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Home My WebLink About1117 SCRUB JAY CT; ; CBR2017-1764; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 10/13/2017 Residential Permit Permit No: CBR2017-1764 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1117 Scrub Jay Ct BLDG-Residential 2145800609 $0.00 www .carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: CALLAHAN: ADD 1 NEW A/C UNIT, PRE-PREPPED -NO ELECTRICAL Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 08/03/2017 08/03/2017 COOWNER CALLAHAN MATTHEW & AZIZI ASAL OAK ISLAND HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 1117 Scrub Jay Ct CARLSBAD, CA 92011 847-331-5426 Total Payments To Date: $166.00 1250 Pacific Oaks Pl, Ste 103 Escondido, CA 92029-2908 760-839-8383 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 $166.00 THE FOi.LOWiNG APPROVALS REQUIRED PR!OR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING Osu1L01No QARE □HEALTH QHAZMATIAPCO -~· Building Permit Application Plan Check No.(/.,;--,,~ +-/'JI .LI ~❖ 1635 Faraday Ave., Cartsbad, CA 92008 Est. Value ·~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. peposit CARLSBAD email: building@cartsbadca.gov www.carlsbadca.gov Date'¥ I;")) I":/-lswPPP JOB ADDRESS I l!iUll1t.#/SPACEf/UN1t# rPN 1117 SCRUB JAY CT. --- CT/PROJECT# 'LOT# l"HASf, I# OF UNITS I# BEDROOMS I BATHROOMS I TENANT BUSINESS NAME I CONSTR, TYPE I occ. GROUP DESCRIPTION OF WORK: lnt,lude Squa,e Ffft of A treated AIN(e) ADD 1 NEW A/C UNIT TO AN AC PREPPED HOME, NO ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) IOECKS (SF) AREPLACE IAIR CONDITIONING IFIRE SPRINKLERS YESO Nc0 YES0No□ YES0Nc0 APPllCANT NAME TOM WOOD PROPERTY OWNER NAME MATT CALLAHAN ... - ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 1117 SCRUB JAY CT. Cln' STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE !FAX PHONE IFAX 760 839-8383 760 839-8380 84 7-331-5426 EMAIL EMAIL INFO@OAKISLANDAC.COM DESIGN PROFESSIONAL CONfflACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 PHONE PHONE rAX 760 839-8383 rAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM ISTATI: UC. It STATE LlC.# r= IC!l'IBUS IJC1212710 745400 C-20 -(Sec. 1031.5 Busmess and Professions Code: Any City or County which reqwres a permit to_construct, alter. improve, demolish or repair any structure. pnor to its issuance, also requues the applicant for such permit to file a s!&ned statement ttiat he is licensed pursuant to the prov1Sions of the Contractor"s L1cense Law \Chapter 9. commending with Section 7000 1$ Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violat10n ct Section 031.5 b)I any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compenntton Declaration· I hereby attilm underpenaltyofpeljury one of the following declarations.· . D I have and will maintain a certificate of consent to self-insure for woli:ers" compensation as pr~ded by Secllon 3700 of the Labor Code, for the pertormance of the work for which lllis permit is issued. 0 I have and wl!I maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of lhe work for which this permit is issued. My WOOC:ers' compensation insurance carrier and pd icy number are· Insurance Co EVEREST NATIONAL INSURANCE -· -"~-Pdiey No. 7600000635141 ExJjrallon Date···----~1~!12018 Jm_sechon need not be com,:jeted if the permit is for one hundre:d ajlars ($100) or less LJ Certificate of Exemption: ! certify lhat in the performance of the work forlMlich this permit is isSlled, ! shall not empoy any person in any manner so as to betome suqecl to the Wmers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall SIJbject an amployer to criminal penalties and civil finee up to one hundred thousand dollars (&100,000), in addition to the cost Of compensation, damagn aa provided for In ~on 3706 ot• Labor code, internet and attorney's fees, JI$ CONTRACTOR SIGNATURE / '~'\ @AGENT / hereby affinn that I am eXJJmp1 fran Contractors license Law ror the following reason: D I, as O'Mler of the property or my empoyees with wages as their sde compensation, Will do the work and the stn1cfure is not intenood or offered for sae {Sec. 7044, Business and Professions Code: The Contracla's License Law does not