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Home My WebLink About1782 BLACKBIRD CiR; ; CB160231; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-20-2016 Permit No: CB160231 Buildino Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1782 BLACKBIRD CF~ CBAD PME 2156028900 ZAFERAKIS: ADD 1 l.JC 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 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ZAFERAKIS ANDREW & ZEMINA 1782 BLACKBIRD CIR CARLSBAD CA 92011 ISSUED 01/20/2016 SLE 01/20/2016 01/20/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 NOllCE: Please take NOllCE that approval of your project indudes the "lrrpcsition" d fees, dedications, reservations, or other exactions hereafter oollectively referred to as ''fees/exactions." You have 00 days from the date this perrrit IMlS issued to protest i~T~XJSitim of these fees/exactions. If you protest them. you rrust fallON the protest procedures set forth in Govemrrent Code Sectim 60020(a), and file the protest and any other required informatim wth the Oty rvBnager for processirg in acx:ordance wth Carlsbad M.Jnidpal Ccx:le Sectim 3.32.030. Failure to tirrely fallON that procedure VIAll bar any subsequent legal action to attack, review, set aside, void, or annul their irrpooition. You are hereiJy FLRIHER I\OT1RED that your right to protest the spadfied feeslexactims !XES Nor APPLY to \J\8\er and SEMer oonnectim fees and capacity changes, ra plannirg, zonirg, gradirg or other sirrilar applicatim processirg or service fees in omnection wth this project. NCR IXJES IT AFR Y to any fees/exactions of \1\hich have eviousl been ·vena NOllCE sirrilar to ths or as to v.kich the statute of I irritations has eviousl otherWse e "red. !HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING [] ENGINEERING []BUILDING []FIRE []HEALTH [] HAZMAT/APCD I B~uilding Permit Application Plan Check No. CJ'O { (J) 0 2 "6 I 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 ·--~-l www.carlsbadca.gov Date \lWlu..~ jSWPPP ,. JOB ADDRESS SUITE#/SPACE#/UNIT# rPN 1782 BLACKBIROI CIRCLE - -- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) ADID 1 NEW AIC UNIT TO AN AIC PREPPED HOME, NO ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I rR CONDITIONING 1 FIRE SPRINKLERS YESO NoD YEsONoO YEsONoO APPLICANT NAME TOM WOOD PROPERTY OWNER NAME ZEMINA ZAFERAKIS Prinarv Contact ADDRESS ADDRESS 1250 PACIFIC OAKS Pl. #103 1782 BLACKBIRD CIRCLE CITY STATE ZIP CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92011 PHONE I FAX PHONE rAX 760 839-8383 760 839-8380 760·815-1741 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 STATE ZIP ESCONDIDO CA 92029 PHONE PHONE I FAX 760 839-8383 I FAX 760 839-8380 EMAIL EMAIL INFO@OAKISLANDAC.COM ISTATEUC. # STATE LIC.# I CLASS I CITY BUS. LIC.121271 0 745400 C-20 (Sec. 7031.5 Business and Profess1ons Code: Any C11y or Coun1y wh1ch requ1res a perm1t toc<:>nstruct, alter, 1m prove, demoliSh or repa1r any structure,pnor t9 1ts 1ss~ance, also re(iUires the applicant for such perm1t to f1le a s1gned statement that he IS licensed pursuant to the proviSions of the Contractor's L1cense Law !Chapter 9, commendmgw1th Sect1on 7000 of DIVISIOn 3 of the 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 penally of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 performance of the work for which this permit is issued. 0 I 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 number are: Insurance Co. EVEREST NATIOI~AL INSURANCE Policy No. 7600000635141 Expiration Date 01/0112017 This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 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 California. WARNING: Failure to secure workers' compensation coverage is 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 Labor code, interest and attorney's fees. ~CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will 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, 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). 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 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 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 provicle the proposed construction (include name address I phone I contractors' license number): 4. I 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. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name 1 address 1 phone 1 type of work): ~PROPERTY OWNER SIGNATURE DATE I certify that! have read the application and state that the above lnfonna'Don is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penn it 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 penntt is not commenced within 180 days from the date of such penn it or if the building or work authorized by such -~nnit is susTnded or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code) . ...@S' APPLICANT'S SIGNATURE /]h7Y'I· ~ DATE I Inspection List Permit#: CB160231 Type: PME Date J__nsp~~t!2!l_)~m _________ _ 06/08/2016 43 AirCond/Furnace Set 06/08/2016 43 AirCond/Furnace Set 06/08/2016 49 Final Mechanical 06/08/2016 49 Final Mechanical Wednesday, June 08, 2016 ZAFERAKIS: ADD 1 AIC Inspector Act Comments AEK AEK Rl AP Rl Fl Page 1 of 1