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Home My WebLink About2617 Jacaranda Ave; ; CBR2017-0063; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 01/25/2017 Residential Permit Permit No: CBR2017-0063 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2617 Jacaranda Ave BLDG-Residential 2551140400 $0.00 www .carlsbadca.gov Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Description: PECCHIO: CHANGEOUT FURNACE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER PECCHIO JOSE A&CORPUS BEATRIZ E 2617 Jacaranda Ave CARLSBAD,CA 92009 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Contractor: ASI HASTINGS INC. 4870 Viewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-9300 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. Closed -Finaled 01/10/2017 01/10/2017 $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA TIAPCD . ~ Building Permit Application Plan Check No. c'.tCZ..'7.o11•Dolo3 <._( .,_;fl: 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Phi 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date I /to I 1, !sWPPP ---7 JOB ADDRESS SUrrE#/SPACE#/UNIT# rPN 2617 JACARANDA AVE, CARLSBAD 92009 --- CT/PKOJECT # I'°" 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) CHANGEOUTFURNACE EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO "'° YES0No □ YEs□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME JOSE PECCHIO Ptfn ' ,._...__, t ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 2617 JACARANDA AVE, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 CARLSBAD CA PHONE !FAX PHONE I FAX 619-590-9337 (410) 830-1061 EMAIL EMAIL JERMAINE(@,WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asihastinas -~ ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE I FAX PHONE I 'AX 619-590-9337 EMAIL EMAIL lSTATELIC.# STATE LIC.# I CLASS [ CITY BUS. "'·; 200804 513115 c20 {Sec~ 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to_ construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement tliat he is licensed pursuant to the provisions of the Contractor's License Law JChapter '9, comme_nding with Section 7000 of DIvIsIon 3 of the Business and Professions Code} or {hat he is exempt therefrom, and the basis for the alleged exemption. Any violation 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)). WORICl!'RS' <:OMPl!'NSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: D I have and will maintain a certificate ol consent to self-Insure for worl<ers' compensation as pro",llded by Section 3700 of the Labor Code, for the performance of the worl( for whk:h this permit is issued. IZJ I have and will maintain worken1' compensation, as reQulred bv Section 3700 of the Labor Code, for the performance of the worl< for which this permit ts issued. My worl<ers' compensation insurance carrier and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Policy No, ASWC711636 fap!ration Date 9/112017 ~ section need not be completed ll the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the won( 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 subj act an employer to criminal penalties and civil fines up to one hundred thousand dol\1111 (&100,000), in addition to the cost of compensation, damages as provided for In SectiT }!06 of the Labor code, Interest and attorney's fees. /IS CONTRACTOR SIGNATURE fVV\,/\(v'w E)AGENT DATE \. 1_ , OWNER,BUILPER llECt;AltATION , , I hereby afflrm that I am exempt from Contractor"s License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the worl< and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property Ymo builds or improves thereon, and who does such worl< himself or through his OW!1 employees, provided that such improvements are not intended or offered for sale. II, however, the buildlng or improvement is sold within one year of completion, the owner-buikJer will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusivetf contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 1 am exempt under Sectlon ____ Business and Professions Code for this reason 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have I have llO\) signed an appHcation for a building permit for the proposed worl<. 3. I have contracteO 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 worl<, but I have hired the following person to coordinate, supervise and provide the major work Onclude name I address I phone I contraclors' license number)· 5. 1 will provide some of the worl<, but I have contracted (hired) the following persons to provide the wor'K indicated (incllde name I address I phone I type ol worl<)· /IS PROPERTY OWNER SIGNATURE □AGENT DATE ' Is the applicant or future building occupant required to submit a business pliwi, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pre:iley-Tanner Hazardous Substance Account Act? □ Yes O No Is the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management district? O Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O No IF ANY OF THE ANS'NERS 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 SERVlCES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the applcatlon and state thatthe above lnfonnation Is correct and that the lnfonnation on the plans is accurate. I agree to complyy,fth all City on:linanoos and State laws relating ID building construction. I hereby authorize representative of the City of CoosbOO to enter up:,n the 000\le mentiooed property for Jlspeclioo purp:)005. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'NHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demdioon or construction of structures over 3 stories in hev;i ht EXPIRA Tl ON: Every permit issued by the Buikling OOcial under the pro\ASions of this Ccxle shall expire by frnitalion and become nuH and vdd d the building or work authorized by such permit is not commenced within 180days from the date of such permit cr d the buik:ling or work authorized by such permit is suspended or abandOl\ed at anytrne after the work is rommenced for a pericd of 180 days (Sectk:Jn 100.4.4 Uniform Buik!ing Cooe). AS APPLICANT'S SIGNATURE DATE ! . , -PERMIT INSPECTION HISTORY REPORT (CBR2017-0063) Permit Type: BLDG-Residential Application Date: 01/10/2017 Owner: COOWNER PECCHIO JOSE A&CORPUS BEATRIZ E Work Class: P/M/E Issue Date: 01/10/2017 Subdivision: Status: Closed -Finaled Expiration Date: 07/10/2017 Address: 2617 Jacaranda Ave Carlsbad, CA 92009-9116 IVR Number: 1368 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 01/25/2017 01/25/2017 BLDG-43 Air 011018-2017 Passed Jonathan West Complete Cond./Fumace Set BLDG-Final 011019-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLOG-Mechanical Final Yes January 25, 2017 Page 1 of 1