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Home My WebLink About1249 Belleflower Rd; ; CBR2017-1406; PermitPrint Date: 08/16/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1249 Belleflower Rd BLDG-Residential 2145420100 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: LEWIS: ADD 2 NEW AC UNITS TO AN AC PREPPED HOME, NO ELECTRICAL Owner: Status: Applied: Issued: Fina led: Inspector: Contractor: Permit No: CBR2017-1406 Closed -Finaled 06/22/2017 06/22/2017 TRUST LEWIS FAMILY TRUST 1249 Belleflower Rd CARLSBAD, CA 92011 760-710-9926 OAK ISLAND HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 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, dedications, 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/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 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. $166.00 $0.00 .... TIE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING Oeu1LOJNG O ARE QHEALTH D HAZMAT/APCO «~ Building Permit Application Plan Check No. [1)£;:)_c:J ?-JL/ (Xo 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@cartsbadca.gov www.carlsbadca.gov Date ~/;);)JI 2. lswPPP JOB ADDRESS SUITE#/SPACE#/UNIH IAPN 1249 BELLEFLOWER RD. --- CT/PROJECT t ILOTt I PHASE t I' OF UNllS I' BEDROOMS t BATHROOMS I TENANT BUSINESS NAME I CONSTR lYPE I occ GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(•) ADD 2 NEW A/C UNITS, TO AN A/C PREPPED HOME, NO ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESQ N<CJ YES 0 No0 YESO NoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME STEVEN LEWIS - ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1249 BELLEFLOWER RD. CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE rAX PHONE IFAX 760 839-8383 760 839-8380 760· 710-9926 EMAIL INFO@OAKISLANDAC.COM EMAIL DESIGN PROFESSIONAL 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 tAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE UC .• STATE UC t I CLASS ICllYBUS uc1212710 745400 C-20 (Sec 70315 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 prov,sions of the Contractor's License Law (Chapter 9. commending with Section 7000 cl D1v,s,on 3 of the Business and Profess,ons Code) or Olathe ,s exempt therefrom. and the basis for the alleged exemption. Any violation d 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 Declaration I hereby afffrm underpenaly of petjury one of the following declarations. D I have and will maintain a certificate of consent to ulf-in11Jre for workers' corrpensabon as prOllided Ill' Section 3700 of the Looor Code, for the performance of lhe work forwluch tlYs permil 1s issued IZJ I have and will maintain workers' compensation, as reqlired by Section 3700 of the Labor Code, for the performance of the worl< for which this per111t 1s issued. My workers' corrpensation insurance earner and pdicy number are. lnsJJ"ance Co EVEREST NATIONAL INSURANCE Pd icy No. 7600000635141 Expralion Date 01J01/2011 ~secbon need not be competed W the per111t 1s for one huncted d:ilars (S100) or less. LJ Certificate of Exemption: I certify that in the performance ct the worl< for v.tiich this pernil is issued, I shall not empoy any person in any manner so as lo become suqect lo the Workers' Corrpensabon Laws of Cahforma WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarv (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's f-. JtS CONTRACTOR SIGNATURE [Z)AGENT DATE / hereby amnn that I am exemix from C-Ontrador's Ucense Law for the following reason· D D D I, as owner of the prnperty or my e~oyees 'Mth wages as their sde compensation, viii do the worl< and the struclllre is not intended or offered for sale (Sec. 7044, Business and Professions Code· The Contractor's License Law does not appy to an ONner of prq>erty who buids or ur!Jfoves thereon, and 'MIO does such w<rt himself or !trough his own empoyees. provided that