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Home My WebLink About1377 NIGHTSHADE RD; ; CB143450; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12710-2014 . Permit No: C131.43450 Building Inspection Request Line (760) 602-2725 Job Address: 1377 NIGHTSHADE RD CBAD . Permit Type: PME Status: ISSUED Parcel No: . 2156412600 Lot#: 0 Applied: .12/10/2014 Entered By: LSM Reference #: . . Plan Approved: 12/10/2014 PC #: . . Issued: 12/10/2014 Inspect Area: Project Title: LOMBARDI RES- ADD NEW A/C TO PRE PLUMBED HOME . . Applicant: . Owner: OAK ISLAND HEATING AND AIR LOMBARDI VINCENT L&MARGARET E TRS STE 103 1250 PACIFIC OAKS PL . 1377 NIGHTSHADE RD ESCONDIDO CA 92029 . . CARLSBAD CA 92011 760 839-8383 Plumbing Fees $0.00 Electrical Fees $0.00 Mechanical Fees $160.00 Other' PME Fees . . ' . $0.00 TOTAL PERMIT FEES . $160.00 Total Fees:' $160.00 Total Payments To Date: $160.00 • Balance Due: $0.00 FINAL APPRO)/AL . Inspector: Date: Clearance: 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 follov, 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 feeIexactions 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!exar.tions of which vnij have nre•viouislv heen oiven i NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exoired. ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD Building Permit Application Plan Check No. 41141 c 1-i 3-zS Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 c i T y O F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date I z.4 i-of "1 Iswppp I www.carlsbadca.gov JOB ADDRESS 1377 NIGHTSHADE RD., CARLSBAD, 92011 I /SCE/UV - - - CT/PROJECT # LOT A PHASE A A OF UNITS # BEDROOMS A BATHROOMS i TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ADD I NEW NC UNIT TO AN NC PREPPED HOME; SIDE YARD INSTALL EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE I AIR CONDITIONING YE51J NO[::] YES [:]NO C] IFIRESPRINKLERS 'ESEI NO[—] APPLICANT NAME LES YOUNG PROPERTY OWNER NAME VINCENT LOMBARDI Pitna,y Contact ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 1377 NIGHTSHADE RD. CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE FAX PHONE FAX 760 839.8383 I 760 839-8380 760-918-0930 EMAIL EMAIL INFO@OAKISLE.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(OAKISLE,COM STATE Ur-A STATE UC.# I CLASS I CITY BUS. LICe 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 anystructure, 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 LawfChpter9, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 01201330000 c®?O®() - - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure lbr workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Fill 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 carrier and policy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Date 0111011211115 T is section need not be completed If the permit is throne hundred dollars ($100) or less. 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 (9100,000), In addition to the cost of compensation, e as provided for In Section 3706 of the Labor code, Interest and attorney's fees. JK CONTRACTOR SIGNATURE [Z]AGENT DATE 12/09/2014 lhereby affirm Mat lam exempt from Contractor's License Law for the following reason: [J I, 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). [j 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) licensed pursuant to the Contractor's License Law). [J 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. DYes [:]No 2.l (have lhave not) signed an application fora building permit for the proposed work. 3.1 have contracted with the following person (thin) to provide the proposed construction (include name address! phone lconlractors' 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 lContractors' 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 l address / phone/type of work): ..PROPERTY OWNER SIGNATURE []AGENT DATE a@& 17GDOO 0@000 oøw G9000038000MME6 OWD®O@ 9(04jØ E)J(7 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration term or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q Yes 0 No Is the applicant or future building occupant required to obtain a pennft from the air pollution control district or air quality management district? I] Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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. (0O0300) a0MMOMM M013013V I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). - Lender's Name Lenders Address ou'oe IoertI,thatI have rmdtheapplication and te ttheaboveintennation Is conactandthattheinfomationontheptansisaccruate. IathcomplywIth all Cityonees and SthtatawwndngbuilthrwtructJon. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO 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 CONSECIJENCE OF THE GRANTING OF THIS PERMIT. OSHA:- An OSHA permit is required for excavations over 5'O' deep and demottbnor construction of structures over 3stories in height EXPIRATION: Every permit issued by the Building Official underthepi ions of this Code shall e-Vire by limitation and become null and void if the building oro,k authorized by such pemili is not commenced within l8O days torn the date ofsuch permit orifthe building oror1cauthorized by such permit is suspended or abandoned at any time after the work iscommenced for period of 180 days (Section 1064.4 Unibnn Building Code). ..'APPLICANT'S SIGNATURE - DATE 12/09/2014 vi, Inspection List Permit#: CB143450 Type: PME LOMBARD! RES- ADD NEW NC TO PRE PLUMBED HOME Date Inspection Item . Inspector Act Comments 12/19/201443 AirCond/Furnace Set RI AM PLEASE/ FIRST APPT 12/19/2014 43 AirCond/Furnace Set . SP AP 12/19/2014 49 Final Mechanical . SP Fl Friday, December 19, 2014 Págelofl