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Home My WebLink About1637 Baccharis Ave; ; CBR2016-0436; Permit1111.11111.6111111M10011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/12/2017 Residential Permit Permit No: CBR2016-0436 www.carlsbadca.gov Job Address:1637 Baccharis Ave Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2156701707 Lot #:Applied:12/22/2016 Valuation:$0.00 Reference #:Issued:12/22/2016Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector:AKrog Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:LEVY:INSTALL 40 GAL WATER HEATER Owner:Contractor: COOWNER LEVY MITCHELL&SHEILA ANDERSON HEATING AND AIR 1637 Baccharis Ave CONDITIONING INC CARLSBAD, CA 92011 1830 John Towers Ave El Cajon, CA 92020-1134 800-830-1102 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 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 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. INIMMINIMMINIMI THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:D PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD ,'/A Building Permit Application Plan Check No.c.:FQ!'20((:)—C'L-V.(;) <<„ue.::' )1635 Faraday Ave., Carlsbad, CA 92008 Est. Value. CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Plan Ck. Dyposlt Date .k 24 2-74 I (::.swPPP JOB ADDRESS SUITE#/SPACE#/UNIT#APN 1637 Baccharis Ave., Carlsbad 92011 --- CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) install 40 gallon water heater tank EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESa NCEI YES ONO 0 YESEj NOD APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME sheila levyPrInary Contact ADDRESS ADDRESS 3645 RUFFIN ROAD # 330.335 1637 Baccharis Ave., Carlsbad 92011 CITY STATE ZIP CITY STATE ZIPSan Diego CA 92123 CARLSBAD CA PHONE FAX PHONE FAX 888-991-4377 (760) 602-0739 EMAIL EMAIL JERMAINEAWEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA ADDRESS ADDRESS 1150 N MARSHALL AVE CITY STATE ZIP CITY STATE ZIP EL CAJON CA 92020 PHONE FAX PHONE FAX 8008301102 EMAIL EMAIL THERESARANDERSONPHA.COM STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.# 876156 C20/C36 1074400 (Sec.7031.5 Business and Professions Code: Any City or County which requiresa permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to filea signed statement that he is licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of Division 3 of theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION Workers' Compensation Dedaration: I hereby affirm under penalty of perjury one of the following declarations: Ei 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. 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 am: Insurance Co.ACE AMERICAN INSURANCE Policy No.WLRC48578238 Expiration Date 3/2/2016 tisection need not be completed if the permit is for one hundred ..liars ($100) or less. Certificate of Exemption:I certify that in the performance of -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 workers' compens 1. ...v..:-Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as providedf'I ection 3706 of the Labor code, interest and attorney's fees. •.ESCONTRACTOR SIGNATURE El AGENT DATE ,......OWNER -BUILDER DECLARATION Ths:.:.4.•..44.w I hereby affirm that I am exempt from Contractor's License Law for the following reason:EI,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).DI,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).0 I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.Oyes DNo 2.1 (have/have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/phone /contractors' license number): 4.I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (Include name I address I phone / contractors' license number): 5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (Include name / address I phone / type of work): R5PROPERTY OWNER SIGNATURE DAGENT DATE 11011•0111.1.•••11. pxot,, C sfipLErt THIS'SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Iscid applicant or future building occupant required to submit a business plan, 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?CI Yes CI No Isthe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes CI No Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes CI 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. CONSTRUCII0 444 LENDING AGENCY • 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 APPLICANT CERTIFICATION IcetrythatI have read the appIcation and state thatthe above information is correct and thatthe information on the plans is accurate.I agree to comply with all City ordinances and State laws relating to building construction. Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO 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 pemtit is required for excavations over SO' deep and demolition or construction of structures over 3 storiesin height. EXPIRATION: Every permit issued by the Building Official under the provisions of th;Code shall expire by Imitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or wolf( authorized by such it is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). AKAPPLICANT'S SIGNATURE DATE 2.-2.z_ ___..............-- PERMIT INSPECTION HISTORY REPORT (CBR2016-0436) Permit Type:BLDG-Residential Application Date:12/22/2016 Owner:COOWNER LEVY MITCHELL&SHEILA Work Class:P/M/E Issue Date:12/22/2016 Subdivision: Status:Closed -Finaled Expiration Date:12/11/2017 Address:1637 Baccharis Ave Carlsbad, CA 92011-5004 IVR Number:1010 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 05/16/2017 05/16/2017 BLDG-25 Water 023423-2017 Failed Peter Dreibelbis Reinspection Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 023424-2017 Failed Peter Dreibelbls Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final No 06/12/2017 06/12/2017 BLDG-25 Water 025886-2017 Passed Andy Krogh Complete HeaterNents BLDG-Final 025980-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes June 12, 2017 Page 1 of 1