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HomeMy WebLinkAbout2300 CAMINO ROBLEDO; ; CB131434; Permit06-11-2013 City of Carlsbad 1635 Faraday Av Carisbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CBI31434 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2300 CAMINO ROBLEDO CBAD PME 2552704600 DENT RESIDECE ADDVTWO A/C UNITS Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/11/2013 MDP 06/11/2013 06/11/2013 Applicant OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner COATS DENNIS M&KRISTINE S 2300 CAMINO ROBLEDO CARLSBADCA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0 00 $0 00 $154 00 $31 00 TOTAL PERMIT FEES $185 00 Total Fees $185 00 Total Payments To Date $185 00 Balance Due-$0.00 FINAL APR Inspector Date OVAL Clearance NOTICE Please tal<e 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 wrth 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenivise exoired THE FOLLOtWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE • PLANNING nENGINEERING • BUILDING DfIRE • HEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax 760-602-8558 email buildingigcarlsbadca gov www.carlsbadca gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS 2300 CAMINO ROBLEDO SUlrEf/SPACEf/UNIT* CT/PROJECr # PHASE # # OF UNH-S # BEDROOMS tt BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OFWORK fnc/uite Square Feet of Affected/>fea(is; ADD TWO AIR CONDITIONERS TO AN A/C PREPPED HOME EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|0 N0| I AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANTNAME (Primary Contact) LES YOUNG APPLICANTNAME (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 EIVIAIL PROPERTY OWNER NAME STEPHEN DENT CONTRACTORBUS NAME OAK ISLAND HEATING AND AIR ADDRESS 2300 CAMiNO ROBLEDO ADDRESS 1250 PACIFIC OAKS PL #103 CITY CARLSBAD STATE CA ZIP 92009 CITY ESCONDIDO STATE CA ZIP 92029 PHONE 619.581.2866 FAX PHONE 760 839-8383 FAX 760 839-8380 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 745400 C-20 CITY BUS LIC# 1212710 (Sec 70315 Business and Professions Code Any City or County whioti requires a permit to oonstrucL alter, improve, demolisti or repair any structure, pnor to its issuance, also requires tiie 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 Secton 7000 of 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 70315 by any applicantfor a permit subiects the applicant to a civil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations OI have and will maintain a certificate of consent to seif.insure tor workers' compensation as provided by Section 3700 of the Labor Code fbr the performance of the work fbr which this permit is issued I have and will maintain workers' compensation as required bv Section 3700 of the Labor Code fbr the perfomiance of the work for which this perniit is issued My workers' compensation insurance camer and policy numberare Insurance(3o_ EVEREST NATIONAL Policy No . 7600000635121 Expiration Date^ 1/1/2014 This section need not be completed if the pemiit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in the perfomiance of the work for which this pemiit is issued, I shall not employ any peison in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cnnl Tines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attomey's fees JS^ CONTRACTOR SIGNATURE •AGENT DATE ®?27[aStB = OaDQa®ll(B ©SlSll^te^^'iFO®!^ / heretiy affinn that I am exempt frm Confractor's bcense Law for the follomng reason I I I, as owner of the pioperty or my employees with wages as their sole compensation, will do the wortt and the stmcture is not intended or ofliered for sale (Sec 7044, Business and Professions Code The Contrxtor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wori< himself or through his own employees, provided that such improvements are not intended or offered for sale If however, the buiWing or improvement is soki within one year of completion, the owner-buikler will have the bunJen of proving that he did not build or improve for the purpose of sale) I I I, as owner of the property, am exclusively contractng with licensed contractors to constmct 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) I I I am exempt under Section Business and Professions Code fbr this reason 1 I peisonally plan to provide the major labor and matenals for constraction of the proposed property improvement I [Yes I |NO 2 I (have / have not) signed an application for a building pemiit for the proposed wort< 3 I have contracted with the following person (fimi) to provide the proposed constmction (include name address / phone / contractors' license number) 4 I plan to provide portions of the wori(, but I have hired the fbllowing person to coordinate, supen/ise and provide the major wort( (include name / address / phone / contractors' license number) 5 I will provide some of the viork, but I have contracted (hired) the following persons to provide the wort( indicated (include name / address / phone / type of wori<) >gS'pROPERTY OWNER SIGNATURE •AGENT DATE (g®COP0,(117(1 'u'COOS 8B€tP0®G0 (?®[B (a®(J3olB(180CD(lC0U0(a(L (D(3000(30Cfl@ PSUiBHOVS (SdB&S? Is the applicant or future buildmg occupant required to submit a business plan, acutely hazardous matenals registration fomi or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazanlous Substance Account AcP • Yes [3 No Is the applicant or future building occupant required to obtan a pemiit from the air pollution control distnct or air quality management distnct? CI Yes • No Is the facility to be constnicted within 1,000 foet of the outer boundary of a school site? OYes CINo 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®G38'i7(BC!g(ggO®CS (kSC3B0Cfl(g ^(gBtSCgg I hereby affimi that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address /QP[?aO(g^CaTr' (g(l[t?'i70(?0(g^'u'0®(a Iceiti^ thatl have read ttieapplteation and state that the above intbimaton Is conect and that the inlbimatkin on the plans is accuiata lagree to comply with all Ci^ oidinances a^ I hereby authonze lepresentatwe of the City of Cailsbad to enter upon the above mentioned property for inspection puiposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD AGAINST ALL UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfF OSHA An OSHA permit is requiied for excavations over 50 deep and demolition or constnjction of structures over 3 stones in height EXPIRATION Eveiy penriit Bsued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the buikJmg or woik authonzed by such permit is not commenced wthin 180 days from Ihe date of such peimit or if the buikiing or vioilt authonzed by such pemiit 6 suspended or abandoned at any time alter the woik is commenoed for a penod of 180 days (Section 1064 4 Unifoim Buildmg Code) APPLICANT'S SIGNATURE DATE Inspection List Permit* CB131434 Type PME DENT RESIDECE ADDV TWO A/C UNITS Date Inspection Item Inspector Act Comments 07/09/2013 43 AirCond/Furnace Set - Rl EARLY AM PLS USE SIDE GATE 07/09/2013 43 AirCond/Furnace Set PY AP 07/09/2013 49 FinalMechanical PY AP Wednesday, July 10, 2013 Page 1 of 1