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Home My WebLink About1644 CORMORANT DR; ; CB072461; Permit09-24-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB072461 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1644 CORMORANT DR CBAD MECH 2156500412 $000 Lot# NICHOLS RES-REPLACE A/C & FAD Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/24/2007 LSM 09/24/2007 09/24/2007 Applicant THOMPSON HEATING & AIR 1023 FULTON RD 92069 760471-5800 Owner NICHOLS WILLIAM A&KATHLEEN A 652THORNHILLRD DANVILLE CA 94526 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 2 0 0 0 0 0 $1500 $1800 $000 $000 $000 $000 $000 $000 $000 $3300 Total Fees $33 00 Total Payments To Date $33 00 Balance Due $000 Inspector FINAL APPROVAL 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 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 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave Carlsbad CA9200S 760-602-2717 / 271S / 2719 Fax. 760602-8553 Building Permit Application Plan Check No Est Value Plan Ck Deposit Date JOB ADDRESS 1 644 Cormorant Drive CT/PROJECT* LOT# PHASE* # OF UNITS » BEDROOMS SUITE#/SPACE#/UNIT# APN * BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCX; GROUP DESCRIPTION OF WORK. Replace A/C unit & Furnace in front yard EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (H Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME iXathv Rill N rhf>la<5 ADDRESS 552 Thomb||| R(j "*ITY STiATiF ZfPDanville ca 94562 PHONE FAX925-719-5550 EMAIL ARCH/DESIGNER NAME 4 ADDRESS STATE UC * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D t NO D YES D NO D YES D NO D APPLICANT NAME , f r* iJennifer uoie ADDRESS PO Box 71 1564 CITY STATE ZIPSantee Ca 92072 PH°NE 619-405-2648 ™ 619-330-4796 EMAIL permitrunner@cox net CONTRACTOR BUS. NAME T. , , . o AThompson Heating & Air ADDRESS ^^_ _ . _ ___ _888 Rancheros Dr STE E CITY San Marcos SM7ECA Z'P 92069 PHONE FAX760-480-4802 760-480-4822 EMAIL STATE LJC * CLASS CrTY BUS UC * 400057 C20 1215410 ec. 703 1 5 Business and Professions Code Any Qry or County which requires a permit to construct, alter mprove demolish or repair any structure poor to its issuance, also requires the applicant for such permit to fie i signed statement that he iscensed 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 ofcoon 703 1 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 / heiBby affirm under penalty ofperftiry one of ilie following declarations O 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 D I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performanceoftte work for which this permit is issued My workers compensation insurance carrier and policystate j-uno pcticvNo 1802849number are Insurance Co ExprationOafe_Q8/0_t/2_( This section need not be completed if the permit is for one hundred dollars ($100) or less O Certificate of Exemption I certfy 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 sufyect to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is uptawful and.stiall subjed an employerto criminal penaltiesandavilfines uptoonehundredthousanddollars (&100000I in addition to the cost of compensation damans, as provided for jn Sectijm/CTO^of thf Labc/cpde interest and attorney s fees 'CONTRACTOR SIGNATURE /j Inaoes. as provided for inTHJu °ATE I hereby affiim thai I am exempt inactoi s Jjcense Law for the ffllowmg reason 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 iMthm one year of completion the owner-builder wil have the burden of proving that he dd 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 conrractor(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 CJ Yes CJ No 2.1 (have / have not) signed an application for a buildng permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 I plan to provide portions of the work but I have hired the fell owing person to coordinate supervise and provide the major work (include name / address / phone / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work mdcated (include name / addess / phone / type of work) JS$PROPERTY OWNER SIGNATURE DATE s P'S C? C,] UTr'8 Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazaidous Substance Account AcP Cl Yes G No Is the applicant or future building occupant required to obtain a permit from the air pollution conlrd district or air quality management dslnct? n Yes O No Is the facility to be constructed within 1000 feet of the outer boundary of a school site' n Yes D No IF ANY OF THE ANSWERS ARE YES , ~ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 I certify that I have read the application and slate 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 law relating to buldng construct on I hereby authonze representative of the Qty of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIF Y AMD KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH M/W IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUB ICE OF THE GRANTING OF THIS PERMIT OSHAAnOSHA permit is required for excavatontfover 5 0 deep and demolition or construction of structures over 3 stones in height EXPIRATION Ei/ery permit issued by the Building Official under the provisions of this CgdetfiallAre by limitation and become null and void if the buildng or work authonzed by such permit is not commenced within 180 days from tte date erf sutfi permit onf the buMpc^ 106 4 4 Uniform Buildng Code) ^APPLICANTS SIGNATURE ^ ' // // // If j ( jcL-/" / // / DATE City of Carlsbad Bldg Inspection Request For 01/28/2008 Permit* CB072461 Title NICHOLS RES-REPLACE A/C & FAU Description Inspector Assignment MC 1644 CORMORANT DR Lot 0 Type MECH Sub Type Job Address Suite Location OWNER NICHOLS WILLIAM A&KATHLEEN A Owner NICHOLS WILLIAM A&KATHLEEN A Remarks Phone 9257195550 Inspector Total Time Requested By KATHY Entered By CHRISTINE CD Description 43 AirCond/Furnace Set Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 11/19/2007 43 AirCond/Furnace Set CO MC GATE CODE 1106 NEED INFO ON TRUSSES SUPPORTING EQUIP Aug 01 07 1014a POUICYHOLDER COPY SO c COMPENSATION NSURANCE PO BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE- 08-01-2007 GROUP POLICY NUMBER 1302849-2007 CERTIFICATE ID 1 CERTIFICATE EXPIRES. 08-01-2008 Oa-Ot-2007/08-01-2008 CONTRACTOR'S STATE LICENSE BOARD PO BOX 26OOO SACRAMENTO CA 95826 SO LICENSE NUMBER RE LIC1833744 INCEPTION DATE 08-01-2007 DO SD This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon JQ days advance written notice to the employer We will also give you JQ days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not-an insurance poltcy and does not amend extend or alter the coverage afforded by the policy listed herein Notwithstanding any reauirement, term or condition of any contract or other documentwith respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy HORIZED REPRESENTATI PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER, EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS, EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE EMPLOYER G THOMPSON HEATING & AIR CONDTNNG CO 888 RANCHEROS OR STE E SAN MARCOS CA 92069 SD (REV 2-051 PRINTED 07-17-2007 MO4O9