HomeMy WebLinkAbout2867 Camino Serbal; ; CBR2018-2668; Permit(city of
Carlsbad
Residential Permit
Print Date: 10/24/2018 Permit No: CBR2018-2668
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2867 Camino Serbal
BLDG-Residential
2552811500
$0,00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
10/02/2018
10/02/2018
TFraz
Plan Check II:
Final
Inspection: 10/24/2018 8:52:24AM
Project Title:
Description: SUMMER: ADD 2 NEW A/C UNITS TO AN A/C PREPPED HOME
Owner: Contractor:
MELISSA LSUMMERS
2867 Camino Serbal
CARLSBAD, CA 92009
OAK ISLAND HEATING AND AIR
CONDITIONING INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
1250 Pacific Oaks Pl, Ste 103
Escondido, CA 92029-2908
760-839-8383
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedkations, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/e~actions. 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad. CA 92008-7314 I 760-602-2700 I 760-602-8560f I www.carlsbadca.gov
$175.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO i>ERMrT ISSUANCE: 0 PLANNfNG 0 !,NG!NEERING
/ ... ~~,:;
"'' '4:·, ~ 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
j JOB ADDRESS
l
, CT/PROJECT# I '
2867 CAMINO SERBAL
LOU' t Of UNITS f BtDROoMS
OESORIPTION OF WORK: 1,u,l11d• Sqi,ial'II! Ffft or Atrootod A,ea(•)
•BUILDING 0RRE
Plan Check No
Est. Value
ADD 2 NEW A/C UNITS TO AN A/C PREPPED HOME1
NO ELECTRICAL
I
'sWPPP
CONSTR TIP£ GR(HJP
, EXISTING USE IPffOPOSEOUSE I GARAGE (SF) PATIOS 1SF) I DECKS {SF) IFIREPI.AC~ rlR OONDtTI0NING rRE SPRINKLERS
YESO NrQ YESONo D YESONo[J
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME MELISSA SUMMER I ft~ •••• A.~-~
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103 2867 CAMINO SERBAL
CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009
PHONE lw PHONE rAX 760 839-8383 760 839•8380 760-613-7336
EMAIL EMAIL INFO@OAKISLANDAC.COM
DESIGN PROFESSIONAL CONTRACTOR SUS. NAME OAK ISLAND HEATING ANO AIR
.\DORE$$ ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE rM 760 839-8383 rl\X 760 839-8380
EMAIL EMAIL
INFO@OAKISLANDAC.COM
!STAT'£ UC• STAH.LICf r= ri!Y Ill.IS. UC1212710 745400 C-20
(Set. 7 0315 Business and P_rofess,ons Code Any C,cy or C~nty wh ,ch requires a perm,t to_cpristruct alter imp, o~e. demollsh or repair any sbucture. pnor to its 1SS1.1an£9 also ~u11es the applicant for such ptlfm!t to file statement tliat he 15 licensed pursuant to the prov1s,ons ol the Contractors Li<:ense Law {Chapter 9 commending with Section r 000 al' Olvistan 3 of the
Bus1nes& and Professions COlle he ,s e~emiit therefrom. and the bal.15 for the alleged exemption. Any v1tllat1on d. 5$:tion 7031 5 by any applicant fOI a pe,mit subjects the applicant to a cwil penalty ot net more than dollat1; {$500)).
Workera' Comp•tation Otc:tatallan r hereby illllllll undlirpenaly otve1ury ollfl Of Ille f(I/Jt)W;ng dt'dara!im,s D I have and will maintain a eenific11t of C#!fffll to ulf~ncu,a fol WOll(e1t ~nsabon as provided t1f Soc!itm 3700 ol I.he Labor Cow. !Of the perlom,aoce ol the woo;; for which tllis p,errrul ,s 1ssue<l
[Z] I have Ind will llllllntain walker&' COfflP«!UtiCM'I as !eQ1&red bV Section 3100 of lhe Labor Code. !or the pert!lfmance o! the >WI~ lw wh,ch till$ perll»t ,s ~ued Plrf ~ers· compensalKm msurance cimer and pd>ey
:wfltl&' are: !ns\fanci; Co EY.f:~_ST_~TION_AL INSURANCE P(lity No . 7600000635141 E,prauon Oate Ot/0112llrn
~sec hon need no! be eompeledil lhe pernit rs for Olle hundred (ljlar,; [$100) or less
, L.J Cartlllca!e of Exemplion: I ce.1lfy tllal in th peoomiance Of the woo. fonmich INi p111!rit is !$Sued, I sh011 nol ompoy any pernon in ooy manner so as lo be<;Qme sut;ieel to lhe W011<.er.' Compensation La111S al
· C~li!omia WARNING: Fallurt to sewre woti<ers' compensation c:owm1p Is un1..ru1, and shall 911b)eet an amploy&r lo crimlnlll pen1ltl• and ell/II fines up to one htmdred lhooSll'ld dollars {& 100,000), In
~ddlilon to !h&eotl of comp.,sation, dllmages 111 provided for in Stcilon 3100ff' !ht Labor code. intetast and allomey·, fees.
AS COKTIVICTOlt$lGNATURE ~ IZ]AGENT
I mreby alli1m lhal I am exemfi '7ml Ccmtrador~ vcense Law rorthe following mason 0 !, as ownet of lhe prope!'tf 01 my eNfl(oyees Wlin Wll!l('!i as tlte<r sde compoosabo", Ml do 1he 'Mlrk and the stru,;lme is net illlended or offeted for sae lSec 7044. 8usmoss and Professions Code. Tile Cootroc\t(s
License Law does not ~y lo an OM11l( o! properlyw!IOb\Jtds or 1irpwes thereon. Bl1Q v.tto ooes such wk hunsdf or !trough his own empO(ees. prwiell!d lhet s..rch rmprovements ate no! intended ex cffered ta
s~e. I{ h-, !he b\Jidmg a 1~111 is sdt!>Mthm one year of eorrpebon. !he owner-biJk!!!f WIii have lhe bilrdefl al prov,ng lhal he dd flOl buid a 1nµ-ove foc the pil!JlOSe of sale) D I, as lll\1lef of lhe properly, am etdllliivsly controcbngwith licensed colllractOIS 10 cooslruct the JJOfe(I (S~ 7044, Business arnl Professions Code TheConlrnclors License Law 00&5 not appy tv an -01
prq)llfty l'dlo ooid& a invoves !!!«eon. aQd rontmcts for such projects v.ith con~actor(s) licensed pursuant to lhe Contr~lor s uw1se Law)
D I em exempt under sec,on Business end Professions Code for this roasorr
I I pll!Wll!illy pan to prO'llde Iha major tabor a!ld matenms for consltuction or the proposed pr~rty ill'!)fovement Oves Do
2. I (have I have not) signed an app~al1on for a bidding permit for !he prqxised WOik
3 I have con true led Yl'lh lhe fdlowing pe,son {rttm) !jl prO\lide 1)1e p-oposoo consimction (1ndude name addess I phOne / contmc!ols· !,cense numbEr).
~ I ~ao lo provide pormms a! Ille wm, bul I have hired the fdlowmg person lo coordna!e. supef'lisg am:t prwide !he ma,Of wor1< (mdwe name I ackhss I µhooo I contractors' l!cense numbet)
5 I \ml pr!Mde some of the mr~. bul I ha¥e contrac1ed (turw) the l'd!OYoin9 person, UJ provide th2 work ,ndcated (1!\ci\Jde oame I ao::!rnss / phooo I type of~)
6J PROPERTY OWNER SIGNATURE DATE
Is the ai:picent « lutl.l"a buiciJlg occupanl required to subrril a busines$ r;ian, ecutdy hazardous mataims regis!rnbon form or risk managementond pr!J\/ention program un<lel Secbom 25505, 25533 a 25534 of the
f'raljey.Tanoer~wdous Substance Aceounl Act? Cl Yes n No
Is tha epi;Aicant « !ult.re buidn9 occup,mhequirllll !oobhlll\ a peunil horn Ille ait pahrtion contrct dislJict a air quijily management clstncl? 7 Ye$ O tslo
Is 1h11 lilciily to be c011$1!\!ctedwiUin 1,000 feet ct tlleoula' !XlUOOfliY of a school sim? n Yes Cl No
IF ANY OF THE ANSWERS ARE YES, A FINAL·CERTIFICATE Of OCCUl'ANCY MAY NOT BE ISSUED UNLESS THE APPLICANT H,O.S MET OR 1$ MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND lllE AIR POLLIJT ION CONTROL DISTRICT,
I hereby affirm Illa! there is a c011slruC!ion lending agency for ihe performance of the WOii< this perm1115 issued (Sec. 3097 (i) Civil Code)
Lenoor's Name Lender's Address
ICl!llifylllatl llmen::edtlleapplicatiol, andmtethatltiealxM!lnfonnlltkln is oormend ttiattllelllformalion on the plans ls1m1rale. lll#l!l!tut10111it,'Mlh lllletty-ol!1illlnoes and St!telaws relalilgtoooildlngOOll$tnldiOO.
