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Home My WebLink About1745 BLACKBIRD CIR; ; CB141972; Permit08-08-2014 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI41972 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1745 BLACKBIRD CR CBAD PME 2156016000 BODDEN: ADD A/C Lot#: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/08/2014 JMA 08/08/2014 08/08/2014 Applicant: OAK ISLAND HEATING AND AIR STE 103 1250 PACIFIC OAKS PL ESCONDIDO CA 92029 760 839-8383 Owner: BODDEN JASON M&DIANA P REVOCABLE TRUST 05-05-05 1745 BLACKBIRD CIR CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $0.00 $158.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $o:oo Inspector: FINAL Date Clearance: NOTICE; Please take NOTICE that approval of your project includes the 1m|$osition" of fees, dedications, reservations, or other exactions hereafter coiiectively refen-ed fo as '^ees/exactions." You have 90 days from fhe date this pemnit was issued fo 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 Cartsbad 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMmSSUANCE: • PLANNING nENGINEERING •BUILDING DFIRE • HEALTH • HAZMAT/APCD ^ CITY OF CARLSBAD Building 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. (^'Q^ \L\-\C{ -jp^ Est. Value Plan Ck. Deposit Date SWPPP JOBADORESS 1745 BUCKBIRD CIR surrE«/sPACE*/uNir« CT/PROJECT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nclude Square Feet of Affected Areafs) ADD AIR CONDITIONING TO AN A/C PREPPED HOME EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPtACE YEsQ* NOj I AIR CONDITIONING YES I INO I I FIRE SPRINKLERS YES I |N0| I APPLICANT NAME Prlmrv Contact LES YOUNG PROPERTT OWNER NAME JASON BODDEN ADDRESS 1250 PACIFIC OAKS PL #103 ADDRESS 1745 BLACKBIRD CIR CITY ESCONDIDO STATE CA ZIP 92029 CITY CARLSBAD STATE CA ZIP 92011 PHONE 760 839-8383 FAX 760 839-8380 PHONE 760 994-7512 FAX EMAIL INF0@0AKISLE.COM EMAIL DESIQN 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 C-20 crTY BUS. LIC.# 1212710 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to 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 pursuantto the provisions ofthe Contractor's License Law {Chapter 9, commendingwlth 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)). WORKERS- COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe folbwing deciaratbns: S 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 wtiich this pemiit Is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor C^e, for the performance of the work for which this pennit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co._ EVEREST NATIONAL INSURANCE . PolicyNo., 7600000635141 Expiration Date _ ommn Thjs section need not be completed if the pemiit is for ofle hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the pa/foijnance of the work for which this pennit 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 worked' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dallars (&100,000), in addition to the cost of compensation, damageerasjiravldedfgc in Section 3706 of the Labor code. Interest and attomey's fees. >g!5'CONTRACTOR SIGNATURE y^^T^/y^ [7] AGENT DATE OWNER-BUILDE't DEf. LARATION / hereby affirm that i am exempt from Comractor's Ucense Law for the foliowing 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 buikls or impraves 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 bulW or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors to constract the praject (Sec. 7044, Business and Prafessions Code; The Contractor's Ucense Law does not apply to an owner of property who builds or impraves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Section _ .Business and Prafessions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the praposed praperty Improvement QYes 1 INO 2.1 (have / have not) signed an application for a building pennit forthe proposed wod<. 3.1 have contracted with the following person (finn) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (Include name / address / phone / 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 / phone / type of woi1<): ^PROPERTY OWNER SIGNATURE •AGENT DATE £dWPI.ETE THIS SECTIOW rO« N O N • R E S I O E N T IA L B U t L D I N G P E R M I T S ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • Yes • No Is the applicant or future building occupant required to obtain a pennit from the air pollution contral district or air quality management district? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? • Yes • 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. CONSTRUCTI ON LX N DING AGENC Y I hereby affinn that there is a construction lending agency for the perfomiance of the wori< this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ifi tfp^ VIC Anr CE R Tl F-i;c'>i';T;t:^:5N- I certify thati have lead the applicatk)n and state that the above inforniation is conect and that ttie information on the I hereby authorize r^nesentative of the City of Carlst AGAINST ALL UABILmES, JUDGMENTS, COSTJ OSHA: An OSHA pennit is requited Ibr excavatoi EXPIRATION: Every pemiit issued by the Build/g^ 180 days from the date of such petmit or if they vfiS"APPLICANT'S SIGNATURE id to enter upon the above mentioned propeity fbr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD 'AN^ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT. sa deep and demolitkin or constructbn of strndunes over 3 stories in heighL underthe provisbns ofthis Code shall expire by limitation and become nul and void ifthe building orwori< authorized by such pemiit is not commenced within work ayjiorized by such pemiit is suspended or abandoned at any time after the vw)ri< is commenced for a period of 180 days (Sedbn 106.4.4 Unifomi Buikiing Code). DATE Inspection List Permit*: CB141972 Type: PME BODDEN: ADD A/C Date Inspection Item Inspector Act Comments 09/26/2014 43 AirCond/Furnace Set - Rl AlVI PLS 09/26/2014 43 AirCond/Furnace Set SP AP 09/26/2014 49 Final Mechanical - Rl AM PLS 09/26/2014 49 Final Mechanical SP Fl 09/26/2014 49 Final Mechanical SP Fl Friday, September 26, 2014 Page 1 of 1