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Home My WebLink About1329 SHOREBIRD LN; ; CBR2018-0573; Permit(City of Carlsbad Residential Permit Print Date: 03/12/2018 Permit No: CBR2018-0573 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1329 Shorebird Ln BLDG-Residential 21S7911300 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 03/08/2018 03/08/2018 TFraz Plan Check#: Final Inspection: 3/12/2018 12:03:18PM Project Title: Description: KATSIYIANNIS: ADD 1 NEW AC UNITS AND 2 NEW 40 AMP CIRCUITS Owner: Contractor: DEAN KATSIYIANNIS 1329 Shorebird Ln Carlsbad, CA 92011-4885 OAK ISLAND HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 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 163S Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8S60 f I www.carlsbadca.gov $170.00 TH€ FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [] PLANNING ~ ENGINE:ERIHG [."'BUILDING J RRE C]HEALTH [_j HAZMA TJAPCO ~ .{ •"" "" ... ~ (lfY (J I CARLSBAD Building Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 Ph 760-602-2719 Fax· 760-602-8558 email: bu1lding@carlsbadca gov www.carlsbadca.gov JOB ADDRESS 1329 SHOREBIRD LANE SUITEf/SPACEf/UNIU Plan Check No 3 Est. Value Plan Ck. Date SWPPP I CT/PROJECT • I L,'1 r PHASE f t OFVMTS • 6EOROOMS t BATHROOMS TENANT 8USIN[SS NAME CONSTR TYt1€ OCC GROUP ~CRIPTION OF WORK: lncludo Squaro Foot ofAlfectod Ariii,ia/ ADD 2 NEW A/C UNITS AND 2 NEW 40 AMP CIRCUITS 1 EXISTING USE I PROPOSED USE l°t,RAGf ,SF\ PATIOS 1SF, I DECKS !SF• I FIREPLACE YESD rlR CONDITIONING I FIRE SPRINKLERS NoCJ YES □No □ YEs□,w□ I I jAPPLICANT NAME TOM WOOD PROPERTY OWNER NAME DEAN KATSIYIANNIS lhhrn.Y.~•••a•• 1:,CDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1329 SHOREBIRD LANE --··-··-····- !CITY STATE ZIP STATE CITY ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE ,,A.X PHONE (l,X ' 760 839-8383 760 839-8380 951-553-4381 \EM~ll. EMAi,. INFO(@,OAKISLANDAC.COM I I !DESIGN PROFESSIONAL CONTIMCTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CliY STME ltP .. ·--GITY STATE ZIP ESCONDIDO CA 92029 Pl•Of>IE l"·X PHONE rl-X 760 839-8383 760 839-8380 -,fMML EMAi!. INFO(@.OAKISLANDAC.COM I i I rfAT[ LIC I $lATt UC~ ICI.ASSC-20 rl"BUS LIC1212710 745400 See 7031 s Business and P,otes.su:>n& Code Any City or County which requues a penrut to construct alter improve demolish Of repau a!"y structJte pr,a to ,ts issuance also ,equ1res the aopt,cant fo, suctl pe1m1t to file a signed statement that he ,s hce,1&e<J pursuant to u,13: prov1sl()ns of the Cont,actor s Lteense Law {Chapter 9 commending with 6ectr0n ;ooo cA 01vts1on 3 of the 9us1ness anrl P1of~~JSi.Ons Code} 01 fhat he is e:,:ernpt tharetro,n and th~ basis for the allegr,ci eic:emptt-Or\ Any 111olat1on ot Section ,031 5 by any apphcant for a pe,m,t svbJects the applicant to a ~,v,I oonalty of not more than live hundred dollars ($500}1 Workers' Compensation Declaration , hereby afflm1 under pcna"y of pequry one of ll•e loiJOwing dedilmlJOns 0 I have and will maintain a certificate or consent to self-insure IOI workeis co~osalion as prOV>ded ti/ Sccbon 3700 ol the labor Code 10< lhe pertormarn:e ol 1he woo. fo, wh,ch this perm,1 ,~ 1ss11eo [2] I have and will maintain works rs· compensation as re0tared bV Seclion 3700 ol lhe labor Code tor lhe pcrtorrnance of lhe Ml!k lo, which !his per1T11I ,s ,ssue::l My woo.ers cof:l)ensalaon insurance earner and pd1cy llulllbe< a,e losllance Co EVEREST NATIONAL INSURANCE Po,cy No 7600000635141 E•pnolion Date 01,0112019 ~s0.:1,on need nol be com~e!ed 1f 11,e perm! ,s fo, one hul\dfed (Xjla,s (S 1001 0t less LJ Certificate of Ex:emption. I certtly lttill m the porlounance of the WOft lot ~uch 1111s pc1 n'lll 1s 1ss.utl{j I sholl not cmpo)' any person many manner so as to oecome sut,ect 10 !he Wortcers Compensahon LaY.'S of Ca!1!0<ma WARNING. Failure to secure workers· comp,msation coverage is unlawful. and shall subject an employer lo criminal penallies and civil fines up to one hundred thousand dollars {& 100.000). in addition to the cost of compensation, damages as provided 101 in Section 3706 of th1t9abor code. interest and attomey·s fees. /t 11$ CONTRACTOR SIGNAlURE ~ 1.)