HomeMy WebLinkAbout2066 AVENUE OF THE TREES; ; CB141242; Permit06-04-2014
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Piumbing/Mechanical/Electrical (PME) Permit
Permit No:CB141242
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2066 AVENUE OF THE TREES CBAD
PME
1562901800 Lot#:
FELDBAUiVI: REPLACE FURNACE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/04/2014
JMA
06/04/2014
06/04/2014
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Owner:
FELDBAUM JEFF
2066 AVENUE OF THE TREES
CARLSBAD CA 92008
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
Inspector:
FINAL
Date: _
)VAL/
•A. 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 pemnit 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 infonnation with fhe 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrr ISSUANCE: • PLANNING •ENGINEERING nBUILDING OFIRE nHEALTH nHAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: bullding@carlsbadca.gov
www.carisbadca.gov
Plan Check No. (^fi/L^. [Z^/^
Est. Value
Plan Ck. Deposit
Date SWPPP
JOB ADDRESS 2066 AVENUE OF THE TREES
# BATHROOIUIS I TENANT BUSINESS NAME ~ CT/PROJECT # PHASE* #OF UNrrS #BEDROOMS COI^TR. TVPE OCC. GROUP
DESCRIITIONOFWORK: liic/uileS9uamFaatarA(fectBdAfea(<>;
REMOVE AND REPLACE EXISTING FURNACE
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQf NOj I
AIR CONDITIONING
YES •NO •
FIRE SPRINKLERS
YES I |NO| I
APPUCANTNAME
Prinim Contact LES YOUNG PROPERTY OWNER NAME JEFF FELDBAUM
ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS 2066 AVENUE OF THE TREES
CITY ESCONDIDO
STATE
CA
ZIP
92029
CITY
CARLSBAD
STATE CA ZIP
92008
PHONE
760 839-8383
FAX
760 839-8380
PHONE
858 922-6175
FAX
EMAIL INF0@0AKISLE.COM EMAIL
DESISN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CfTY STATE ZIP CITY ESCONDIDO
STATE
CA
ZIP
92029
PHONE FAX PHONE
760 839-8383
FAX
760 839-8380
EMAIL EMAIL INF0@0AKISLE.COM
STATE UC.#
745400 C-20
CflY BUS. UCIt
1212710
(Sec. 7031.5 Business and Professions Code: Any Ci^ or County which requires a permit to construct alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicant for such permitto file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section TOOOof 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 ($500)).
WORKERS- COMPENSATION
Workers' Compensation Declaration: / hemby afHim um^ penalty ofpetjury one of the following declarations:
S I have and wiii maintain a certiflctfe of consent to self-incure fbr workers' compensation as provided by Section 37(X) of the Labor Code, fbr the peribmiance of Hie woik for which this pernilt Is Issued,
i have and will maintain worken' compensalion, as required by Section 3700 of the Labor Code, for the perfomiance of the wori< fbr which this pemiit is issued. My workers' compensation Insurance earner and policy
number are: Insurance Co._ EVEREST NATIONAL INS Policy No.. 7600000635141 Expiration Date. 01(01/2015
This section need not be completed if the pernilt is for one hundred dotars ($100) or less.
I I Certificate of Exemiition: I certify that iathe perfomiance of the work for which this pemiit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensatkin Laws of
Califomia. WARNING: Failure to secure Atfkera' compensation coverage Is unlawful, and shdi subject an employer to criminal penalties and dvil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, danlMe&as provided fv in Section 3706 of the Labor code, Interest and attomey's fees.
^CONTRACTOR SiGNATURE JJCJ/^.^— —' [7] AGENT DATE [n"^ ^ ^ ^!/
owNER-BUILD[:R DECLARATION
(fiereby affimi ffiaf / am exerrqif ton Ccniractor's Ucense Law (br ffie fottowing reason:
I I I, as owner of the property or my empkiyees 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 empkiyees, provided that such improvements are not Intended or offered for
sale. If, however, the buliding or Improvement Is sold within one year of completion, the owner-buiMer wlB have the burden of proving that he did not bulM or Improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to construct the prpject (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who buMs or improves thereon, and contracts for such projects with contractorts) licensed pursuant to the Contractor's License Law).
[~~| I am exempt under Sectkm, .Business and Professions (Me for this reason:
1.1 personally plan to provide the rnsyor labor and materials fbr constmctkin of the proposed property improveme^^ I lYes r~ho
2.1 (have / have not) signed an applKatkm for a buikiing pennit for the proposed work.
3.1 have contracted with the foUowing person (firm) to provide the proposed constnjctkin (include name address / phone / contractors' lcense number):
4.1 plan to provide portkins of the worit, but I have hired the folowing person to cooniinate, supenrise and provide the major worit (inckide name / addiBSs / phone / contractors' Hcense number):
5.1 will provide some of the worit, but I have contracted (hired) the fblkiwing persons to provide the wori( indkiated Gndude name / address / phone / type of wori<):
vfifpROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is ihe applteant or future building occupant required to submit a business plan, acutely hazardous materials registration fcimi or risk management and prevention program under Sectkins 2550S, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? DYes ONo Is the applkant or future buikjing occupant required to obtain a peimit from the air polulion control distrxit or Cl Yes • No
Is the faculty to be constmcted within 1,000 feet of the outer boundary of a school site? OYes a Ho
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY NAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
1 hereby affiim that there Is a constnjction lending agency for the performance of the work this pemiit Is issued (Sec. 3097 0) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I ceitl^ that I hawe read the applkatkin and state thatthe abow intomiatkin conectand Ihat the
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAIRLESS THE CITY OF CAILSBAD
AGAINST Aa UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CfTY IN (XWSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit Is requlned for excavalkins over S'O'(tep and demolition or consinjctio^
EXPIRATION: Every permit Issued by tie Building Official upo^' the provisions of this Code shal expire by Umltatkm and become nuiandvoidifthebuHdingor v«ori< aulhorized by such pennit is not commenced wllhin
180 days fom the date of such pemnit or If the buMing or worickjIhpiiZB^
>e$'APPUCANT'S SIGNATURE DATE
Inspection List
Peimit*: CB141242 Type: PME FELDBAUM: REPLACE FURNACE
Date Inspection Item Inspector Act Comtnents
06/12/2014 43 AirCond/Furnace Set - Rl 1:30 - 3:30 OR LATER
06/12/2014 43 AirCond/Furnace Set PD AP
06/12/2014 49 Final Meclianical - Rl 1:30 - 3:30 OR LATER
06/12/2014 49 Final Mechanical PD AP
Monday, June 16, 2014 Pagel of 1