HomeMy WebLinkAbout1740 SKIMMER CT; ; CB142023; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
08-15-2014 Permit No: CB142023
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1740 SKIMMER CT CBAD
PME
2159213000
CHOA RES= ADD NC TO A
PREPLUMBED HOME
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
Lot#: 0
Owner:
Total Fees: $158.00 Total Payments To Date:
Inspector: ff!. ~
FINAL APP
Date: 0
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/15/2014
LSM
08/15/2014
08/15/2014
$0.00
$0.00
$158.00
$0.00
$158.00
$158.00 Balance Due:
VAL
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 xa lions of whi h ou hav vi I N TICE imil r to this or a which the e of limi i ns has r vi usl olh rwis ex ire .
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
·,~. Building Permit Application Plan Check No. /It'.. I LI ~4?,
",'\_ .... 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
www.cartsbadca.gov Date 'if/ f.l /, l.../ ISWPPP
JOB ADDRESS 1740 SKIMMER CT
5.,,,.,..,..-ACEI/UNIH ,~ .. ---
CT/PROJECT# ILOT# I PHASE# I# Of UNITS I# BEOROOMS # BATHROOMS I TENANT ...,_NESS NAMli ICONSTR. fl+ T..,,., .... GROUP
DESCRIPTION OF WORK: Include~.,. Feet of Aff9cted Area(I)
ADD AJC TO AN AJC PREPPED HOME
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAlR CONDITIONING l ARE SPRINKLERS
YES(]# NcQ YESQNo □ YESQNo[J
APPLICANT NAME LES YOUNG PROPERTY OWNER NAME ANNCHOA '-~ ----
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103 1740 SKIMMER CT
C1TY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029 CARLSBAD CA 92011
PHONE I FAX PHONE IFAX 760 839-8383 760 839-8380 424 666-4128
EMAIL EMAIL
INFO@OAKISLE.COM
DESIGN PRORSSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS 1250 PACIFIC OAKS PL #103
C1TY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE l'AX 760 839-8383 l'AX 760 839-8380
EMAIL EMAIL INFO@OAKISLE.COM
ISTATELIC.# STATE UC.# I ctASSc-20 ICITYBUS.LIC1212710 745400
(Sec. 7031.5 Business and Professions Code: Any Ctty or County which requires a penmt 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 pursuant to the provisions of the Contractor's License Law 10,apter "9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exemJ;lt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicanffor a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
Work.en' Compensation Oedarallon: I heleby affirm under penalty of perjury one of the following declarations: D I hw11 and will maintain a certfflclte or content to self-'nsurt for workers' compensation as provided by Section 3700 of the Labor Code, for the perfomlance of the work for which this permit Is issued. IZJ I have and wm maintain worttars' corrc,enaation, as required by Section 3700 of the Labor Code. for the performance of the WOO<. for 'M'tk:h this oennit is issued. My workers' compensation illSUl'lllCe canier and policy
number are: Insurance Co. EVEREST NATIONAL INSURANCE Polley No. 7600000635141 Expiration Date 01/01/2015
'PJil.sectlon need not be completed if the permit iS for one hundred d {$100) or less. LJ Certificate or Exen-.,tion: I certify that in the perfoml.w:e of for whk:h this permit is Issued, I shal not em~oy any person in any manner so as to become subject to the WOlkers' Compensation Laws of
Galfornia. WARNING: Fallure to secure workers' compen els unlawful, and shall subject an employer ta criminal penlttln and cfvll ftn11 up ta one hundred thousand dollars (&100,000), In
addition to the cost of compsnllllion, damages u provided I 3706 of the l...llbor code, interelt and attorney's feea.
JtS CONTRACTOR SIGNATURE @AGENT
I hefeby affirm that I am exempt from c.ootrador's Ucense Law tor the following 18ason: O r, as owner of the property 01 my employees with wages as their sole compensation, wil do the work and the structure Is not Intended or olfered for saJe (Sec. 7044, Buslness nl Professions Code: The Cootractor's
□
□
Uceose Law does not apJiy to an owner of property who builds Of improves !hereon, and who does such work himself or through his own emJjoyees, provided lhat such improvements are not intended rx offered for
sale. If, however, the building or Improvement is sdd v.tlhin ooe year of comi-roon, lhe owner-bullderwlll have lhe burden of proving that he did not bulkl or improve for the purpose of sale).
I, as aM'ler of the property, am excklslvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's L.Jcense Law does not apply to an owner of
property who builds or Improves !hereon, and contracts for such pqects with contractor(s) licensed pursuant to the Contractor's License law).
I am exempt under Section ___ ~Business clld Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement 0Yes Do
2. I (have / have not) signed an applcation for a building permit for the proposed work.
3.1 have contracted 'Mth the folloMng perw1 (firm) to provide the proposed construction (Include name a:ldress /phone/ contractors' Dcense number):
4. J plan to provide portions of the WOl1<, but I have hired the fol!Ming person to coordinate, supervise and prowle the major ffl 0nclude name I address I phone f contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the folkMlng persons to provide lhe work Indicated 0nclude name I a:ldress / phone I type of work):
JtS PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the apgicant orfi.lklre 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 Hazartfous Substance Account Act? 0 Yes CJ No
Is the appicant or future building occupant required to obtain a permit from the airpolution control district Of air quality man81Jem&Ill district? 0 Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes LI No
IF AHY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS CF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
1""11fy1hatl-,..d1hea,,plica1jonand-1hat111eaoo,elnfonna11onls"°"""and1hat111einbma11onontheplans~-l-1Do,mplywllha11Qty"""""'1Cesand51BIB"""-11/l1Dbulidngcons0udlon,
I hereby aulhori2e representative of 1he City of Ca,lsbad ID -ul')n lhe -mentiooed i,uperty tJr i,speciion ilJrposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HAAMLESS lliE CITY OF CARLSBAD
AGAINST AU. UABU.JTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN C~SEQUENCE OF lliE GRANTING OF llilSPERMIT.
OOiA: "'1 OSHA permi • l8QUied !lr excavations ""5'0' deep and -or conslruction of strucrures °"" 3 slilr'es i1 height. EXPIRATION: EWIY permit issued by the 9.Jiling -~ under provisi'.lns of !hi; Coda shal e,pie by linilalion and becoole nul and void It lhe buililg or\\Ofk authorized by such permit is not commenced v.ilhi1
180days lorn lhe dare of such permit orltlhe bu or \\Olk a orized by such permtt • suspended or-doned at any line allerlhe \\Ofko oommenced i>r a peood of 180 days (Sedion 106.4.4 Unii>rm 9.Jidilg Coda).
AS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB142023 Type: PME
Date Inspection Item
08120/2014 43 AirCond/Furnace Set
0812012014 43 AirCond/Furnace Set
0812012014 49 Final Mechanical
0812012014 49 Final Mechanical
Thursday, August 21, 2014
Inspector
MC
MC
CHOA RES= ADD A/C TO A
PREPLUMBED HOME
Act Comments
RI 8-10PLS
AP
RI 8-10 PLS
Fl
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