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Home My WebLink About1047 Beacon Bay Dr; ; CBR2017-1802; PermitPrint Date: 09/06/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 104 7 Beacon Bay Dr BLDG-Residential 2145302700 $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: WOJCIECHOWSKI: INSTALL WATER HEATER PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Owner: TRUST WOJCIECHOWSKI FAMILY TRUST 03-07-07 104 7 Beacon Bay Dr CARLSBAD, CA 92011 760-420-3593 Total Payments To Date: $98.00 Status: Applied: Issued: Finaled: Inspector: Contractor: ANDERSON PHA 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. Permit No: CBR2017-1802 Closed -Finaled 08/08/2017 08/08/2017 $0.00 $98.00 ~1f0Ll~~ING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILOING OFIRE QHEALTH D HAZMAT/APCD £ Building Permit Application Plan Check No.~r-=t--/'{i 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D«,pos;t CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date XI~ IJ;.J-!SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# rPN 1047 Beacon Bay Drive, Carlsbad 92011 - - - CT/PROJECT# ILOT# I PHASE# r OF UNITS r BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INSTALL WATER HEATER TANK EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE r'R CONDITIONING I FIRE SPRINKLERS YESO No[] YESONoD YESONoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME DAVID COJCIECHOWSKI Prinan1 Contact ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 1047 Beacon Bav Drive, Carlsbad 92011 CITY STATE ZIP CITY STATE ZIP San Diei:io CA 92123 CARLSBAD CA PHONE I FAX PHONE IFAX 888-991-4377 7604203593 EMAIL EMAIL JERMAINE@2WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA ADDRESS ADDRESS 1830 JOHN TOWERS AVE CITY STATE ZIP CITY STATE ZIP EL CAJON CA 92020 PHONE IFAX PHONE IFAX 8008301102 EMAIL EMAIL THERESA@_,ANDERSONPHA.COM ISTATELIC. # STATE UC.# I CC20/C36 I CllY BUS. LIC.107 4400 876156 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, dem01ish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a si~ned statement mat 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 that 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 affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to 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' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ACE AMERICAN INSURANCE Policy No. WLRC48578238 Expiralion Date 312/2016 This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for whif;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 to secure workers' compensation coverage · nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thou nd dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 7 of the code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: 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 year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D 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). D 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 ot the proposed property improvement. 0Yes 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 (firm) 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 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): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous matertals registration form or rtsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control distrtct or air quality management distrtct? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building consb'uction. 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 YWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or ruction of structures over 3 stories in height EXFI RATION: Every permit issued by the Building Official under the provisions of th' e shall expire by limitation and become null and void W the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buiiding or work authorized by sue it is s or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ,2$ APPLICANT'S SIGNATURE DATE P/M/E Closed -Finaled Scheduled Actual Date Start Date Inspection Type Inspection No. 08/25/2017 08/25/2017 BLDG-25 Water 032774-2017 HeaterNents BLDG-Building Deficiency BLDG-Final 032773-2017 Inspection Chec!dist BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final 09/05/2017 09/05/2017 BLDG-25 Water 033580-2017 HeaterNents BLDG-Building Deficiency September 06, 2017 08/08/2017 02/21/2018 5545 Inspection Status Primary Inspector Failed Chris Renfro Passed Chris Renfro Fix seismic straps Passed Chris Renfro TRUST WOJCIECHOWSKI FAMILY TRUST 03-07-07 CARLSBAD TCT#92-01 1047 Beacon Bay Dr Carlsbad, CA 92011-3405 Reinspection Reinspection No Yes Yes Yes Yes Yes Yes Complete Complete Complete Complete Page 1 of 1