..rcrzrz-A" 0 AGENT DATE A ; 'O ~ I hc1cby afhm, rhar I am e;empr hem Comroe1ors /.iamse t aw for /lie following ,eason □ □ □ 1 as owner ol the pcope,ty °' my employees w,lh wages as 1he11 soe cornpe11sabon 'MIi do lhe wk and lhe structu,e ,s no! 111lended °' ottered fo, sale (Sec 70'4 Business anct Professions Code The Contractors License Lawdoos not WY lo an owner of prcperly who buids or I"'4"0,es thereon and \\ho does such ~k hnnselt or IIYough his own em[Joyc-cs p,oYlde<l that soch 1~ovemen1S are no11n1encted °' offered for sac 11 however 1he bu•ding u 11~(1{c1ne111 ,s sod w,lhIn one ye"' of compebOll 11,e owner•bulder v.11 have Ilic burden ot proving !hat he ctct no! bu1d <:1 Uf'4l'OVe for the pulJ)Ose ol sale) 1 as owner ol lhe pcoperly am exclusiv,:iy conlrJcbng ,.,th hcunsed contmctors lo c0<1slruct lhe p,Ofecl (Sec 7044 Busmess and Piofessions Code The Con~aclor's License Law does nol appy lo an 0"'181 ol p<opllrtt who oo•ds a I"'4"over. tnett'On and contracts 101 such proiecls ,~th conlractorjs) hcensed pursuant to :he Conlract01 s License Law) I am exempt under Scc~Ofl Business and Prolessions Code la lh1s reason 1 1 pe,sor10ily plan to provide the nlllJOf laoo and maler,als lo, cons~·uc110n ol the pcq,osed prqierry ,mp,overnenl O ves 0 No 2 I (have I have nol) signed"" appu:abon lo, a buid,ng perm,! for lhc prq,osed wOl1< 3 I have contraclect ,~th lhe fdlo,,,ng person (f1rrn110 pcovioe the poposect consltucuon (Ind1:de name ad<tess / pt>one / contractors hcense rmmbc<I 4 J plan 10 pro11de po<ttons ot the wc,k IJul I have ruect Ille fdiow,ng person lo coorctnale, suoelVise dnO pro,,cto Iha maior W0<1t {mclude name/ Rd<l'ess /phone/ conlraclors· license n111nber) 5 J iv.II provide sorne or lhe Ml!I<. bu! I have contrac1cd (h,1ed) lhe fcilo,ang persons lo provide lhe work ,ndicated (include name/ ad'.!less I phone I type ol 001k) Ji!S PROPERTY OWNER SIGNATURE DATE ··-··· ---·--·-·------------ Is lhe a~1canl er lul1.<o buldng occupant req11100 lo subm11 a business rian, acutey hazaroous malerr>ls rcgIsua1Ion form or nsk management and prevenbon program under Secbons 25505. 25533 or 25534 al the Pre!ley-Tanner Hazardous Substance Account Act? 7 Yes 7 No ts the a~1can1 er ful1.<e bu-idng occupant requ1ed to obtarn a permit trom the a I pdlrnIon conUd os~ICI or air qu:f1t'j management dstnct0 7 Yes 7 No Is the lad1ty to be conslructed ,.,11,n t 000 teet ol the outer llOundary of a scnoci s,fc? 7 Yes 7 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 ANO THE AIR POLLUTION CONTROL DISTRICT, I hereby affirm that there 1s a construcl!On lcnclIng agencv for the performan,.e cf the work this perrmt 1s 1ssu<!<j (Sec 3007 (1) C1v11 Code) Lenders Name Lenders AoJress I certify that I have read the application and state that the above informatKlll is correct and that the infonnabon on the plans is aa:uratc I agree tooompy wrtll all City ordinanres and State laws relating to ooilding conS11Uooon. I hereby aulhortZe rei:te-oonlah\<e of the Crty of Cart;bad to eoiet upon the abiJlle me11toned p-c~Jaty fc, 1nqJed,cx1 piipcm; I ALSO IG'lEE TO SAVE INOEMNIFY ANO KEEP 1-WWLESS THE CITY Cf CARLSBI\O f.CAJNST .Ai.t LIABILITIES JJOC,MFNTS COS TS AND EXPENSES \'\+ilCH MAY !N ANY WAY ACCRUE /\GAINST SAID CllY INCO'ISEO\£NCE o;: 1HE GW-lTINGCf THIS FERM T aiHA AA CGHA pe,ml s requred kr oxcavat= ova-5 0 00€4) andrnnolrtor1<1 oonslruc1on of stuctues over 3 stcnl$ ri het;Jhl EXPlRA TION Every pennrt issued t,y lhe Brnk:lrig Oftcral unocv the provslOlls of l~Code shal e,q,re by imrtalon and bccane nul and vod I lhll burkl•'!-J tr ..ak auloo-1200 IJy 9.JCh permrt rs not cxmnencod -Mt1111 t80days ~()"1111,e dale 0: such perma a t the bllk:lng c, v.<::t• autholzed by such mi is SUSJJllflood c, al~nooned at any !me aftc, lhev.<::tk ~ cxmnenced fc, a per,oo ol 16f days (Seci1J11 100 4 4 Urufc,rn Burloog Code) Ji$ APPLICANT'S SIGNATURE p /"\, ~ DATE 7 / G:-// 'I> PERMIT INSPECTION HISTORY REPORT (CBR2018-0573) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 03/08/2018 Issue Date: 03/08/2018 Expiration Date: 09/10/2018 IVR Number: 9953 Inspection No. Inspection Status 03/12/2018 03/12/2018 BLDG-43 Air Cond./Furnace Set 051344-2018 Passed March 12, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 051346-2018 Chock list Item BLDG-Mechanical Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Tim Frazee Tim Frazee DEAN KATSIYIANNIS, TRUST KERR FAMILY TRUST 04-09-12 CARLSBAD TCT#90-31 AREA 28 UNIT#01 1329 Shorebird Ln Carlsbad, CA 92011-4885 Reinspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1