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2749 ABEJORRO ST; ; CB140545; Permit
09-22-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Piumbing/Mechanical/Electrical (PME) Permit Permit No:CB140545 Building inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2749 ABEJORRO ST CBAD PME 2153201002 ORTLEY RES- REPLACE FAU SAME LOCATION Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/12/2014 RMA 03/12/2014 03/12/2014 Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner: ORTLEY JOHN F 1513 HALIA CT ENCINITAS CA 92024 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $158.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 EXPIRED PERMIT DATEJIIIIIZ^^SIGNATUR^. Inspector: FINALAPPROVAL Date: 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 Govemment 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/fixactinns of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING •ENGINEERING •BUILDING npIRE • HEALTH nHAZMAT/APCD Plan Check No. /1/() S'/'^" ^ CITY OF CARLSBAD Building Perniit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@cartsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Deposit SWPPP JOBADDRESS 2749 ABEJORRO ST SUITE*/SI>ACE*/UNIT# CT/PROJECT # PHASE # # OF UNrrs # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Ineltnte Squara Feat of Atfotted Areafs) REMOVE AND REPLACE EXISTING FURNACE LIKE FOR LIKE EXISTINQUSE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~^ N0| I AIR CONDrriONING YES I |NO| I FIRE SPRINKLERS YEsQ N0| I APPUCANT NAME Pttnafy Contact LES YOUNG PROPERTYOWNER NAME JOHN ORTLEY ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS 1513 HALIA CT CITY ESCONDIDO STATE CA ZIP 92029 CITY ENCINITAS STATE CA ZIP 92024 PHONE 760 839-8383 FAX 760 839-8380 PHONE 760 815-6632 FAX EMAIL EMAIL DESISN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY ESCONDIDO STATE CA ZIP 92029 PHONE FAX PHONE 760 839-8383 FAX 760 839-8380 EMAIL EMAIL LES^OAKISLE.COM STATE LIC. # 745400 C-20 CITY BUS. UC.# 1212710 (Sec. 7031.5 Business and Professions Code: Any City or Counly 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 sl»ied statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 ofthe 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 five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compansatlon Declaration: / hereby affiim under penalty of petjmy one ofthe following ihclarations: SI have and will maintain • certificate of consent to seK-insure for vmrkers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is Issued. I hava and will maintain worfcars' compensation, as rsquirsd by SeCSon 3700 of the Labor Code, for the performance of the work fbr which this permit is issued. My workers' compensation insurance carrier and policy number ats: Insurance Co.. EVEREST NATIONAL INS . Policy No.. 7600000639141 ExpirabonDate. Bsection need not be completed if the pennit Is for one hundred ddlars ($100) or less. Certificate of Exemption: I certify that in the perfonnance of the work for which this pemiit is issued, I shaH not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure uratyjs' compensalion coverage is unlawftil, and shall aubject an employer to criminal penalties and dvil fines up to one hundred thousand dollars (S100,000), in addition to the cost of compensation, damagis as oratiM for In Section 3706 of the Labor code, Interest and attorney's fees. jgj" CONTRACTOR SIGNATURE /"^A^^^^- QAGENT DATE ^'/J.'/'/ O WNER-BUILDEr DECLARATION I hereby affiim that I am exempt from Contractor's License Law fbr the fbkmng reason: I I I, as ovmer of the property or my emptoyees with wages as their sole compensation, will do the wori< and the stracture is not intended or offeted for sale (Sec. 7044, Business and Professions Code: The Contractor's — Lkxnse Law does not apply to an owner of property who buikls or Improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for sale. If, however, the buiiding or Improvement Is sokl within one year of completion, the owner-builder win have the burden of proving that he did not buHd or Improve for the purpose of sale). I I I, as owner of the property, am exdusiveiy 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 buikls or improves thereon, and contracts for such prt>jects with contractorts) licensed pursuant to the Contractor's Ucense Law). • I am exempt under Section. .Business and Professions Code fbr this reason: 1.1 personally plan to provide the major labor and materials fbr constnictton of the proposed property ImprovemenL •Yes 00 2.1 (have / have not) signed an application for a building pernilt for the proposed wori<. 3.1 have contracted with the fdkiwing person (flrni) to provide the proposed constractton (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the fbltowing person to coordinate, supervise and provide the major wort< (include name / address / phone / contractors' license number): 5.1 will provide some of the wori<, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future buikling occupant required to submit a business plan, acutely hazardous materials registration forni or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes HUo Is Ihe applicant or futura buikling occupant required to obtain a pennit from the air pollution control district or air quality management districT? • Yes • No Is the facility to be constnided within 1,000 feet of the outer boundary of a school site? OYes GNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERHFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I tiereby affirm that there is a constmction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address APPLICANTCERTIFI CATION I certliy that I have lead the applkaAlon and state that the above Information Is conect and tt^ I hereby authorize representatlvB of the City of Cartsbad ID enter upon the atxive mentkmed propeity for InspecSon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEff HARMLESS THE CfTY OF CARLSBAD AGAINST ALL UABUTIES, JUDGMENTS, COSTS A^© EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. C)SHA: An OSHA pennit is required for excavattons over S't)* deep and demoWton or construdkm EXPIRATION: Every pemiit issued by the Bulding CMdal under the provistons of this Code shall expire by llmltainn and become nulandvoldiflhebulkllngor woik authorized by such peimit Is not commenced wilhin 180 days titim the date of such peimit or if the buMing or watf VSTAPPUCANT'S SIQNATURE DATE