HomeMy WebLinkAbout2830 Fairfield Ave; ; CBR2019-0197; Permit(city of
Carlsbad
Residential Permit
Print Date: 02/14/2019 Permit No: CBR2019-0197
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2830 Fairfield Ave
BLDG-Residential
1674802103
$0.00
Work Class:
Lot#:
Reference#;
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/28/2019
01/28/2019
Plan Check#:
Final
Inspection: 2/14/2019 ll:16:07AM
Project Title:
Description: MCKEON: INSTALL AC AND FURNACE
Owner: Contractor:
COOWNER MCKEON DONALD A AND
CATHERINE H
MY GUY HEATING AND AIR CONDITIONING
INC
2830 Fairfield Ave
CARLSBAD, CA 92010
760-434-2229
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $17S.00 Total Payments To Date: $17S.00
934 S Andreasen Dr
Escondido, CA 92029-1919
760-S0S-S834
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
$17S.00
Eµ.-=:: FOLL0\,.iNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCO
<<~ Building Permit Application Plan Check No. rliR.aol'l--Dfl '
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 I I 1 K /1'1 lswPPP
JOB ADDRESS SUITEI/SPACH/UNITI IAPN 2830 Fairfield Avenue Carlsbad, CA 92010, Carl• ---
CT/PROJEi.;1 # ILVI # I PHA:>E # I# uF UNIT::, I# BEORQOM::, # BATHROO .. ~ I IN-NAME I CONSTR. TYPE I vv-• 1,:,ROUP
DESCRIPTION OF WORK: Include SquaN Feet of Altected Atea(s)
INSTALL AC AND FURNACE
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPlACE 1 IAIR CONDITIONING IF\RE SPRINKLERS
YES[}, "'° YES □No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME CATHERINE MCKEON p
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2830 Fairfield Avenue Carlsbad, CA 92010, Carlsbad a
CITY STATE ZIP CITY STATE ZIP SAN DIEG CA 92123
PHONE IFAX PHONE I FAX 888-991-4377 (760) 737-2050
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRAC1'0R IUS. NAME MY GUY HEATING AND AIR
ADDRESS ADDRESS
4561 LAMBETH COURT
CITY STATE ZIP CITY STATE ZIP
CARLSBAD ca 92010
PHONE IFAX PHONE IFAX 7607102989
EMAIL EMAIL
I STATE LIC. # STATE UC.# 'CLASS lc,rvaui:~luc,l 1022863 c20
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, improve, demolish or re air an structure, prior to its issuance,lalto requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Cg apter~' commending with Section 7000 of Division 3 of the B_us1ness and Professions Code} or {hat he 1s exeml)t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Worl!:ers' Compensation Declaration: I hereby affirm under penali'f of perjusy one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for 'Mlrkers' compensation as provided by Sedion 3700 of the Labor Code, for the performance of the 1Wrk for which ttiis permit is issued. 0 I have and will maintain workers' compensation, as required bv Section 3700 of ttie labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co, MARKEL INSURANCE Policy No. MWC0110861 Expiration Date 5'2018
~section 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 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
Califomia. WARNING: Failure to secure workers' compensation coverage is u awful, 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 370 f the Labor code, interut and attorney's fees.
,15 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 ror
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 sa~)-
1, as 0W11er 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 0W11er 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 ----~usiness 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/ 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/ contractors' lk:ense number):
4. I plan lo provide portions of the won<, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address/ 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/ address/ phone/ type of work):
.6$ PROPERTY OWNER SIGNATURE □AGENT DATE
I
I
'OM PL E TE TH IS S EC TI O N F OR NON • R ES I D ENT I A L B U IL DIN G PERM ITS ON LY
Is the applicant or future luld'ng occupant required to submit a business plan, a:uteiy 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 ANO THE AIR POLLUTION CONTROl DISTRICT,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the work ttus permit 1s issued (Sec 3097 (i) CMI Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I hM 188d lhe application and smlB that the above inbrna1lon is conectand that the lnfonnatton on Iha plans Is accurate. I agiee to amply with all Cl\' on::llnancasand State laws nilatk1g ti buldlng con$b'UCtlon.
I l'eleby aulliorize repesentaliveof Ille Cly of Callslm ~ enter upoo ~• atx,,e menlilned i,operty Ir i1sl"(:lion i>Jrposes. I ALSO AGREE TO SAVE; INDEMNIFY ANO KEEP HAAMLESS THE CITY OF CARLS8AD
AGAINST All UABlllTIES, JUDGMENTS, COSTS ANO EXPENScS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONScOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: .AA OSHA permit is requilai for excawtions over 5'0' deep and demolltioo Of oonstructk)n of structures over 3 smes in heghl
EXPIRA TKJN: E"'~ perml ostJ8d by Ille Buiin,g Official under Ille provisoos of o Code shall e,pira by i1litmn and becorre nul and -.oid I Ille bui~n,g or m autllori2Bd by such pemit o not COll'll'<flC8d within
180 da)' from Ille dale of such permrtoriflhe l)uojiig orm au~orizsd by perm!• suspended orabanoorEd atanytirre alllrlhe m • commenced Ir a period of 180da)' (Secfun 1W4.4 Loiform E<Jildi1g Code).
,J/S APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2019-0197)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 01/28/2019 Owner:
Issue Date: 01/28/2019 Subdivision;
Expiration Date: 08/13/2019 Address:
IVR Number: 16691
Inspection No. Inspection Status Primary Inspector
02/14/2019 02/14/2019 BLDG-43 Air
Cond./Furnace Set
083867-2019 Pa88ed Chris Renfro
February 14, 2019
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
083868-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Paased Chris Renfro
COMMENTS
COOWNER MCKEON DONALD A
AND CATHERINE H
CARLSBAD TCT#82-16
2830 Fairfield Ave
Carlsbad, CA 92010-7010
Relnspectlon Complete
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
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