HomeMy WebLinkAbout1584 CORMORANT DR; ; CB154532; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME} Permit
12-22-2015 Permit No: CB154532
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1584 CORMORANT DR CBAD
PME
2156500210 Lot#:
CURTIS: CHANGE OUT FURNACE
0
Applicant: Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
A R S AMERICAN RESIDENTIAL SERVICES OF CALl FORNI CURTIS LEE LIVING TRUST 11-03-98
STE 110
8949 KENAMAR DR 1584 CORMORANT DR
SAN DIEGO CA 92121-2435 CARLSBAD CA 92011
858-805-0613
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
ISSUED
12/22/2015
SLE
12/22/2015
12/22/2015
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: Date: Clearance:
$0.00
NOTlCE: Please take NOTlCE that approval of your project includes the "lrrpooition' of fees, dedicaticns, reservaticns, or other exactioos hereafter rollectively
referred to as "fees/exactions." You have 00 days frcrn the date this perrrit W3S issued to protest irrpooiticn of these feeslexacticns. If you protest them, you rrust
foil ON the protest prcx:sdures set forth in C?ovemrent QxJe Secticn66020(a), ard file the protest and any other required inforrraticn Vl1th the Oty Manager for
processing in aarrdance'll1th Carlsbad M.Jnidpal QxJe Secticn3.32.030. FailuretotirrelyfoiiONthat prcx:sdure'l\111 bar any subsequent legal action to attack,
review, set aside, void, or annul their irrpc:sition.
You are heretJy FLRTHER f\01lRED that your right to protest the sp'ldfied feeslexactioos DCES Nor P.PPL Y to IM!ter ard seNer CXJ11ned:icn fees ard capcrity
dmges, ror planning, zoning, grading or other sirrilar applicaticn ~ng cr service fees in CXJ11ned:icn Vl1th this prqect. NCR DCES IT PPPL Y to arry
feeslexacticns of Vlllich have "ousl been ·vena NOnCE sirrilar to ths cr as to Wlich the stat e of lirritaticns has eviousl other'll1se "red.
~
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMATIAPCD
Building Permit Application Plan Check No. C1?)1 MD 32
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 -Z"L--~ p
JOB ADDRESS SUITE#/SPACE#/UNIT# rPN 1584 CORMORANT DR - --
CT/PROJECT # I LOT# I PHASE# r OF UNITS _I# BEDROOMS #BATHROOMS J TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
"
CHANGEOUTFURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE J AIR CONDITIONING J FIRE SPRINKLERS
YESO NoCJ YES0No0 YESONoO
APPLICANT NAME JERMAINE MAEWEATHER
PROPERTY OWNER NAME
LEE CURTIS Prinarv Contact
ADDRESS ADDRESS
4540 KEARNY VILLARD #213 1584 CORMORANT DR
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92123 CARLSBAD CA 92011
PHONE I FAX PHONE lFAX
888·991-4377 (760) 431·7533
EMAIL EMAIL
JERMAINE~WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
America Residential Services CARS)
ADDRESS ADDRESS
8949 Ken a mar Dr #11 0
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92121
PHONE I FAX PHONE I FAX
858-805-0606
EMAIL EMAIL
TWICKHAM@..ARS.COM
rTATE LIC. # STATE LIC.# I cc2o/C361 CITY B'~c~ rJ-~ 791820
(Sec. 7031.5 Bus1ness and Profess1ons Code: Any City or County wh1ch requ1res a perm1t to construct, alter, Improve, demolish or repa1r any structure, pnor to 1ts 1ssuance, also requ1res the applicant for such permit to file a signed statementthat 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 1 have and will maintain a certificate of consentto self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertorrnance of the work for which this permitis issued.
[{] 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. Liberty Ins. Policy No. WC7·631-508631·014 Expiration Date 10-15
This section need not be completed ~the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the 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 of
California. WARNING: Failure to secure ' coverage 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 as Labor code, interest and attorney's fees. I ·-;1--:J
25 CONTRACTOR SIGNATURE {_...· 1/ ~
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 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. 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 (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. 1 plan to provide portions of the work, but I ha 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 co acted (hired) the following pe s to provide the work indicated (include name I address I phone I type of work):
25 PROPERTY OWNER SIGNATURE 0AGENT DATE
I certify that I have read the application and state that the above infonnation is conect and that the infonnation on the plans is accurate.! agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorize representative of lhe City of Carlsbad to enter upon lhe 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 penni\ is required for excavations over 5'0' deep demolition or construction of slructures over 3 stories in height.
EXPIRATION: Every penni\ issued by lhe Building Official under visions of lhis Code shall expire by limitation and become null and void if lhe building or work aulhorized by such permit is not commenoed wilhin
180 days from lhe date of such penni\ or iflhe building or work by su nnit1s s or abandoned at anytime after the work is commenoed for a period of 180 days (Section 106.4.4 Unifonn Building Code).
~APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: C8154532 Type: PME
Date Inspection Item -----
05/04/2016 43 AirCond/Furnace Set
05/04/2016 43 AirCond/Furnace Set
05/04/2016 49 Final Mechanical
05/04/2016 49 Final Mechanical
Wednesday, May 04, 2016
Inspector Act
AEK
AEK
Rl
AP
Rl
Fl
CURTIS: CHANGE OUT FURNACE
Comments
AM PLEASE/GC 4890
AM PLEASE/GC 4890
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