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HomeMy WebLinkAbout1378 NIGHTSHADE RD; ; CBR2019-0532; PermitCity of Carlsbad Residential Permit :1 Print Date: 04/04/2019 Permit No: CBR2019-0532 Job Address: 1378 Nightshade Rd Permit Type: BLDG-Residential Work Class: P/M/E Status: Closed - Finaled Parcel No: 2156411700 Lot #: Applied: 03/07/2019 Valuation: $0.00 Reference #: Issued: 03/07/2019 Occupancy Group: Construction Type: Permit Finaled: # Dwelling Units: . Bathrooms: Inspector: TFraz Bedrooms: Orig. Plan Check Sf: . Final Plan Check Sf. Inspection: .4/4/2019 11:39:20AM Project Title: Description: REPLACE FAU & A/C Owner: . Contractor: . V COOWNER WERNIG RAYMOND M JR AND WEST COAST APPLIANCES JENNIFER S V 1378 Nightshade Rd 1256 Fayette St CARLSBAD, CA 92011 EL CAJON, CA 92020-1511 619-557-0446 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT V V $175.00 Total Fees: $175.00 Total Payments To Date: $175.00 Balance Due: $0.00 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 datethis 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. ) 1635 Faraday Avnue, Carlsbad, CA 92008-7314 760-602-2700 1'760-602-8560 f I www.carlsbadca.gov Building Permit Application Plan Check No.5t2Dā€”O2. 1635 Faraday Ave.,Carlsbad, CA 92008 Est. Value 760-602-27171271812719 tv 7flARR Plan Ck. DeposIt www carlsbadca gov I JOB ADDRESS 1378 NIGHTSHADE RD SUITE#/SPACE#/UNITI# Date 3 _( ā€” I 9 00 - APN I 215 -. 641 - 17. - 00 CT/PROJECT # , LOT # . PHASE 9 9 OF UNITS C BEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP 1 4 3 HVAC SFD DESCRIPTION OF WORK: Include Square Feet ofAffectedAi'ea(s) REPLACEMENTOFFAU&AC5TON EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES#. NOI YES f2]NofJ YESD NoQ CONTACT NAME (if DlfferentFomApplicant) SYNDIE PICH U NAME ADDRESS ADDRESS 1256 FAYETTEST CITY . STATE ZIP CI1Y STATE' ZIP EL CAJON CA ' 92020 PHONE . FAX ' - ' ' PHONE FAX 619-557-0446 ' ' 619.448-3708 ' ' EMAIL " ' EMAIL westcoastheatcOoI(qmaiLcom. PROPERTY OWNER NAME JEN WERNIG ' CONTRACTOR BUS.,NAME WEST COAST' APPLIANCE SERVICE INC. ADDRESS ' ' ' 1378 NIGHTSHADE RD ' ADDRESS 1256 FAYETTE ST CITY STATE' ZIP CITY STATE ZIP CARLSBAD CA ' -92009 ' EL CAJON CA 92020 PHONE 619.791-9428 FAX ' ' PHONE ' 619-557-0446- FAX ' 619-448-3708 EMAIL '' : EMAIL' westcoastheatcooI(qmaiLcom ARCH/DESIGNER NAME & ADDRESS STATE LIC. C STATE LICe CLASS CITY BUS. LIC.# 810930 " CIO, C201 ' 1211147 (Sec. 703L5 Business and Professions coce: A n y c i t y o r c o u n t y w n i c n r e q u i r e s a p e r m i t t o c o n s t r u c t , a l t e r , i m p r o v e , a e m o i r s n o r r e p a i r a n s t r u c t u r e , p r i o r t o i t s I s s u a n c e , a i s o r e q u i r e s i n c applicant for such permit to file a-signed statement that he is l i c e n s e d p u r s u a n t t o t h e p r o v i s i o n s o f t h e C o n t r a c t o r ' s L i c e n s e L o w 1 C h a p t e r , c o m m e n d i n g w i t h S e c t i o n 7 0 0 0 o f D i v i s i o n 3 o f t h e Business and Professions Code) or that he is exem p t t h e r e f r o m , a n d t h e b a s i s f o r t h e a l l e g e d e x e m p t i o n . A n y v i o l a t i o n o f S e c t i o n 7 0 3 2,.5 by any applicant for a permit subjects the applica n t t o a iiviI nenaltv of not more than five hundred dollar s ( 5 5 0 0 1 1 . - .- Workers' Compensation Declaration:l hereby affirm underpenally of perjur,l one of the following declarations U I have and will maintain a certificate of consent to self-Insure for woltrers' compensation as provided by Sec t i o n 3 7 0 0 0 1 t h e L a b o r C o d e , f o r t h e p e r f o r m a n c e o f t h e w o r k f o r w h i c h t h i s p e r m i t i s i s s u e d . IZI I have and will maintain workers' compensation, as r e q u i r e d by Section 3700 of the Labor Code. for the performance of t h e w o r k f o r w h i c h t h i s p e r m i t i s i s s u e d . M y w o r i c e r s ' c o m p e n s a t i o n i n s u r a n c e c a n t e r a n d p o l i c y numberare:InsuranceCo STATEFUND ' PotcyNo. 