HomeMy WebLinkAbout2626 VALEWOOD AVE; ; CB142587; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-06-2014 Permit No: CB142587
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2626 VALEWOOD AV CBAD
PME Status:
Parcel No: 1675115100 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
GALLOP: REPLACE FURNACE/ ADD
AC WITH ELECTRIC
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Owner:
GALLOP MICHAEL C
2626 VALEWOOD AVE
CARLSBAD CA 92010
Issued:
Inspect Area:
ISSUED
10/06/2014
JMA
10/06/2014
10/06/2014
$0.00
$35.00
$160.00
$0.00
$195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
Inspector: ~ Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Im sition" of fees, dedications, reservations, or other exactions hereafter ccllectively
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 acccrdance 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 ccnnection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in ccnnection with this project. NOR DOES IT APPLY to any
f i n f whi h h I n iv n N Tl E imil r hi w i h h a f limi i n h I h rwi
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD .
~~ Building Permit Application Plan Check No. CJ3 I~~ ZS 931
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@cartsbadca.gov
www.carlsbadca.gov Date LO (,,.../1..J lsWPPP
JOB ADDRESS 2626 VALEWOOD AVE
SIJITH/SPACE#/UNITf
IAPN ---
CT/PROJECT# I LOT# I PHASE# I # Of UNITS I # BEDROOMS # BATHROOMS llEIANT BUSINESS NAME I CONSTR. TYPE I ""'-· GROUP
DESCRIPTION OF WORK: Include Square Feet of Affitcted AIH(s)
REMOVE AND REPLACE EXISTING FURNACE AND ADD AIR CONDITIONING
WITH ONE NEW ELECTRICAL RUN FOR A/C
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING !FIRE SPRINKLERS
vEsO NO YES0 No0 vEs O NoO
APPLICANT NAME LES YOUNG PROPERTY OWNER NAME JILLIAN GALLOP Prfnan, ,. __ • _ _.
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103 2626 VALEWOOD AVE
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029 CARLSBAD CA 92010
PHONE I FAX PHONE I FAX 760 839-8383 760 839-8380 858 405-3124
EMAIL INFO@OAKISLE.COM
EMAIL
0£SION PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CTTY STATE ZIP
ESCONDIDO CA 92029
PHONE IFAX PHONE I FAX 760 839-8383 760 839-8380
EMAIL EMAIL INFO@OAKISLE.COM I STATE UC.# STATE UC.#
IClASSc-20 I CITY BUS. LIC.1212710 745400
(Sec. 7031.5 Business and Professions Code: Arry City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 exem.11t 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).
Worke,s' Compensation Declaration: I heleby affirm under penalty of peljury one of the following oedarations: 0 I have and will maintain a certificate of consent to self-Insure for WOlkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which thiS pennlt iS issued. 0 I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the WOik for which thiS permit is issued. My WOf1(ers' compensalion insurance carrier and poliey
number are: Insurance Co-EVEREST NATIONAL INSURANCE Poliey No. 7600000635141 Expiration Dale 01101/2015
~sectloo need not be completed tt the pennlt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the WOik for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Wl)f1(ers' Compensalion Laws ot
California. WARNING: Failure to secure 'compensation covenge Is unlawful, and shall subject an ~oyerto criminal penaltles and clv1I fines up to one hundred thousand dollan (&100,000), In
addition to the COit of compensation, d provided for In Section 3706 of the Labor code, Interest and attorney's fees.
,85 CONTRACTOR SIGNATURE [l)AGENT DATE 0-
I hereby affirm that I am exempt from Conlradol's License Law for the fo/lowJng reason: D I, as owner ol the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sae (Sec. 7044, Business and Professions Code: The Contractor's
□
□
License Law does not apply to an owner of property who builds or Improves thereon, and who does such worlt himself or thlllllgh his own employee$, provided thal such Improvements are not intended or offered for
sale. If, however, the building or Improvement Is sold within 011e year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professk>ns Code: The Contractor's License Law does not apply to an owner a
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt urder Section ____ Business ard ProfessionS Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed propeny improvement. O ves Do
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 Ondude name address I phone I contractOIS' license number):
4. I plan to provide portions of the WOik, but I have hired the following person to coordinate, supervise and provide the major work Onclooe name/ address/ phone / contractors' license number):
5. I will provide some of the WOik, but I have contracted (hired) the following persons to provide the WOik indicated Ondude name / address I phone I type of work):
.JlS 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? □ 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 tile facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No 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 AIR POLLUTION CONTROL DISTRICT.
of the wor1( this permit is issued (Sec. 3097 (i) Civil Code).
Lende~s Address
I certify that I have read the application and Slate that the above infonnation ls correct and that the lnfoonation on the plans Is accurate. I agree1D complywlth all City ordinances and State laws relating1D buildlngcons1JUCtion.
I hereby authorize reixeser,tative of the City of Cartboo kl eni!r UJXlll the above menooned property kJr in~ J)JrJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU. UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem,l is required kJr • over SO' deep and demolition or oonslruction of structures over 3 slOries in heighl
EXPIRATION: Every pem,tt issuoo by the aJikli • I under the provisions of this Code shall expire by limitation and become null and \cil if the buiklng or v.ork authorized by such permit is not oommenred 'Mthin
100 days from the dale of such pem,it or if the ik:11 v.ork authorized by such pem,l is susi:er,doo or abanooned at any time after the v.ork is oommenood tr a period of 100 days (Secoon 100.4.4 Unioon Eklilding Code).
_I$ APPLICANT'S SIGNATIJRE DATE
lnspectlon List
Permit#: CB142587 Type: PME
Inspector _D_a_tec:____ ___ l_ns-'-'--e_ctio:_n _lt'-'-e_m _______ ----'--",:__:_-'-'
10/22/2014 43 AirCond/Furnace Set
10/22/2014 43 AirCond/F urnace Set
10/22/2014 49 Final Mechanical
10/22/2014 49 Final Mechanical
10/22/2014 49 Final Mechanical
Wednesday, October 22, 2014
SP
SP
SP
Act
RI
AP
RI
Fl
Fl
GALLOP:REPLACEFURNACE/ADD
AC WITH ELECTRIC
Comments
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