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HomeMy WebLinkAbout2658 OCEAN ST; ; CB112567; Permit12-07-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 112567 Building Inspection Request Line (760) 602-2725 2658 OCEAN ST CBAD PME 2031410700 BILLER RES-REPLACE FAU Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/07/2011 LSM 12/07/2011 12/07/2011 ACTION AIR COND.& HEATING-S.D. BILLER PATRICK D&LADUSKA T MARITAL TRUST 04-10-0 2750 S SANTA FE SAN MARCOS CA 760 727 4152 Plumbing Fees Electrical Fees 1 Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2728YORK RD CARLSBAD CA 92010 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date: I ;i... ' 1 ~-f ( 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 foflow the protest procedures set fcrth 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 se,vice fees in conner.lion with this project. NOR DOES IT APPLY to any f 'I r hi h h I . i i I h rwi Building Permit Application Plan Check Nrll.f:, / I ~<.o I 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558 ~ www.carlsbadca.gov ~ate l:l /7/ / / lswppp JOB ADDRESS SUITE#/ ,,. APN 2658 Ocean Street, Carlsbad, CA 92008 --- CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. TYPE I OCC. GROUP 1 udCRIPTION OF WORK: Include Square Feet of Affected Area(s) Change-Out Furnace (FAUi Same Location EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPlACE 'AIR CONDITIONING I FIRE SPRINKLERS Single Family Resid. Same YES0, "'° YES□No □ YES□No□ APPLICANT NAME (Primary ContHt) Monette Biller APPLICANT NAME (Secondary Contaot) Glenn Ostmark ADDRESS ADDRESS 2658 Ocean Street 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 San Marcos CA 92069 PHONE IFAX PHONE IFAX 760-889-9185 760-727-4152 760-727-0213 EMAIL EMAIL comfort@actionac.net PROnRTY OWNER NAME Monette Biller CONTRACTOR BUS. NAME Action AC, Heatina & Solar ADDRESS ADDRESS POBox548 2750 S Santa Fe Avenue CITY STATE ZIP CITY STATE ZIP Runnina Sprinas CA 92382 San Marcos CA 92069 PHONE IFAX PHONE IFAX 951-640-9092 760-727-4152 760-727-0213 EMAIL EMAIL comfort@actionac.net ARCH/DESIGNER NAME & ADDRESS I STATE UC. # STATE UC.# ICLASSC-20 ICITYBUS.LIC419800 509805 (Sec. 7031.5 Busmess and Professions Code: Any City or County which requires a permit to construct. alter. 1mprove, demolish or repair any structure, pnorto its issuance, also requires the applicant for such per_m1t to file a signed statement tnat 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than f,ve hundred dollars {$500)). Wort.en' Compenutlon Declaration: I hereby affirm under pellll/ty of perjury one of the following declarations: D I have and wm maintain a certificate of consent to self-lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued [Z] I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the worl< for which this permit is 1SSued. My workers' compensation insurance carrier and policy number are: Insurance Co Callfornla Contractors Network Policy No. 4503-093 Expiration Date 12/31/2012 l!liJ.section need not be completed if the permit is for one hundred dollars ($100) or less. l.lJ Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as lo 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 elvll fines up to one hundred thousand dollart (&100,000), in addition to the cott of compensation, dam ro ded for In Sec n 3706 of the Labor code, Interest and attorney's fees. ,i!5 CONTRACTOR SIGNATU•"---"''"' I hereby affirm thst I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do 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). 0 I, as owner of the property, am exclusively contracting wrth 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 contractor{s) licensed pursuant to the Contractor's License Law). □ 1 am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement OYes Do 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following pe,son (finn) to provide the proposed construction (include name address I phone I contractors' bnse number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worl< (include name I address I phone I contractors' 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 I address I phone I type of work): ,i!5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a busines&b, acutely haza«lous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account A.en D Yes L.J No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aU!l,ality management district? Dvas 0No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Dves L.JNo 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 oertlfythat I have read the application and state that the ab<We infonnatfon Is correct and that the Information on the plans Is accurate. I agree to complyv.ith all City ordinances and state laws refatlngto build Ing oonstructlon, I hereby authorize representative of the City of Cartsbad 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAJNST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pemiit is required for excavations over s·o· deep and demolition or construction of struclures over 3 stories in height EXPIRATION: Every pennit issued by the Building Official uOOer the provisioos of this Code shaH expire by limitation and becane null and void if the building or WOOC. authorized by such permit is not commenced within 180 days from the date of such permit or if the building or uthorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building C<Xie). L APPLICANT'S SIGNATUR DATE l City of Carlsbad Bldg Inspection Request For: 12/14/2011 Permit# CB112567 Title: BILLER RES-REPLACE FAU Description: Type:PME Sub Type: Job Address: 2658 OCEAN ST Suite: Lot: 0 Location: Inspector Assignment: Phone: 7608899185 lnspectorli± OWNER BILLER PATRICK D&LADUSKA T MARITAL TRUST 04-10-0 Owner: BILLER PATRICK D&LADUSKA T MARITAL TRUST 04-10-0 Remarks: Total Time: CD Description Act Comments Requested By: ROBERT Entered By: JANEAN 44 Rough/Ducts/Dampers 49 Final Mechanical 1W------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments