Loading...
HomeMy WebLinkAbout2247 CAMEO RD; ; CB133002; PermitCity of Carlsbad 12-05-2013 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No.CB133002 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC # Project Title 2247 CAMEO RD CBAD PME 1670801400 Lot# HOERNKE RES- REMOVE AND REPLACE FURNACE LIKE FOR LIKE Status Applied Entered By Plan Approved Issued Inspect Area. ISSUED 12/05/2013 LSM 12/05/2013 12/05/2013 Applicant OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner. HOERNKE RALPH&JUDITH A 2247 CAMEO RD 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 APPROVAL /i- •/y Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, 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 oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING DENGINEERING • BUILDING QFIRE nHEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax. 760-602-8558 email building@carlsbadca gov www.carlsbadca.gov Plan Check No. GfctS gCO^ Est. Value Plan Ck. Deposit Pate I C) /3 SWPPP JOBADDRESS 2247 CAMEO RD SUITEt/SPACE*/UNIT« CT/PR0JECT# PHASE # # OF UNrrs # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) REMOVE AND REPLACE EXISTING FURNACE LIKE FOR LIKE EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQf N0| I AIR CONDITIONING YES QNO • FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) LES YOUNG APPLICANT NAME (Secondary Contact) ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS CITY ESCONDIDO STATE CA ZIP 92029 CITY STATE ZIP PHONE 760 839-8383 FAX 760 839-8380 PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME RALPH HOERNKE CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS 2247 CAMEO RD ADDRESS 1250 PACIFIC OAKS PL #103 CITY CARLSBAD STATE CA ZIP 92008 CITY ESCONDIDO STATE CA ZIP 92029 PHONE 760 729-1748 FAX PHONE 760 839-8383 FAX 760 839-8380 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE uc # 745400 C-20 CITYBUS UC# 1212710 (Sec 7031.5 Business and Professions Code: Any 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, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom, andthe basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penal^ of not more than five hundred dollars ($500)) C27®EC2@[BS° C§®Ea(PSC38<a 1700(21 Workers' Compensation Declaration / tieretiy affiim underpenalty ofpeijury one ofthe follai/ing declarations. I 11 have and will maintain a certificate of consent to self-insure (or workers' compensation as provided by Section 3700 of the Labor Code, fbr the pertormance of the wort( fbr which this perniit is issued [3 1 have and will maintain woikers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the wori( for which this pemiit is issued My workers' compensation insurance camer and policy numberare InsuranceCo, EVEREST NATIONAL . Policy No 7600000635121 Expiratton Date. 1/1/2014 This section need not be completed if the pennit is for one hundred dollars ($100) or less I I Ceftificate of Exemption-1 certify that in the ii§lfonnance of the woi1< for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Wori(ers' Ckimpensation Laws of Califomia WARNING: Failure to secure wortoers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damagW aspnfvUed for In Section37()6 of the Labor code, interest and attomey's fees. JS^ CONTRACTOR SIGNATURE y<'=r\t47\tt'4''^)/^\_ QAGENT DATE j'^S^lD ®t5»C3lllB = [DQD0(l®[i( / /lensfty a/ffmi (hat / am exempt fmm Contractor's License Law for the following reason. I I 1, as owner of the property or my employees with wages as their sole compensation, will do Ihe work and the stmcture Is not intended or offered for sale (Sec 7044, Business and Professions Code The Ckjntractor's License Law does not apply to an owner of property who buiWs or improves thereon, and who does such wort( himsetf or through his own employees, provided that such improvements are not intended or offered fbr 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 fbr the purpose of sale) I I 1, asowneroflheproperty, 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 theneon, and conlracts (or such projects with contractor(s) licensed puisuant to the Ckintractor's License Law) I I 1 am exempt under Section, .Business and Professions CkxJe for this reason 1 I personally plan to pravide the major labor and matenals fbr construction of the proposed property improvement I lYes I INO 2 I (have / have not) signed an application for a buMing pemiit for the proposed wortt. 3 I have contracted with the following person (firm) to provkle the proposed constmction (Include name address / phone / contractors' license number) 4 I plan to provide portions of the wortt, but 1 have hired the following person to coordinate, supen/ise and provide the major wortt (include name / address / phone / contractors' license number) 5 1 will provide some of the wortt, but 1 have contracted (hired) the following peisons to provide the wortt Indicated (Include name / address / phone / type of wortt) ySTpROPERTY OWNER SIGNATURE •AGENT DATE (g®C[HPQ.@'i7B gQQOS 8B(g'i?D®G3 POB ia@G3°Bi380BBg]'gO/£\ll BQODlLBDIJKg I?BIB.Ca0178 (©(Bat? " Is the applicant or future buiWing occupant required to submit a business fSan, acutely hazardous matenals registration forni or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcP OYes • No Is the applicant or future building occupant required to obtain a peniiit fiom the air pollution conlrol distnct or air quality management distnct? G Yes D No Is the facility to be constmcted withm 1,000 feet of the outer boundary of a school site'' • Yes CI 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. (g®Ga8i7ECP(gi7o®Ga aBGoaoecs ^(smcosv I hereby atfirm ttiat ttiere is a constniction lending agency for the perfomiance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address ^l?l?Q>0(g^G317 eBB'u'OPO(g^'ffD®[B I certl^ that I have lead the applicatton and slats that lhe above Infoimation is conect and that ttie infi^ 1 hereby authonze representative of the City of Carisbad to enter upon the above mentioned property fer inspecton puiposes 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA perniit is required br excavaSonsover 50 deep and demolition or constmction of structures over 3 stones in height EXPIRATION Eveiy peimit issued by the BuildinaOffaal under the provisions of this (Me shall expire by limitation and become null and void if the building or vroiit aulhonzed by such pemiit is not comnnenced vwthin 180 days from the date of such penmit or if the buiidinh or work authonzed by such pennit is suspended or abandoned at any tme alter the woiit is commenced for a penod of 180 days (Section 106 4 4 Unifomi Buikling C^xJe) ^APPUCANTSSIGNATURE )J<^//)y^ /^--S'/^ Inspection List Permit#: CB133002 Type: PME HOERNKE RES-REMOVE AND REPLACE FURNACE LIKE FOR LIKE Date Inspection Item Inspector Act Comments 12/10/2013 43 AirCond/Furnace Set PD AP 12/10/2013 49 Final Mechanical PD AP Thursday, December 12, 2013 Page 1 of 1