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Home My WebLink About1748 SKIMMER CT; ; CB152323; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-08-2015 Permit No: CB152323 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 17 48 SKIMMER CT CBAD PME 2159212800 COBB: INSTALL A/C THOMPSON HEATING & AIR 2531 BRADLEY ST OCEANSIDE CA 92056 760-471-5800 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: COBB ALAN L&DEBBIE G 1748 SKIMMER CT CARLSBAD CA 92011 ISSUED 07/23/2015 JMA 07/23/2015 07/23/2015 $0,00 $0.00 $160.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Mil: FINAL Date: Clearance: $0.00 NClllCE Aease ta<e NClllCE that~ ci yw: prqed irdudes tre "l,rpositiorl' ci tees, dedcaicrs, reservaticns, C, dher exaiicrs hereafter cdlectivay refem:dto as 1ees'"""""15.'' Yoo t-eve OOdaysfromtre-ths pemit was issue,:! to prctest i,rpositiai cithasefees'exaiiO'lS. If )00 p-ctest trern )00 nus! tdlootre p-ctest iro,dres set forth in G:Mmrert Code ~a, 68J2'.l(a), ard filetre p-ctest ard ,r,ydher req.ired infcmmai wth treOtylvlraga'tcr !)'0035Sirg in amuau,wth Ca1sboo Mridi:,J Code ~a, 3.32.C:OO. FalLrelO timayfdlC>Vthat iro,nrewll tEr ,r,ysubs«µrt lega a:tia,to atta:k, re,,ieN, set a5ide, vdd, er anJ treir irrp:sition. Yoo ,re herelJy FLRTI-ER NClllFIED that yw: rig-I to prctest tre specified fees'exaiiais IXES NOf APPL y tov.eter ard fBIVOl' cxrreclictl fees ard ~ cta"gas, nc,panrg, ,mng, gmrg rxdhersirrilaappicaia, !)'0035Sirg rr service fees in cxrreclia,wthths prqed. I\CRIXES IT APPL Yto ,r,y fees' W1 CE ·m1 t Wli Lt i . i hffi . . . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMATIAPCO ( City of Carlsbad JOB ADDRESS \74 ' Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 .~arlsbadca.gov SUITE#/SPACU/UNIT# Est. Value Plan Ck. Deposit Date SWPPP CT/PROJECT# LOT# PHASE# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) iZeQ I l<-C (_ Fv r I\ c,,...C. e_/ A;j:. I 2," c--1--; '15 ' EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF} FIRE SPRINKLERS YES□No□ APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS v; .,__ CITY STATE ZIP ZIP Z.,00 PHONE FAX EMAIL DESIGN PROFESSIONAL ' ,4;, ADDRESS c_ CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # c?o ''k) (Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 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 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENS~JllON ~;;;;;;;; -- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarafjons: D I ha'!e and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~e and will maintain wor1<ers' compensation, as required bv Section 3700 of the Labor Code, for the perform?F of the work for which this permit is issued. My workers' compensati n in ranee carrier and policy number are: Insurance Co. f\Jo-r j oo-r ~ Polk:y No, ~f+WC-5:-/ 97 f J Expiration Date +/~il/=----- J,tl§,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: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d~de~ectlon 3706 of the Labor code, interest and attorney's fees, _ / lc5 CONTRACTORSIGNATURE~!IIIE-"'2 -&GENT DATE 7/,,;lJ k- I hereby affirm that I am exempt from Contractor's Ucense Lew for the following reason: 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 ___.>31"e, 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). lk:j 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). □ 1 am exempt under Section _____ ,Business and Professions Code for this reason: 1, I personally plan to provide the major labor and materials tor construction of the proposed property improvemenL OYes 2, I (have/ 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/ 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/ phone / 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/ address/ phone/ type of work): Ji5 PROPERTY OWNER SIGNATUR jB,6NT DATE 7 cl-5 S' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' ' Is the applk:ant 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed 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. I certify that I have read the appllcatlon and state that the above lnfmmatlon is correct and that the Information on the plans is accurate. I agree to comply v.ith all City oldlnances and State laws relatlng to building construction, I hereby authorize representative of the City of Carlsbad to enter u1Xm the above mentk'.lned 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 AA OSHA permij is required for excavations over ' deep and demolitk'.ln or construction of structures over 3 stories in he';)ht. EXPIRATION: Every permit issued by the Buildi · under the provisions of this Code shall expire by limitation and become null and void ff the building or oork authorized by such permit is not commenced 'Mlhin 180 days from the date of such permit or if th ng or oork authorized by such permij is suspended or abandoned at any time after the oork is commenced a period o 180 days (Section 106.4.4 Uniform Building C.ode). Jl:5 APPLICANT'S SIGNATU DATE 7 0 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY DPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ _15 APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Pennit#: CB152323 Type: PME Date Inspection Item 09/24/2015 43 AirCond/Furnace Set 09/24/2015 43 AirCond/Furnace Set 09/24/2015 49 Final Mechanical 09/24/2015 49 Final Mechanical Thursday, September 24, 2015 Inspector Act RI AEK AP RI AEK Fl COBB: INSTALL A/C Comments AM PLEASE AM PLEASE Page 1 of 1