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Home My WebLink About1628 CORMORANT DR; ; CB121289; Permit07-10-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl21289 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1628 CORMORANT DR CBAD PME 2156500408 DRAYTON: REPLACE A/C Lot#: Status: ISSUED Applied: 07/10/2012 Entered By: Plan Approved: Issued: Inspect Area: JMA 07/10/2012 07/10/2012 Applicant: MOOR CO SERICE INC Owner: NLVTRUST 09-17-97 1531 S COAST HWY 92054 (760) 722-1541 1628 CORMORANT DR CARISBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Ottier PME Fees $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: INAL APPROVAL Date: 7Y^-/2< Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively refened to as "fees/exactions." You have 90 days from the date this pemiit 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 infomnation 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 connectton fees and capacity changes, nor planning, zoning, grading or other similar application processing or senrlce fees in connectton with this project. NOR DOES IT APPLY to any fees/exartlnns of which vou have Dreviously been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PUNNING •ENGINEERING •BUILDING DFIRE •HEALTH • HAZMAT/APCD CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. / 2- • ("2,^^ Est. Value Plan Ck. Deposit Date 07-08-2012 JOBADDRESS 1628 Cormorant Dr. SUJTE#/SPACE#/UNIT* CT/PROJECT # LOT# / # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Inciude Square Feet of Affected Area(s> Replace exisiting Air Conditioning Condenser and Coil EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESr> YES [71 NO rn YES| |NO| 1 APPLICANT NAME (Primary Contaet) RAoorCo APPLICANT NAME (Saoondaty Contact) ADDRESS 1947 Avenida Plaza Real ADDRESS CITY Oceanside STATE CA ZIP 92056 CITY STATE ZIP PHONE 760-722-1541 FAX 760-722-0594 PHONE FAX EMAIL Saies(iMOORCO.com EMAIL PROPERTY OWNER NAME _ , . i.. • . Brooke and Wendy Drayton CONTRACTOR BUS. NAME MoorCo Sen/ice ADDRESS 1628 Cormorant Drive ADDRESS 1947 Avenida Plaza Reai CITY Carlsbad STATE ZIP CA 92011 CITY STATE Oceanside CA ZIP 92056 PHONE FAX PHONE 760-722-1541 FAX 760-722-0594 EMAIL EMAIL Sales@MOORCO.com ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# 413621 CLASS c-20 CITY BUS. LIC,# . (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 pursuantto the provisions ofthe Contractor's License Lavi^ (Chapter 9, commending with Section 7000 of Division 3 ofthe 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 (itSOO)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penary of perjury one of the foltowing deciarattons: S I have and will maintain a certificate of consent to self-insure for workers' compensatton as provided by Section 3700 of the Labor Code, fbr 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 canier and policy number are: Insurance Co._ Hartford Insurance Co, Policy No.. 72WECDQ$212 Expiration Date. 03(20/2012 •piis section need not be completed if the pemiit is tor one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance oUllBiwork for which l^is pemiit is issued, I shall notemploy any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensnionjcoverage is i/iawfui, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for iiySectiori|370jr of the Labor code, Interest and attomey's fees. JS$ CONTRACTOR SIGNATURE i/Wt/f / OWNER-BUILDER DECtARATION • AGENT DATE 7-/0"/'^ I hereby affirm that I am exempt fmm Contractor's Ucense Law for the following reason: I I I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the stnicture is not intended or offered fbr sale (Sec. 7044, Business and Professions Code: The Clontractor'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). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct 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). • am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvement. I lYes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supenrise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the Ibllowing persons to provkle the work indtoated (include name / address / phone / type of work): jfifpROPERTY OWNER SIGNATURE •AGENT DATE COMPtETE THIS SECTION FOR N O N - R E S I O E N T t A t BUILDING PERMITS ONLY 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. CONSTRUCTION LENDING AGENCY 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 Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that tlie above information Is conect and that the Infonnation on the plans Is accurate. I agree to comply wilti all City ordinances and State laws relating to building constmctkm. I hereby authorize representative of the Clly of Carlsbad to enter upon the above mentkxied properly fbr inspection puiposes. I ALSO AGREE TO SAVE, INDEI^IFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN(Y WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O' deeD^ioldemolltkin or con^cton of stnictures over 3 stories in heighL EXPIRATION: Every pemiit Issued by the Buikiing Ofltoial under jne provistons of this Oxn shall expire by limitatton and become null and void If the buikiing or work authorized by such pemiit Is not commenced within 180 days from Ihe date of such perniit or if Ihe buiMing orworii ammzid by suci\iierm is suspended or abandoned at any time after the mk Is commenced for a period of 180 days (Section 106.4.4 UnHbnn Building Code). ygTAPPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buiktinotaicaflsbadca.Qov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZiP cmr STATE ZIP Carlsbad CA PHONE Repface exisiting Air Cofiditfoning CondenSj .-and Coii FAX EMAIL OCCUPANT'S BUS. LIC. No. DEUVERY OPTIONS PICK UP: CONTACT (Usted above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) 1628 Cormorant Dr. ASSOCIATED CB#- MAIL/FAX TO OTHER: NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION -efAPPLICANT'S SIGNATURE DATE 1635 Faraday Ave., Carlsbad, CA 92008 Inspection List Permit*: CB121289 Type: PME DRAYTON: REPLACE A/C Date Inspection Item Inspector Act Comments 07/13/2012 43 AirCond/Furnace Set - Rl 07/13/2012 43 AirCond/Furnace Set PB AP 07/13/2012 49 Final Mechanical PB AP Monday, July 16, 2012 Page 1 of 1