apily to an owner of prq:,erty who blfflds or irfl)rOVes thereon, and 'Mio does such WOO: himself or through his own emJjoyees, prOVlded that such improvements are not mtended or offered fa sale. If, however, the building a i~ooemenl is sdd within one year of completion, the owner-builder will have the bumen of provmg that he cid not build a ilrl)l'ove for the pmpose of sale) □ □ I. as O'Ml0I" of !he properly, am exclusively contracbng with licensed contractors lo construct the fJOject (Sec. 7044, Business aod Proresstoos Code· The Contractor's lie en~ Law does not liWY to an owner of prcperly who buAds a improves !hereon, and contracts for sucll projects Will conlractor(s) liceosed purstJan! lo the Contractor's License Law) l am exempt uodef Sec~on Business and Professions Code fer this rea$011 1. I persomi!y ~n to provide the majorlaba: al'ld materials for construction of the prq:iosed prqierty irJl)rovement. C]ves Do 2. I (ha11el have not) signed an appicalion for a bu~ding permit for the proposed won<. 3. 1 have contracted Wth the fdlCJMng pernon (firm) to provide the JnlPOSed construe lion (indu<le name adctess / phOne / contractors· license number) 4. J pan lo prcwid& portions of the wonr, but! have hired the ldlowing pers011 to coordnale, supervise and prOJide the maior work {include name/ aadress I pllone I contractors' license number}: 5. l will provide some of the work, but l have contracted (hired) the fdlowing persons to provide the wo.1< Indicated (Include name/ adlress / phooe/ type of worll:}: /IS PROPERTY OWNER SIGNATURE DATE I Is the a~1can! a lnture buidng occupant reqwred to submit a business pan, acutliy hazardous materials regis!ratlon fcrm or risk management and prevenHon program under Sections 25505, 25533 er 25534 of the Pre9&y-lijriner Haz•dous Subslance Account Act? □ Yes □ No Is lhe aJµicant cr future buidng occupant required to obtain a permil:from !tie air pdluUOn oonlrd district oc air quality management dslric!? 0 Y~ □ No ls the fadity to be constructed Mtttn 1,000 feet of the outer boundary of a schod site? □ Yes □ No IF ANY OFT HE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY HOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUT10N CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender"s Address I rertifythat I haw reed the application and state that the above infoonation is conettand that the infonrultion on the plans is acr:urate. I agree tooomplywlth afl Cllyotdinanc:es and State laws raatingto Wildmgoonstruction. I hlfiby a~hor"" rnr:ra,,,lativeof lheCiyo!Cal1sbad k>enler upon lheabowmentKl!ledp,-ope1y for i~ l)IJll)OOlS I ALSO ACREE TO SAVE, INDEMNIFY /'ND KEEP HARMLESS THE CllY OF CARLSeAD AGAINST ALL UABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Af<Y WAY ACCRUEAG'JNST SAID CITY IN CONSEQUENCE OF THE ffiANTINGCf 11-IS PER MT OSHA: M OSHA J)Efflll IS fe'.:lured fer excavatrons ovoc 5'0' ooep and demolltm er oonstruclon of shJctures OVEr 3 storm 111 heght :-:J EXPIRATION Every perrrnl issued by the Burtting Oflcial um the provlSIOlls of th,:; Coo9: shal expre by !lmitaoon and beoo'm nul and vod l lhe bu1kllf19 Cf Wl'k aulhcnzed by such permit IS not ct:.mnenced YAt11n 100dayslrom lhe dale cl ruch pem,ttcr llhe buidng ""°" aulhoizedby ruch pem,i •"'l'!""'ded ar abandoned at any lire alla ~•-srormenced fa-a period cl 180 days (SecliJll 100 4 4 Unifam Bui~ Code) ,#1$ APPLICANT'S SIGNATURE ~ \N1.~ DATE '717.-j l '\ 7 -- f;o/ ,/ " ,;; ' '°" t "'" 1 k ' ~ .· ,,"/:: · :f ~: .'ii;:·.·. t,,11 lfi!SFI!SCTION HISTORIJ~l;J>OR'lfI(lijR2011-1164)r . , -,,. Penn it Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Fina!ed Actual Start Date Inspection Type Application Date: 08/03/2017 Issue Date: 08/03/2017 Expiration Dato: 04/11/2018 IVR Number: 5436 Inspection No. Inspection Status 10113/2017 10/1312017 BLOG--43 Air Cond./Furnace Set 037497-2017 Passed October 13, 2017 BLOG-Final Inspection Checklist ltctn BLDG-Building Deficiency 037498-2017 Chock list Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro COOWNER CALLAHAN MATTHEW &AZIZIASAL CARLSBAD TCT#92-02(B) PARKSIDE 1117 Scrub Jay Ct Carlsbad, CA 92011-2526 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1