HomeMy WebLinkAbout2909 Cacatua St; ; CBR2017-1033; PermitiiIii00.1111M1011101111
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 06/09/2017 Residential Permit Permit No: CBR2017-1033
www.carlsbadca.gov
Job Address:2909 Cacatua St
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2153901700 Lot #:Applied:05/15/2017
Valuation:$0.00 Reference #:Issued:05/15/2017
Occupancy Group:Construction Type:Finaled:
#Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:WINSON: REPLACEMENT OF FAU, ADD AC
Owner:Contractor:
TRUST WINSTON FAMILY TRUST 09-10-00 WEST COAST APPLIANCES
2909 Cacatua St
CARLSBAD, CA 92009 1256 Fayette St
760-822-6531 EL CAJON, CA 92020-1511
619-557-0446
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
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 APPLYto 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.
Plan Check No.•
1'7--
.3Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2717 / 2718 / 2719 Plan Ck. DepositFax 760-602-8558
www.carlsbadca.gov Date
JOB ADDRESS SUITE#/SPACEVUNIT#APN
2909 CACATUA ST 215 -390 -17 -00
CT/PROJECT #
I LOT #
PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
1 4 3 HVAC SFD
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
REPLACEMENT OF FAU & ADDING 5 TON NC, NEED MECH & ELEC PERMIT, 2,668 SQ FT
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESOff,N01 YES EJNO YESD NOD
CONTACT NAME (If Different Fern Applicant)SYNDIE PICH APPLICANT NAME
ADDRESS ADDRESS
1256 FAYETTE ST
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92020
PHONE FAX PHONE FAX
619-557-0446 619-448.3708
EMAIL EMAIL
westcoastheatcoolAgmail.com
PROPERTY OWNER NAME CONTRACTOR BUS. NAMEJENNIFER WINSON WEST COAST APPLIANCE SERVICE INC.
ADDRESS ADDRESS
2909 CACATUA ST 1256 FAYETTE ST
CITY STATE ZIP CITY STATE ZIP
CARLSBAD CA 92009 EL CAJON CA 92020
PHONE FAX PHONE FAX
760-822-6531 619-557-0446 619-448-3708
EMAIL EMAIL
westcoastheatcool@gmail.com
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.#
810930 C10. C20 1211147
(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section -7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penalty 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.
ElI 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 policy
number are: Insurance Co GRANITE STATE Policy No.WC-001-09-0966 Expiration Date 0218
Thi section need not be completed if the permit is for one hundred dollars ($100) or less.
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 un ful, and s I 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 3706 o he L code, interest and attorney's fees.
le CONTRACTOR SIGNATURE ElAGENT DATE 5/15/17
I hereby affirm thatlam exempt from Contractor's License Law for the following mason:
ElI,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. lf, 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 Contractors License Law).
Iare exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement.Ekes ONo
2.1 (have I have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone / contractors' license number):
4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name / address / 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 / address / phoneI type of work):
AKPROPERTY OWNER SIGNATURE 0AGENT DATE
"111111101111111111111i
T
Is the applicant or future building occupant required to submit a business Ian, 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 L__INo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aiLgLiality management district?OYes E]No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?ElYes LiNo
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.
LA.G tie C Y..•••••
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
ER..„
Icertifythatlhave read the application and state that the above inhumation is correct and that the infomiation on the plans is accurate.) agree to comply with all City ordinances and State laws refatingto building construction.
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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over513'deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Bui..'•.under -.visions of this r.'"•and become null and void if the building or work authorized by such permit is not commenced within
l 180 days from the date of such permit or e building or work a zed by s -rmit is suspended or abandoned a .time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
AtCAPPLICANT'S SIGNATURE 4
140,.•
_DATE 5/15/17----•
IWO.Mi..
air
PERMIT INSPECTION HISTORY REPORT (CBR2017-1033)
Pc a Type:BLDG-Residential Application Date:05/15/2017 Owner:TRUST WINSTON FAMILY TRUST
09-10-00
Work Class;P/M/E Issue Date:05/15/2017 Subdivision:LA COSTA MEADOWS #3
Status:Closed -Finaled Expiration Date:12/06/2017 Address:2909 Cacatua St
Carlsbad, CA 92009-4404
IVR Number:3761
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
06/09/2017 06/09/2017 BLDG-43 Air 025749-2017 Passed Jonathan West Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 025750-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
June 09, 2017 Page 1 of 1
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