HomeMy WebLinkAbout2342 LONGFELLOW RD; ; CB152272; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical {PME) Permit
07-20-2015 Permit No: CB 152272
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2342 LONGFELLOW RD CBAD
PME Status:
Parcel No: 2121424200 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: ROSELL: REPLACE FAU & ADD NC
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ROSELL JAMES R&DEANA V
2342 LONGFELLOW RD
CARLSBAD CA 92008
ISSUED
07/20/2015
JMA
07/20/2015
07/20/2015
$0.00
$0.00
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due:
Inspector:
FINAL
Date: Clearance:
$0.00
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
f x in ofwhi h ou ve r vi I n iv n N Tl E imilartolhis orastowhi h h flimit ions has r vi usl h rwi
' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMrT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
~ Building Permit Application Plan Check No. CB ! S· ?-2-7
'~ ... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Qeposlt. CARLSBAD email: building@carlsbadca.gov
v,rww.carlsbadca.gov Date 'J/?1")/1i lsWPPP
JOB ADDRESS 2342 LONGFELLOW RD.
SUITH/SPAC£f/UNJTf IAPN ---
CT/PROJECT# ILOT# I PHA.SE # I# Of UNITS I# BEDROOMS # BATHROOMS I 19Afff BUSINESS NAME I CONSTR. TYPE I acc. GROUP
..
DESCRIPTION OF WORK: Include Square Fnt of Affected Area(s)
REMOVE AND REPLACE 1 FAU AND 1 A/C UNIT, LIKE FOR LIKE
NO ELECTRICAL
EXISTING USE I PROPOSED USE I GARAGE (SF) PATlOS (SF) I DECKS {SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS
YES0, Ne(] YES0No □ YES□No□
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME DEANA ROSELL ,_ """""' ADDRESS ADDRESS
1250 PACIFIC OAKS PL. #103 2342 LONGFELLOW RD.
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029 CARLSBAD CA 92008
PHONE I FAX PHONE I FAX 760 839-8383 760 839-8380 760-822-2681
EMAIL EMAIL
INFO@OAKISLANDAC.COM
DESIGN 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 I FAX 760 839-8383 IFAX 760 839-8380
EMAIL EMAIL INFO@OAKISLANDAC.COM
TSTAT£UC. # $TATE UC.# ic'ASS I CllY BUS. LIC1212710 745400 C-20
(Sec, 7031.5 Business ~nd Profes~1ons Code: Any City or CQun_ty which requires a permit to_~nstruct, alter, improve, qemol1sh or repair any structure. ~nor 19 its issuance, also req1:11res the applicant for such permit to file a s®'led statement that he 1s hcensed pursuant to the prov1s1ons of the Contractor's License Law fChapter "9, commendmg with Section 7000 of DMsion 3 of the Bus mess and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Woril:en:' Compensation Declaration: / hereby alfimi urrder penalty of pe{ju,y one of the falkNiing declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provkled by Section 3700 of the Labor Code, for the performance of the work for 'Mlich this pennit Is issued.
IlJ I have and wlll maintain worti:ers' compensation, as 1911uired by Section 3700 of the Labor Code, for the perfonnance of the 'M'.)rl<. for which this pennit is issued. My wcwkers' compensation insurance caiier and policy
number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration □ate 01/0112016
Jm_section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performaoce of the 'Mll'k for which this it is issued, I shall oot emplOy any person in any manner so as to become subject to the WOfkers' Compensation Laws of
I, nd shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In California. WARNING: Failure to secure workers' compensation coverage Is uni
addition to the cost of compensation, damages ded for in on 3706 ofth code, Interest and attorney's fees.
JES CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contradots License Law for the fol/o'Mng reason:
□
□
I, as owoerof the property or my employees with wages as their sole compensation, will do the work and the strucb.Jre is not intended or offered for sale {Sec. 7044, Business and ProfesSKlos Code: The Contraclar's
License law does oot apply to an owner of property who builds or improves thereon, and who does such won<. himself or through his own employees. provided that such improvements are nol inlended or offered for
sale. If, however, !he building or improvement is sold within one year of completion, the owner-buikler will have the burden of proving !hat he dkl not build or improve for lhe pu,pose of sale).
I, as owner of the property, am exclusively contracting with licensed coom:tors 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 contractor(s) licensed pursuant la the Contractor's license Law). D 1 am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor alKI materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I 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 COflStruction (include name address/ phone I contractors' license number):
4. J plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contracltxs' license number):
5. I will provkle some of the work, bul I have contracted (hired) the following persons to provide the work Indicated (include name I address/ phone I type of work):
_,:S PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILOING PERMITS ONLY
Is the applicant or future buikling occupant required lo submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required kl 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 outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFACE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affinn that there ~ a cooslructioo lending agency for the pe!fonnance of the work this permit is ISSUed (Sec. 3097 (1) Ciol Code)
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify tttatl have read the application and state that the above inbnnatioo is conectand that the lnfonnation on the plans lsaa:urate. I agiae ID con1)1ywith an CIIJ"oldlnancesand Slate laws relating to building oonslructlon.
I hereby authorize rep-esentative of the City of Cartbad to enler upcw1 the above menmned prq:ierty b inspecOCm pul'JX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-lE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, CCSfSAND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAINSf SAID CITY IN CONSEQJENCE OF THE GRANTING Of THIS PERMIT.
OSHA: M OSl-li\ permit is requied br excavations over 5'0' deep and derrdioon or construcoon of slrucb.Jres over 3 stories in heglt.
EXPIRATION: Every permit issued by the BuikiincJ Official under the provisms of this Code sh I expire by Imitation and beoome null and m if the OOik:lilg orWJrk authorized by sudl P3fTTit is not ccmmenced wthin
100days tom the date of sud! ~It or if the buikiing orv.or1< aulhorizad by sudl permit E su or abandoned at anytime after the 1NJrk is oommenood tJr a period of 100days {Section 100.4.4 Unibrm Builcing Code) .
..@S'APPI.ICANT'SSIGNATIJRE ~ DATE 111,,t)
Inspection List
Permit#: CB152272 Type: PME
Date ___ Inspection Item
09/04/2015 43 AirCond/Furnace Set
09/04/2015 43 AirCond/Furnace Set
09/04/2015 49 Final Mechanical
09/04/2015 49 Final Mechanical
Tuesday, September 08, 2015
Inspector
AEK
AEK
ROSELL: REPLACE FAU & ADD A/C
Act Comments
RI
AP
RI
Fl
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