HomeMy WebLinkAbout2501 SOMBROSA PL; ; CB142636; Permit"' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing!Mechanical/Electrical (PME) Permit
10-09-2014 Permit No: CB142636
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
2501 SOMBROSA PL CBAD
PME
2550840400 Lot#:
Status:
0 Applied·.
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: HENSHILWOOD: REPLACE FURNACE
Applicant:
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
TOT AL PERMIT FEES
Owner:
HENSHILWOOD JAMES A&MARIA J
2501 SOMBROSA PL
CARLSBAD CA 92009
ISSUED
10/09/2014
JMA
10/09/2014
10/09/2014
$0.00
$000
$160.00
$0.00
$160.00
Total Fees: $160.00 Total Payments To Date $160 00 Balance Due:
Inspector:
FINAL ~~PB~~I/
Date: ..... I ..... L __ ?J __ "-/ __ 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 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 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 lees in connection with this project NOR DOES IT APPLY to any
THE FOLLOWING APfROVAL~ REQUIRED PRIOR TO PERMIT ISSUANCE: [:; PLANNING [] ENGINEERING []BUILDING []FIRE []HEALTH LJHAZMAT/APCD
~ Building Permit Application Plan Check No. rR ~_2._k3 .. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY o r Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Dep<slt CARLSBAD email: building@carlsbadca.gov
fbltr f"i jSWPPP www.cartsbadca.9ov Date
JOB ADDRESS 2501 SOMBROSA PL , tiUIIU/SPMaU/UNITII ,~N ---
CT/PROJECT# rOT# I PHASE# 1
, OF UNITS r BEOROOMS #BATHROOMS I TENA!ff BUSINESS -I CONSTR. 1YP£ I occ. G!IOUP
DESCRIPTION OF WORK: Include Square Feet of Affilcfed Atff(sl
REMOVE ANO REPLACE EXISTING FURNACE LIKE FOR LIKE
EXISTING USE I PMOPOSEO USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREP\J\CE AIR CONDITIONING I FIRE SPRINKLERS
YESQ NcC] YESQNo□ YESONo0
APPLICANT NAME LES YOUNG PllOPERlY OW#ER NAME JAMES HENSHlLWOOO l'<lnan contact
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 2501 SOMBROSA
CITY STATE ZlP CITY STATE ZIP
ESCONDIDO CA 92029 CARLSBAD CA 92009
PHONE !FAX PHONE IFAX 760 839-8383 760 839-8380 760 634-7662
EMAIL EMAIL
INFO@OAKlSLE.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING ANO AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE I FAX 760 839-8383 IFAX 760 839-8380
EMAIL EMAIL
INFO(alOAKISLE.COM e--· I STATE LIC. # STATE UC.#
rASSC-20 rmeuauc.1212710 745400
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair a~ structure, prior to 1ts issuance, also requires the
applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's Ucense Law /Chapter 9. commendi~ with Section 7000 of Division 3 of the
Business and Professions Code] or that he is exempt therefrom. and the basis for the a11eged e~empbon. MY violatiOn of Section 7031.5 bY any app\icanffor a permit subjects !tie 8Pl)licant to a
civil penalty of not more than fore hundred dollars {$5001).
Workers' Compensation Declaration: I hereby affirm under penalty of petju,y one of the following dec/.irafions: 0 I have and 111111 maintain a certificate of consent to self.Insure for wolkers' compensation as provided by Section 3700 of the Laro-Code. for the perfonnance of the wait 1or which this pennit iS isSlled.
[Z] I have and will maintain 111ol1lers' compensation, as reQUired b'/ Seclion 3700 of the Labor Code. for the per!Otmance of the WOllt !of wtir.h this permit is issued. My wmers' cooipensation inSuranCe carrier and policy
number are: Insurance Co._ ___ __ _ EVEREST NATIONAL INSURANCE _______ . __ Poficy No. ______ 7600000635141 ___ ____ E'Jpiration Dale____ 01/01/2015 ___ _
~section need not be completed if lhe permit is for one hundred dollars {S1!l0) or less. LJ Certificate of ExempliOn: I certify that in the rformance of the work for whictl ~ permit is issued, I shall not emplOy any pe/SQII in any mamer so as ID beoorne subject 1D the Wor1<ln' Compensalioo Laws of
Calilomia. WARNING: Failure to secure w ' r;t11ipe11isat1on coverage is unlawful, and shall subject an empli,yer to crimin.i penallle& 111\d ciw fines up lo one hundred thousand dolars {&100,000), In
addition to the cost of compensation, da · ed for In Section 3106 of the Labor code, irterest and attorney's tees .
