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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