HomeMy WebLinkAbout1757 SKIMMER CT; ; CB141104; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-20-2014 Permit No: CB141104
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1757 SKIMMER CT CBAD
PME
2159214300
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OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
IADICICCO AUGIE J&RACHELLE A
1757 SKIMMER CT
CARLSBAD CA 92011
ISSUED
05/20/2014
SKS
05/20/2014
05/20/2014
$0.00
$0.00
$158.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
FINAL APPROVAL
Inspector: ~-{p,(J.,,,,1,,-s 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
fees/ E similar t hi or as t whi h the sta re .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING OsulLDING □FIRE □HEALTH OHAZMATIAPC0
' ' Bulldlng Permit Appllcatlon Plan Check No. Cf:> I <..j II 04
\(~ 1635 Faraday Ave., Cartsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposlti CARLSBAD email: building@cartsbadca.gov ~;!) Date ~ / 7 _,,) I { '-f lsWPPP www.carlabadca.gov
JOB ADDRESS 1 .......... 1---•/\J .... ,..-I"" 1757 SKIMMER CT ---
CT/PROJE<.,, # ILOT# I PHASE# I # OF UNITS I # BEOROOMS #BATHROOMS I TENANT BUIINESS NAME I CONSTR. 1Y?E I occ. GROUP
DESCRIPTION OF WORK: hH:lude .,_,. Feet of Affected' Alea{a)
ADD TWO AIR CONDITIONERS TO AN A/C PREPPED HOME ~~i-
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR coNDmoNING I FIRE SPRINKLERS
YES[)t. NcC] YES0No0 YESONoO
APPUCANT NAME LES YOUNG PROPERTY OWNER NAME AUGIE IADICICCO
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103 1757 SKIMMER CT
CllY STATE ZIP CllY STATE ZIP
ESCONDIDO CA 92009 CARLSBAD CA 92011
PHONE I FAX PHONE IFAX 805 616-2887 480 620-5170
EMAIL EMAIL
INFO@.OAKISLE.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR COND
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE !FAX 760 839-8383 TFAX 760 839-8380
EMAIL EMAIL INFO@.OAKISLE.COM T STATE UC.# STATE UC.# IClASSc-20 TC11Yeus. uc.1212710 745400
(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 pennit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law {Chaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exemP.t therefrom, and the basis fOf the alleged exemption. Any violation of Sectton 7031.5 by any appltcanffor a permit subjects the applicant to a
ciVII penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compenaalton Declaration: / hef&by affirm under penalty of pe,jury one of the following declarations: D I have and wlll maintain I certlflc■lt of consent to self.lntun for wooun• compensation as provided by Section 3700 of the labor Code, for the performance of the 'M:irk for which this permit is issued.
Ir] I have and will maintain workers' compenaatlon, as required bv Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and pdicy
nuntier are: Insurance Co. EVEREST NATIONAL INSURACE Policy No. 7600000635141 Expiration Date 01/01/2015
~section need not be competed if the permit is for one hundnld ~ers ($100) orless. LJ Certificate: of Exemption: I certify that in the p(llformanc:e at the WOOi. for which this pennlt is issued, I shal not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California, WARNING: Failure to aecure 'compensation CO'l9fall• is unlawful, end lhall subject an employer to criminal panaltles and dvll fines up to one hundred lhouund dollars (&100,000), In
addition to the cost of com.,..,..Uon, damagesM ,,,,_14'd for In Sadlon 3708 ofttl• ubor code, Interest and attorney's fNt.
,i6 CONlRACTOR SIGNATURE
□
□
I, as owner of the property or my empoyees with wages as their sde COff1l6'1satlon, wil do lhe work .w1d the sbucture is not intended or offered for sale (Sec. 7044, Business and Profeaslons Code: The Contractor's
License Law does not appy 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. tr, however, the building a-improvement Is sold within one year of completion, the owner-builder 'Ml have the burden of proving that he did not bulcl a-improve for the purpose of sale).
I, as owner of the property, am exdusively conlracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contracta-'s license law does not apply to an owner of
property 'Mio builds or improves thereon, and oontracts for such projects with conlractor(s) Ucensed pursuant to the Contractor'& license law).
1 am exempt under Secl:ion ____ ,Bu&iness and Professions Code for this reason:
1. I personaRy plan to provide the ma;or labor and matenals for construclion of the proposed property lmprovemenl 0Yes Do
2. I (have / have not) signed an appltcation for a building pennt for lhe proposed work.
3. I have oontracted with the folowing person (flnn) to provide the proposed ainstructlon (Include name address/ phone I contractm' Ucense number):
4. I plan to provide portions of the work, but J have hired the folowlng peraon to coordinate, supervise and provide the major wol1< (indude name I address/ phone I contractors' Bcense number):
5. I wil provide some of the work, but I have contracted (hired) the folla.ving per&0ns to provide the work indicated (indude name I address / phone / type of work):
,/6 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE TH/5 SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the appicant or future building occtipant required to submit a business pan, acutely hazardous materials reglstrBtion fonn or risk management and prevention pro,J'8ffl under Sections 25505, 25533 or 25534 of the
Presley-Tarr,er Hazardous Substance Account Ad? □ Yes □ No
Is lhe appicant or future building OCCtJpant required to obtain a permit from the air polulion control district or air quality management 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 TIIE ANSWERS ARE YES, A FINAi. CERTIFICATE OF OCCUPANCY MAY NOY BE ISSUED UNLESS TIIE APPUCANY HAS MEY OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
IC11111fydlatlhM"'8dlhe_and_thattheabo,e-.nls..-anddlatlhelnfonn-111theplansls_l_m.,,....,with•C11Jmd..,_and_laws.....,mbuildlng""""""11o
I h,.,l,y-Jep18S0111ativedlhe CJiydCalsbad ID-upm lhe abo,e menlicned propellyb-n,pedlon -I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS TllE CITY OF CARLSBAD
AGAINST ALL LIABUTIES, JUJGMENTS, COSTSHil EXPENSES WHICH MAY N ANYWAY ACCRUE AGAINST SAD CITY IN CONSEQlENCE OF TIIE GRANTING OF TIIIS PERMIT.
OSHA: "'1 OSHA pemilis l9Qlftl b-"""8ll<ins 5"0" deep Md-orCOl15lrudlon dsiuciures ""'3 slales • ~
EXPIRATION: E'81)' pem,lt-bylhe BtJdirlj tllder1hep!Mionsd1his Code shale,q,ieby-Md become nul Mdwic! llhe ludi1g orm au1horimd by sudl pemilis nd"""""""1 V<lhil
180dajs from lhe dale of sudl pennitor llhe bu au1horimdbysudl permiilsuspended or-alenyliM allerlhe m •-b-a period cl 180 days (Sedion 106.4A IJrillnn Buidr,g Code,
A!$° APPLICANT'S SIGNATURE DATE -, 2o . j
lnspectien List
Permit#: CB141104 Type: PME
Date Inspection Item
05/30/2014 43 AirCond/Furnace Set
05/30/2014 43 AirCond/Furnace Set
05/30/2014 49 Final Mechanical
05/30/2014 49 Final Mechanical
Monday, June 02, 2014
Inspector Act
MC
MC
RI
AP
RI
Fl
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