HomeMy WebLinkAbout2619 COLIBRI LN; ; CB150761; Permit03-12-2015
City of Carisbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB150761
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
2619 COLIBRI LN CBAD
PME
2155351900
ODLING: INSTALL NEW A/C
Lot#:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/12/2015
JMA
03/12/2015
03/12/2015
Applicant:
AELOTT AIR CONDITIONING
Owner:
ODLING FAMILY TRUST 05-29-08
812 W WASHINGTON AVENUE
ESCONDIDO CA 92025
619-746-1333
2619 COLIBRI LN
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$0.00
$0.00
$160.00
$0.00
TOTAL PERMIT FEES $160.00
Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00
Inspector:
FINAL APPROVAL^
Date: J^UJA Clearance:
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 Govemment 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 vou have previouslv been given 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 •BUILDING GFIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. C&jg-. CfJ U> I
Est. Value
Plan Ck. Deposit
Date 3i[Slir SWPPP
JOB ADDRESS 2619 Colibri Lane
CT/PROJECT #
surrE#/sPACE«/UNrr*
215 535 - 190
L0T# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIFTION OF WORK: Include Square Feet ot Affected Area(s)
Install new evaporator coil and air conditioning condenser
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FlRESPRINKLERS
Residential YESPI* YESi |NO| 1 YESQNOQ
APPLICANT NAME (Primary Contact) Jerry Odiing APPLICANT NAME ^Secondary Contact; . , .. . . ^ i-x-
Aelott Air Conditioning ADDRESS
2619 Colibri Lane
ADDRESS
812 W.Washington Ave.
CITY
Carlsbad
STATE
CA
ZiP
92009
CITY STATE
Escondido CA
ZIP
92025
PHONE
760-931-1561
FAX PHONE
760-746-1333
FAX
760-480-7844
EMAIL
jerry.odling@gmail.com
EMAIL
aelottac@aol.com
PROPERTY OWNER NAME Jerry Odiing CONTRACTOR BUS. NAME Aelott Air Conditioning
ADDRESS
2619 Colibri Lane
ADDRESS
812 W. Washington Ave.
CITY
Carlsbad
STATE ZiP
CA 92009
CITY STATE
Escondido CA
ZIP
92025
PHONE
760-931-1561
FAX PHONE
760-746-1333
FAX
760-480-7844
EMAIL
jerryolding@gmail.com
EMAIL
aelottac@aol.com
ARCH/DESIGNER NAME & ADDRESS STATE UC. # STATE UC.#
241574
CLASS
C20
CITY BUS. UC.#
1207353
(Sec. 7031.5 Business and Professions Code: Any City or County wtiich 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 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 pennit subjects the applicant to a civil penalty of not more than five hundred doiiars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty ofpeijury one ofthe following declarations:
S I have and will maintain a certificate of consent to self-Insure for woriters' compensation as provided by Section 3700 of the Labor Code, for the pertbmiance of the worit fbr which this permit is issued.
I have and will maintain workers' compeniation, as required by Section 3700 of the Labor Code, for the pertormance of the worit for which this permit Is Issued. My woriters' compensation insurance carrier and policy
number are: Insurance Co. Everest National Insurance Co. PoiicyNo. 760Q006673151 Expiration Date 01I01|2016_^_
This saetion need not be completed If the pemilt is for one hundred dollars ($100) or less.
I I Certificate of Exemption: I certify Ihat in the perfbrmance of the worit for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Woriters' Compensation Laws of
California WARNING: Failure to secure woritap' compensation coverage is unlawful, and shall subjKUn employer to criminal penalties and civil flnes up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, janafes^s providj^ for^il^S^cSionptf^ffO\»/af>or code, lntc/Mh|nd attomey's fees. / J
3/W JS^ CONTRACTOR SIGNATURE
ded forJn^ction IfW^fOialabor code, intemhind attomey's f
• AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm tliat I am exempt from Contractor's Ucense Law for the following reason:
I I 1, as owner of the property or my employees with wages as their sole compensation, wlll do the worit and the stmcture Is not intended or offered fbr 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 worit himself or through his own employees, provided that such Improvements ate not Intended or offered for
sale. If, however, the bulldlng or improvement is sold within one year of completion, the owner-builder wlll have the burden of proving that he did not build or Improve fbr the purpose of sale).
I I I, as owner of the property, am exclusively contracting with Iicensed contractors to constnict 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) Iicensed pursuant to the Contractor's License Law).
I I I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for constraction of the proposed praperty Improvemenl I lYes I ho
2.1 (have / have not) signed an application fbr a buiiding pemilt for the proposed worit.
3.1 have contracted with the foliowing person (fimi) to provide the proposed constmction (Inciude name address / phone / contractors' license number):
4.1 plan to prov'jde portions of the worit, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number):
5.1 will provide some of the wortt, but I have contracted (hired) the fbllowing persons to provide the worit indicated (Include name / address / phone / type of worit):
jfiS'pROPERTY OWNER SIGNATURE •AGENT DATE
COMPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY
Is the applicant or future buikiing occupant required to submit a business plan, acutely hazardous materiais registration fbmi or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes • No
Is the appiicant or future building oaupant required to obtain a pemilt from the air pollution control district or air quality management district? • Yes • No
Is the facility to be constracted 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
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perforniance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have lead the applkxitton and state that the above inlbnnatkx) Is conect and that the intbrniatkm
1 hereby authorize lepresentative of the City of Carisbad to enter upon the above mentnned property to
AGAINST ALL LiABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CIW IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSIHA: An OSHA permit Is required fbr excavatkms over 5'0' deep and demolition or constaiction of structures over 3 stories in height
EXPIRATION: Eveiy peimit Issued by the BulMina Official under the provisions of this Code shall expire by fmitatkm and become nul and vokl if Ihe buikling or woik authorized by such pemiit Is not commenced within
180 days from the date of such perrnit or if ihe )((^ing or worit auihorized by suduieiinl^ ftiihonzed by sudiji^it B suspende
DATE
dloraperiodotlBOdays(S(
• ZIYIS'
Inspection List
Permit*: CB150761 Type: PME ODLING: INSTALL NEW A/C
Date Inspectionjtem Inspector Act Comments
03/23/2015 43 AirCond/Furnace Set - Rl
03/23/2015 43 AirCond/Furnace Set PD AP
03/23/2015 49 FinalMechanical - Rl
03/23/2015 49 FinalMechanical PD AP
Friday, March 27, 2015 Page 1 of 1