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Home My WebLink About2517 ABEDUL ST; ; CB160112; Permit01-13-2016 Job Address Permit Type: Parcel No: Reference #: PC #: Project Title City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB160112 Building Inspection Request Line (760) 602-2725 2517 ABEDUL ST CBAD PME 2152602200 Lot #: 0 WICKSTROM: REPLACE FAU 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 Status: ISSUED Applied: 01/13/2016 Entered By: SLE Plan Approved: 01/13/2016 Issued: 01/13/2016 Inspect Area: Owner: WICKSTROM JAMES C&GLENDA M 2517 ABEDUL ST CARLSBAD CA 92009 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00 FINAL APPROVAL / Inspector: Date: p Clearance: NOTICE Rease take NOTICE that approA of your project includes the °Impositiod' of fees, dedications, reservations, or other exactions hereafter collectively referred to as' fees/exactions." You have 90 days from the date this pemrit was issued to protest imposition of these fees/exacticrs. If you protest them you mist follav the protest procedures set forth in C-overnrnent Code Section 66Wa), and file the protest and any other required infomution with the City Manager for processing in accutbrce with Carlsbad N4Acipai code Section 3.32.030. Failure to tin-ely fdlowthat procedure will bar arty subseWent legal action to attack, review, set aside, void, or anxi their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactiars DOES NOT APPLY to water and sewer connection fees and capacity charx3es, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to arry fees/exadions of which you have oAy been qven a NOTICE similar to this or as to which the statute of limitations has previcusly otherwise exoired. FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: E PLANNING jNwi ENGINEERING (_ BUILDING j' --' FIRE Building Permit Application P� 1635 Faraday Ave., Carlsbad, CA 92008 C I T Y OF Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov CARLSBAD www.carisbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date o HEALTH _ HAZMATIAPCD k oo P 1 2 JOB ADDRESS SUITE#/SPACE#/UNff# APN 2517 ABEDUL ST - - - CT/PROJECT # LOT # PHASE # # OF UNITS J#BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) I I REMOVE AND REPLACE 1 FAU, LIKE FOR LIKE i II I EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING YES❑# NO❑ YES❑NOE] IFIRESPRINKLERS YES NO[::] APPLICANT NAME TOM WOOD PROPERTY OWNER NAME JIM WICKSTROM ary contact PrMES ADDRS ADDRESS 1250 PACIFIC OAKS PL. #103 2517 ABEDUL ST. CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92009 PHONE FAX PHONE FAX 760 839-8383 760 839-8380 760-519-2517 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 FAX PHONE FAX 760 839.8383 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM STATE C. # STATE LIC.# CLASS CITY BUS. LIC.# 745400 1 C-20 I 1212710 (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, commendingwith 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: ❑ 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. Q✓ 1 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 Thi section need not be completed if the permit is for one hundred do0ars ($100) or less. 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, damageUs provided for in SEction 3706 of th�Labor code, interest and attorney's fees. , )K CONTRACTOR SIGNATURE IIA—I'!l- [Z]AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: El 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). 1, 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). 1 am exempt under Section Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes QNo 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 construction (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, supervise 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 following persons to provide the work indicated (include name / address / phone / type of work): )KPROPERTY OWNER SIGNATURE AGENT DATE 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. 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 1 cerlifythat I have read the application and state thattheabove information is correct and thatthe information on the plans is aawrate.I agree to complywitli 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 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 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 shad expire by limitation and become null and void d the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the budding or work authorized such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,4 z ,JK APPLICANT'S SIGNATURE 1� DATE Inspection List Permit#: CB160112 Type: PME WICKSTROM: REPLACE FAU Date Inspection Item Inspector Act Comments 02/11/2016 43 AirCond/Furnace Set - RI 02/11/2016 43 AirCond/Furnace Set AEK AP 02/11/2016 49 Final Mechanical - RI 02/11/2016 49 Final Mechanical AEK FI Friday, February 12, 2016 Page 1 of 1