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HomeMy WebLinkAbout2611 Jacaranda Ave; ; CBR2019-1821; Permit(city of Carlsbad Residential Permit Print Date: 08/02/2019 Permit No: CBR2019-1821 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2611 Jacaranda Ave BLDG-Residential 2551140700 $0.00 Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 07/12/2019 07/12/2019 Plan Check#: Final Inspection: 8/2/2019 9:42:24AM Project Title: Description: SIKORA: INSTALL NEW A/C Owner: TRUST SIKORA FAMILY TRUST 09-26-13 2611 Jacaramnda Contractor: RELIABLE ENTERPRISES INC CARLSBAD 92009 11315 Rancho Bernardo Rd, Ste 137 San Diego, CA 92127-1402 858-699-0033 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 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 wm bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIF!ED 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 $175.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD «~~'> Building Permit Application Plan Check No. C6~d-01Cl-'-(8'"J. l 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 7-v, .... -iq lswPPP JOB ADDRESS SUITEf/SPACEf/UNIT# IAPN 2611 Jacaranda Ave, 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 IAIR CONDITIONING I FIRE SPRINKLERS YESO No[] YES □No□ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME AMY SIKORA Prlnarv Contact ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 2611 Jacaranda Ave, Carlsbad 92009 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE IFAX PHONE IFAX 888-991-4377 8582326966 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME RELIABLE ENTERPRISES INC ADDRESS ADDRESS PO BOX3770 CITY STATE ZIP CITY STATE ZIP RANCHO SANT A FE CA 92067 PHONE IFAX PHONE I FAX 6198508770 EMAIL EMAIL I STATE LIC. # STATE UC.# lcc20/C36 lc~O0051%-0I :: 1003637 structure, prior to its issuance, also requires the · .. vi Sec. 7031.5 Business and Professions Code: An Cit or Count which re uires a ermit to construct. alter, improve, demolish or re air an ~pplicant for such per_mit to file a signed stateme~t tiat he is lilensed pu~uant tlthe provisions of the Contractor's License Law /C~apter~, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a cIvII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: D I 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. [Z] 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 p:ilicy number are: Insurance Co ______________________ Policy No ______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the performance 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 workers' compensation coverage is unlawful, 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 Sectio 06 of the Labor code, interest and attorney's fees. Jl5 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 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. 0Yes 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 (finn) to provide the prop:ised construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I 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, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work) ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo 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? □ 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 D No Is the facility to be constructed within 1,000 feel 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 I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 {1) CMI Code) Lender's Name Lenders Address APPLICANT CERTIFICATION I certify that t have read the application and state that the above infonnation is correct and that the infonnation on the plans is acnirate. I agree to comply v.ith all City ordinances and state laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enteruJX)!1 lhe aOOve mentioned property for insP3Clion 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 CIT/ IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA An OSHA perm~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Official under the provis· s of this Cooe shall expire by limitation and become null and void if the buik'.Jing or oork authorized by sudl permit is not commenced VYilhin 180 days fi"om the date ofsudl permit or if the building orlM:lrk authorized sucl7 perm~ is suspended or abandoned at anytime after the mrk is commenced for a periOO of 180days (Seeton 100.4.4 Uniform Building Code) .A$ APPLICANT'S SIGNATURE DATE <'7 , tl -\ PERMIT INSPECTION HISTORY REPORT (CBR2019-1821) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 07/12/2019 Owner: Issue Date: 07/12/2019 Subdivision: Expiration Date: 01/29/2020 Address: IVR Number: 20357 Inspection No. Inspection Status Primary Inspector 08(02/2019 08(02/2019 BLOG-43 Air CondJFurnace Set 099468-2019 Passed Paul York August 02, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 099467-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Paul York COMMENTS TRUST SIKORA FAMILY TRUST 09-26-13 CARLSBAD TCT#73-18 UNIT#04 2611 Jacaranda Ave Carlsbad, CA 92009-9116 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1