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Home My WebLink About2316 CAMINO ROBLEDO; ; CB062249; Permit08-07-2006' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB062249 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2316 CAMINO ROBLEDO CBAD MECH 2552721000 $000 Lot# EMMINGER RES REPLACE EXISTING A/C UNIT Status Applied Entered By Plan Approved Issued Inspect Area Applicant TELFORDJONES STE 13A 5920 IRIS AVE MORENO VALLEY 92551 951-486-0337 Owner EMMINGER KENNETH&TERESA 2316 CAMINQ ROBLEDO CARLSBAD CA 92009 ISSUED 08/07/2006 KG 08/07/2006 08/07/2006 Mechanical Issue Fee InstaII/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 $1500 $900 $000 $000' $000 $000 $000 $000 $000 $2400 Total Fees $24 00 Total Payments To Date $24 00 Balance Due-$000 Inspector FINAL APPROVAL Date Z^t 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 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 you have previousjyjjgen given a NOTICE similar to this, or as to which the statute of limitatton^^as^rjrgyiouslv otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE QNL PLAN CHECK N EST VAL . Plan Ck Deposit. Validated By Date (5 -t—f Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel # Existing L/se .JLLtetiWi At? Proposed Use Descnption of Wort*SO FT # of Stories # of Bedrooms # of Bathrooms V ^CONTACT PERSON <,f different from ippi.cant) ^ H4, r - <l£ ^Jf'',, ^„»«;;;/;; * ^% r ^ r: $1*; .1" $!s flpv; TElffrjg-a Ifr H*-H 5<ul&-bL,fycct U^. fVioiUKQ vftijuu^ qs~i - /af- Name Address City State/Zip Telephone* a/Ageni'for Contractor™^,* ^ '"ISlOwnef I'f''^' V'V^'r "o\ Agent'for'dwrijer* Fax# Name Address State/Zip c/" Telephone # Name .ddress City State/Zip Telephone # SUBCONTRACTOR ;COMIWNYiNAME! A'-U^Vi.,,^^,^^ 1 ^l'^ ..^^..^W^ j 's^df! f W^' "afelC^f IV.P^ (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any 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 that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant/or a permit subjects the applicant to a civil penalty of not more than five hundreddollars [$500]) rf ^nis M2gXfis,hc6tet3ft MOP Name - State License # o Designer Name State License # ?STtofl3to Address License Class Address d City City ' State/Zip 'flity Business License # 6yfy 1 // State/Zip X>telg6KqB^# '<$^S<^// Telephone # (6;% WORKER'S COMPENSATION " ,|f ^",''^' ^'H', ,"1'^| 17'!&?V7^ vlY^i ^^1"^' '^P^vZ^^t^;^^^l^"""^^^O!^Kli^1Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued K/ I have and will maintain worker's compensation as required by Section 3700 of the labor Code for the performance of the work for which this permit is issued My worker s compensation insurance earner and policy numberar,e . Ql insurance Company JTt •i&M^trti&Mfri ^fcfe. C^CW*. Policy No P "U1 '0£HM '2.^'f Expiration Date JJ ' (THIS SECTION N^ED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION I certify that in the 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 the Workers CompeHS*atbn Laws of California WARNING Failure to secure workerd_£efnpensatifin coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,OOOUiri addition to the colt of compenfeition, damages are provided for in Section 3706 of the Labor Code, interest and attoByy's fees i SIGNATUR^\ALU^t^^J^^^^M^ DATE *'7 I O * I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will d 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 employees provided that such improvements are not intended or offered for 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 for the purpose of sale) D I, as owner of the property, 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 thereon and contracts for such projects with contractors) licensed pursuant to the Contractors License Law) D I am exempt under Section . Business and Professions Code for this reason 1 I personally plan toprovidethe major laborand materials for construction of the proposed property improvement D YES D NO 2 I (have/have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / /ontractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/type of work) PROPERTY OWNER SIGNATURE.DATE WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 Page 2 of 2 jCo^L^T^THis^K^^ , u ^ Sj iiSj s ! ai/;t t<,|r Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act1? