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Home My WebLink About2732 YORK RD; ; CB102460; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-16-2010 Mechanical Permit Permit No: CB102460 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2732 YORK RD CBAD MECH Status: Parcel No: 1673913700 Lot#: 0 Applied: Valuation: $0.00 Reference #: PC#: Project Title: DORNISH RES-REPLACE FAU-SAME LOCATION Applicant: ACTION AIR COND.& HEATING-S.D. 2750 S SANT A 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 1 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: DORNISCH FAMILY TRUST 06-26-05 2732 YORK RD CARLSBAD CA 92010 Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: ISSUED 12/16/2010 RMA 12/16/2010 12/16/2010 $1 5.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Clearance: _____ _ $0.00 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 th€ir 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 ou have reviousl been iven a NOTICE similar to this o; as to which the atu of limitations h s reviousl otherwise ex ired. .. [//,n -Plan Check No. I / Building Permit Application ' ' CA1w '-", -- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Plan Ck. D~posit Fax 760-602-8558 Jl1r-www.carlsbadca.gov Date , ~ ( ( b flD lswPPP JOB ADDRESS SUITE#/SPACE#/UNI, # IAPN 2732 York Road, Carlsbad, CA 92010 --- <,;1/PROJE<,;1 # r OT# ,P~E# l # uF UNITS I# BEDROOMS # BATHRuuMS l TENANT BUSIN=,, NAME I ~NSTR. TYPE I ~-<,ROUP DESCRIPTION OF WORK: Include Squa,e Feet of Atrected Afea(s) Change-Out Furnace EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ' AIR CONDITIONING I FIRE SPRINKLERS Single Family Resid. Same YES[}; NcQ YES□No□ YES□No□ CONTACT NAME (If Different Fom App/leant) Dieter Dornisch APPLICANT NAME Glenn Ostmark ADDRESS ADDRESS 2732 York Road 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad 92010 San Marcos CA 92069 PHONE PHONE I FAX rAX (949) 433-6507 (760) 727-4152 (760) 727-0213 EMAIL EMAIL comfort@actionac.net PROPERTY OWNER NAME CONTRACTOR BUS. NAME Dieter Dornisch Action Air Conditioninq & Heatinq ADDRESS 2732 York Road ADDRESS 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92010 San Marcos CA 92069 PHONE I FAX PHONE I FAX (949) 433-6507 (760) 727-4152 (760) 727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ' CLASS I CITY BUS. uc.4 19800 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 an~ 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 Chat 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 ($500)). p • ':,, H .. -· .. ..,. ... ' ' V A • • V ""WORl(ERS ' COMPE_NSATl!:JN=,._ _.....,_ ~· ~"" :~o;"''"'" ,,,.,,,,lL':-,.bo:....X~~~--~'Ai.;_.,_~,__,,,.., .... --"'-'<'-'-•::«<'..ti.:«:;~,...,-.A..,ib~6,.:•"'-~~•.v•,....._ ,,:.,,mi-...,,.. Won<ers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following dedarations: D I have and will maintain a certificate of consent to self-insure for woncers' compensation as provided by Section 3700 of the Labor Code, for lhe perf01T11a11Ce of the wonc for which this permit is issued. [Z] I have and will maintain won<el'$' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My woncers' compensation insurance carrier and policy number are: Insurance Co Callfo,nla Contracto, Notwo,k Policy No. 4503-093 Expiration Date 1>11112010 ~section need not be completed~ the permit is for one hundred dollars ($100) or less. l.:lf Certificate of Exemption: I certify that in lhe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe Workers' Compensation Laws of California. WARNING: Failure to secure won<ers' sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollal'$ (&100,000), In addition to the cost of compensation, damag for In lion t~6 of the Labor code, Interest and attorney's fees. /'/. £, (;' ~- ,15 COHTRACTORSIGNATU ~ /2-1/'A::.- I hereby affirm that 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 wonc and the structure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors Lioense Law does not apply to an owner or property who builds or improves thereon, and who does such wor1< himsen or through his own employees, provided that such improvements are not intended or offered for sale. If, however, lhe building or improvement is sold within one yea,: of completion, lhe owner•builder wil have lhe burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exdusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's Uoense Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I persona Dy plan to provide the major labor and materials for construction of the proposed property improvement D Yes 0 No 2. I (have / have not) signed an application for a building permit for the proposed wonc. 3. I have contracted with the following person (firm) to provide the proposed construction (include name adcress / phone/ contractors' license number): 4. I plan to provide portions of the wonc, but I have hired the following person to coordinate, supeivise and provide the major wonc (include name I address/ phone / contractors' license number): 5. I win provide some of the wonc, bu1 I have contracted (hired) lhe following persons to provide the wonc indicated Clnclude name/ address / phone/ type of wonc): _15 PROPERTY OWNER SIGNATURE □AGENT DATE Is lhe applicant or future building occupant required to submit a busiless..l!!i!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Sobstance Account Act? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai,t.9!!ality management distro? D es D No Is lhe facility to be constructed ~thin 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 AIR POLLUTION CONTROL DISTRICT. I cefttty that I haYe read the application and state that the aboYeinfomlation lscooect and that the information on the plans is accurate. I ai,eeto comptywtth all City o!dlnances and State laws relating to bulldingoonstrudion. I hereby aJ1horize representatr.e of the City of Ca1sboo kl enter upoo the alXl\'e mentioned property b' inspecoon p(lp()SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHIOi MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CO'jSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required b' excavaoons OYef SfJ deep .rid demolition or oonstnx:tion of structures 0'181' 3 stories i1 height EXP1RA TION: EYe!Y perm~ issued by the Bulilg Official urder the pro','isilns of this C.ode shall expre by imitatm .rid become lllil .rid -.oo if lhe b.Jiding or work authorized by such permit is not CXlfMl€f1Ced within 180 days from lhe date of such permit or if the b.Jiding or trorized by such permt is suspended or abandoned at any lirre a1terthe work is oorMl8llCed fora period of 180days (Secoon 106.4.4 Uniform ~ing Qide) . .l:SAPPLICANT'SStGNA -:"5j~,;,:;:;:,-,-A DATE // /z.s po City of Carlsbad Bldg Inspection Request For: 01/03/2011 Permit# CB102460 Title: DORNISH RES-REPLACE FAU-SAME Description: LOCATION Type: MECH Sub Type: Job Address: 2732 YORK RD Suite: Lot: 0 Location: APPLICANT ACTION AIR COND.& HEATING-S.D. Owner: DORNISCH FAMILY TRUST 06-26-05 Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 9494336507 lnspectorg Requested By: PETER Entered By: CHRISTINE 43 AirCond/Furnace Set f------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments