HomeMy WebLinkAbout2680 OCEAN ST; ; CB112669; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-20-2011 Permit No: CB112669
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2680 OCEAN ST CBAD
PME Status:
Parcel No: 2031411000 Lot#: 0 Applied:
Reference #:
PC#:
Project Title:
Applicant:
BIXBY RES-REPLACE FAU-SAME
LOCATION
ACTION AIR COND.& HEATING-S.D.
2750 S SANTA FE
SAN MARCOS CA
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BIXBY EDWARD W
7105 SANTA BARBARA ST
CARLSBAD CA 92011
ISSUED
12/20/2011
RMA
12/20/2011
12/20/2011
$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: / ~ ,r -( 2-, Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 Government Code Section 66020(a), and tile 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 tees in connection with this project. NOR DOES IT APPLY to any
infhihh ir h
Building Permit Application Plan Check No. 0/11 « ti
' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2717 / 2718 / 2719 Plan Ck. DE POSl1/ Fax 760-602-8558 /"
www.cartsbadca.gov /t .A-Date Jd lnl I I Jswppp
JOB ADDRESS .. ulTE#/-r,....,, .. #/l 11# rPN 2680 Ocean Street, Carlsbad, CA 92009 ---
CT/PRuJECT# I LOI# I PHASt. # I# OF UNITS I# i:sEOROOMS # BATHROOMS I TENA.NT BUSINESS NAME I CONSTR I rPf I OCC. G .. --P
o_.CRIPTluN OF nvRK: Include Square reet of Atrected Area(•)
Change-Out Furnace (FAU)
same location
EXISTING USE f PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS
Single Family Resld. -Same YES0, N<O YES□No[ZJ YES0No0
APPLICANT NAME (Primary Contact) Ned & Ronna Bixdy APPLICANT NAME(Seoondary Contact) Glenn Ostmark
ADDRESS ADDRESS
2680 Ocean Street 2750 S Santa Fe Avenue
CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 San Marcos CA 92069
PHONE PHONE
760-431-4745 I FAX 760-727-4152 !FAX 760-727-0213
EMAIL EMAIL
comfort@adionac.net
PROPERTY OWNER NAME Ned & Ronna Bixdy CONTRACTOR BUS. NAME Action AC. Heatina & Solar
ADDRESS ADDRESS
7105 Santa Barbara 2750 S Santa Fe Avenue
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 San Marcos CA 92069
PHONE PHONE
760-431-4745 rAX 760-727-4152 rAX 760-727-0213
EMAIL EMAIL comfort@actionac.net
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATELIC.# lcc-20 1=••JSL1C419800 509805
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve. demohsh or repair any structure, pnor to its issuance, also r~u,res the applicant for such permit to file a sil{ned statement tnat he is licensed pursuant to the provisions of the Contractor's License Law fChapter 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 1031.5 by any applicant for a permit subjects the applk:ant to a civil penalty of not more than five hundred dollars {$5001). -WORKE'RS' COMPE'NSATION
Workers' Compensation Oecl•atlon: I hMby affirm under pensfty of perjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennil is issued.
[Z] I have and will maintain worker1' compensation, as required bv Section 3700 of the Labor Code. for the performance of the 'Mll'k for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Callfornla Contractors Network Policy No 4S03~093 Expiration Date 12/31/2012
l!li§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ MY person in any manner so as lo become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wortc:en• enutlon coverage Is unlawful, and thall subject an employer to crinilal penaltiet and civil fines up to one hundred thousand dollars (&100,000), In
addition to the co1t ol compen1atlon. damages vi ed for in Section 3706 of the Labor code, intere•t and attorney's feet.
~ COIITRACTOR SIGNATU
I hereby affirm that I am exempt from Contractor's Ucense Law for th& following reason: D l, as owner of the property or my empk>yees 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 CoolraclOr'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 kl"
sale. If, however, the building or improvement is sold within on& year of completion, the owner-builder will have the bt.rUen of proving that he did not build or improve for the purpose of sale).
□
□
I, as owner of the property, am exclusively contracting with licensed contractOfS to construct the pro;ect (Sec. 7044, Business and Professions Code: The Contractor's License Law does not a~ to an owner ci
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am &Kempt under Section ---~Business and Professions Code for this reason:
1. I personany plan to provide the mapr labor and materials for construction of the proposed property improvement Ov es Do
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' ~cense number):
4. I plan to provide portions of the worl<, but 1 have hired the following person to coordinate, supervi.5e and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have conlracted (hired) the following persons to provide the work indicated (include name I address / phone / type of wmk.) ·
~ PROPERTY OWNER SIGNATURE □AGENT DATE
' -*' ' * ' * 1 ' ' COMPJ;l!TI! THIS SliCTIOIII FOR IIION•RIISIPl!IIITIAL BUlli.JJIN<I Pl!RIIUTS ON LY . .._.
Is the applicant or future building occupant required to submit a business..2fill. acutely hazardous materias reg·stration form or risk management and prevenbon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Acrount ~ D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution C011trol district or a~lity management district? []yes ONo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? []ves LJNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AJR POLLUTION CONTROL DISTRICT.
I certify that I haYe read the application and state that the aboYe information Is correct and that the Information on the plans Is accurate. I agree to complywlth el CllyoRlfnances end State laws relatlngto bulldlng oonstructlon.
I hereby aulhorize -lair., of lhe Cly of Carlsbad lo enler upoo lhe above mentioned property for inspedion P<JfPOS8S. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL Llo\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permt is required for excavations over 5'0' deep and demolition or construcoon of slructures ~ 3 stories in height
EXPIRATION: Every permit issued by the Buildrtg Official under the prc:Nisions of this Code shal expire by limitation and become nuN and void if the buik:liDJ or \\Ol'k. aulhoriZed by such permt is not commenced vmhin
180 days from the date of sud! permit orif lhe building or authorized by suc:fl permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoon Building Code).
,IS APPUCANrs SIGNATU DATE
Inspection List
Permit#: CB112669 Type: PME
Date Inspection Item
01/04/2012 43 AirCond/Furnace Set
01/04/2012 43 AirCond/Furnace Set
01/04/2012 49 Final Mechanical
01/04/2012 49 Final Mechanical
Wednesday, January 04, 2012
Inspector Act
PD
PD
RI
AP
RI
AP
BIXBY RES-REPLACE FAU-SAME
LOCATION
Comments
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