I he-roy au!hcrlZI.! ~00?.tllati'Al ol the Qty olCai;bad kl en);lr ~ Iha ltiowmen!vned f'.l'ql€ftf fcx I~ p.fPO'S8S I ALSO .Al:,REE TOSAI/E, INDEMNIFY #-ID KEEP HARMLESS THECl1Y Cf CARLSBAD
AGAINST ALL !.W3lUTIES. JJDGMENTS. COSTS ANO EXfl:NSES 'M--llCH MAY IN M-JYWAY AOC.RUE /!GAINST SMl C!lY IN Co-,JSEQLGJCE OF THE rnANTING Cf lHS ff.Rt.'lT
OSHA: M alHA pumd rs requn,d fcr excaYSliOnli Ol'8' 51l' ~ and dE.molilon er oonrouclnn d stucttreS OVfX 3 staias" lie\)ht
EXPIRATION Ell<ltY pe!Ttlrt ,ssuedby the Bu1klng Offl:lill under Ille~ of lhis Codll shal e:,preby linilakmandil8caro nul and voo I !ha buiklr,g a v.uk aulooizedby 51.JCh JH!llrt ,s oo! arnmencoo 'Milin
180 daysron !he date o! 9.ldl pamrt ex~ thebudong a Y,Olk aulhmtedbyfjhpm11i issuspendedcr abal1doned a1 anytirre aner 1he'M'.Xk lSCOOVTl!l/lCOO fcJ a periodo! 180days (Seeton 100 4 4 Unilmn Bu,ldJlg Cooo)
,.es'APPUCANT'SSIGNATURE /"',,.b-rv'-, Ll.Jttrl'.\ OATE q lt')..,J,i
• ,h >fut:,_, ¾t;l'£ :, ~!{~:'. ', -.fr,,• f;~" ', <]:.Ji s_0:¼"(1 /,'\ • , ""•:'./;;~)SJ:. a :. A. '.,:& ' ,•:,-"•~A Y'~, s . ,~·,:~trt~ ~·;:~:.·:·,\: .·.···/./fij~~IT IN~PE~otr(i.il]:19R~,~Epq~,;: (CS~2018-2668) , ..... .
Permit Type·
Work C!;i,;s:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application DatQ: 10/02/2018 Owner:
Issue Date: 10/02/2018 Subdivision:
Expiration Date: 04/17/2019 Address:
IVR Number: 14344
Inspection No. Inspection Status Primary Inspector
10/1912018 10119/2018 BLDG-43 Air
Cond./Furnace Set
073566-2018 Failed Tim Frazee
10/24/2018
October 24, 2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
07356 7-2018
Checklist Item
BLDG•Mechanical Final
BLDG-Electrical Final
BLDG-43 Air
Cond./Furnace Set
074036-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
074037-2018
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
COMMENTS
Need to label breakers and disconnects for
the AC units
Need tamper proof devices on Freon valves
Failed Tim Frazee
COMMENTS
Need to label breakers and disconnects for
AC units
Need tamper proof devices on Freon valves
Scheduled Tim Frazee
COMMENTS
Need to label breakers and disconnects for
the AC units
Need tamper proof devices on Freon valves
Passed Tim Frazee
COMMENTS
Need to label breakers and disconnects for
AC units
Need tamper proof devices on Freon valves
Corrections made 1 0124118
Labeled main paMel and disconnects
10/24/18
MELISSA SUMMERS
CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
2867 Camino Serbal
Carlsbad, CA 92009-6995
Reinspection Complete
Re inspection Complete
Passed
No
Relnspection Complete
Passed
No
No
Incomplete
Passed
No
Complete
Passed
Yes
Yes
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