The URL can be used to link to this page

Home My WebLink About2618 COLIBRI LN; ; CB140673; Permit03-25-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140673 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2618 COLIBRI LNCBAD PME 2155341300 Lot#: DAWSON: REPLACE FURNACE//ADD AC W/ ELECTRIC Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/25/2014 JMA 03/25/2014 03/25/2014 Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner. DAWSON FAMILY REVOCABLE TRUST 03-06-13 2618 COLIBRI LN CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $33.00 $158.00 $0.00 TOTAL PERMIT FEES $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: $0.00 Inspector: FINA Date: L APPROVAL Clearance: NOTICE: Please tal<e NOTICE that approval of your project includes tfie "Irnposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition ot 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 attacl<, 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenA/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING • ENGINEERING nBUILDING nFIRE • HEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov www.carisbaclca.gov Plan Check No. (<\ . Est. Value Plan Ck. Deposit Date 3l2^Sll^ SWPPP JOBADDRESS 2618 COLIBRI LN CT/PROJECT # PHASE # # OF UNn'S # BEDROOMS # BATHROOMS | TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPnONOFWORK: Inclufle Squara Ftet of Affactsd/lfea(s) REMOVE AND REPLACE EXISTING FURNACE AND ADD AIR CONDITIONING EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YEsQ* Noj I AIR CONDrriONING YESl |NOr~| FIRE SPRINKLERS YESQ N0| I APPUCANTNAME Prtnary Contact LESYOUNG PROPERTY OWNER NAME SARA DAWSON ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS 2618 COUBRI LN CITY ESCONDIDO STATE CA ZIP 92029 CITY CARLSBAD STATE CA ZIP 92009 PHONE 760 839-8383 FAX 760 839-8380 PHONE 619 906-6636 FAX EMAIL LES@0AKISLE.COM EMAIL DESION PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AiR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY ESCONDIDO STATE CA ZIP 92029 PHONE FAX PHONE 760 839-8383 FAX 760 839-8380 EMAIL EMAIL LES|^OAKISLE.COM 745400 C-20 aTYBUS.UC.# 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 a, 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 Workers' Compensation Declaration: (hereby affinn under penalty af peijury one of the following declarations: L_| I have and will maintain a certificate of consent to self-Insure for woricef^' compensation as provided by Section 3700 of the Labor Code, for tiie performance of the work for which this permit is issued. 1*^11 have and will maintain wortiera' compensation, as required bv Section 3700 of the Labor Code, for the performance of the wortt for whit^ this permit is issued. My woriters' compensation insurance earner and policy number are: insurance Co. EVERST NATIONAL iNS p^l^ No. 76000M625141 Oate ___m^m^5___ Thjs section need not be completed ifthe permit is for one hundred doiiars ($100) or iess. I I CertHlcate of Exemption: 1 certify that In the perfomiance of the wortt for which this pemiit is Issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of Cdifomia. WARNING: Failure to secure vrafkers' compensation coverage is unlawful, and shall subject an employer to criminai penalties and dvil fines up to one hundred thousand dollars (&100,0(IO), in addition to the cost of compensation, damnes as p||bvided for in SecUon 3706 of the Labor code, interest and attomey's fees. ^CONTRACTORSIGNATURE J-^jLA^-^ QAGENT OK(t^- IS^ '^ 1^ O W N E R - B UILDE R D E C L A R A TIO N / hereby aISm that I am exempt fmm Confractor's License Law for the following mason: I I I, as owner of the property or my employees with wages as their sde compensalion, wW do the worit and the stracture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The (^tractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such worit himself or through his own employees, provided that such improvements are not intended or offered for sale, if, however, the buSding or Improvement is sold within one year of complelion, the owner-builder will have the bunjen of proving that he did not buBd or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constmct the prpject (Sec. 7044, Business and Professions Code: The Ckintractor'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 { lam exempt under Section _ .Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials (br constnKtion of the proposed properly improvement. r~lYes I INO 2. i (have / have not) signed an application for a buiiding pennit for the proposed wotit. 3.1 have contracted with the following person (finn) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but i have hired the fotowing person to coordinate, supenrise and provide the major worit (inciude name / address / phone / contractors' license number): S. I will provide some of the worit, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worit): ^fifpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDINC PERMITS ONLY Is the applicant or future building occupant requited to submit a business plan, acutely hazardous materials re^stration fomi or risit management and prevention program under Sections 25505,25533 or 25S34 of ttis Presley-Tanner hlazardous Substance Account Act? DYes DNo Is the applicant or future building occupant required to obtain a pemiit from the air poliution control district or air quality management district? • Yes 13 No Is the facility to be constmcted withiri 1,000 feet of the outer boundary of a school site? OYes C3No IF ANY OF THE ANSWERS AKE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SEIWICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the perfonnance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ceitltrthat I have lead the appOcation and state thatthe above Infbimation is correct and th^ I hereby authoriffi tepresenlative of Ihe Cityof Catlsbad to enter upon the ah()ve mentis AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ()SHA: An OSHA peirnit is required lbr extavations over 5'(r deep and demolition or ayisl^^ EXPIRATK3N: Every pennit Issued by Ihe Building'Qflidal under Ihe p(D\^^ 180 days from the date of such permit or if ihe Ixwirig Q^worit» vefAPPUCANT'S SIGNATURE DATE Inspection List Pemiit#: CB140673 Type: PME DAWSON: REPLACE FURNACE//ADD AC W/ ELECTRIC Date Inspection Item Inspector Act Comments 10/28/2014 43 AlrCond/Furnace Set - Rl 8-10 PLS 10/28/2014 43 AirCond/Furnace Set SP AP 10/28/2014 49 Final Mechanical - Rl 8-10 PLS 10/28/2014 49 Final Mechanical SP Fl Tuesday, October 28, 2014 Page 1 of 1