HomeMy WebLinkAbout1477 TURQUOISE DR; ; CB160528; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-10-2016 Permit No: CB 160528
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1477 TURQUOISE DR CBAD
PME
2121913900 Lot#:
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/1 0/2016
JMA
02/10/2016
02/10/2016
Project Title: KISIEL: ADD AC TO PREPPED HOME
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
TOTAL PERMIT FEES
Owner:
KISIEL FRED&JUDITH FAMILY TRUST 02-03-10
1477 TURQUOISE DR
CARLSBAD CA 92011
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINAL A_PP~Vlt
Date: c)-. ol J . Clearance: ------
$0.00
NOTICE Rease ta<e NOTICE that~ ri yrur ptje:i irduoos Ire "ln,:x:sitioo" ct fees, dedcaticns. resavatioos, ex ctha' exa::.tia,s h2recita' cdlectivay
rderroo to as "fees/exa::tioos." Yoo rave 9'.l days fran Ire date ttis ~t 1,\85 issued to pretest irf'!'.X)Sitioo ri these fees/exoctioos. If yru prctest them, yru rrust
fcilON the pretest l)'OOld.res sa forth in Co.lerrrrat Code Sedioo 60020(a), ard file Ire imest ard any aha' req..ired infarretioo wth Ire Qty 1\/mager fex
µocessirg in axxmrre wth Ca1sba::I M.ridpci Code Sedioo 3.32.CID. Faih.re to tirrely fcilON that poo,d.re wll ta" any suose;µJt legal octioo to attad<,
!lMEMI, sa aside, \tid, ex ani their irf'!'.X)Sitim
Yoo a-e hereof F\.RTl-ER NOTIRED that yrur rilt( to pretest Ire Sj:Eldfied fees/exa::.tia,s IXES NOT .APPLY tov.ete-ard seN8' romectioo fees ard ~ty
ct-a,gas, ra plmrg, zmrg, ga::trg ex ctha' sinilar ;:qjicatioo µocessirg ex savire fees in cx:mectiCXl wth ttis ptje:i. r-rn IXES IT .APPLY to any
f ·015 w-i • • ·m1ar oths ex tow-i stat e lini ioost-as • • 'red.
-
THE FOLLO.WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
J <i~ Building Permit Application Plan Check No. ('R(h · oS~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit
CARLSBAD email: building@carlsbadca.gov
www.car1sbadca.gov Date "1 J 10 / / (o ISWPPP
JOB ADDRESS SUITEf/SPACEI/UNITf r PN 1477 TURQUOISE DR. ---
CT/PROJECT# ILOT# I PHASE# I # OF UNITS I # BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
ADD 1 NEW A/C UNIT TO AN A/C PREPPED HOME,
NO ELECTRICAL
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1AIR CONDITIONING IFIRE SPRINKLERS
YES[)# NcQ YES □No□ YES□No□
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME FRED KISIEL Prfrl•-Contaot
ADDRESS ADDRESS
1250 PACIFIC OAKS PL. #103 1477 TURQUOISE DR.
CITY STATE ZIP CITY STATE ZJP
ESCONDIDO CA 92029 CARLSBAD CA 92011
PHONE I FAX PHONE tAX 760 839-8383 760 839-8380 760-603-0015
EMAIL EMAIL
INFO@OAKISLANDAC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZJP
ESCONDIDO CA 92029
PHONE PHONE \FAX 760 839-8383 I FAX 760 839-8380
EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE LIC. # STATE UC.#
\
CLASS \ CITYBUS. uc.1212710 745400 C-20
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law ICha'f.ter 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 703 .5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Worilers' Compensation Declaration: f hereby affirm under penalty of peljury one of the followir,;J declarations: 0 I have and will maintain a certificate of consent to self~nsure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this perrnil is Issued.
[Z] I have and will maintain worilers' cofll)ensatlon, as reQulred by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 0110112017
~ section need not be completed ~ the permit is for one hundred dollar.; ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this perrntt is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Galifornia. WARNING: Failure to secure worilers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages :;{'rovided for in Section 3706 of the r code, Interest and attorney's fees.
,a$ CONTRACTOR SIGNATURE ~ , [Z)AGENT DATE
I hereby affirm that t am exempt from Contraclot's Ucense Law for the /ollowir,;J reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett 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 tor the pull)OSe of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) llcensed pursuant to the Contractor's License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personany plan to provide the major labor and materials for construction of the proposed property improvemenl 0 Yes ON<>
2. I (have I have not) signed an application for a building perrntt for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed conslruction (Include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work [include name/ address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work):
_g PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant°' future building occupant required to submit a business plan, acutely hazarooos materials registration lonn or risk management and prevention program under Sections 25505. 25533 °' 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant°' future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundaiy of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A ANAL 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.
of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lende(s Address
I certify that I have read the application and state that the above Information is correct and that the Information on the plans is accurate. I agree to comply with aN City ordinances and Slate laws relating to building construction.
I hereby authonze representative of lhe City of Carlsbad to enter upon lhe above mentioned~ l:>r inspeciioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD
AG\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perm ft is required bf excavalioos over 5'0' deep and demolition or ronstruction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Eklikling Official under lhe provisions of this Code shal expie by linitation and berome nul and voo ff lhe buildng or \\Olk authorized by such penm is not oomrnenood wlhn
18'.ldays from lhe date of such pennit orif lhe buikling orl',()11( aulholized by such permft is sus or abandoned at any time after the \\Olk is oommenald l:>r a period of 18'.ldays (Secoon 100.4.4 Unibrm Eklikling Code).
,/1:S APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB160528 Type: PME
Date Jn~pection Item
02/25/2016 39 Final Electrical
02/25/2016 43 AirCond/Furnace Set
02/25/2016 43 AirCond/Furnace Set
02/25/2016 49 Final Mechanical
02/25/2016 49 Final Mechanical
Friday, February 26, 2016
Inspector
PD
PD
PD
KISIEL: ADD AC TO PREPPED HOME
Act Comments
AP
RI GATE CODE #4848
AP
RI
AP
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