.IS C0NTRACT0RSIGNATURE
I hereby afflnn that I am exempt from Contractor's License Law fol the lo/lowing l!laSOn: O I, as owner ol the property or my employees wrth wages as their sole rompensa\iO!l, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracia's
License Law does not apply to an owner of property who builds or improves thereon, and who does such WOik himself or throu!lh tis own empoyees, provided that sudl 'mprll'lemenlS are not mended or offered for
sale. If, however. the Meling or improvement is sold within ooe year of OOl!l!)letion, the owner-builder will have the burden of pro-.ring thal he did not buikl or improve for the puipose of sale).
□
D
I, as OW!\er of the properly, am exclusively contracting With licensed oontracm to construct the project (Sec. 7044, Business and Proo!ssiol1s Gode: The Conlraclo(s \.iartse Law does not apply to 31\ 0¥1el" of
property who builds or improves thell!Oll, and COlllracts for such projects with CO!ltraclo!{s) licensed pursuant to the Contractor's License law}.
I am exempt under Secifon _______ lllsiness and Professions Code !orthis reason:
1. l pel50llaUy plan to provide the majOr labor and malerials for conSIIUciion of the propose(! property improvement Oves Do
2. I (have I have nol) signed an application for a bulk!ing pennft for lte proposed lllO!lt.
3. I have conl/3Cled with the !Ollowing pernon (firm) to provide the proposed construction (inclUde name address/ phOne / conlraclors' icense number):
4.1 plan to provide portiO!lS ol the work, but I have hired the !Ollowing pe!SOll lo coo!dinate, supervise and l)IU'lide the major work (include name I address I phooe / con'raclors' license rrumber):
5. 1 will provide some of the work, bul I have cootracted (hired) the following per.;oos to provide the woo. indicated {include name I address I phone / type of worlc):
8$ PROPERTY OWNER SIGNATURE DATE
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Is the applicant or future building occupant required to subm~ a business plan, aculely hazan:loos materials registration form or risk management and prell!!ntion program under Seciions 25505, 25533 or 25534 of the
Presley-Tannef Hazardous Substance Account Act? □ Yes □ No
Is the applfcanl or future b\Jilang llCCllpant Al(!Uired ID obtain a 1111rm1t from the air pollution control district or air quality managementdisbict? □ Yes □ No
Is the facility lo be constructed within 1,000feet of the outer boundary of a SChool si1e? □ Yes □ No
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 CONTROL DISTRICT,
I cettify1hatl haw&reed1heappllcallon andsl1Jle11lat1heabM lni)nnation lsconectand dlatlhe illhnnalkln on1heplanslSacnuatB-I aglee1DfX111111ly\\ttllallCll¥0tdl111111C8$and State laws l'llllltlng1Dbulldlng~n.
I hereby au!holize rei;resentative of lhe City of Carlsbad lo enler UJXll' lhe abow menroned property for fnspecoon (l.lrposes, I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD
AGAINST Al.l LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permt is required u ellX:aV3liorts o'lef" ' deep and demalilion or wislrucron of slrudllres CNer 3 stories in height
EXPIRATION: Every perm~ issued tl'/ lhe &Jocling u j'.ro','isions of this Code shall expire tl'/ limita\iOO and beoome nui and voo if the l'.IJi'dilg or 'Mlt1( auflolizlld tl'/ sud\ P9f!l1l1 is not o;immenood wthln
100 days mn Ille dale of .sud! peimit or if Ille buitf or ori2ed by sudl permit 1. suspe!lded or abandoned at any lirre afterlhe v.ork is o:Jf1llllOOClld for a period of 100 days (Section 100.4. 4 Uniilrm &Jik!ing Code) .
..@$' APPLICANT'S SIGNATURE DATE
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Inspection List
Permit#: CB142636 Type: PME
Date Inspection Item
11/07/2014 43 AirCond/Furnace Set
11/07/2014 43 AirCond/Furnace Set
11/07/2014 49 Final Mechanical
Wednesday, November 19, 2014
HENSHILWOOD: REPLACE FURNACE
Inspector Act Comments
RI
PD AP
RI
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