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Home My WebLink About1778 BLACKBIRD CiR; ; CB152480; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-04-2015 Permit No: CB152480 Building Inspection Request Line (760) 602-2725 Job Address: 1778 BLACKBIRD CR CBAD Permit Type: PME Status: ISSUED Applied: 08/04/2015 Parcel No: 2156021700 Lot #: 0 Entered By: RMA Reference #: Plan Approved: 08/04/2015 PC #: Issued: 08/04/2015 Inspect Area: Project Title: SIMPSON RES-REPLACE FAU & A/C Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: SIMPSON ROBERT C REVOCABLE TRUST 11-16-01 1778 BLACKBIRD CIR CARLSBAD CA 92011 Total Fees: $160.00 Total Payments To Date: $0.00 $0.00 $160.00 $0.00 $160.00 $160.00 Balance Due: $0.00 FINAL AP RO AL/ Inspector: Date: Clearance: NOTICE: Please take NO ICE Jat 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 . .. .�_ - _`_`_`_ - --- 6....... ......rlv nfho Au o irorl THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING ENGINEERING _ BUILDING FIRE HEALTH HAZMATIAPGD Building Permit Application Plan Check No. ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value c I T , 0 L Ph: 760-602-2719 Fax: 760-602-8558 plan Ck. Deposit A �C Q /� n email: building@carlsbadca.gov D - Date L '�`SWPPP /-� JDf' www.carlsbadca.gov JOB ADDRESS 1778 BLACKBIRD CIRCLE SUITE#/SPACE#/UNIT/ A - - - #BATHROOMS TENANT BUSINESS NAMEDESCRIPTION CT/PROJECT #=L7_4 OF WORK- Include quare Feet of Affected Area(s) I REMOVE AND REPLACE 1 FAU AND 1 A/C UNIT, LIKE FOR LIKE, { NO ELECTRICAL EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES NO[— YES ONO � YESaNO❑ APPLICANT NAME TOM WOOD PROPERTY OWNER NAME ROBERT SIMPSON Prim Contact ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1778 BLACKBIRD CIRCLE CITY STATE ZIP ESCONDIDO CA 92029 CITY STATE ZIP CARLSBAD f_ CA 92011 PHONE 760 839-8383 FAX 760 839-8380 PHONE 760-497-6031 FAX EMAIL EMAIL INFO@OAKISLANDAC.COM DESIGN 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 I FAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM STATE LIC. # _ STATE LIC.# 745400 CLASS C-20 CITY BUS. LIC.# 1212710 ... ,_-__-__ �_....,.c.. �. ... .......:. �.... �r.,,�r,,ro _1_tnitsis rnnr . alsoreouiresthe (Sec_ 7031.5 Business and Professions Code: Any City or county wmcn requires a pennn w cuimua.L civil penalty of not more than nve nunarea aonars taovvll. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfoRnance of the work for which this permit is issued. ❑ ❑✓ 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy EVEREST NATIONAL INSURANCE _ Policy No. 7600000635141 — Expiration Date 0110112016 number are: Insurance Co.—_—_— _ —_ — - This section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: 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 Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is uniaw I, 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, damaq!sP,,Provided for in Section 3706 of tblWbor code, interest and attorney's fees. )25 CONTRACTOR SIGNATURE QAGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not in or offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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 one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). ElI, 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 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. QYes r 2. 1(have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone / contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. 1 will provide Some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone I type of work): A!5PROPERTY OWNER SIGNATURE []AGENT DATE 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? O Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes ❑ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 No 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 construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender's Address I cer* that have read the application and state thertthe above information is correct and that the information on the plans is accurate. I agree to comply wish all City ordinances and State laws relating to building coraLnx6on. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. 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 permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized b�rt s suspended or abandoned at any lime after the work is commenced for a period of 180 days (Section 106.AA Uniform Building Code). At5APPLICANT'S SIGNATURE — — DATE-- Inspection List Permit#: CB152480 Type: PME Date Inspection Item 12/08/2015 43 AirCond/Furnace Set 12/08/2015 43 AirCond/Furnace Set 12/08/2015 49 Final Mechanical 12/08/2015 49 Final Mechanical 12/04/2015 43 AirCond/Furnace Set 12/04/2015 43 AirCond/Furnace Set 12/04/2015 49 Final Mechanical Wednesday, December 09, 2015 SIMPSON RES-REPLACE FAU & A/C Inspector Act Comments RI PM PLEASE PY AP RI PM PLEASE PY AP RI PY NR no one home RI Page 1 of 1