9225515.19 ' Expiration Date 02411 Tl,i section need not be completed if the permil is for o n e h u n d r e d d o l l a r s ( $ 1 0 0 ) o r l e s s . n ' Certificate âf Exemption: I certify that In the performance of the work for wh i c h t h i s p e r m i t i s i s s u e d , I s h a l l n o t e m p l o y a n y p e r s o n i n a n y m a n n e r s o a s t o b e c o m e s u b j e c t t o t h e W o r k e r s ' C o m p e n s a t i o n L a w n o f California WARNING: Failure to secure workers' compensation covera g e I s u n l a w f u l , a n d s h a l l s u b j e c t a n m p l a y e r t o c r i m i n a l p e n a l t i e s a n d c i v i l f i n e s u p t o o n e h u n d r e d t h o u s a n d d o l l a r s ( & I Q 0 , 0 0 0 ) , i n addition to the cost of compensation, damages as p r o v i d e d f o r i n S e c t i o n 3 7 0 6 o f t h e L a b o r c o d e , i n t e r e s t a a t t o r n e y ' s f e e s . AS CONTRACTOR SIGNATURE ' []AGENT DATE 3/7/19 ON I höreby affirm that lam exempt from Contractor's License Law for the following reason- ' [J I, as owner,of the property or my employees with wages as the i r s o l e c o m p e n s a t i o n , w i l l d o t h e w o r k a n d t h e s t r u c t u r e i s n o t i n t e n d e d o r o f f e r e d f o r s a l e ( S e c . 7 0 4 4 , B u s i n e s s a n d P r o f e s s i o n s C o d e : T h e C o n t r a c t o ? s License Law does not apply loan owner of property who bu i l d s o r I m p r o v e s t h e r e o n , a n d w h o d o e s s u c h w o r k h i m s e l f o r t h r o u g h h i s o w n e m p l o y e e s , p r o v i d e d t h a t s u c h i m p r o v e m e n t s a r e n o t i n t e n d e d o r o f f e r e d f o r sale. If, however, the building or improvement is sold wit h i n o n e y e a r 0 1 c o m p l e t i o n , t h e o w n e r - b u i l d e r w i l l h a v e t h e b u r d e n o f p r o v i n g t h a t h e d i d n o t b u i l d o r i m p r o v e f o r t h e p u r p o s e o f s a l e ) . [J 1,, as owner of the property, am exclusively contracting with licensed c o n t r a c t o r s t o c o n s t r u c t t h e p r o j e c t ( S e c . 7 0 4 4 , B u s i n e s s a n d P r o f e s s i o n s C o d e : T h e C o n t r a c t o r ' s L i c e n s e L a w d o e s n o t a p p l y loan owner of property who builds or improves thereon, and contracts f o r s u c h p r o j e c t s w i t h c o n t r a c t o r ( s ) l i c e n s e d p u r s u a n t t o t h e C o n t r a c t o r ' s L i c e n s e L a w ) . [J - I am exempt under Section Business and Professions Code for this reason: 1. I perkonally plan to provide the major labor and materials for constructio n o f t h e p r o p o s e d p r o p e r t y i m p r o v e m e n t ( Y e s O N o - 2. I (have! have not) signed an application for a building per m i t f o r t h e p r o p o s e d w o r k . - 3. I have contracted with the 101 lowing person (firm) to provide the proposed construction (i n c l u d e n a m e a d d r e s s ! phone! contractors' license number): . . 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name! address! phone /contractors' license number) 5. I will'pmvlde some of the work, bull have contracted (hired) the following persons 10 provide the w o r k I n d i c a t e d (include name! address! phone I type of work): .'PRoPERfl OWNER SIGNATURE ' ' - []AGENT DATE - -' F I S Is the applicant or future building occupant required to submit eibuslness Ian; 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? Q Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air uality management district? DYes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [_ā€”]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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). - Lender's Name . Lender's Address - Icettifythati havereadtheappIicatIonandstatethattheaboveinfonnationiscoITetandthattheinfonnadon on the plans isaccwate.I agree tocompIywIth all City ordinances and State laws reIaIingtobuiIdingconstnzrion. 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 HARMI:ESS THE CITY OF CARI.SBAD AGAINST ALL UABiUTIE JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 69 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Evar permit issued bytheBuiioingOiftialundertheprovisionsoflhisCodeshaflexprebybnd . dbecomenull and void li the building or work authorized by such permit ls not commenced wabin 180 days from the dleofsuch permit orif the building or work authorized by such pemritissuspended oraband atanylime after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ..APPUCANT'S SIGNATURE . - DATE 3/7/19 - :1 J fi IKt.Jgji .Jjjg(.] :1JJIe1.1c -I Permit Type: BLDG-Residential Application Date: 03/07/2019 Owner: COOWNER WERNIG RAYMOND M JR AND JENNIFER S Work Class: P/M/E Issue Date: 03/07/2019 Subdivision: CARLSBAD TCT#90-15 UNIT#3 Status: Closed - Finaled Expiration Date: 10/01/2019 Address: 1378 Nightshade Rd Carlsbad, CA 92011-3500 IVR Number: 17526 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspectuon Complete Date Start Date 0410412019 04104/2019 BLDG-43 Air 087870.2019 Passed Tim Frazee Complete Cond.lFurnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 087871-2019 . Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDGMechanicaI Final Yes BLDG-Electrical Final 'Yes April 04, 2019 Page 1 of I