HomeMy WebLinkAbout2321 LONGFELLOW RD; ; CB163343; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-30-2016 Permit No: CB163343
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2321 LONGFELLOW RD CBAD
PME
2121423400 Lot#: 0
ADAM: REPLACE FAU, A/C & ADD
40ACIRCUIT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/30/2016
SLE
08/30/2016
08/30/2016
OAK ISLAND HEATING AND AIR
STE 103
ADAM ERSKINE MERCEDA FAMILY TRUST 10-23-03
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2321 LONGFELLOW RD
CARLSBAD CA 92008
$0.00
$38.00
$163.00
$0.00
$201.00
Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 1-d·/6 Clearance:
$0.00
NOTICE: Fleaseta<e NOTICE Iha~ c:1)0.Jf prtjedirdudes tte "lfTlJ(llitiori' c:lfees, dedcaticrs, reservaticrs, orcther exroicrs -cdledively
ra'aradto as 1ees'exroiais." You taveOOdaysfrcrntte-ths pennt v,a; iss..edto prdesl i"1J(lliti01 c:lthesefeeslexroiais. If you prdesl Item you rrust
fcJlo,itt-e prctest [>'CICErlres set fo1h in GcMemrent Code Sedi01 €6'.l20(a), ard file tte prdesl ard any cther req,.iroo infonrati01 wlh tte Oty 1111r<ger fcr
pnx:essing in ocwda rewlh Ca1sboo M.rid,a Code Sedi01 3.32.IID. FalLJetotirrayfdlONlhal ~\Mil ta-anysut,;eq..,ert l<ga acti01to~
re.iie.v, set aside, vtid, a-aYU tter irrp:stioo.
You ,re hereby FlR11-ER NOTIFIED that )OS rigt to prdesl tte specifieJ feeslexroi01S CCES Nor J>l'PLYto'MllE, ard seM3r001nedi01 fees ard "'l)'dty
ct,a,-g,s, nor pla-nng, 21lfing, ga:lng or cther sml,. wicai01 pnx:essing or ser;;oe fees in 0010acti01 wlh ths prtjed. NCR CCES IT J>l'PL Y to any
f ·a,sctw,i ·a..s1 ·m1 h' eras v.Jict, ·rec:1.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
-~ Building Permit Application Plan Check No. c@)1 U, 5'-P-:)
~•i#li 1635 Faraday Ave., Ca~sbad, CA 92008 Est. Value
~ CITY OF Ph: 76(}602-2719 Fax: 76(}602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date ..i,_ ~-1\ D ISWPPP
JOB ADDRESS SUITEf/SPACEf/UNITf APN
2321 LONGFELLOW RD. ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of AIJecfed Area(s)
REMOVE AND REPLACE 1 FAU, 1 A/C UNIT &
1 NEW 40 AMP CIRCUIT
EXISTING USE I PROPOSED USE I GARAGE {SF} PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING 'FIRE SPRINKLERS
YES[}, "'° YES □No□ YES□No□
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME RICK ADAM Pftnl · '"'· nt•Gt
ADDRESS ADDRESS
1250 PACIFIC OAKS PL. #103 2321 LONGFELLOW RD.
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029 CARLSBAD CA 92008
PHONE I FAX PHONE l'AX 760 839-8383 760 839-8380 760-331-3628
EMAIL EMAIL
INFO@OAKISLANDAC.COM
DESIQN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE l'AX 760 839-8383 l'AX 760 839-8380
EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE UC.# STATE UC.# 'CLASS l°ITY BUS. LIC.1212710 745400 C-20
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter. improve, demohsh or repair any structure, prtOf" 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, oommending with Section 7000 of Division 3 of the Business and Professions Code} or fhat 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 {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby afflrm under penalty of peljury one of the following dedarations: 0 I have and wlll maintain a certfficate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
[l] I have and wlll maintain workers' compensation, as reauired bY Section 3700 of the labor Code, for the partormance of the 'M)rk for which this permit is issued. My wcrkers' compensation insurance carrier and policy
number are: Insurance Co. EVEREST NATfONAL INSURANCE Policy No. 7600000635141 Expiralion Date 01101/2017
~section need not be oompleted if the permit is for one hundred dollars (SHXl) or less. LJ Certificate of Exemption: I certify that in the pertoonance of the lM:llk. fa which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Callfomia. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to cflmlnal penallles and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dam~ provided for In Section 3706 the labor code, Interest and attorney's fees.
H$ CONTRACTOR SIGNATURE -~
I hereby affirm that I am exempt tom Confrador's License Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, wiH do the wort 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 'M>rk himself or throogh his own employees, provided that such imi:rovements 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 lo an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's license law).
I am exempt undef Section ____ ,Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement [Jves []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) lo provide the proposed construction (incllde name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the fdlowing person to coordinate, supe,vise and provide the major work Onciude name I address/ phone/ contra:tors' license number):
5. I wlll provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work):
H$ PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future buikling occupant required to submit a business pl111, acutely hazardous materials registration fonn or risk management and prevention progran under Sections 25505, 25533 or 25534 of the
Presley• Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or Mure building occupant required k> obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the ouilr boundary of a school site? □ Yes □ 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.
CONSTRUCTION LENDING AGENCY
t hereby affirm that there is a construction lendrng agency for the performance of the work ttus permit 1s issued (Sec 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I C8ltlfy that I ha¥e read theappllcatlon and state that the abcwe intJmiatlon Is conactand that the Information on the plans Is aa:urate. I agiee to complywith all City ordnances and Slale laws ~to b .. ding a,nstruction.
I hereby aulholire rai,esemalM! of ~e City of Cambad iJ enler upon ~ above menooned IJOPOf1Y iJr inspediln purposes. I Af.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD
AGAINST All_ LIABILITIES, JUDGMENTS, CCSTS AND EXPENSES WHICH MAY IN /W'/ WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE Of THE GRANTING Of THIS PERMIT.
OSHA Ari OSHA permit is required br excavations over 5'0' deep and demolioon or oonstruction ofstrucb.Jres over 3 sk>ries in height.
EXPIRATION: Every permit 581.Jed by the Buik:ling Ofi::ial uooer the ~s of this Cooe shall expire by lmitaron and beoome nuK and WO if the buiklilg or \Wik authorized by sudl permit is not canmeoced 'Mthin
1!!) days from ~ dale of such i>'flTII or I~ bui~og or-au1ho!ized by such i>'flTII • spended or abanooned at any tirre after~ oo~ • rommenced iJr a peood of 100 days (Section 106.4.4 Uniilnn BJ~ Code).
,@S' APPLICANT'S SIGNATURE ~ DATE <{ 1'J l f 1.o
Inspection List
Permit#: CB163343 Type: PME
Date Inspection Item
09/16/2016 43 AirCond/Furnace Set
09/16/2016 43 AirCond/Furnace Set
09/16/2016 49 Final Mechanical
09/16/2016 49 Final Mechanical
Friday, September 16, 2016
Inspector
JW
JW
Act
RI
AP
RI
AP
ADAM: REPLACE FAU, A/C & ADD
40ACIRCUIT
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