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Home My WebLink About2759 SPOKANE WAY; ; CBR2017-0005; PermitPrint Date: 01/13/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2759 Spokane Way BLDG-Residential 1674316400 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: KLINT: REMOVE AND REPLACE 1 FAU LIKE FOR LIKE Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-0005 Closed -Finaled 01/03/2017 01/03/2017 TRUST KLINT MICHAEL T&LIN0A L 2759 Spokane Way OAK ISLAND HEATING & A/C INC CARLSBAD, CA 92010 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 1250 Pacific Oaks Pl, 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 ff 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. $166.00 $0.00 . ' . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING DeulLDING □FIRE □HEALTH D HAZMAT/APCD ~ Building Permit Application Plan Check No. C!!,Q."o:> r; -O<D~ \,(-.?ii' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date( \::C,l 1, [SWPPP www.carlsbadca.gov JOB ADDRESS SUrTE#/SPACEI/UNrTI IAPN 2759 SPOKANE WAY --- CT/PROJECT# ILOT# lPHASE# I# OF UNITS I# BEDROOMS # BATHROOMS lTENANT 8USINESS NAME I CONSTR. T'V'PE I occ. GROUP DESCRIPl10N OF WORK: lncJuff Square Feet of Aff8cf8d Atea(sJ REMOVE AND REPLACE 1 FAU, LIKE FOR LIKE EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS YES[]#. N<(J YESONoO YEsONoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME MICHAEL KLINT p ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 2759 SPOKANE WAY CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92010 PHONE 'FAX PHONE IFAX 760 839-8383 760 839-8380 760-444-3075 EMAJL EMAIL INFO@OAKISLANDAC.COM DESICIN PROFESSIONAL CONTRACTOR 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 lFAX 760 839-8383 l'AX 760 839-8380 EMAJL EMAIL INFO@OAKISLANDAC.COM I STATE LIC. # STATE UC.# ICIASSc-20 IC"' BUS, UC,1212710 745400 (Sec, 7031.5 Business and Professions Code: My City or County which requires a pennit to c_onstruct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or O,at he is exemJ;lt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a cl vii penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Worken11' Compensation Dedaration: I hereby atrirm under penalty of petjury one of the following declarations: D I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the labor Code, for the pertormanc:e of the work for which this permit is issued. 0 I have and will maintain workers' COl'l1)ensation, as raauired bv Sectioo 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatkln insurance earner and ~icy number are: Insurance Co. EVEREST NATIONAL INSURANCE Polley No. 7600000635141 Expiration Dale 01/0112017 J,lli§.section need not be completed if the permit is for one hundred dollars ($100) or less. U Certificate of Exemptton: I certify that in the performalCe of the MH1t for which this permit is issued, 1 shal not em~y any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wOl'kers' compenutton coverage is unlawful, and shall stmjed an empfoyerto criminal penalties and civil fines up to one hundred thousand dolars (&100,000), In addition to the coat of compensauon, damages aa provided for In Sef/on 3706 of~~ code, intenlst and attorney's fees. .JiS CONTRACTOR SIGNATURE , __ -" ~ @AGENT I hereby affirm that I am exempt from Contractor's Ucense Law for the folloiMng reason: □ I, as owner of the property or my empk>yees with wages as their sole compensatic:tt, wll do the work and the structure is not intended or offered for sale {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an O'M'lel" 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 one year of completioo, the cwmer-buikler wil have the buroen of proving that he did not buikl or improve for the purpose of sale). 0 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 ~Y lo 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). □ I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0-Jo 2. I (have I have not) signed an awlication for a building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction Onclude name address/ phone/ contractors' license number): 4. I plan lo prow:le portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (inckJde name/ address/ phone I contractors' liceose number): 5. I will provide some of the \Wrk, but I have contracted {hired) the following persons to provide the work indicated Onctude name I address / phone I type of work): .JiS PROPERTY OWNER SIGNATURE []AGENT DATE , COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future 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 Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant orfulure building occupant requiied to obtain a pennil from the air pollution control district or air quaity management dislrict? □ Yes □ No Is the facility to be constructed Mthin 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICAlE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TI-IE 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 affinn that there is a construction lending agency for the performance of the work thJS pennit JS issued (Sec. 3097 (1) Ci.I Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applk:atlon and Slalathattheabowe Information is com,ctand that the lnbmallon on the plans Is acarate. lagn,e ID comply with al Cl\' on:Dnancesand Stale laws relating to bltitgoonstruction. I heJeby auioori,e repiesentati,e of Ille City of Cailsbad ID en~r upon Ille above menoooed ixoperty ~r 11speclon pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD A~NST AI.L UA81LJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A~NST SAil CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA perm~ is requied b" excavatioos over 5'0' deep and dernaioon or oonstruclion of structures over 3 stories fl ~ht EXPIRA TtON: Every µmntt issued by the Buikting Ollcial under the DrtM;k:ms of this Oxle shal expi'e by liTiilaOOl'l and beCXlme nul ood vctl if the buidilg or 'AOO( authorized by sldl permit is not oommenc:oo v.ithil 180days from Ille dale ofsudl permit or WIile buidITTg or-au1hori2ed by suet, permit• or abandooed al anytime al\erllle-o CXlfll11erlQ!d bra periJd of 180days (Sedion 100.4.4 Unillnn lluid119 Code). ,#6 APPLICANT'S SIGNATURE DATE I /7/ (] PERMIT INSPECTION HISTORY REPORT (CBR2017-0005) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 01/03/2017 Issue Date: 01/03/2017 Expiration Date: 07/03/2017 IVR Number: 1230 Inspection No. Inspection Status 01/13/2017 01/13/2017 BLDG-43 Air Cond./Fumace Set 009662-2017 Passed January 13, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 009663-2017 Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Peter Dreibelbis Peter Dreibelbis TRUST KLINT MICHAEL T&LINDA L 2759 Spokane Way Carlsbad, CA 92010-2189 Reinspectlon Passed Yes Passed Yes Yes Yes Complete Complete Complete Page 1 of 1