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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 Page1 of1