HomeMy WebLinkAbout2816 Fairfield Ave; ; CBR2019-0455; Permit{city of
Carlsbad
Residential Permit
Print Date: 08/08/2019 Permit No: CBR2019-0455
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2816 Fairfield Ave
BLDG-Residential
1674802118
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
02/27/2019
02/27/2019
Plan Check #:
Project Title:
Final
Inspection: 8/8/2019 1:28:46PM
Description: WOOKEY: REPLACE FURNACE
Owner:
OWNER CHAMP KYLE
2816 Fairfield
CARLSBAD 92010-7009
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
Contractor:
THOMPSON HEATING & AIR
1980 Peacock Blvd, C
Oceanside, CA 92056-3581
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
$175.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMAT/APCD
Ccityof
Building Permit Application ~l~~~~~ck~~:c.12~/q ✓ O_f~5
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date.2-~,-tq lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# !APN 2816 Fairfield Avenue ---
CT/PROJECT# . I"' I 'H"" , • OF UNITS I' BEDROOMS -~ #BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE · 1 occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ
Replace Furnace
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ~ I AIR CONDITIONING I FIRE SPRINKLERS
YESQ NcQ vESQNoO YESQNoO
APPLICANT NAME Megan Wookey PROPERTY OWNER NAME Megan Wookey Prmeo: Contag
ADDRESS ADDRESS
2816 Fairfield Avenue 2816 Fairfield Avenue
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92010 Carlsbad CA 92010
PHONE !FAX PHONE I FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Thomoson Heatina and Air Conditionina Inc
ADDRESS ADDRESS
1980 PEACOCK BLVD, STE. C
CITY STATE ZIP CITY STATE ZIP
OCEANSIDE CA 92056
PHONE ! FAX PHONE I FAX 760-842-7630
EMAIL EMAIL
I
CONT ACT@lTHACC. NET I STATE UC# STATE UC# l"'c20.CJ6 l011
YBUSBLOS1246018 974400
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9, comme_nd1ng with Section 7000 of D1v1s1on 3 of the
Business and Professions Code) or fuat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subiects the applicant to a
civil penalty of not more than five hundred dollars ($500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations 0 1 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 ol the work for which this permit is issued
[Z] l have and will maintain workers' compensation, as reqU1red bv Section 3700 of the LaOOr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are. Insurance co l~SURANCE COMPANY OF THE WEST Policy No. ___________ ~~504071~_ .. ________ __ Expiration Date _____ 0410712019 ·---
J,b§,sect1on need not be completed ii the perr1it is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo 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 (&100,0001 in
addition to the cost of compensation, damages as provided for in Sec ·on 3706 of the Labor code, interest and attomey's fees.
AS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Confractor's License Law for the following reason
D
0
D
I. as owner of the property or my empl1)yees with wages as their sole compensation, will do the work and the structure is not intended or offered lor 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 lor
sale. If. however. the Wilding 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 lor the purpose ol 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 lor this reason-
1. I personally plan to provide the major labor and materials for construction ol the proposed property improvement. OYes Oo
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 (firm) to provide the proposed 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 I 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 I type of work)
,'6 PROPERTY OWNER SIGNATURE IZJAGENT DATE 2/26/19
I I
'
Is the 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? □ 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
Is 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.
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to buildingoonstructlon.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void i the building or work authorized by such permit is not commenced v.ffllin
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code).
,,6$ APPLICANT'S SIGNATURE -------~-1/kf& DATE 2/26/19
PERMIT INSPECTION HISTORY REPORT (CBR2019-0455)
Permit Type: BLDG-Residential Application Date: 02/27/2019 Owner: OWNER CHAMP KYLE
Work Class: P/M/E Issue Date: 02/27/2019 Subdivision: CARLSBAD TCT#82-16
Status: Closed -Finaled Expiration Date: 08/26/2019 Address: 2816 Fairfield Ave
Carlsbad, CA 92010-7009
IVR Number: 17347
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspectlon Date Start Date Complete
08/08/2019 BLDG-43 Air 100120-2019 Scheduled Paul York Incomplete
CondJFumace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 100121-2019 Passed Paul York Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLOG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
August 08, 2019 Page 1 of 1