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HomeMy WebLinkAbout1758 ORIOLE CT; ; CB151161; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-16-2015 Permit No: CB151161 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1758 ORIOLE CT CBAD PME 2159211200 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: GORDON RES-REPLACE FAU & A/C Applicant: WEST COAST APPLIANCE SERVICES INC DBA WEST COAST SOLAR 1282 FAYETTE ST EL CAJON CA 92020 619-557-0446 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: GORDON FAMILY TRUST 2006 1758 ORIOLE CT CARLSBAD CA 92011 ISSUED 04/16/2015 RMA 04/16/2015 04/16/2015 $0.00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: FINAL APPROVAL Inspector: f1,1. ~ Date: •'5 l Clearance: $0.00 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 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 f exactions f which ou hav r viousl been iven a NOTICE imilar to this or s to which h tatute of limi i ns has r vi I otherwis x ired. JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Csrlsbad, CA 92008 Ph: 760-602-272.7 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) EXISTING USE GARAGE (SF) PROPERTY OWNER NAME PHO - ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APl'UCANT NAM£ (Seconda,y Contact) CITY PHONE EMAJL CONTRACTOR BUS, NAME 5 It~ p AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ ZJP (Sec: 7031.5 Business 1,:1nd Profes.S:ions Code: Any City or CQu'!IY Wllieh reQuires a ~rmit to. cpnstruct, alter, improve. qemolish or~ir any structure, ~or tp its issuance, alSo ~uires the app!icarrtfor such perynittoflle as ed statement that he 1s licensed pursuant to the rOV1s1ons oft:1:te Contra9tar'~ License~ ter"9, commepdingwlth Section 7000 of Division 3 of the Business and Professions Code} or'C he IS exem~ therefrom, and the basis for the aileged exemption. AA'/ vtolatton of Section 03'f.5 by any applicant for a permit subjects the applicant to a civil penaity of not more than five hundred dollars [$500)). WORKERS COMPENSATION w....,., Compensation _, / hereby afflmr IBlderpenaltydpetjuryone dthe fo/lowing dec/ataOOnS: □ I hare and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perlormarx:e of the work for which this permit is issued. v,p I have and wUI maintain~• eompensatton: as_;pqu~MOOofthe Labor Code, for the performa"tCe of the work for which this perrnjt is issued. My worifera' compensation :77~el' and policy r number ,rec Insurance Co . .L::] ;I\ /W),\ -Glf1~ Pciicy No.f >:?('.; ~ (Jl)/ --09' -tJ1(p{p Exp/ration Dafe __ ~-=,~~_.._.,__ __ _ This need not be completed If the permit iS for one hundred dol~ ($100) or less. Certificate of Exemption: I certify that in the pe,folmance of the wori< for which this permit is issued, l shell not employ any persoo in aiy manner so as to become subject to the Workers' Compensation Laws of ifomia. WARNING: Failure to secure wol'MIT wmpen · I and shall aubjea an employer to Criminal penalties and cMI finn up to one hundred tbou$81ld dollars (&100,000), In addition to the cost of compensatilOlli?'"'ll'I' 3706 of the or code, Interest and attorney's fees. ./IS CONTRACTOR SIGNATURE I hereby affifm that I am exempt from Contractcr's Ucense Law fer the following reason: □ 1, as owner of the property or my employeeS with wages as their sole compensa6on, win 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 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, hc,,.,ever, the building or improvement is sold within one yea of completion, the owner-builder wil have the burden of proving that he did not build or improve for the purpose of sale). □ J, as owner of the property, Ml exclusively oontra::llng with licensed conbcaol'S 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 or improVeS thereon, and con1racts for such projects with contractorts) licensed pursuant to the Contractor's License Law). □ 1 an exempt under Section ___ __,Business and Professions Code fur this reason: 1. I peraona/ly plan 10 provide ~• major ~bor and malelials for cons1ruction of~, proposed property onpro,,ement □ Yes □ No 2. 1 (have / have mi) signed an appticalion for a bwlding permit for the proposed WOik. 3. 1 have contra:ted with the following person (firm) to provide the proposed construclion (include name address / phone / oontractors' DcerlSe number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervi5e .;rid provide the rtlcf)I' work Onclude name I address / phOne I oontra::tors' license number): 5_ 1 will provide some of~• -. but I have contracted (hil!d) ~• lollONing peraons 10 provide the wa1< in<f<ated [mciude nane / oldies, I phOne I type of-)c ./IS PROPERrY OWNER SIGNATURE □AGENT DATE COMPUTE tHIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plal, a::utely hazardous materials registration form or risk man~ and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazadous SubstanceAo::ountAcr? □ Yes □ No Is lhe applicant or Mure building occupant required to obtain a permit fi"om the air pollution control district or air quality management district? □ Yes □ No Is~• facility to be consuucted within 1,000 feet of 11le outer boundary of a schoc; site? □ Yes □ No IF Alff OF THE ANSWERS ARE YES, A F1HAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCAIIT HAS MET OR IS IIEEl1NG THE REQUIREIIBm OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby afflnn that there is a construction lending agency for the perfonnance of the work this pem1it is Issued (Sec. 3097 (i) Civil Code). Lenders Name Lenders Address APPLICANT CERTIFICATION Inspection List Pennit#: CB151161 Type: PME Date Inspection Item 05/12/2015 43 AirCond/Furnace Set 05/12/2015 43 AirCond/Furnace Set 05/12/2015 49 Final Mechanical 05/12/2015 49 Final Mechanical Wednesday, May 13, 2015 Inspector MC MC GORDON RES-REPLACE FAU & A/C Act Comments RI AP RI Fl Page 1 of 1