HomeMy WebLinkAbout1028 Iris Ct; ; CBR2017-0076; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 07/21/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1028 Iris Ct
BLDG-Residential
2144021300
$0.00
STIVERS: CHANGEOUT FURNACE
Owner:
Residential Permit
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Permit No: CBR2017-0076
Closed -Finaled
01/11/2017
01/11/2017
TRUST STIVERS NANCY M TRUST 06-08-92
1028 Iris Ct
WALTER ANDERSON PLUMBING INC
CARLSBAD, CA 92011
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
1830 John Towers Ave
El Cajon, CA 92020-1134
800-830-1102
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 D ENGINEERING 0BUILOlNG QFIRE □HEALTH D HAZMATIAPCD
-~ Building Permit Application Plan Check No.(_,,~Q.:z.c:.1 1 -C, c,7
<,,( •,/!iii; 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Depoflt CARLSBAD email: building@carlsbadca.gov
Date I I I I f 7 lswPPP www.carlsbadca.gov
JOB ADDRESS SUITEf/SPACE#/UNIT# tPN• 1028 Iris Ct, carlsbad 92011 ---
CT/PROJECT# rOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(•)
CHANGEOUTFURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, N,0 v,s □NoD v,s□NoD
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME NANCY STIVERS .... -
ADDRESS ADDRESS
3645 RUFFIN ROAD # 330-335 1028 Iris Ct, carlsbad 92011
cnY STATE ZIP CITY STATE ZIP
San Die110 CA 92123 CARLSBAD CA
PHONE I FAX PHONE I FAX 888-991-4377 (760) 431-0603
EMAIL EMAIL
JERMAINE@,WEGREENINC.COM
DESIGN PROFESSIDNAL CONTRACTDR BUS. NAME ANDERSON PHA
ADDRESS ADDRESS 1150 N MARSHALL AVE
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92020
PHONE I FAX PHONE 8008301102 I FAX
EMAIL EMAIL
THERESA@,ANDERSONPHA.COM I STATE UC.# STATE LIC.# l'e20,c35 l"""us "'1014400 876156
(Sec, 7031.5 Business and P_rofessions Code: Any Qty or Coun_ty which reQu1res a permit to c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a s1ro,ed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License LawjChapter 9, commending with Section 7000 of D1v1sion 3 of the Business and Professions Code] or lhat 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)).
WORKl!RS' COMl'l;NSATION
Workers' Compensation Dedaration: / hereby affirm under penalty of perjury one of the fol/owing dedarations· D I have and wilt maintain a certificate of consent to self-insure for wolkers' compensation as provided by Section 3700 of the Labor Code, for the pertonnance of the wolk for which this pennlt Is Issued.
[Z] I have and will maintain workers' compensation, as reQulred by Section 3700 of the Labor Code. for the pertormance of the wolk for which this oennit is issued. My wolkers' compensation insurance carrier and policy
number are: Insurance Co. ACE AMERICAN INSURANCE Policy No, WLRC48578236 Expiration Date 312/2016
~section need not be completed if the pemtlt 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 ol
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penalties end 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 the Labor code, interest and attorney's fees.
Je5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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. 11, 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. 0Yes Do
2. I (have I have not) signed an application for a building pennit for the proposed work.
3. 1 have contracted with the following person (flmt) to provide the proposed construction (include name address I phone I contractors' Hcense number)·
4. I plan to prowle portions of the work, but I have hired the following person to coordinate, supervise and provide the major 'NOrk (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/ phone I type of work):
Je5 PROPERTY OWNER SIGNATURE □AGENT DATE
,
I certify that I have read the applcatlon and state that the above lnfoonatlon is correct and that the infonnatlon on the plans Is accurate. I agree to comply'Mth all City on:llnances and State laws relating to building construction.
I hereby authorize representative of the City of C!llsbad to enter upon the above mentiooed property for l'lspection pulJX)SeS. 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 &\ID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT.
OSHA: /vi OSHA permit is requira:I for excavations ovef 5'0' deep and demciition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the BuildHlg Official under the provisbns of this Code shaU expi"e by lrrlilalbn and become nuU and vtid if the building or WOik authl:rlzed by st.d'l permit is not ccmmenced within
180 days from the date of such permit oc if the buikllrYJ orworl( aulhorizoo by s001 permit is suspended or abandoned at any time after the work is commenced for a perbd of 180 days (SectKln 1C6.4.4 Uniform Building Code).
_g APPLICANT'S SIGNATURE DATE
,3 i;,,,, *:," r" ' :::i' "' r, , " ' ✓2-i\p 4 ,;£"", • ' f>, " '>~ ' ' "'
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, ·,~, 1~, , \ rti~Mli IN,~JJ;CTION HISTOijY -PORT"£CBR2017-Q076),: 0
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Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
PIMIE
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 01/1112017
Issue Date: 0111112017
Expiration Date: 0111712018
IVR Numbar: 1394
Inspection No. Inspection Status
Owner: TRUST STIVERS NANCY M TRUST
06-08-92
Subdivision:
Address: 1028 Iris Ct
Carlsbad, CA 92011-4823
Primary Inspector Re inspection Complete
'"''-•·"·----------------------------------------
07/21/2017 07/21/2017
July 21, 2017
BLDG-43 Air
Cond./Furnace Set
029383-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
029387-2017
Checklist ltcm
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLOG-Structural Final
BLOG-Electrical Firfal
Passed
COMMENTS
Passed
COMMEN'tS
Chris Renfro
Chris Renfro
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
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