sub Type:
Job Address: 1808 ASTON AV
Suite: 290 Lot 0
Location:
OWNER MCR6212LLC
Owner: INTEGRATED CAPITAL ENTERPRISES L L C ET AL
Remarks:
Inspector Assignment:
^Phone: 8585185968
Inspector:
Total Time:
CD Description
49 Final Mechanical
Requested By: KEN LLOYD
Entered By: CW
Act Comment
fL
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
ACORD, CERTIFICATE OF LIABILITY INSURANCE mS£iK
PRODUCER
G. S. Levine Insurance
Services, Inc.
3377 Carmel Mountain Road
San Diego CA 92121
Phone: 858-481-8692 Fax: 858-481-7953
INSURED
Brian Cox Mechanical , Inc .
12150 Flint PlacePoway CA 92064
DATE (MMTDO/YYVY)
rw/ii /OR
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
INSU=56RA- T*»v«l«i Property Caiualty Co
INSURERS: SeaBnght Insurance Co.
INSURER C1
!NS,RER D
INEU3EP E
NAICtf
36161
Il>b63
COVERAGES
MAY PFRTAIN. THF INSI IRAN^F AFFOROFH HV THF PHI inFR DFSrRIRFn HFRRN IS Rl IR.IFrT TO Al 1 THF TFRMfi. FXCI 1 IRIONS AND f:ONniT1ONR OF fil ICH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
A
A
NBRD
A
B
TYPE OF INSURANCE
GENERAL LIABILITY
X
OEM
AUK
X
'
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X I OCCUR
L AGGREGATE LIMIT APPLIES PER:POUCY ixn?E^ n^c
3 MOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON- OWNED AUTOS
CARACE LIABILITY
ANY AUIO
EXCESS/UMBRELLA LIABIUTY
X OCCUR | | CLAIMS MADE
_| DEDUCTIBLE
X [ RETENTION S 10000
WORKERS COMPENSATION AND
EM B LOVERS' LIABILITY
MW PROPRIETOR/PARTNER/EXECUTIVt
OFF1CEWMEMBER EXCLUDED^
It yes. DB scribe urfler
SPECIAL PROVISIONS Bslow
I OTHER
POLICY NUMBER
DTEC07796B359TIL05
DT8107796B359TIL05
DTSMCUP365K8119TIL05
BB1050679
DATE (MMDO/YV)
07/01/05
07/01/05
07/01/05
07/01/05
DATE mWIHWYI
07/01/06
07/01/06
07/01/06
07/01/06
UMtTS
EACH OCCURRENCE
LMMKUt lUktfJItU
PREMISES (Ea ocnitence)
MED EXP (Any one peraon)
PERSONAL & ADV INJURY
OCWCIWL AOOBCOATC
PRODUCTS - COMWOP AGO
Emp Ben.
COdlDIHED 3HOUC UMT
(Ea accident]
BODILY INJURY
(PET person)
BOD LY INJURY
(P;racciOentj
PROPERTY DAMAGE
(P or accident!
AUTO ONLV - EA ACCIDENT
OTHER THAN ^ ACC
AUTO ONLY" ^y,^
EACH OCCURRENCE
AGGREGATE
„ WCSTATU- QIM-
A TORYLIMITS EP
E L. EACH ACCIDENT
E L DISEASE - EA EMPLOYEE
E L DISEASE - POLIC" UWIT
* 1,000,000
i 50,000
* 10,000
s 1,000,000
» 2,000,'000
s 2,000,000
1,000,000
s 1,000,000
s
i
»
J
s
!
5 3,000,000
5 3,000,000
s
F
5
s 1000000
i 1000000
s 1000000
DESCRIPTION OF OPERATIONS J LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City of San Diego is named Additional Insured per the attached
CGD247 endorsement . f
*10 Dtiy iiuUi.utt ul" C<aiixjell<aLiuii applies £OL.- iiuiiipcayiiieiiL oE Pi/emium.
CERTIFICATE HOLDER CANCELLATION
CITYSD4
City of San Diego
Purchasing Dept.
Attn: Janice Bennett
1200 3rd Street, Ste. 200
SHOULD ANY OF THE ABOVE DESCRIBEE) POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURES WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1MB OSS no OBLICAT1OM OB LIADIUTV CC AHV KIND UDOU TUG INSURER, IT5 A2CUTS f}a
AUmCRKED REPRESENTATIVEjaTvv £vsi^&
ACORD 25 (2001/08)® ACORD CORPORATION 1988