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Home My WebLink About2157 CORTE ACEBO; ; CB162323; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-14-2016 Permit No: CB162323 Building1 Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2157 CORTE ACEBO CBAD PME 2552601000 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/14/2016 JMA 06/14/2016 06/14/2016 Project Title: MATSUYOSHI: ADD A/C TO PREP HM 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: MATSUYOSHI BRYAN&PEGGY LIFE TRUST 03-24-11 2157 CORTE ACEBO CARLSBAD CA 92009 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Totall Payments To Date: $163.00 Balance Due: Inspector: ~ FINA~P9RO)JAL Date: // !67¢/6 Clearance: $0.00 NOllCE: Please take NOllCE that approval of yrur prqect includes the "II'J1XSition" ct fees, dedications, reservatims, or cther exactions hereafter oollectively referred to as "fees/exactions." You have 00 days from the date this pemit was issued to prctest ii'J1XSition of these fees/exactions. If yru protest thEm, yru rrust fallON the protest p-cx;edures set forth in Chterrment Code Section 60020(a), ard file the putest and any other required infonmtion v.ith the Oty IV1anager for processirg in aa:ordancev.ith Carlsbad M.Jnidpal Code Section 3.32.030. Failuretotirrelyfoi!ONthat pi"CJOOdurev.ill bar anysuOOequent legal action to attack, re.Jiew, set aside, void, or annul their irrpcsition. You are hereby FLRTHER NOll RED that your right to protest the specified fees/exactions OCES NOT APPLY to\M.ll:er and OONer oonnection fees and capacity dlanges, nor plannirg, zonirg, gradirg or cther sirTilar application puoessirg or S€1vioe fees in oonnection v.ith this prqect. NCR OCES IT APPLY to any fees/exactions of \Mlich vou have oreviouslv been civen a NOllCE sirrilar to tlis or as to v.hch the statute of !irritations has rxeviouslv other\Mse exoired. 0PLANNING D ENGINEERING OBUILDING []FIRE HEALTH 0 HAZMATIAPCD CITY OF CARLSBAD JOB ADDRESS ., ' Building Permit Application 11635 Faraday Ave Carlsbad CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEII/SPACEII/UNITif 2157 CORTE ACEBO . I Plan Check No.~ (" ....-L3Z7 Est Value Plan Ck. Deposit Date ~.pfq~ isWPPP "- rPN --- CT/PROJECT # I LOT# I PHASE# r OF UNITS r BEDROOMS #BATHROOMS JTENANT BUSINESS NAME l CONSTR lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ADD 1 NEW AIC UNIT TO AN AIC PREPPED HOME, NO ElECTRICAl EXISTING USE rROPOSED USE J GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE i riR CONDITIONING ! riRE SPRINKLERS YES[)t NoD vEsONoO YESONoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME BRYAN MATSUYOSHI Prinarv Contact ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 2157 CORTE ACEBO CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009 PHONE /FAX PHONE /FAX 760 839-8383 760 839-8380 858-373-6518 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 /FAX 760 839-8383 /FAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM I STATE uc. # STATE UC"# I CLASS I CITY BUS. uc.121271 0 745400 C-20 (Sec. 7031.5 Bus ~ness and Professions Code: Any C1ty or County wh1ch reqwres a perm1t 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 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: D 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. [Z] I have and will maintain workers' compensation, as required bv 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 eo. 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 unlawful, 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 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 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, 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. Qves 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 0AGENT 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 building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT. OSHA: An OSHA permit 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 Code shall expire by limitation and become null and void if the building or 1/\0rk authorized by such permit is not commenced within 180 days from the date of such permit or if the building or 'Mlrk authorized by such is suspended or abandoned at any time after the 'Mlrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) . .JE5 APPLICANT'S SIGNATURE ~ DATE fo It Inspection List Permit#: CB162323 Type: PME Date lllSP~_ctis>n J!~m 07/15/2016 43 AirCond/Furnace Set 07/15/2016 43 AirCond/Furnace Set 07/15/2016 49 Final Mechanical 07/15/2016 49 Final Mechanical Monday, July 18, 2016 MATSUYOSHI: ADD AIC TO PREP HM Inspector Act Comments Rl AEK AP Rl AEK Fl Page 1 of 1