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Home My WebLink About2767 SOUTHAMPTON RD; ; CB140601; Permit03-17-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140601 Building Inspection Request Line (760) 602-2725 2767 SOUTHAMPTON RD CBAD PME 2081402500 Lot #: BOHNERT RESIDENCE ADD A/C TO EXISTING SFD WITH ELEC 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/17/2014 MDP 03/17/2014 03/17/2014 BOHNERT ANDREW J&KIRSTEN N BOHNERT ANDREW J&KIRSTEN N 2767 SOUTHAMPTON RD CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2767 SOUTHAMPTON RD CARLSBAD CA 92010 $0.00 $33.00 $158.00 $0.00 $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Im sitio 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 witll the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Fai!ure 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 f hi h i ·1 f Ii x ir THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ~<~ Building Permit Application Plan Check No. 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 www.carlsbadca.gov Date lsWPPP JOB ADDRESS SUllEttsPACEf/UNIU IAPN 208 2767 Southampton Road, Carlsbad, CA 92010 -140 -25 -00 CT/PROJECT# ILOT# I PHASE# I# OF ~NITS I# BEDR;Ms #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP 3 DESCRIPTION OF WORK: Include Squan1 Feet of Affected Area(s) Installation of new 3 ton A/C system and replacement of existing gas furnace. EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I F!RE SPRINKLERS Single Family Residential YESO Ne(] YES0No0 YESONoO APPLICANT NAME Nicole Bohnert PROPERTY OWNER NAME Andrew & Nicole Bohnert .... ADDRESS ADDRESS 2767 Southampton Road 2767 Southampton Road CllY STATE ZIP CllY STATE ZIP Carlsbad CA 92010 Carslbad CA 92010 PHONE IFAX PHONE I FAX 630-291-0191 312-342-1905 EMAIL EMAIL nicole.bohnert@att.net andrew.bohnert@att.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Stillman HeatinQ & Air ConditioninQ. Inc. ADDRESS ADDRESS 1945-G Camino Vida Roble CllY STATE ZIP CllY STATE ZIP Carlsbad CA 92008 PHONE PHONE IFA)( 760-431-8075 I 'A)( 760-431-8253 EMAIL EMAIL still man heati nq@,att.net I STATE UC.# STATE LIC.# I CLASS I CITY BUS. UC.# 703043 (Sec. 7031.5 Bus mess and Professions Code: Any Crty or County which requires a permit to construct. alter, improve, demohsh or repair an~ structure, pnor to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law )Chapter 9, commending with Section 7000 of Drvis1on 3 of the B_usmess and Professions Code} or that he 1s exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: 8 I have and will maintain a certificate of consent to self-insure for wori{ers' compensation as provided by Section 3700 of the Labor Code, for the pertoonance of the WOC'k for which this pennit is issued. I have and will maintain workeni' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the WOO\ for which this permit is issued. My WCITT(ers' compensation insurance carrier and policy numberare:lnsuranceCo._ -· ____ __________ PolicyNo. ____________ Expiration Date ________ _ This section need not be completed if the pe11Tlit is for one hundred dollars ($100} or less. 0 Certificate of Exemption: I certify that in the performance of the 'M>rk for which this permit is issued, I shall not employ any person in .-iy manner so as to become suti;ect to the wooers' Compensation Laws of Galifomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal 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 Labor code, interest and attorney's fees. Jt5 CONTRACTOR SIGNATURE i,-si::~~s~J~~I~! DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees 'Mth wages as their sote compensation, wifl do the 'Mlrk and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contra:tor'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 ooe year of completion, the owner-builder wilt 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 a-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 Cooe for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves Oo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' lioonse number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majorWO'k (include name I address/ phone/ contractors' license number): 5. I will provide some of the 'M)rk, but I have contracted (hired) the folk1Ning persons to provide !he work indicated (include name I address I phone I type of WOl'k): Jt5 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETI:' TH)S SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required ID submit a business plan, acutely hazardous materials registration form or risk management and p-evention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air poKution control district or air quality management district? □ Yes □ No Is the facility lo 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 IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICES AND TI-IE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above Information is mrrect:and that the infonnalion on the plans Is accuae. I agree to cnnptywlth all Cilyo«llnances and State laws relating to buiking oonstruction. I t..lreby aulhorize n,presentatiw of lhe a~of Carlsbad~ enter upon lhe abcMl roontionoo-br inspection purjX)SeS. I ALSO AGRE£ TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LWllLITIES, JUDGMENTS, CCSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: AA OSHA pe,mil is required br excavations over 5'0' deep and demolition oc construction of structures OYBf 3 stories in height EXPIRATION: Every permit issued by the B.Jik:ling Offcial under lhe provisions of this Cooe shall expire by Imitation and become nuU and void if the buik:ling or v.or1< aulhoozed by such permit is oot oommenced 'Mthin 100days from the dale of such pem1rtoc if the buik:ling orVtOrk authorized by such permit is susJ)ffided or abanooned at any time aftef the v.ork is oommenred bra rkxl of 100 day.; (&lcfun 100.4.4 Uniform Buikling Cooe) ,ftS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB140601 Type: PME Date Inspection Item . 09/08/2014 35 Photo Voltaic (PV) 09/0812014 39 Final Electrical Tuesday, February 10, 2015 BOHNERT RESIDENCE ADD A/C TO EXISTING SFD WITH ELEC Inspector Act Comments SP AP SP Fl Page 1 of 1