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Home My WebLink About1708 BLUEBIRD LN; ; CB142982; Permit10-31-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI42982 Building Inspection Request Une (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1708 BLUEBIRD LN CBAD PME 2158800515 ROCKMAN RES- ADD A/C TO PRE PLUMBED HOME Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/31/2014 LSM 10/31/2014 10/31/2014 Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner: ROCKMAN MARK J&CAROLE A 1708 BLUEBIRD LN CARLSBAD CA 92011 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 A Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" 6f fees, dedications, reservations, or other exactions hereafter collectively refen-ed 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 pianning, 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 previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othew/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PLANNING •ENGINEERING • BUILDING QFIRE nHEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ^^5^3^ Est. Value Plan Ck. Deposit Date l'Qf3>\| SWPPP JOBADDRESS 1708 BLUEBIRD LN CT/PROJECT # LOT# PHASE # # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TVPE OCC. GROUP DESCRIPTION OF WORK: Induila Squara Fe«t of Altactml Araa(a) ADD AIR CONDITIONING TO AN A/C PREPPED HOME • NO ELECTRICAL EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ# NOQ AIR CONDITIONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPUCANTNAME PilMiv Conttct LES YOUNG PROPERTY OWNER NAME CAROLE ROCKMAN ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS 1708 BLUEBIRD LN CITV ESCONDIDO STATE CA ZIP 92029 CITY CARLSBAD STATE CA ZIP 92011 PHONE 760 839-8383 FAX PHONE 760 839-8380 760-814-8516 FAX EMAIL [NF0@0AKISLE.COM EMAIL DESISN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103 CITY STATE ZIP CITY ESCONDIDO STATE CA ZIP 92029 PHONE FAX PHONE 760 839-8383 FAX 760 839-8380 EMAIL EMAIL INF0@0AKISLE.COM 745400 CLASS C-20 CnY BUS. LIC.# 1212710 (Sec. 7031.5 Business and Professions Code: Any City or Coun^ which requires a permitto construct alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or mat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 t)y any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affimi under penalty petjury one of the follomng dedandkm: S I have and will maintain a certificate of consent to self-insure for workers' compensatkin as provkled by Sectkin 3700 of the Labor Code, fbr the peribrmance of the work fbr whk:h this pemilt Is issued. I have and wlli maintain workers' compensation, as nequired by Sectkin 3700 of the Labor Ckxle, for the perfbnnaice of the work fbr which this pernilt Is Issued. My wbriiers' compensatkm Insurance earner and pdkiy number are: Insurance Cb._ EVEREST NATIONAL INSURANCE PblkiyNb.. 7600000635141 Expiratkm Date _ 01/01(2015 Bsectkm need not be completed Ifthe pemilt is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in thaiperfbrmance of the work fbr whkji this pemiit is issued, I shall not empkiy any person in any manner so as k) become suliject to the Workers' Compensatkin Laws of Calilbmia. WARNING: Failure to secure woH«'yeciaipensation caverage is unlawful, and shall subject an employer to criminal penalties and chiil fines up to one hundred thousand dollare (&100,000), in addition to the cost of compensation, damades WmffMaS for in Section 3706 of the Latior code, interest and attomey's fees. JSS CONTRACTOR SIGNATURE O W M E R • B U I L D E K O E £ 1. ^ R A T1^ Mi [T] AGENT i hereby affimi tfiat I am exempt from Contrador's Ucense Law Ibr (he fokmng reason; I, as owner of the propaty or my empkiyees with wages as their sole compensation, will do the work and the stnictuiete Business and Professkins Code: The Contractor's Lksnse Law does not apply to an owner of property who txiiUs or Impioves thereon, and who does such work himself or through his own empkiyees, provkled that such Imprbvements are not intended or offered fbr sale. If, however, the txilkUng or Improvement is sokl withki one year of completion, the owner-buikler will have the txirden of proving that he dkl not buHd or improve fbr the purpose of sale). • • I, as owner of the property, am exclusively contracting with Iicensed contractors to construct the project (Sec. 7044, Buskiess and Professkms Code: The Contractor's Ucense Law (toes not apply to an owner of propeity who txilMs or Improves thereon, and contracts Ibr such pnijects with contrackir(s) Icensed puisuant to the Contiactor's Ucense Law). I I I am exempt under Sectkin _ .Business and Professkms Code Ibr this ie%bn: 1.1 peisbnally plan to provkle the major latxx and materials for constnictkm of the proposed property QYes [~^lo 2.1 (have / have not) signed an applicatkm for a buikiing pemiit fbr the proposed woik. 3.1 have contracted with the folkiwmg peison (Hmi) to provkle the proposed constnictkm (include name addiess / phone / contractois' lkiense number): 4.1 plan tb provkie pbitkms bf the wbik, but I have hlied the follbwing persbn tb ccbidlnate, supenrise and provkle the majbr wortt (Include name / address / phone / contractors' license number): 5.1 will provkle some of the wortt, but I have contiacted (hired) the folkiwing peisons to provkle the wortt kxHcated Ondude name / addiess / phone / type of worit): ^eTpROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR N O N - R E S I D E N T i A L B U I L D I N G PERMITS ONLY Is the applkant or futuie buikiing bccupait lequlied to submit a business pian, acutely hazardous materials leglstialion Ibmi oi risk management and pieventlbn program under Sections 25505,25533 cr 25534 of the Presley-Tanner Hazanleus Substance Account Act? OYes ONo Is ttie applkiant or futuie buikiing occupant required to obtain a pemilt from the air pollutkin conlrol district or air quality management district? O Yes • No Is the facility to be ccnstmcted within 1,000 leet cf the bulerbbundaiy of a school site? QYes ONo 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|SO NSTRUCT I O N L EN O I N <S AGENCY I hereby aflirm ttiat there is a constniction lending agency for ttie perfoimance of ttie work ttils permit Is issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address ':mM'li:t:i'0A::H:T': C E R T I riC.A T LO N Iceiti^tliatlhan lead flie applkzrikin and state ttiat ttie abow inforniatkin is conect and that the 1^^ I heieby authorize representative of Ihe CHy of Carisbad lo enter upon »ie above mentioned property fer kispectlon puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 PERMfr. OSH A An OSHA pennil is required fbr excavatkns ower ?()'deep and demolt EXRRATION: Every pemitt Issued by the Buildinoptlal ufider the provisnns of ttiis Code shall expire by Umltatkm and become nutt and void if ttie building or worit aulhorized by such pemilt is not commenced viittiin 180 days ftom ttie dale of such pemilt or if ttteUul/lj^ 0{fDrt( aulhori^ ^APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB142982 Type: PME ROCKMAN RES-ADD A/C TO PRE PLUMBED HOME Date Inspection Item Inspector Act Comments 11/20/2014 43 AirCond/Furnace Set - Rl GC 1025 11/20/2014 43 AirCond/Furnace Set SP AP 11/20/2014 49 FinalMechanical - Rl GC 1025 11/20/2014 49 FinalMechanical SP Fl Friday, November 21, 2014 Page 1 of 1