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Home My WebLink About2293 MASTERS RD; ; CB161080; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 03-21-2016 Permit No: CB161080 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2293 MASTERS RD CBAD PME 2121420100 Lot#: WEWORSKI: REPLACE FURNACE 0 Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: AR S AMERICAN RESIDENTIAL SERVICES OF CALI FORNI WEWORSKI JOSEPH M&COREY D STE 110 8949 KENAMAR DR 2293 MASTERS RD SAN DIEGO CA 92121-2435 CARLSBAD CA 92008 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES ISSUED 03/21/2016 SLE 03/21/2016 03/21/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL Date: S-lj~ Ip Clearance: $0.00 NOTICE: Aease ta<e NOTICE that~ cl )00" i:rqect irdudes Ire ""IIT"IJOSiliorl' cl t= dedcaicrs, reseM!licrs, ex ctter exa:licrs -roledivay referred to as 1..,,,exa:licrs." You ra-.e OOda),sfromlre-ttis pemit""5 i""-'Eld to pretest irrpositio, clthoso-"""'1icrs. If )00 pretest ttern )00 m.ot fdlootre p-ctest ?1'(lrlres set forth in G>lemrent Code Sectiai !Hl2J(a), !rd file Ire pretest !rd any ctter req.ired irtooraticn wth Ire Oty Mmgerfor proces,;ng;,, ax.ada re~ Qr1sbad Mridpa Code Sectiai 332.CID. F!illl8totimfyfdlo,,that p-ocm.rewll bi>" anystbs«µrt lega ec!icn toatta:k, relieN, set aside, vtid, a anJ treir if'Tl'XEition. You'"" ra,fy F\RTl-ER NOTIREDthal )00" rig-I to pretest Ire simfied f..,,,exa:licrs OCES i'IJf !'PPL y tome, ,rd se,.er oomectia, fees ,rd~ dB-ges, ncx Jjannng, 20irg. ga::lng ex ctter snil..-~icaiai proces,;ng ex senAce fees in oomectiai wth ttis i:rqect. l'.cR OCES IT !'PPL Y to any I W"i ·1 I W"idll r ITHE FO' ~LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING QFIRE □HEALTH D HAZMATIAPCD I . ~ Building Permit Application Plan Check Noc.f) ILO l CEn «.,._,ffp':' 1635 Faraday Ave., CaMsbad, CA 92008 Est. Value -~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit C.'ARLSBAD email: building@caMsbadca.gov www.carlsbadca.gov Date ':'--,-?' l -I( ,. ISWPPP I JOBADDr."t:t:t SUITE#/SPACE#/UNIT# I APN 2293 MASTERS RD CARLSBAD 92008 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# B£0ROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Alea(•) CHANGEOUTFURNACE EXISTINO USE I PROPOSED USE !GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so N<CJ YES □No□ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME COREY WEWORSKI -..... ~ ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2293 MASTERS RD CITY STATE ZIP CITY STATE ZIP San Dieqo CA 92123 CARLSBAD CA 92008 PHDNE IFAX PHONE I FAX 888-991-4377 (760) 331-8365 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME America Residential Services (ARSl ADDRESS ADDRESS 8949 Kenamar Dr #11 0 . CITY STATE ZIP CITY STATE ZIP San Dieqo CA 92121 PHONE I FAX PHONE I FAX 858-805-0606 EMAIL EMAIL TWICKHAM@.,ARS.COM ISTATELIC.# STATE LIC.# I 'e201c35 I "TY'"' "'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, p_rior to its issuance, also requires the applicant for such permit to file a signed statement tliat he is licensed pursuant to the provismns of the Contractor·s License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exemP.t therefrom, and the basis for the alleged exempt1on. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civit penalty of not more than five hundred dollars {$500)). WORl(ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following dedararlons: D I have and will maintain I certificate of consent to self-Insure for wort(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wort( for which this permit is issued. [Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the wort( for which this permit Is Issued. My wort(ers' compensaUon Insurance carrier and policy number are: Insurance Co, Liberty Ins, Polley No. WC?-631•508631·014 Expiralion Date 11).15 UJ,1§,seclion need not be completed If the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the wo lch this permit Is Issued, I shall not employ any person in any manner so as to become subject to the Wort(ers' Compensation Laws of California. WARNING: Failure to secure worken' co en erage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as pr for In Section 3706 of the Labor code, Interest and attorney's fees. ') 'I ~ C0NTRACTORSIGNATURE -')' L, I hereby affirm that I am axampt from Contractor's Ucensa Law for the following reason: □ □ □ I, as owner of the property or my empklyees with wages as their sole compensation, will do the wort( and the structure Is not Intended or offered for sale (Sec. 704-4, Business and Professions Code: The Cootractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wo/1( himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or lmprovement ~ sokl within one year of completion, the ownBf-buikler wiU 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 Hcensed contractors to construct the project (Sec. 7044, Business and Professklns Code: The Contractor's License Law does not apply to an owner of property who bu!lds or Improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Cootractor's License Law). I am exempt under SecHon ____ ,Business and Professions Code lor this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. OYes ONo 2. I (have I have not) signed an applk:adon for a building permit for the proposed wor1<, 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the wort(, but I have hired the following person to coordinate, supervise and provide the major wort( ~nciude name I address/ phone/ contractors' license number): 5. twill provide some of the wort(, but I have cont {hired the fol ng persons to provide the wort( indicated (include name I address/ phone I type of wort(): .Jl:5 PROPERTY OVVNER SIGNATURE □AGENT DATE "c Ml!'LSTI THIS SEC'flON l!"OR Nol\l,,RIISIDENTIAt IUIU,DING PERMITS ONLY ~ thE: appllci:tln or future building occupant required to submit a business ploYi, acutely hazardous materials ,egistratlon form or risk management and prevention program under Sectlons 25505, 25533 Of 25534 of the Presley-Tanner Haz.wdous Substance Account Act? □ Yes □ No Is Iha applicant or future building occupant required to obtain a pennll from the air polution control district 01' air quality management district? □ Yes O No Is the facUity to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY QF 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 EMERG!.:'NCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the applcatlon and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply....tth all City ordinances and state laws mlallngto builclng constructloo. I hereby authorize representative of the City ct Ccr\sba:l to enter upoo the aoove mentioned ~perty b" nspection pulJX)SeS. I ALSO AGREE TO SA VE, 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 CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavatioos over 5'0' deep ard dernolioon or oonstrucoon of structures over 3 stooes rl he'Jhl EXPIRATION: Every permit issued by the Buikling OffK;ial under the p~· . s of this Code shal expire by knitalion ~d become nul ~d vcid W the buikling or wak aulhaized by such permit is not a:mmenced within 180 de¥> from the date of such permit or W tie boiklirg or work authormld It is s _speooed or ooandooed at ~y lime afler tie work is cooimenced for a perixl of 1 BO days (Secto'l 106.4.4 Uniform Buiklirg Code). ,It$ APPLICANT'S SIGNATURE DATE ·L • Inspection List Permit#: CB161080 Type: PME Date lnspectio_n!tem 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 04/29/2016 43 AirCond/Furnace Set 04/29/2016 43 AirCond/Furnace Set 04/29/2016 49 Final Mechanical Thursday, May 05, 2016 Inspector PB PB PB WEWORSKI: REPLACE FURNACE Act Comments ------- RI AP RI AP RI NR RI Page 1 of 1