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Home My WebLink About1440 FOREST AVE; ; CB160302; Permitl 01-26-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB160302 Building Inspection Request Line (760) 602-2725 1440 FOREST AV CBAD PME 1560524800 Lot#: MURRAY: REPLACE FURN & DUCT 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/26/2016 SLE 01/26/2016 01/26/2016 Applicant: Owner: AR S AMERICAN RESIDENTIAL SERVICES OF CALI FORNI DECKELMAN ZONA G FAMILY TRUST 09-20-95 STE 110 8949 KENAMAR DR 1440 FOREST AVE SAN DIEGO CA 92121-2435 CARLSBAD CA 92008 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: $0.00 i'KJTlCE Rease ta<e I\QTlCE Iha~ ct IOO' p-tject irdudes the "lrrµllition'' d fees, dedcaticm, reseivalicm, or ether exa:iicm hereat..-ooledivay referred to as 1ees'exldiOl'l&" You rave 00 da;,; from the wte !tis pernit v,a; issuad to pretest irrµllitiOl'l d these feeslexldicm. If )OJ pretest ttun )OJ m.,;t fdlONtl-e pretest fYOC"(ires set fcrth in G>le<rmrt Qxle Sectioo 60020(a), ard lie the protest ard a,ycther raµred infooralioo wth theOtyMmgerfcr proces,;ng in oo:ada rewth Calsba::l M.ridpa Qxle Sedioo 3.32.0JJ RilLreto tirrelyfdlONtt-al procedrewll ta' a,ySLb;eq..ent lega Edioo to~ review, set aside, vcid, er an.J treir irrµ::sition. You a-e herro/ R.RTl-ER i'KJTlFIEDtt-at :,u.r ri!tl to pretest thespedied fees'exldicm CCES t>OT APA..Ytov.ata-ard se.,eroo-nectioo fees ard ~ty cra,ges, nor planng, imng. ga:lng or ether snila-Wicatioo proces,;ng orsa;;oefees in oo-nectiOl'l wthths p-tject. t-m CCES IT APA.. Yto a,y fees'exa::ti vJidi ·a..s been · NOTI sirril ttis er towidltre lirritati has ·se ·rec:1. TH~ FOLLOWIUG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD «';> Building Permit Application Plan Check No.(1 Y") I l n O 2() 2 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 1--7 Jn-/1 0 ISWPPP JOB ADDRESS SUITE#/SPACEf /UNIT# I APN 1440 FOREST AVE --- CT/PROJECT# I LOT# I PHASE# I# OF UNrTS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUT FURNACE AND DUCTING EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1 DECKS (SF) FIREPLACE 1 IAIR CONDITIONING lFIRESPRINKLERS v,so No[] vesO•oD vesONoD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME ZONA MURRAY .. t ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1440 FOREST AVE CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA 92008 PHONE lFAX PHONE IFAX 888-991-4377 7607291288 EMAIL JERMAINE(@.WEGREENINC.COM EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME America Residential Services (ARSl ADDRESS ADDRESS 8949 Kenamar Dr #110 CITY STATE ZIP CITY STATE ZIP San Dieao CA 92121 PHONE IFAX PHONE IFAX 858-805-0606 EMAIL EMAIL TWICKHAM(@.ARS.COM I STATE UC.# STATE LIC.# I 'e20/C36 I ci,veus. '"·1241226 791820 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per.m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor·s License LawJChapter 9, commending with Section 7000 of D1v1s1on 3 of the B.usiness and Professions Code) or {hat 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' COMPENSATION 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 !or workers' compensatlon as provided by Section 3700 of the Labor Code, for the pertormance of the 'M'.lrk !or which this permit is Issued. [Z] I have and wlll maintain workers' compensation, as reQulred by Section 3700 of the Labor Code, for the pertormance of the 'M'.lrk for which this pennlt Is issued. My workers' compensation Insurance carrier and policy number are: Insurance Co. liberty Ins, Policy No. WC7·6J1·5DS6J1·014 Expiration Date 10.15 ~section need not be completed if the permit ls for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certfy that In the performance of the worl< for which th~ permit Is Issued, I shall not employ any person In any manner so as to become subject to the Worl<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is lawful, and shall subject an employer to crtmlnal penalties and civil fines up to one hundred thousand dol\1r1 (&100,000), ln addition to the cost of compensation, damage& as provided for In Section 37 fth Labor st and attorney's fees. ,,{j$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law 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 v.tlO builds or Improves thereon, and who does such worl< himself or through his own employees, provided that such Improvements are not Intended or offered tor sale. If, however, the building or improvement Is sold within one year of completion, the owner-buikler will have the burden of proving that he did not build or improve for the purpose of sale). D D I, as owner of the property, am exclusively contracting with licensed contractora 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 'Nith contractor(s) licensed purauant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason· 1. I peraonally plan to provide the major labor and materials for construction of the propose<! property improvement Oves 0No 2. I (have I have not) signed an application for a building pennit for the proposed wort 3. I have contra::ted with the followlng peraon {firm) to provide the proposed construction (Include name address I phone I contractors' license number): 4. I plan to provide portions of the worl<, but I have hi the following person to coordinate, supeivise and provide the major ',V(lri( (include name I address I phone I contractors' license number): 5. I will provide some of the wor\l, but I have contract hired) Os to provide the work Indicated (Include name I address I phone I type of worl<)· 8f PROPERTY OWNER SIGNATURE 0AGENT DATE ' I • Is the applicant or future building occupant required to submit a business plan, a::utely hazardous materials registration form or risk management and prevention program under SecUons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dlstrict? 0 Yes [j No Is the facility to be constructed within 1,000 feet of the ooter bour.d~ of a school site? 0 Yes O 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 lnfonnatlon Is correct and that the lnfonnation on the plans is accurate. I agree to comply with all Clfy ordinances and State laws relating to buKdlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned 11()perty for inspecoorl purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIL1T1ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cf THE GRANTING Cf THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and deroolltion or ronstruction of structures over 3 stocies in height. EXPIRATION: Every pennit issued by the Buik:ling OOcial under the prollisions of this Code shall expire by fimitation and become null and vtid if the buikling or work authcfized by such permit is not canmenced within 180days Iran the date of such pemiit or if the bulling orworl< au · ed by such permit is suspended or abandoned at any time after the work is canmenced for a peood of 180 days (Secoon 106.4.4 Unifoon Buik:ling Code). ~ APPLICANT'S SIGNATURE DATE ' . Inspection List Permit#: CB160302 Type: PME Date Inspection Item 06/06/2016 43 AirCond/Furnace Set 06/06/2016 43 AirCond/Furnace Set 06/06/2016 49 Final Mechanical 06/06/2016 49 Final Mechanical Monday, June 06, 2016 Inspector PD PD MURRAY: REPLACE FURN & DUCT Act Comments ·------- RI PM PLEASE AP RI PM PLEASE AP Page 1 of 1