HomeMy WebLinkAbout2286 Boca St; ; CBR2018-1494; Permit(city of
Carlsbad
Residential Permit
Print Date: 12/27/2018 Permit No: CBR2018-1494
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2286 Boca St
BLDG-Residential
2163530400
$0.00
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Finated
06/22/2018
06/22/2018
Plan Check#:
Final
Inspection: 12/27/2018 12:14:34PM
Project Title:
Description: SIEGEL: INSTALL A/C
Owner: Contractor:
COOWNER SIEGEL DAVID C AND KATHLEEN F
2286 Boca St
AMERICA RESIDENTIAL SERVICES (ARS)
CARLSBAD, CA 92009
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
8949 Kenamar Dr
San Diego, CA 92121-2435
858-805-0606
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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD I ~---Building Permit Application Plan Check No(".JMC> ,:Jf\/ f _ J/141.
\~-~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -·-~ CITY 0 f Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Qeposit. CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date 1 1 n -.., I f>i, lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# APW
2286 BOCA ST, CARLSBAD 92009 ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
install ac
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES0, No[] YES □No □ YES □No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME david siegel Prtnarv ""n"•ct
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2286 BOCA ST, CARLSBAD 92009
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92123 CARLSBAD CA
PHONE IFAX PHONE IFAX 888-991-4377 6199774546
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
CONTRACTOR BUS. NAME DESIGN PROFESSIONAL America Residential Services (ARSI
ADDRESS ADDRESS
8949 Kenamar Dr #110
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92121
PHONE I 'AX PHONE !FAX 858-805-0606
EMAIL EMAIL
TWICKHAM@.,ARS.COM
[STATE UC.# STATE UC.# l0c20/C36 l0
"YBUS "
01241226 765074
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the
applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Div1s1on 3 of the
Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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 malntaln 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 0 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. WA763D508631017 Expiration Date 10/2018
This section need not be completed ~ the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this pe s 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 is uni u 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 provided for In Section 3706 abor code omey's fees.
RS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 lo 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. OYes []NJ
2, I (have/ 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/ phone I contractors' license number)·
4. I plan to provide portions of the work, but I have hired th allowing person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted d) the following persons to provide the work indicated (include name I address I phone I type of work)·
RS PROPERTY OWNER SIGNATURE □AGENT DATE
•
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant o~~re 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-Tar;1er Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
\s the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above Information ls correct and that the information on the plans Is accurate. I agree to comply'Mth all Cify ordinances and State laws relating to building construction.
I hereby au~onze representative of ~e City of Carlsbad lo enter upon ~e above mentioned prupertyfor ,ispection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH M'\Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penn~ is required for excavatioos aM 5'0' deep and demolition or conslruction cl structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall ire by limitatkxl and become nul and void if the building or v«>rk authorized by such pemlit is not commenced wthin
180 days from ~• date of such permit or rr ~• buBding or worf< au1holized by such permit • ded or abandoned at any time after the worf< • o,mmenced for a period of 180 days (Section 106.4.4 Unrroon Bui~ing Code).
_15 APPLICANT'S SIGNATURE DATE l\·&
PERMIT INSPECTION HISTORY REPORT (CBR2018-1494)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 06/22/2018 Owner:
Issue Date: 06/22/2018 Subdivision:
E)(piration Date: 06/25/2019 Address:
IVR Number: 12110
Inspection No. Inspection Status Primary Inspector
12/27/2018 12127/2018 BLOG-43 Air
Cond./Furnace Set
079887-2018 Passed Chris Renfro
December 27, 2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
079888-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLOG-Electrical Final
COMMENTS
Passed Chris Renfro
COMMENTS
COOWNER SIEGEL DAVID C AND
KATHLEEN F
CARLSBAD TCT#72-24
2286 Boca St
Carlsbad, CA 92009-8009
Reinspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
Page 1 of 1