HomeMy WebLinkAbout2816 CEBU CT; ; CB143379; Permit12-02-2014
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electricai (PIVIE) Permit
Permit No:CB143379
Building Inspection Request Line (760) 602-2725
Job Address: 2816 CEBU CT CBAD
Permit Type: PME Status:
Parcel No: 2153102700 Lot#: 0 Applied:
Entered By
Reference*: Plan Approved
PC#: Issued:
Inspect Area
Project Title: STETSON RES - ADD A/C UNIT //
REPLACE FAU - LIKE FOR LIKE, SAME LOCATION // ADD 1-50 AMP
CIRCUIT
ISSUED
12/02/2014
SKS
12/02/2014
12/02/2014
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Owner:
STETSON JOHN F&KATHY J
2816 CEBU CT
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$35.00
$160.00
$0.00
TOTAL PERMIT FEES $195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL
Date: ^ Y Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, idedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pemiit 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 accoixlance 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/fixactions of which vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PLANNING • ENGINEERING • BUILDING DFIRE • HEALTH • HAZMAT/APCD
Plan Check No.
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov 5
Est. Value
Pian Cif
Date SWPPP
JOBADDRESS 2816 CEBU CT., CARLSBAD, 92009 SUrrE«/SPACE*/UNIT«
CT/PROJECT # PHASE # # OF UNrrS # BEDROOtUIS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
ADD 1 A/C, REPLACING 1 FAU - LIKE FOR LIKE AND ADD 1 - 50 AMP. CIRCUIT
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESr~|# NOj I
AIR CONDITIONING
YES I |NO I I
FIRE SPRINKLERS
YES I |NO| I
APPUCANT NAME
Prinarv Contact LES YOUNG PROPERTY OWNER NAME JOHN STETSON
ADDRESS 1250 PACIFIC OAKS PL #103
ADDRESS
2816 CEBU CT.
CITY ESCONDIDO STATE CA ZIP
92029
CITY
CARLSBAD
STATE
CA
ZIP
92009
PHONE
760 839-8383
FAX PHONE
760 839-8380 760-268-0930
FAX
EMAIL INF0@0AKISLE.COM EMAIL
DESIGN 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 PHONE
760 839-8383
FAX
760 839-8380
EMAIL EMAIL
INF0@0AKISLE.COM
745400 C-20
CITY BUS. LIC.#
1212710
(Sec. 7031.5 Business and Professions Code: Any Qty 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 ofthe 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 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 [}eclaration: I hereby aflirm under penalty of perjury one ofthe foUowing declarations: aI have and will maintain a certificate of consent to self-Insure fbr workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this penmit is issued.
I have and will maintain workers' compensation, as required bv Sectbn 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatkin insutance carrier and polkiy
numberare: Insurance Co._ EVEREST NATIONAL INSURANCE Policy No. _ 7600000635141 Expiratkin Date „ oirai;20i5
This section need not be completed if the pemiit is for one hundied dollars ($100) or less.
j I Certificate of Exemption: I certify that in the perfomiance of the work fbr which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatton Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damaaes as provided for in Section 3706 of the Labor code. Interest and attomey's fees.
CONTRACTOR SIGNATURE P^^O- ^ [7] AGENT DATE 12/02/2014
O W N E R - B U I L D E R C E C L ARA T i O N
/ hereby affimi that I am exempt from Contractor's License Law for the tollowing reason:
I I I, as owner of the property or my emptoyees with wages as their sole compensatton, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professtons Co6e: The Contractors
License Law does not apply to an owner of property who buikis or improves thereon, and who does such work himself or through his own employees, provkled that such improvements are not intended or offered for
sale. If, however, the building or improvement is sokl within one year of completion, the owner-buiMer will have the burden of proving that he dkj not buikl or improve for the purpose of sale).
I I I, as oi»iner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec. 7044, Business and Professtons Code: The Contractor's Ucense Law does not apply to an owner of
property who buikJs or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
[ I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provtoe the major labor and materials for constmction of the proposed property improvement. •Yes I No
2.1 (have / have not) signed an appltoatton fora buitoing pemiit for the proposed work.
3.1 have contracted with the fbllowing person (fimi) to provtoe the proposed constmction (include name addtess / phone / contractors' lfcense number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provtoe the major work (include name / address / phone / contractors' Iicense number):
5.1 will provtoe some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE QAGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A I. BUILDING PERMITS ONLY
Is Ihe applicant or future building occupant required to submit a business plan, acutely hazanlous materials negistraSon form or risk managemenl and prevenlion program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazanlous Substance Account Act? OYes ONo
Is the applicant or future buitoing occupant required to obtain a pemiit from the air pollutton control district or air quality management district? O Yes • No
Is the facility to be constnjcted wilhin 1,000 leet of the outer boundary of a school site? OYes t^Uo
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 CONTRa DISTRICT
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
cAPPI- ICANT CERTIFICATION
Icertjfyttiatlhaie read theappllcatlon and state that theabowinfoimaljon is cons^
I hereby auJiorize representative of the City of Carlsbad to enter upon the above mentioned property fbr inspectbn puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CtTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMff.
OSHA' An OSHA pemiit is requiiEd fer excavatfons over S'C deep and demolitton or constmctton of stiuctures over 3 stories in heighL
EXPIRATION: Every permit issued by the Building Official under the provisions ofthis Code shall expire by Mtalion and become nun and void if the building orwxk aulhorized by such pem«t is not commenced wilhin
180 days from the date of such permit ofjjljf^i»fjfSfs or work aulhorized by such peimit is suspended or abandoned atanytimeafterthevioikis commenced for a period of 180 days (Sectfon 106.4.4 Uniform Buikfng Code).
APPLICANT'S SIGNATURE DATE (4-
Inspection List
Permit*: CB143379 Type: PME STETSON RES - ADD A/C UNIT//
REPLACE FAU - LIKE FOR LIKE, SAME L
Date Inspection Item Inspector Act Comments
12/22/2014 43 AirCond/Furnace Set PD AP
12/22/2014 49 FinalMechanical PD AP
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