HomeMy WebLinkAbout2852 CAZADERO DR; ; CB120280; Permit02-16-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CB120280
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2852 CAZADERO DR CBAD
PME
2153401002 Lot#
ORAHOVATS RES- REPLACE FAU &
A/C CONDENSOR - SAME LOCATION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
02/16/2012
RMA
02/16/2012
02/16/2012
Applicant
ACTION AIR COND & HEATING-S D
Owner
ORAHOVATS CHRISTINA M
2750 S SANTA FE
SAN MARCOS CA
760 727 4152
2852 CAZADERO DR
CARLSBADCA 92009
Plumbing Fees
Electncal Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106 4 4 AS AMENDED BY C M C.18.04.030
DATE SIGHATURE
$0 00
$0 00
$150 00
$0 00
$150 00
Total Fees $150 00 Total Payments To Date $150 00 Balance Due. $0 00
Inspector
FINAL APPROVAL
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 fiave 90 days from the date this permit was issued to protest imposition of these tees/exactions It you protest them, you must
follow the protest procedures set 'orlh in Government Code Section 66020(a), and file the protest and any olher 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 bat any subseqiietit 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/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
Building Permit Application
1635 Faraday Ave , Cartsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www carisbadca gov
Plan Check No.
Est. Value
JOB ADDRESS 2352 Cazadro Dr, Carlsbad, CA 92009
SUITE#/SPACE#/UNIT#
CT/PROJECT (* PHASE # # OF UNITS # BEDROOMS tf BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK Include Square Feet of Affected Area(s>
Change-Out Furnace (FAU) & A/C Condenser
Same Location
EXISTING USE
Single Family Res.
PROPOSED USE
Same
GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING
YES 171 NO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT NAME^Pf/mary Contact) Peter & Christina Orahovats APPLICANTNAMEfSsconcfary Contact) Glenn Ostmark
ADDRESS
2852 Cazadro Dr
ADDRESS
2750 S Santa Fe Ave
CITY
Carlsbad
STATE
CA
ZIP
92009
CITY
San Marcos
STATE
CA
ZIP
92069
PHONE
619-300-6376
FAX PHONE
760-727-4152
FAX
760-727-0213
EMAIL EMAIL
glenn.ostmark@actionac.net
PROPERIY OWNER NAME Peter & Christina Orahovats CONTRACTOR BUS NAME
ADDRESS
2852 Cazadro Dr
ADDRESS 2750 S Santa Fe Ave
CITY
Carlsbad
STATE
CA
ZIP
92009
CITY
San Marcos
STATE
CA
ZIP
92069
PHONE
619-300-6376
FAX PHONE
760-727-4152
FAX
760-727-0213
EMAIL EMAIL
comfort@actionac.net
AflCH/DESIGNER NAME & ADDRESS
509805 C-20
CITY BUS UCtf
419800
(Sec 7031 5 Business and Professions Code Any City orCounty whicti requires a permittoconstruct, alter improve demolish or repair any structure, pnor to its issuance also requires Uie 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 Anyviolation of Section 7031 5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars [S500])
Workers' Compensation Declaration I hereby affirm under penalty ot perjury one of the toilowing declaralions
• I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for Ihe performance of the work for which this peniiit is issued
I have and will maintain workers' compensabon, as reauired by Section 3700 of tfie Labor Code for the perfomiance of the work for which this pemiit is issued My workers' compensation insurance earner and policy
California Contractors Network D.,.„. 4503-093 r. .. ..,.„„ n,^ 12/31/2012 number are InsuranceCo. Policy No Expiration Date.
This section need not be completed if the permit is for one hundred dollars ($100) or less
I I Certificate of Exemption I certify that in the performance of the work for which this pemiit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
Califomia WARNING Failure to secure workers'conipensation coverage is unlawful, and shall subject an employer to criminal penalties and civil Fines up to one hundred thousand dollars (&100,000), m
addition to the cost of compensabon, damagftajtfjroylcigdfor in Sectigji 3706 of the Labor code, interest and attorney's fees / /
JS^ COHJRACTQRS\Qmj\if<E>^^^^^(]/\y/^^^^ •AGENT DATE i^//^//2^
(hereby affirm that I am exempt from Contactor's License Law tor the toilowing reason
I I i.asowneroftheproperty or my employees with wages as their sole compensation, will do the work and the staK:ture is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's
bcense Law does not apply to an owner of pnjperty who builds or improves ttiereon 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 ^e purpose of sale)
I I 1, as owner of the property, am exclusively contracting with licensed contractors to constmct the project (Sec 7044 Business and Professions Code The Contractor's License Law does not apply to an ovimer of
property who builds or improves thereon, and contracts for such projects wi^ contractor(s) licensed pursuant ta the Contractor's License Law)
I I lam exempt under Section. Business and Professions Code for this reason
1 1 personally plan to provide the major labor and matenals for constmction of Ihe proposed property improvement CZl'i'es I INO
2 1 (have / have not) signed an application for a building pemiit for the proposed work
3 i have contracted with Ihe foitowflng person (firm) to provide the proposed constmction (include name address / phone / contractors' license number)
4 I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide Ihe major work (include name / address / phone / contractors' license number)
5 1 will provide some of the work, but 1 have contracted {hired) the following persons to provide Sie work indicated (include name / address / phone / type of vwjrk)
>eS*PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous matenals registration fomi or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley Tanner Hazardous Subslance Account Acf • Yes ^3 No
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control distnct or air quality management distncf^
Is the facility lo be constnjcted within 1,000 feet of the outer boundary of a school site'' I I Yes [[f^o
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 OFRCE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
•Yes • No
I hereby affirm thai there is a construction lending agency for ttie performance of the wort this permit is issued (Sec 3097 (ij Civil Code)
Lender's Name Lender's Address
Icertfythatlhavereadttwapplicabonandstatethatttieaboveinfomtationisconectandthattheinfonpattonontheplansisaccui^ I agreetocomplyiMth all Cityordinances and State laws relatrngtobuidlngconsbudion
I hereby authonze representative ofthe City of Carisbad to enter upon the above mentioned pnaperty 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA, An OSHA permit is required fer excavations over 5'0 deep arid demoltoi or consttMcbw ol stroclures over 3 stones in height
EXPIRATION Every permit issued by the Building Offiaal under the pnDVisions of this Code shall expire by limitation and become null and void if the building or work authonzed by suc;h pemiil is not commenced viithin
180 days ftom the dale of such pemiit or if the building_ppwqrk authonzed bysuch permit is suspended or abandoned at any time alter the worit is commenced forapenod of 180 days (Secton 106 4 4 Unifcrni Building Code)
^APPLICANT'S SIGNATU, DATE