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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