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Home My WebLink About1359 NIGHTSHADE RD; ; CB161763; PermitLI • City of.CarIsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-05-2016 Permit No:CB161763 Building Inspection Request Line (760) 602-2725 Job Address: 1359 NIGHTSHADE RD CBAD Permit Type: PME Status: ISSUED Parcel No: 2156413000 Lot #: 0 Applied: 05/05/2016 Entered By: JMA Reference #: Plan Approved: 05/05/2016 PC 9: Issued: 05/05/2016 Inspect Area: Project Title: YAWS: ADD NEW AC TO PREP HOME Applicant: -' • Owner: OAK ISLAND HEATING AND AIR SYCKS FAMILY TRUST 11-24-09 STE 103 1250 PACIFIC OAKS PL 1359 NIGHTSHADE RD ESCONDIDO CA 92029 CARLSBAD CA 92011 760 839-8383 Plumbing Fees $0.00 Electrical Fees $0.00 Mechanical Fees $163.00 Other PME Fees • $0.00 TOTAL PERMIT FEES $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00 I ff FINAL APPROVAL Inspector: Date: (/ 4'r/ Clearance: NOME Flee take N011(4that 4çpuai of yar pqed irxudes the lrrlxLsfliorf dfees dhors, resoratims, or dhercns hereafter cdeciively rCferred to etiae' Yai have 90 daysfrom thedate this peni t vm issued to protest in'pob, Cf these feesfeio If you protest then yaj mid fdlow the protest procethes set forth in Gamernrrient Code Sedicn 66(a), and file the protest aid arry requred Won atiai wth the atyzrfa pammnginaomrdarmwthCarid3adhAAapEdCccieSsebon3.32030. Failure to timely fdloNtiet prccezeill bar artysutecier1 legal action toattod mview, set aside, '.ad, or arnil Ur irritim. • You are hereby FURTHER iUT1RB) that yor nght to protest the specified feeslexadicre DOES NO APRYtoAeterad seer ocnedia, fees and codty diges ru planning, ming, grading or ether sirrilarapplicetia, processing a-setMce fees in ocn,edia, wth this prqed. NOR DOES ITYtoaiy JTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH DHAZMAT,APcD Building Permit Application Plan Check No. 4040>> Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 CITY O F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date £ .ç . I b Iswppp I www.carlsbadca.gov JOB ADDRESS 1359 NIGHTSHADE RD ISUITE#/SPACE#/UNIT# I I - - - CT/PROJECT A LOT A PHASE A U OF UNITS U BEDROOMS A BATHROOMS f TENANT BUSINESS NAME TYPE DCC. GROUP DESCRIPTION OF WORK. Include Square Feet of Affected Area(s) ADD NEW A/C UNIT TO AN NC PREPPED HOUSE, NO ELECTRIC EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDifIONING I YESDI NO[:] l YES [:]NO [-] IFIRESPRINKLERS YES[] NO[—] APPUCANT NAME TOM WOOD PROPERTY OWNER NAME CURTYAWS Pvinarr Contact ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1359 NIGHTSHADE RD. CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE IFAX PHONE FAX 760 839.8383 I 760 839.8380 760-505.0395 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 ZIP ESCONDIDO CA 92029 PHONE FAX PHONE FAX 760 839-8383 760 839.8380 EMAIL EMAIL INFO@OAKISLANDAC.COM STATE UC.# I CLASS Taff-BUS. LIC.# ISTATEUC.# 745400 I C.20 I 1212710 (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 jchapter 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. My 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 ($5001). (BIIDOn Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following d&a,a110ns I have and will maintain a certificate of consent to sell4nsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work lbr which this permit is issued. / I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensation insurance canter and policy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 0110112017 Th's section need not be completed if the permit is throne hundred dollars ($100) or less. b Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California. 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 dollars (11,100,000), In addition to the cost of compensation, damages asprov dod for in Section 3706 of e Labor code, interest and attorney's fees. J CONTRACTOR SIGNATURE FLIAGENT DATE 90006100MOILM30 OUGG&W7000 thereby affirm that/am exempt (torn Contractors: License Law for the following reason.- 1, as owner of the property or my employees 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 Contractor'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 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 for the purpose of sale). 0 I, as owner of the property, am exdusively 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) licensed pursuant to the Contractor's License Law). I am exempt under Section BusIness and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. []Yes ElNo 2.1 (have/have not) signed an application bra building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address l phone /contractors license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name l address /phone/contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/address I phone /type of work): .PROPERTY OWNER SIGNATURE []AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or-25534 of the Presley-Tanner Hazardous Substance Account Act? I] Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 0 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. - I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address - APPLICANT CERTII 1. I cerdlythatl have mad theapplication and statelthattheabove inbrmallon is conectand Quitthe Inibmiadon on the plans isaccurate. I agree tocompkwith all Cibronfinances and State laws mkdf%tD bulliftconstruction. Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly forinspecn purposes. IALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'O' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code deal eftire by limitation and become null and void if the building orworIcauthorizedbysuth permit tenot commenced within 180 days from the date of such permit orif the building or work ayP5izedbYsuthPemhitissusPe or abandoned at any time after the workis commenced bra pe of l8a days (Sedion 1064.4 UrUbim Building Code). .APPLICANT'S SIGNATURE DATE :cic' Ii o Inspection List Permit#: CB161763 Type: PME YAWS: ADD NEW AC TO PREP HOME Date Inspection Item Inspector Act Comments 06109/2016 43 AirCond/Furnace Set - RI PM PLEASE 06/09/2016 43 -AirCond/Furnace Set PY AP 06/09/2016 49 Final Mechanical - RI PM PLEASE .06/09/201649 Final Mechanical . PY ' AP .1 4