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Home My WebLink About2740 SOUTHAMPTON RD; ; CB150954; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-30-2015 Permit No: CB150954 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2740 SOUTHAMPTON RD CBAD PME Status: Parcel No: 2081530800 Lot#: o Applied: Reference #: PC#: Project Title: Applicant: PAVLOFF: REPLACE FAU & AC ADD 1 30A CIRCUIT OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: PAVLOFF FAMILY TRUST 10-19-90 2740 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 03/30/2015 JMA 03/30/2015 03/30/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: FINAL APPROVAL Date: 'f-Z) -1£ Clearance: $0.00 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 pennit 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 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 f es/ex cti n f which imilar to this r to whi h ex ired. THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD.I . CBtG oq~l;J. ,<~ Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value • ~ CITY OF Ph: 760--602-2719 Fax: 760--602-8558 Plan Ck. D9posit CARLSBAD email: building@carlsbadca.gov - www.car1sbadca.gov Date .~l?.Af 1~ lswPPP JOB ADDRESS 2740 SOUTHAMPTON RD., CARLSBAD, CA 92010 SUIIH/SPACH/UN11• 1---- CT /PROJECT # I LOT# !PHASE# 1 # OF UNITS · 1 # BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPET6cc. GROUP DESCRIPTION OF WORK: lncluiie-Squate Feet of Affected Atea(s) ---- REMOVE AND REPLACE 1 FAU & ADD 1 A/C AND 1· 30 AMP CIRCUIT EXISTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF} FIREPLACE I AIR CONDITIONING I ARE SPRINKLERS YES0,. N<{J YES0No0 vESONoO APPLICANT NAME LES YOUNG PROPERTY OWNER NAME LOU PAVLOFF ' .......... Contact ADDRESS ADDRESS ------·--- 1250 PACIFIC OAKS PL #103 2740 SOUTHAMPTON RD. --STATE ZIP arr--· STATE ZIP CITY ESCONDIDO CA 92029 CARLSBAD CA 920 I 0 PHONE -·-. IFAX ··--------IFAX PHONE 760 839-8383 760 839-8380 760-729-3372 EMAIL EMAIL INFO(@.OAKISLE.COM DESIGN PROFESStoNAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ---------ADDRESS··· ··--ADDRESS 1250 PACIFIC OAKS PL #103 ----CITY STATE ZIP ... CITY STATE ZIP ESCONDIDO CA 92029 -----PHONE PHONE IFAX 760 839-8383 JAX 760 839-8380 EMAIL EMAIL INFO(@.OAKISLE.COM 1 ·s'rATE LIC. # STATE LIC.# IClASSc-20 I CITY BUS. LIC.1212710 745400 (Sec. 7031.5 Business and Professions Code: Any City or Coui:rty which requires a permit to construct, alter, am prove, demolish or r~pa1r ant structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tfiat he is licensed pursuant to the provisions of the Contractor's license law fChaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exemP.t 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 Worken1' Compensation Declaration: I hereby a/firm under penalty of petj/Jf}' one of the following declarations: D I have and will maintain a certiftcate of consent to Hit-insure for workers' ccmpensation as provided by Section 3700 of the labor Code, for lhe perfamance ol lhe work for which lhis pennit is issued. ~ I have and will maintain workers' compensation, es required by Section 3700 of the labor Code, for the perfoonance of the work for which this permit is issued. My walkers' compensation ilsurance awrier and policy number ere: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 01,0112016 J,!li§.seclion need not be completed if lhe permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhat in the performance oflhe work for which lhis perm~ is issued, I shall not employ my person in any mminer so as to become subject to Iha wmers· C<mpensatioo Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shell subject an employer to criminal penaltl• and civil fines up to one hundred thouund dolan (&100,000), in addition to the cost of compensation'. d,• as provided for In Sactlon 3706 of the Labor code, lnten!st and attomay's faas . .85 CONTRACTOR SIGNATURE --~ Vil U-r1 EJ AGENT I hereby affirm that I am exempt from Contractor's license Law frxthe fakJwing reasoo: □ □ □ I, as owner of lhe property or my employees with wages as lheir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Coolractor's License Law does not apply to an (MIiler of property who builds or improves thereon, and who does such wak himself or lhrough his own employees, provided that such inprovements are not intended or offered for sale. II, hCME1ver, the building oc improvement is sold within one year of completion, the owner-builderwil have lhe burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exdusively oontracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracl:or'& license Law does not apply to an owner of property who builds or improves thereon, end contracts for such prqects with conlractor(s) licensed pursuant to the Contractor's license Lew). I am exempt under Section~--. ____ Business and Professions Code for !his reason: 1. I personally plan to provide the major labor and materials for construction of the piq,osed property improvemenl Oves 0No 2. I (have I have 00:) signed an application for a building permit for !he proposed work. 3. I have contracted with lhe following person (finn) to provide the proposed consbuction (indude name address/ phone/ contractors' ficense number): 4. I plan to provide portions of the work, but 1 have hired the folowing person to coordinate, ~ and provide lhe major wont (include name I address I phone / contractors' license number): 5. I wiH provide some of the work, but I have contracted (hired) lhe follCMing persons to provide the work indicated (indude name I address/ phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLET"E THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant required to submil a business plan, acutely hazardous materials registration form or risk management and preventioo program under Sec:lions 25505, 25533 or 25534 of lhe Presley• Tanner Hazardous Substance Accoont Ar:J.? □ Yes □ No Is lhe applicant or future bolding occupant required to obtain a permit from the Eir pollution control cishict oc air quality management dstrict? □ Yes □ No Is the facility to be constructed within 1,000 feet of Iha outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE AP PUCA NT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I Olllttfythatl have read the appllcadon and statetllatthe abcM lnfonnadon lsconed:and thattbe Information on the pans ts aa:umte. I agn,e to c:omp)'Ylltll all Qty orclnances and State laws relallngto bulklngoonstrudlon. I hereby au1horize represenllltiw!allhealyaf Cansbad ,, __ lhe iilovel1181tioned prq,e,1y for 01,;,eclion JlUIP(>!e& I ALSO AGREE TO SAVE. lllllEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST All LIABILmEs. JUDGMENTS, CCSTS AND EXPENSES WHK:H MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is reqlied b"8"cavations ove, 5U' deep "1d-orronsbudiln alslruchl8s over3 skries i1 height EXPIRATION: Eveiy permit issued by lhe Buiclng Obi Lllder lhe p,wisions of llis Code shel expi& by .,ilation and become rw1 "1d void I lhe buH1g or wa1< au1horized by 5Ud! pemil is n<t arnmenoed wihi1 180 days ioo1 lhe dete alsudl pemil~ilg orwa1< au1horized by sud1 porml is~ or abandoned el"1yline aflerlhe wa1< is commenoedb" e peliJd ol 180 days (Section 106.4.4 l>iibm Buimlg Code). A!5APPUCANT'SSIGNATURE -~ --ic..n.x----, DATE 3/3(') / 15 ' ... Inspection List Penni!#: CB150954 Type: PME Date lnseectio11_ Item _ 04/23/2015 43 AirCond/Furnace Set 04/23/2015 43 AirCond/Furnace Set 04/23/2015 49 Final Mechanical 04/23/2015 49 Final Mechanical Friday, April 24, 2015 Inspector Act PB PB RI AP RI AP PAVLOFF: REPLACE FAU & AC ADD 1 30A CIRCUIT Comments PM PLEASE PM PLEASE Page 1 of 1