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Home My WebLink About1665 DOCENA RD; ; CB132669; Permit10-29-2013 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 32669 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1665 DOCENA RD CBAD PME 2159100900 Lot #: WILLIAMS RES- ADD A/C TO A PRE-PREPPED HOME - NO NEW ELECTRIC Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/29/2013 RMA 10/29/2013 10/29/2013 Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner: WILLIAMS RALPH R&TODISCO-WILLIAMS CLARE M POBOX 131615 CARLSBADCA 92013 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $158.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 nspector: 1^' (^^^\ 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 refen-ed to as "fees/exactions," You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that prxedure 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 othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: nPLANNING OENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@cartsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Peposit JOB ADDRESS 1665 DOCENA RD surrE«/sPACEf/UNrr« CT/PROJECT # PHASE # # OF UNrrs # BEDROOMS * BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feat of Afhcted Ana(s) ADD AIR CONDITIONING TO AN A/C PREPPED HOME EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ* NCj I AIR CONDITIONING YES • FIRE SPRINKLERS YEsQ N0| I APPLICANT NAME (Primary Contact) LESYOUNG APPLICANTNAME (Secondary Contact) ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS CITY ESCONDIDO STATE CA ZIP 92029 CITf STATE ZIP PHONE 760 839-8383 FAX 760 839-8380 PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME RALPH WILLIAMS CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS 1665 DOCENA RD ADDRESS 1250 PACIFIC OAKS PL #103 CITY CARLSBAD STATE CA ZIP 92011 CITY ESCONDIDO STATE CA ZIP 92029 PHONE 760 492-4198 FAX PHONE 760 839-8383 FAX 760 839-8380 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 745400 C-20 CITY BUS. UC.# 1212710 (Sec. 7031.5 Business and Professions Code: Any Ci^ or County which requires a permit to construct aiter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permitto file a signed statement that he Is licensed pursuant to the provisions ofthe Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or oiat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {16500)). WORKERS' COMPENSATION Woiliera' Compensatlcn Declaration: / hemby affinn imder petialty ofpeijury one the follomng dedatalions: aI have and will maintain a certificate of consent to self-Insure fbr workers' compensatbn as provided by Section 3700 of the Labor Code, for the performance of the work for wfiich this permit is issued. I have and will maintain workers' compensation, as reguired by Sectkin 3700 of the Labor Code, for the perfbrmance of the work for which this pemiit is issued. My workers' compensatkm insurance earner and poltey number are: Insurance Co._ EVEREST NATIONAL Policy No.. 7600000635121 Expiratton Date _ 1/1/2014 Bsection need not be completed If the pemiit Is fbr one hundred dollars ($100) or less, (^ficate of Exemption: I certiiy that in the peifomiance of the work fbr whteh this penult Is Issued, I shall not employ any person in any manner so as fo become subject fo the Workers' Compensatton Laws of Callfbmia. WARNING: Failure to secure workalS\compensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and dvil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damag^ as |ii]pv|ded for In Sactlon 3706 of the Labor code, Interest and attorney's fees. JS^ CONTRACTOR SIGNATURE •lAGENT O W N E R - B U I L D E r> DECLARATION / hereby a/firm tfiaf / am exempt from Contractor's License Law (or the fokmng reason: I I I, as owner of the property or my emptoyees with wages as their sole compensatton, will do the woik and the stmcture is not Intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractor's Ltoense Law does not apply to an owner of property who bulkls or Improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not Intended or offered for sale. If, however, the bulUing or improvement Is soU within one year of comptoSon, the owner-bulkier will have the burden of proving that he dkl not buikl or improve for the purpose of sale). r~| I, as owner of the property, am exclusiveiy contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professtons Code: The Ctontractors Ucense Law does not apply to an owner of property who buikis or improves thereon, and contracts fbr such prefects with contracfor(s) Itoensed pursuant to the Ckmtractor's License Law). I I I am exempt under Section Business and Professtons Code for this reason: 1.1 personally plan fo provkle the major labor and materials for constructton of the proposed property Improvement. r~lYes r~lNo 2.1 (have / have not) signed an appltoatton for a bulkltog pemiit for the proposed work. 3.1 have contracted with the fbltowing peison (fimi) to provkle the proposed constructton (include name address / phone / contractors' Itoense number): 4.1 plan to provkle porttons of the work, but I have hired the folkiwing peison to coordinate, supervise and provkle the major work (Include name / addiess / phone / contractors' license number): 5.1 will provkle some of the work, but I have contracted (hired) the fbltowing persons to provkle the work Indtoated (Include name / address / phone / type of work): >eS'pR0PERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N • R E S I D E N T I A L BUILDING PERMITS ONLY Is the appitoant or future buikiing occupant required to submit a business plan, acutely hazardnus materials registration fomi o r risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes DNo Is the applicant or future building occupant required to obtain a pemiit from the air pollutton conlrol district or air quality management district? • Yes • No Is the facility fo be ccnstnjcted within 1,000 feet of the outer boundary of a school site? QYes 13 No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFiCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DlSTRiCT CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the perfoimance of the work this permit is Issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Iceitl^ttiatlhave read the applkartion and slats that the abow Infomiatton is conect and tliat the info^ I hereby authorize representative of the City of Carlsbad to enter upon lhe above menttoned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pemiit Is required Ibr excavations over S'O' deep and demolitton or constructton of structures over 3 stories in hei^L EXPIRATION: Every peimit Issued by the Bulldlnjbflldal under the proviskxis of this Code shall expire by llmltainn and become nul and void if the building or vwrk aulhorized by such permit Is not commenced wilhin 180 days liom the date ofsuch pemiit or If the tlulkingior/icirk authorized by such permit Is suspended or abandoned at any time after the woik Is commenced ibr a pertod of 180 days (Sedxm 106.4.4 UnHbmn BulkUng Code). VCS'APPLICANT'S SIGNATURE DATE lO'V)-!! Inspection List Permit*: CB132669 Type: PME WILUAMS RES-ADD A/C TO A PRE-PREPPED HOME - NO NEW ELECTRI Date Inspection Item Inspector Act Comments 05/01/2014 43 AirCond/Furnace Set - Rl WILLIAMS RES, EARLY AM 05/01/2014 43 AirCond/Furnace Set MC AP 05/01/2014 49 Final Mechanical - Rl 05/01/2014 49 Final Mechanical MC Fl Monday, May 05, 2014 Page 1 of 1