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HomeMy WebLinkAbout146 CHANNEL RD; ; CB160736; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-24-2016 Permit No: CB 160736 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 146 CHANNEL RD CBAD PME 2146000820 WIIK: ADD ACTO PREP. HOME 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 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: WIIK THORBJORN&VICKI L 146 CHANNEL RD CARLSBAD CA 92011 ISSUED 02/24/2016 JMA 02/24/2016 02/24/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOllCE Please take I\OTlCE that appuval of yc:x..~r project includes tha "lrrpcsition" r:i fees, dedicatiors, reservatiors, or othar exa::l:iors hereafter oollectively referred to as "fees'exa::tions." You rave 00 days from the date this pemit was issued to protest irrpcsition of these fees'exa::tions. If yc:x..1 protest them, yc:x..1 Jll..ISl foiiOJVtha protest procedures set forth in Governrrent Code Section 60020(a), ard file tha protest and any othar required infCJI1Tation \Mth the C::ity 1\/Bnager for processing in aa::adance\Mth Cartsbad M.Jnidpal Code Section 3.32.030. Failure to tirrelyfoiiOJVthat procedure \Mil bar anysuO:lequent leg<~ action to attack, re.i.eN, set aside, void, or annul their irrpcsition. You are hereby F\..RTHER NOll RED that your right to protest the sped1ied fees'exactiors OOES NOT APPLY to water ard seNer oonnectio1 fees and capacity dlanges, nor planning, zoning, grading or othar sinilar application processing or service fees in connection \Mth this project. NCR !XES IT A.PPL Yto any fees'exactiors of Wlich have ·ousl been 'vena NOllCE sinilar to tlis or as to Wich tha statute of linitations has 'ousi otherwise e ·red. THF,FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: f 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMAT/APCD Building Permit Application 1635 Faraday Ave .. Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Plan Check No. C(3 ( (.,-0 75/:, CITY OF CARLSBAD JOB ADDRESS email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACEII/UNIT# 146 CHANNEL RD. Est. Value Date u·'Vf{/h iSWPPP CT/PROJECT # rOT# rHASE # 1 #OF UNITS r BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPnON OF WORK: Include Square Feet of Affected Area(s) ADD 1 NEW A/C UNIT TO AN A/C PREPPRED HOME, NO ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YESO lAIR CONDITIONING I FIRE SPRINKLERS No[] YES0No0 1 YEsONoO APPLICANT NAME Prlnarv Contact ADDRESS TOM WOOD 1250 PACIFIC OAKS Pl. #103 CllY STATE ZIP ESCONDIDO CA PHONE 92029 J FAX 760 839-8383 760 839-8380 EMAIL INFO@OAKISLANDAC.COM PROPERTY OWNER NAME T'DBYWIIK ADDRESS 146 CHANNEL RD. CllY STATE ZIP CARLSBAD CA 92011 PHONE 858-705·2331 EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS Pl #103 CllY STATE ZIP CllY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE 760 839·8383 760 839-8380 EMAIL EMAIL INFO@OAKISLA.NDAC.COM 'STATE UC. # STATE UC.# (Sec. 7031.5 Bus mess and Profess1ons Code: Any City or County which reqwres a permit to construct, alter, 1m prove, demolish or repair any structure, pnor to 1ts 1ssuance, also reqwres the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 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 7031.5 by any applicant 1or a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}}. 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 forworkers' compensation as provided by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. [Z] 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 carrier and policy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy,No. 7600000635141 Expimtion Date 0110112017 This section need not be completed if the permit is for one hundred dollars ($100} or less. 0 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 r:o the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 1 00,000}, in addition to the cost of compensation, damages as for in of the interest and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: 0 0 ·o 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 himseW 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}. 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}. I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Ov es 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm} to provide the proposed construction (include name address I phone I 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 I address I 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 I address I phone I type of work}: JE5 PROPERTY OWNER SIGNATURE 0AGENT DATE 4 I certify that! 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 all Cilf ordinances and State laws relating to building construction. 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ is required for excavations over 5'0' 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 by limitation and become null and void if the building or work authorized by such permit is not commenoed within 180 days from the date of such permit or if the building or work authorized by such permtt is at any time after the work is commenoed for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB160736 Type: PME Date Inspection Item --- 04/19/2016 43 AirCond/Furnace Set 04/19/2016 43 AirCond/Furnace Set 04/19/2016 43 AirCond/Furnace Set 04/19/2016 49 Final Mechanical 04/19/2016 49 Final Mechanical 04/19/2016 49 Final Mechanical Tuesday, April 19, 2016 Inspector Act PO PO Rl Rl AP Rl Rl AP WIIK: ADD AC TO PREP. HOME Comments PM PLEASE/GC 3485 PM PLEASE/GC 3485 Page 1 of 1