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Home My WebLink About1345 SHOREBIRD LN; ; CB133003; Permit,, City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-16-2014 Permit No: CB133003 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1345 SHOREBIRD LN CBAD PME 2157911700 BOLAND RES-REPLACE 2 FAU'S SAME LOCATION WEST COAST APPLIANCE SERVICES INC DBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: BOLAND FAMILY TRUST 05-29-12 1345 SHOREBIRD LN CARLSBAD CA 92011 ISSUED 12/05/2013 RMA 12/05/2013 12/05/2013 SP $0,00 $0.00 $158.00 $0,00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: Date: Clearance: $0.00 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 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 I N . vi I X ir City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 12-05-2013 Permit No: CB133003 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1345 SHOREBIRD LN CBAD PME 2157911700 BOLAND RES-REPLACE 2 FAU'S SAME LOCATION WEST COAST APPLIANCE SERVICES INC OBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: BOLAND FAMILY TRUST 05-29-12 1345 SHOREBIRD LN CARLSBAD CA 92011 ISSUED 12/05/2013 RMA 12/05/2013 12/05/2013 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $0.00 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 pem1it 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 witn 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 i n fwhi v· I i ii r i h h f · i i n / IHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING UILDING □FIRE ' ~ «(ii>:> • ~ CITY OF CARLSBAD JOB ADDRESS 13 Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value CT/PROJECT# LOT# PHASE# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of All'ected Area(S) ~ A-IL 5 EXISTING USE GARAGE (SF) PATIOS {SF) DECKS (Sf) FIREPLACE YES □#_ NO □ APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) CITY PHONE E AIL CONTRACTOR BUS. NAME □HEALTH 0 HAZMAT/APCD SWPP -J? -Ov CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NOD YES D NO □ ZIP (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair any structur , 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 exem_P.t therefrom, and the basis for the alleged exemption. Any violat10n of Sect10n 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: I hereby affirm under penalty of petjUf)I one of the following declarations: □ I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Lalxlr Code, for the performance of the work for which this permit is issued. ~have and wlll maintain wor!era' compensatl,o!l_, as requir,d,bY ,?~o: '170() of the Labor Code, for the performance of the 'M'.lrk. for which this permit is issued. My workers' compensation insurance carrier and policy / numberare:lnsuranceCo.~ ~..fl ~--:: PolicyNo. /J,ft~ ®l• 0'1 'O'fle(o ExpirationDate_~2~/~1~4f,_ ___ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. ~ertlflcate of Exemption: l 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 .,e'alifomia. WARNING: Failure to eecure workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Lab<W code, Interest and attomey's fees . .J!S CONTRACTOR SIGNATURE I hereby afflnr, that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is r,ot 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 Ofle year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ I, 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. I personally plan to provide the major lalxlr and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an ai:iplication for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construclton (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the 'M'.lrk, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address I phone /type of work): IS PROPERTY OWNER SIGNATURE ffi"GENT DATE -----··--•-"> --·-" ----- COMPLETE T.►.IIS SECTION FOR NON-RESIDENTIAL BUILOING Pl51!MITS ONLY Is the applicant or Mure 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 Pf1!sley-Tanner Hazardous Substance Account Act? □ Yes □ No Is ffle applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manai1ement 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this penmt 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have iead the appllcatlon and state that the above lnformadon Is correct and that the lnfonnatlon on the plans Is accurate. I agree ID complywth all CH¥oldlnances and Sta1B la'II$ ielatlng ID building construction. I hereby authorize representative of the City of Carlsbad to enter up:m the above mentioned i:roperty br i~ pJrp:JSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAA.l.SBAD AGAINST ALL LIAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE CF THE GRANTING CF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5' ' and demolition or oonstruc:oon of structures over 3 sbries in he"ijht. EXPIRATION: Every permit i.ssued by the B.Jildin al under is s a imitation and OOCOme nun and YOO if the building orViOrk authorized by such permit is not oommenood v.ilhin 100 days from the dale of such permit or if 1ldi1g or orized by such permit is sus or abandoned at anytime after the 'Mlr1<. is oommenced for a pericxl of 100 days {Section 100.4.4 Unibrm B.Jilding Cooe). AS APPLICANT'S SIGNATURE DATE > , I Inspection List Permit#: CB133003 Type: PME Date Inspection Item 12/15/2014 43 AirCond/Furnace Set 12/15/2014 43 AirCond/Furnace Set 12/15/2014 49 Final Mechanical 12/15/2014 49 Final Mechanical Tuesday, December 16, 2014 Inspector Act SP SP RI AP RI Fl BOLAND RES-REPLACE 2 FAU'S SAME LOCATION Comments GC 1215 GC 1215 Page 1 of 1