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Home My WebLink About1773 SKIMMER CT; ; CBR2017-0493; PermitPrint Date: 09/07/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1773 Skimmer Ct BLDG-Residential 2159213900 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: CUMMINGS: INSTALL PRE-PLUMBED AC UN\T Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-0493 Closed -Fina led 03/09/2017 03/09/2017 AKrog TRUST BOOZER ELYSIA LIVING TRUST 4803 Fernglen Dr THOMPSON HEATING AND AIR SANTA ROSA, CA 95405 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 1980 Peacock Blvd, Ste C Oceanside, CA 92056-3581 760-842-7630 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING [ZBUILDING □FIRE □HEALTH 0HAZMATIAPCD (city of Building Permit Application Plan Check~~·~eJ,..Q11: Q1:\_q2:) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D.eppslt email: building@carlsbadca.gov www.carlsbadca.gov Date ":-I (//7 jswPPP JOB ADDRESS 1773 Skimmer Court, Carlsbad, CA 92011 SUITE#/SPACE#/UNIT# 'APN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS ! # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Install a/c, pre-plumbed ! EXISTING USE FIREPLACE ( I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) v,so 1 I AIR CONDITIONING ' I FIRE SPRINKLERS Nc0 YES0No0 YES0No□, !APPLICANT NAME Greg Cummings PROPERTY OWNER NAME Greg Cummings i Prhla,)' QQnlact iADDRESS ADDRESS ! 1773 Skimmier Court 1773 Skimmier Court ' CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Carlsbad CA PHONE I FAX .. PHONE !FAX (805) 305-1827 (805) 305-1827 : EMAIL EMAIL I gregoryjcummings@,gmail.com gregoryjcummings@,gmail.com iDESIGN PROFESSIONAL CONTRACTOR BUS. NAME Thompson Heatina and Air Conditionina iADDRESS ADDRESS 1980 Peacock Blvd. Ste. C !CITY STATE ZIP CITY STATE ZIP i Oceanside CA 92056 PHONE PHONE I I FAX IFAX 760-842-7630 ---1 i EMAIL EMAIL contact@,thacc.net -·· l STATE LIC. # STATE LIC # l'""c20 I Cl1Y BUS UC 1240618 974400 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 LawJChapter 9, commending with Section 7000 of DIvIs1on 3 of the Business and Professions Code} or that he Is exempt therefrom. and the basis for the alleged exemption. Any vIolatIon of Section 031.5 by any applicant for a perrrnt subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500)). Workers· Compensation Declaration: / hen•by affirm under penalty of perjury DIil' of the fo/towmg declarations 0 I have and Will maintain a certificate of con sen I lo 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. [Z] I have and will maintain workers' compensalion. as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers· compensation insurance earner and policy number are Insurance Co__ _ _ N0RGUARD INSURNACE COMPANY _____ . __ Policy No. ___________ TH~.£~~02~ ________ Expiration Date ____ 417/2D1~---- ~section need not be completed if the permit is for one hundred dollars ($100) or less LJ 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 lo secure workers' compensation coverage is unlawful, and shall subjecl an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to lhe cost of compensation, damages as provided for in Seclion 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE [Z)AGENT DATE 3/9/17 I hereby affirm that I am exempt from Contractor's Liwnsc I aw for 1hr. fot/ow1/1g 1easo11 □ 0 □ 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 con1ractors 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 proiects with contractor(s) licensed pursuant to the Conlractor"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. OYes ONo 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 provide the proposed construction (include name address/ phone/ contractors' license number} 4. I plan lo 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 I address I phone I type of work) I 7lA,I A 0AGENT DATE 3/9/17 ~-----------------~ILOM('f_~,...~~~---------------··-------------~-------------~ .6.'5 PROPERTY OWNER SIGNATURE 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 ]5534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality rnanagernen1 district? □ Yes □ No Is the facility to be constructed within 1,000 lee! ol \he outer boundary of a school site? 0 Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the pertormance of the work this permit is issued (Sec. 3097 (i) Civil Code) Lender's Address I certify that I have read the application and state that the atxive infoITTlation is correct and that the infoITTlation 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 Cartsbad 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 permit is required for excavabons over 5'0' deep and demolition or construction of structures over 3 stories in hejght. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if !he buikling or work authorized by such permit tS not commenced within 180 days from the date of such perm~ or~ the buikling or work authorized by such pennil is suspended or abandoned at any time after !he WOOi is commenced for a period of 180 days (Section 106.4.4 UnITOrm Building Code). /I$ APPLICANT'S SIGNATURE DATE 3/9/17 >-,-;'sa• ""'' 0, ;{0 --PERMIT INSPECTION HISTORY REPORTf,(CBR2017-0493) ht '" " '" " Permit Type: BLDG-Residential Application Date; 03/09/2017 Work Class: P/MIE Issue Date: 03/0912017 Status: Closed -Finaled Expiration Date: 0310612018 Scheduled Date Actual Start Date 09l06/2017 09/06/2017 09/07/2017 09/07/2017 September 07, 2017 IVR Number: 2433 Inspection Type BLDG-1-3 Air Cond./Furnace Set Inspection No. 033668-2017 Checklist !tern BLDG-Building Deficiency BLDG43Air Cond./Furnace Set 033984-2017 BLDG-Final Inspection 034175-2017 Checklist Item BLDG-Mechanical Final BLDG-Electrical Final Inspection Status Failed COMMENTS No one Passed Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Andy Krogh Andy Krogh Andy Krogh TRUST BOOZER ELYSIA LIVING TRUST 1773 Skimmer Ct Cansbad, CA 92011-3609 Reinspection Reinspection Passed No Passed Yes Yes Complete Complete Complete Complete Page 1 of 1