HomeMy WebLinkAbout1047 BEACON BAY DR; ; CB154475; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
12-17-2015 Permit No: CB154475
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1047 BEACON BAY DR CBAD
PME
2145302700 Lot#: 0
WOJCIECHOWSKI: REPLACE A/C
FURNACE, COIL, DUCTING
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/17/2015
SLE
12/17/2015
12/17/2015
ASI HASTINGS
STE 200
WOJCIECHOWSKI FAMILY TRUST 03-07-07
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1047 BEACON BAY DR
CARLSBAD CA 92011
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector:
FINALl\PPROYf)-
Date: -;J-1' I~/ lo Clearance:
$0.00
NanCE Rease take N011CE that approval of your I:Jreiect includes the "lrJ1XEition" ci fees, dedicaticrs, reservatirns, or cther exactions hereafter collectively
referred to as "fees' exactions." You have 00 days from the date this pemit was issued to protest irrp:JSition of these fees' exactions. If you protest them, you inJSt
fallON the protest proa:!dures set forth in <?ovemrrent Code Section 66020(a), and file the protest and any other required inforrration wth the Oty fl!anager for
processing in acx:crdance wth Carlsbad 1\!linidfXll Co:Je Section 3.32.030. Failure to tirrelyfciiONthat proa:!durewll OOr anysu00€quent legal action to attack,
re-.lieN, set aside, vdd, or annul their irrp:JSition.
You are hereby FLRTHER N011RED that your right to protest the specified fees' exactions IXCS NOT APPLY to water and &mer cor~nection fees and capacity
changes, nor planning, zoning, grading or cther sinilar application pucessing or servim fees in corlnedion wth this prqect. f\JCR OCES IT AA'JL Y to any
fees'exacticrs of IAklidl vou have oreviouslv been aivff! a NanCE sinilar to tris or as to Widl the statute of linitations has oreviouslv dher'Wse P.xnired.
,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0 ENGINEERING 0BUILDING 0FIRE QHEAlTH 0 HAZMATIAPCD
Building Permit Application Plan Check No. C,.c6 ( '54 415
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.carlsbadca.gov Date \2..-II-t5 fswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# 1APN 1047 BEACON BAY DR ---
CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CHANGEOUT AC, FURNACE, COIL, AND DUCTING
EXISTING USE I PROPOSEI> USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPlACE II AIR CONDITIONING I FIRE SPRINKLERS YESO NcQ YES 0No D YEsO NoD
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME DAVID WOJCIECHOWSKI Prlnarv Contact
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 1047 BEACON BAY DR
CITY STATE ZIP CITY STATE ZIP san dieqo ca 92123 CARLSBAD CA 92011
PHONE I FAX PHONE JFAX 619-590-9337 7604203593
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinqs
ADDRESS ADDRESS 4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP
san dieqo ca 92131
PHONE I FAX PHONE rAX 619·590-9337
EMAIL EMAIL
I STATE LIC. # STATE LIC.# JCLASS I CITY Bus. uc.1200804 513115 c20
(Sec. 7031.5 Bus1ness and Profess1ons Code: Any City or County wh1ch requ1res a perm1t to construct, alter, 1mprove, demolish or repa1r any structure, pnor to 1ts 1ssuance, also requ1res the applicant for such permit to file a signed statement tliat he is licensed pursuant to the provisions of the Contractor"s License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or fhat 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 Declaration: I hereby afflnn under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self·insurEt for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued.
[{] I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance co. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 91112016
This section need not be completed if the permit is for one hundred dolllars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permrr 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 to secure coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages Section 3706 of the Labor code, interest and attorney's fees.
~CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
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 y•ear of completion, the owner-builder will have the burden ot proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with license!d 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. DYes 0No
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 (finn) to provide the proposed construction (include name address I 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 aldress I phone I contractors' license number):
5. I will provide some of the work, but I have to provide the work indicated (include name I address I phone I type of work):
~PROPERTY OWNER SIGNATURE 0AGENT DATE
I
I celtify that I have read the application and state that the above inllonnation is correct and that the infonnation on the plans is accurate.! agree to comply with all Ci1y ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permft is required for excavations over 5'0' deep and demofltion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the rovlsions of this Code shall expire by limitation and become null and void ~the buuding or work authorized by such permit is not commenced within
180 days from the date of such permit or~ the building or N ri by such perm· · suspended or abandoned at any time after the work is commenced for a period of 180 days (~ion 106.4.4 Uniform Building Code).
JlS' APPLICANT'S SIGNATURE DATE L ·-\.\ . \ )
I ist
Permit#: CB154475 Type: PME
Date _LnspectiOJ1_1tem ____ _
02/12/2016 43 AirCond/Furnace Set
02/12/2016 43 AirCond/Furnace Set
02/12/2016 49 Final Mechanical
02/12/2016 49 Final Mechanical
Friday, February 12, 2016
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WOJCIECHOWSKI: REPLACE A/C
FURNACE, COIL, DUCTING
Comments
AFTER 9:00 PLEASE
AFTER 9:00 PLEASE
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