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Home My WebLink About150 ACACIA AVE; ; CB161900; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-16-2016 Permit No: CB161900 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 150 ACACIA AV CBAD PME Status: Parcel No: 2042332201 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: SHIMON: REPLACE FAU I ADD A/C & 30A CIRCUIT 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 Entered By: Plan Approved: Owner: SHIMON MIKE 150 ACACIA AVE CARLSBAD CA 92008 760-485-5178 Issued: Inspect Area: ISSUED 05/16/2016 SLE 05/16/2016 05/16/2016 $0.00 $38.00 $163.00 $0.00 $201.00 Total Fees: $201.00 Total Payments To Date: $201.00 Balance Due: Inspector: FINAL A~PRI'~~ Date: S ;Lu. / Clearance: $0.00 NOTICE: Please take NOTICE that approval of your prqect indudes the "lrrposition" ci fees, dedications, reservations, or other exactions hereafter rollectively referred to as ''fees/exactions." You have 00 days from the date this j:errrit was issued to protest irrposition of these fees/exactions. If you protest them, you rrust foiiCMtthe protest proredures set forth in G:Jvemrrent Cede Section 66020(a), and file the protest and any other required information \!lith the Oty II!Bnagerfor prclalSSirg in acrordance \!lith Carlsbad M.midpal Cede Section 3.32.030. Failure to tirrely fallON that proredure \Mil bar any subsequent legal action to attack, review, set aside, void, or annul their irrposition. You are hereby R.RTl-ER NOTIFIED that your right to protest the Sj:edfied fees/exactions !XES NOr APPLY to water and seJ<1;r (X)Ilnecfion fees and capacity charges, nor plannirg, zonirg, gradirg or other sirrilar application prclalSSirg or service fees in (X)Ilnecfion \!lith this prqect. f\DR !XES IT APPLY to any fees/exactions oflllklich have ·ousl been iven a NOTICE sirrilar to this or as o lllklich the statute of !irritations has ·ousl other\1\ise ·red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING []FIRE LJHEALTH D HAZMATIAPCD " Plan Check No. CJ01Le [ q CX) Building Permit Application 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.carlsbadca.gov Date '5-llo -H . .O !SWPPP JOB ADDRESS SUITEII(SPACE#/UNIT# rPN 150 ACACIA AVE. - -- CT/PROJECT # rOT# rHASEII I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE 1 occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REMOVE AND REPLACE 1 FAU AND ADD 1 NEW AIC UNIT & 1 NEW 30 AMP CIRCUIT EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I r'R CONDITIONING J FIRE SPRINKLERS YESO NoD YEs0No0 YEsONoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME MKESHIMON Prinarv Contact ADDRESS ADDRESS 1250 PACIFIC OAKS Pl. #103 150 ACACIA AVE. CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARlSBAD CA 92008 PHONE I FAX PHONE I FAX 760 839~8383 760 839~8380 760-485-5178 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 PHONE (AX 760 839=8383 I FAX 760 839·8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE uc. # STATE UC.# 'CLASS I CITY BUS. LIC.121271 0 745400 C·20 (Sec. 7031.5 Bus1ness and Professions Code: Any Crty or County wh1ch requ1res a permit to construct, alter, 1mprove, demoliSh or repa1r any structure, pnor torts ISsuance, also reqwres the applicant for such permit to file a signed statement ttl at he is licensed pursuant to the provisions of the Contractor's Ucense 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 for 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: 0 I have and will maintain a certificate of consent to self·insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for 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 carrier and policy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration 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 to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is 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 as provided for in Section 3706 Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D 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 matertals 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): JiS PROPERTY OWNER SIGNATURE DATE 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 all City ordinances and State laws relating to buildingconstJUclion. I hereby authorize representative of the Cily 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 OFTHE GRANTING OFTHIS PERMIT. OSHA: An OSHA penn~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code shall expire by limitation and become nuH and void if the building or oork authorized by such permit is not commenced within 180 days from the date of such penn it or if the buildi~"~ ~ oork authorized by such permit i\\uspended or abandoned at any time after the oork is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code). A$ APPLICANT'S SIGNATURE . ~ \}J7J'~-\ DATE