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Home My WebLink About2075 LINDA LN; ; CB160780; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-26-2016 Permit No: CB160780 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2075 LINDA LN CBAD PME 2051604700 WORTMANN RES= ADD NEW Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: DUCTLESS MINI SPLIT SYSTEM NO ELECT Applicant: 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 Owner: WORTMANN CHRISTOPHER 2075 LINDA LN CARLSBAD CA 92008 ISSUED 02/26/2016 LSM 02/26/2016 02/26/2016 $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 NOTICE: A ..... -NOTT ~ ci yos ptjed irdudes Ire '1rrpc:sition' ci fees, dedam,s, -= ex ether exoctiCX1S -roledively retooed to as 1ees'e>odicrs:· Yoo rave 00 days 1ian tre-tti• pa'Tlit \\8S i""-'id to ;:rctest ilTJ)JSiticn ci these fees'E!Jodicns If yoo ;:rctest trern yoo rrust foll"'"'tre potest l)OOl(ixes set forth in G:Ms-rt-ra"I Code Sedicn l'0020(a\ ard file tre ;:rctest ard any ether req.ired infonraicn wth tre Qty Mmgerfcx JJ"Ci()8SSirg ;, , amda a, wthO>!sta:l Mrid?> Code Sedicn 3.32.IXll. Failtretotirmyfoll"'"'thal proca:i.rewll ba" anySlbsecµr,t lega acticntoattoo<, ll>liew, set asde vdd, ex anJ treir irrpc:sition Yoo .... hErei:>/ F\.RT1-ER NOTIREO !tat yos rigt to ;:tdssl Ire si:,,dfied fees'e>a:ticrS IXES ror APA. y to'Mller ard;.,,.., OCtlnediCtl fees ard "'l)OOty ~ ncx plarirg, za-irg ga:lrg ex ether simla-,wicalicn ~ ex se,vioe fees in ocnnediCtl wth ttis ptjed. NCR IXES IT APA. Y to any . . "I t .. . THE FOLL-<>WING A•PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ~~): Building Permit Application Plan Check No. a.e. •e.eo,w 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 d-/J-112/1 r.. jSWPPP JOB ADDRESS 2075 LINDA LANE 1-"-'/~PACEI/UNIH rPN . . . CT/PROJECT# rOI # I PHASE# I# Ot UNITS I# BEDROvrv,S # BATHROOMS 1 • .. HANT BUSINESS NAME ICONSTR. ,.-E I occ. GROUP ., ... SCRIPTION OF WORK: Include Square Feet of Affected Alea(I) ADD 1 NEW 2 ZONE DUCTLESS MINI SPLIT SYSTEM, NO ELECTRICAL EXISTING USE I PROPOSED USE !GARAGE (SF) PATIOS (SF} I DECKS {SF) FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS YES[) Nc0 YES0No0 vESONoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME CHRIS WORTMANN p ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 2075 LINDA LANE CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92008 PHONE I FAX PHONE I FAX 760 839-8383 760 839-8380 760-729-2702 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIGN PROFESSIONAL CON111ACTOR 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 I FAX 760 839-8383 IFAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM l STATE UC,# STATE UC.# l"ASS I CITY BUS LIC1212710 745400 C-20 (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 pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he 1s exemP.t therefrom, and the bas1s 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 Workers' Compensation Declaration: I heteby afflrm under penalty of petjury one of the following declarations: D I have and will maintain a certificate of consent to sell-Insure for workers' compensation as provided by SectiOn 3700 of the Labor Code, for the perfomlance of the'M'.lrk for 'Mlich this permit is issued. [Z) I have and wlll maintain workers' COl11)ellsation, as roouired by Section 3700 of the Labor Code, for the perfonnance of the work for'Mlich this permit is iS.sued. My workers' compensation insurance carrier and policy number are: Insurance Co. EVEREST NATIONAL INSURANCE Policy No. 7600000635141 Expiration Dale 0110112017 ~section need not be completed if the permit is tor one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pefformance of the work for which this pennit is issued, I shaM not employ any person In any manner so as to become subject to the Workers' Compensation Laws Of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crtmlnal penalties and civil fines up to one hundntd thOllSlnd dollars (&100,000), in addition to the cost of compensation, damagn as provided for In Section 3 the Labor code, interest and attorney's fees. NS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractol's License Law for the following reascn: D I, as owner of the property or my employee$ with wages as their sole compensation, wil 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 iwi awnerofp!'Of)el'ty who buikls or Improves thereon, and who does sllCh work himself or through his own employees, provided that such improvements are not intended or offere:1 for sale. lf, however, the bulkling or improvement is sold within one year of completion, the owner-builder 'MH have the burden of proving that he did not build or imptOVeforthe pu!J)OSe of sale). 0 I, as owner of the property, am exclusively conlracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's licel'lse 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 ____ usiness and Professions Code for this reason: 1. I personally plan to provide the majOf labor and materials for constructiOn of the proposed property Improvement. Oves 0No 2. I (have/ have not) signed an application tor a building permit for the propooed work. 3. I have contracted with the fbik>'Mng person {fim) to provide the proposed construction (incklde name address/ phone/ contractors' license number): 4. I plan to provide portions of lhe v.ork, but I have hired the following person to coordinate, supervise and provide the ma)Of 'M')!k (include name I iK!dress I phone I contractors' lk:ense numbet): 5. I will provide some of the work, but I have contracted (hired) the folkrliing persons to provide Ille work indicated {include name / address I phone I type of work): NS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' Is the a~icant Of future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit trom the air pollution control district or air quality management district? □ Yes □ No Is the fadUty 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 ANAL 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 APPI.ICANT CERTIFICATION I certify that I have n38d the appllcatlon and state that the abolre lnfomlatlon ls conectancl that the lnbma11onon the plans Jsamirate. I agree ID complyMth an Ci!¥ Oldlnances and Stale l!Ms mla1lng tD bulkflngconstruction. I hereby aulhori21! represema;,., oflhe C~ of Callsbad to eo\er upon lhe atJo\<l roonooned properly tr inspecloo pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All. LIABILITIES, JUDGMENT~ COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA P3fTTlk is required br excavations over S(J deep and demolioon or construcoon of structures over 3 stories in height. EXP1RA TION: Every permit issued by the Buik:ling Official under the provisKlns of this Code shal expre by lrMatr)n and oorome nul ,11d vok:I if the buikii"lg or v.ork authorized by such permit is not commenced wthi'I 180 clays from the date of such permIl or if the buiktng or v.ork aulhoril.ed by. such permit ~f spended or abandcJled at any time after the v.orlc is oommenced i>r a perkld of 180 clays (Sedion 100.4.4 Unibrm Buikli'lg Oxle). ,fS' APPLICANT'S SIGNATURE ~ DATE 2✓ Inspection List Permit#: CB160780 Type: PME Date lns1>ection Item 03/21/2016 43 AirCond/Furnace Set 03/21/2016 43 AirCond/Furnace Set 03/21/2016 49 Final Mechanical 03/21/2016 49 Final Mechanical Tuesday, March 22, 2016 WORTMANN RES= ADD NEW DUCTLESS MINI SPLIT SYSTEM NO ELE Inspector Act Comments RI PY AP RI PY AP Page 1 of 1