such 1mr:rovements are not intended or offered fa sale If. however, the buiang a ifll)ro,,ement ,s sdd within one yeec of co~ebon, the owner-buider viii have the burden of proving that he ad not buid a ull)fove for the purpose of sale) I, as owner of the property, am exclusively contracting with licensed contractor.; to construct the r:rqect (Sec. 7044, Business and Professions Code. The Contractor's License Law does not appy to an owner of prq>erty 'MIO bolds a ifll)roves lhereon, and contracts for such projects wth conlractor(s) licensed pursuant lo the Contractor's License Law) l am exempt under Secbon Business and Professions Code fa this reason 1 I personally pan to provide the major labor and materilis for construttion of the prq>05ed prq>erty m-.,rovemenl Q ves Do 2. I (have/ have not) signed an appication for a buiang permll for the prqiosed work. 3. I have contracted v.ith the fdlo,,,,ng person (firm) to provide the p-oposed construction Qndude name adciess I phone I contractor.;' license number): 4. I pan lo proode portions of lhe worl<, bot I have hired the falowmg person to cooranate, supervise and provide the m~or work Qnclude name/ adctess I phone I contractors' license number): 5. I wi1 provide some of the WOik, bul I have conlracted (hired) the falowmg persons to provide the work inacated (include name I adciess I phone I type of worl<). JtS PROPERTY OWNER SIGNATURE DATE Is the awrcant a ful1re buldng occupant req1ued to subrrit a business ~an, acutely hazardous materials regislrabon lam or risk management and prevenbon program under Sections 25505, 25533 a 25534 d the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the Bj:picanl a fut1re buldng occupant reqlired to obtain a p!l"mil from the air palution contra dslnet a air quality management dslricl? D Yes D No Is the faciily lo be conslrucledwillln 1,000 feel d the outer boundary of a schocl site? D Yes D 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 rertif)'that I have readtheapptk:ation and state that the aoo,e infonnati>n Is correaand that the infonnation oo lhe plans Is aa:urate. t a~tocom~wilh alt Cityoldinanres and State laws relatilgto buildingconstruaion. I hB'eby authmze f£4)"esentabve a the Cdy a Ca1sbad ti enEI' l4JOO the itloYe mentilned prql8'1y fa,~ PlfPOS0S I ALOO Pal.EE TO SAVE, INDEMNIFY .ANO KEEP HARMLESS THE CllY a= CARLSEW) .AGAINST ALL LIABILITIES. JJOOMENTS, COSTS ANO EXPENSES 'M-IICH MAY IN .ANYWAY ACCRUE.AGAINST SAID OlY IN Ca,JSEQ..ENCE OF THE rnANTINGO: THIS PER"1T C6HA. M C6HA pe,mi is requred fa excavatlOIIS rN8' 5'0' de€4J and doolollOOO a coisructon a siuctlleS r:N8' 3 staies 11 heghl EXPIRATION Every pe,md ISSU0d by the BlJik1r1g Cffi:lal und8' the provlSIOllS of th,s Code shal e><pre by fmrlatDn and becane nul and vod t the buikli'lg a 1\1'.Jk authaized by 9.ICh perm~ IS nct coornenced 'Milin 180 daysfra'n the date a such pe,m~a f thebuilcing a\\l'.Jk authaizedby f pe,ml is~de(la roanooned at any tire aft8' the\\l'.Jk is amnenced fa a peooda 180days(Sectiln 100.4.4 Undam BuikPJ Codei NS APPUCANrs SIGNATURE UJDZJ17 \ DATE b (?-\ / / -:J • "'~ ~ .. "1' • ~ ,-;; ' ' ~ ' ·. ,,.,_, :', /~'4:'t,. , PERMIT INSPECTION HISTORY REPORT (CBR2017-1406) Porrnit Type· Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Dato: 06/22/2017 Owner: Issue Date: 06/22/2017 Subdivision: Expiration Date: 02/12/2018 Address: IVR Number: 4581 Inspection No, Inspection Status Primary Inspector 08/16/2017 08/16/2017 BLOG-43 Air Cond./Fumace Set 031674-2017 Passed Chris Renfro August 16, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 031675-2017 Checkli:st It m BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Chris Renfro COMMENTS TRUST LEWIS FAMILY TRUST CARLSBAD TCT#92-02 UNIT#01 1249 Belleflower Rd Carlsbad, CA 92011-2501 Reinspection Ps1ssed Yes P s~ed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1