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district"? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of aschool site"? D YES D 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 I hereby affirm that there is a construction lending agency for the petformance of the work for which this permit is issued (Sec 3097(1) Civil Code) LENDERS NAME __ ________________ _ _ LENDER'S ADDRESS 9,S i! APPUCANT'CERTIFICATtON ' >„," 'w."'• T^^w^W'$*'^P'^SPP'I?'"P<'^v^^^^Tif""HIO1!!T3R IW ., '_"A^f ;$ 1$^^|,<,!s „^M"Si I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND OSHA An OSHA permit is required for excavations of 5 0 deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106?? 4 UnifoWn Building Code) APPLICANT S SIGNATURE ' '^-A^- 'srJr'_T^t^*^ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 02/22/2007 Permit* CB062249 Title EMMINGER RES REPLACE EXISTING Description A/C UNIT Inspector Assignment RB 2316 CAMINO ROBLEDO Lot 0 Type MECH Sub Type Job Address Suite Location APPLICANT TELFORD JONES Owner EMMINGER KENNETH&TERESA Remarks Phone 7609430331 Inspector Total Time CD Description 43 AirCond/Furnace Set Act Comment Requested By NA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/31/2007 43 AirCond/Furnace Set CO RB 1147 -g2 see notice tt?-? City of Carlsbad Bldg Inspection Request For 01/31/2007 Permit# CB062249 Title EMMINGER RES REPLACE EXISTING Description A/C UNIT Inspector Assignment Type MECH Sub Type Job Address 2316 CAMINO ROBLEDO Suite Lot 0 Location APPLICANT TELFORD JONES Owner EMMINGER KENNETH&TERESA Remarks Phone 7609430331 Inspector Total Time CD Description 43 AirCond/Furnace Set Act Comment Requested By TERESA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE (760) 602-2700 1635 FARADAY AVENUE DATE "3 TIME LOCATION PERMIT NO X ' ^3L. c /^7 fl ' *^Cj 1, 0/<r as if. V^FORJNSPECTION CAU. (760) 602-27253 RE-INSPECTION FEE DUE? FOR FURTHER 1 N FORM ATI QI^J, CONTACT _ £ YES PHONE BUILOING INSPECTOR CODE ENFORCEMENT OFFICER a 11 £.11 COMPENSATIONINSURANCE FUND FQLICYHQLDER COP' PO BOX 420807, SAN FRANClSCQ,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-01-2006 GROUP. 000048 POLICY NUMBER: 0014249-2006 CERTIFICATE ID: S CERTIFICATE EXPIRES 03"01-200703-01-2008/03-01-2007 SK SEARS HEATING & COOLING CONTRACTORS SERVICES GROUP UNIT 5556 3825 FORSYTH ROAD WINTER PARK PL. 32792 SK JOB:ALL CALIFORNIA OPERATIONS This is to certify tint we have issued a valid Workers' Compensation insurance policy in a form approved by the California insurance CornmlsakJner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon ^0 days advance written notice to the employer We will also give you -\Q days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement term or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms exclusions, and conditions, of such policy. H-cs/fV ITHOR1ZED REPRESENTATIVtJ PRESIDENT IWLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIPE EMPLOYER;EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDINGCALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS- $1,000,000 PER OCCURRENCE. ENDORSEMENT #180O - KENNETH, TELFORD, PRES - EXCLUDED. ENDORSEMENT #1600 - CAROL V1ETHS. SEC,TRES - EXCLUDED. ENDORSEMENT #1600 - KENNETH VXETHS, VPRES - EXCLUDED. EMPLOYER TELFDRPJDNES INC DBA JONES PLUMBING HEATNQ & AR CNDTNNG 25920 IRIS AVE STE 13A-400 MORENO VALLEY CA 92551 REV 2' 051 PRINTED ; 02-16-2006 MQ410