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Home My WebLink About1387 BASSWOOD AVE; ; CB151962; Permit06-24-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI51962 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type; Parcel No: Reference #: PC #: Project Title: 1387 BASSWOOD AV CBAD PME 2051203600 Lot #: GROSSMAN RES- INSTALL MINI SPLIT HEAT PUMP Status Applied Entered By: Plan Approved Issued Inspect Area ISSUED 06/24/2015 SLE 06/24/2015 06/24/2015 Applicant: THOMPSON HEATING & AIR Owner: GROSSMAN SHELLEY C REVOCABLE TRUST 02-17-11 2531 BRADLEY ST OCEANSIDE CA 92056 760-471-5800 1387 BASSWOOD AVE CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $160,00 $0,00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL APPROVAL ^ Date: Clearance: 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 pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment 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 vou have oreviouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othenvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: •PLANNING •ENGINEERING nBUILDING DFIRE nHEALTH • HAZMAT/APCD Ccityof Carlsbad Builciing Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. QP^ t ^. |C((j2. Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS 1387 Basswood Ave SUrTE#/SPACE«/UNIT# APN - CT/PROJECT # LOT# PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s) Install mini split heat pump EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRE SPRINKLERS YESfT* YES| |NO| 1 YES| |NO| 1 P^'lTnL'T"^ Thompson Heating & Air Conditioning PROPERTYOWNER NAME Shelly Grossman ADDRESS 1980 Peacock Bl., Suite C ADDRESS 1387 Basswood Ave CiTY Oceanside STATE CA ZIP 92056 CITY Carlsbad STATE CA ZIP 92008 PHONE 760-842-7630 FAX PHONE 760-518-1387 FAX EMAIL contact@thacc.net EfvlAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAIVIE Thompson Heating 8i Air Conditioning ADDRESS ADDRESS 1980 Peacocit Bl., Suite C CITY STATE ZIP CITY STATE Oceanside CA ZIP 92056 PHONE FAX PHONE 760-842-7630 FAX EMAIL EMAIL contact@thacc.net STATE LIC. # STATE LIC.# 974400 CLASS C20 CITY BUS. LIC.# (Sec, 7031.5 Business and Professions Code: Any City or County which requires a perinit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicantfor such permitto file a signed statement that he is licensed pursuantto the provisions ofthe Contractor's Ucense Law (Chapter 9, commending vKith Section 7000 of Division 3 ofthe Business and Professions Code) or that he is exempt 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 civil penalty of not more than five hundred dollars ($500)). -if '.,- 73 " ' ,. *• •. 4.1.".J t ' Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following deciarations: B l have and will maintain a certificate of consent to self-insure for workers' compensation as provMed by Section 3700 of the Labor Code, for the perfomance of the work for whch this permit is issued. I have and will maintain woriters' compensation, as required bv Section 3700 ofthe Labor Code, for the performanceof the worts for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date Bsection need not be completed if the permit Is for one hundred dollars ($100) or less. Ceitificate of Exertiption: I 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 Worisers' Compensation Laws of Califomia. 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 (&100,000j, in addition to the cost of compensation, damages as provided for in Sf^ion ^706 of the Labor code, interest and attomey's fees, CONTRACTOR SIGNATURE ^ • AGENT DATE (^(f^/|C, I hereby affinn that t am exempf from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture Is not 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, hoviever, the buikling or Improvement Is sold within one year of completion, the owner-builder wiil have the burden of proving that he did not build or improve for the purpose of sale). I |\| I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an owner of V property who builds or Improves thereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1. i personally plan to provide the major labor and materials for constructton of the proposed property improvement. •Yes riNIo 2.1 (have / have not) signed an applicafion for a buikjing permit for the proposed work, 3.1 have contrxted with fhe following person (fimi) to provide the proposed construction (Include name address / phone / contractors' license number): 4.1 plan to provide porttons of the wori<, but I have hired the following person to cooidinate, supen/ise and provide the major work (Include name / addiess / phone / contractors' license number): 5.1 will provkle some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): jgS"PROPERTY OWNER SIGNATURE QAGENT DATE C^\l'S|\5 rOMPLETE THIS SECTION FOR NON-RESIOENTIAL BUILDING PERMITS ONLY Is the 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? D Yes n No Is the applicant or future building occupant required to obtain a pemiit from the air pollufion control district or air quality management district? d Yes • No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • Yes OUo 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. I hereby affirm that there is a constmction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name mem'AmsssiimmmiX: CERTIFICATIO Lender's Address I ceitify thatlhavereadtlie application and state that the above infoimation Is conect and thatthe infoimatran on the plans Is accurate. I agiee to comply with all City oidinances and State laws relating to building consbuctnn. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspecfion puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is required for excavafions over 5'0' deep and demolitbn or constructton of staictures over 3 stories in height. EXPIRATION: Eveiy permit issued by the Building Offcial under the provistons of this Code shall expire by llmitafion and become null and void if Uie buikJing or worts authorized by such pennit is not commenced within 180 days from the date of such pemiit or if the buikjing or woik authoiiffid by such pemiit is suspended or abandoned at any time after the woik is commenced tor a period of 180 days (Secfion 106.4.4 Unifonn BuikJing Code). vgS"APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151962 Type: PME GROSSMAN RES-INSTALL MINI SPLIT HEAT PUMP Date Inspection Item Inspector Act Comments 07/06/2015 43 AirCond/Furnace Set - Rl AM PLEASE 07/06/2015 43 AirCond/Furnace Set AEK AP 07/06/2015 49 FinalMechanical - Rl AM PLEASE 07/06/2015 49 FinalMechanical AEK Fl Monday, July 06, 2015 Page 1 of 1