The URL can be used to link to this page

Home My WebLink About1381 Puffin Pl; ; CBR2019-0454; PermitCcityof Carlsbad Residential Permit Print Date: 03/13/2019 Permit No: CBR2019-0454 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1381 Puffin Pl BLOG-Residential 2158201010 $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#: Final Inspection: 3/13/2019 12:14:40PM Project Title: Description: JACOBSEN: REPALCE A/C AND FURNACE, SAME LOCATION. PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST EPSTEIN MAND L TRUST 12-DS-07 3581 Lemieux EAGAN 55122 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 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Ccityof Building Permit Application Plan Check No. ( p jZ.JQ~1=L''t{t 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 :J. -':"i7 -i 1 lswPPP JOB ADDRESS 1381 Puffin Place SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT# I LOT# I PHASE# I ff OF UNITS-I# BEDROOMS H BATHROOMS 'TENANT BUSINESS NAME I CONS TR TYPE -l OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace AJC and Furnace, same location EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS YESD Nc0 YEs □No□ YES□No□ APPLICANT NAME Jake and Cheryl Jacobsen PROPERTY OWNER NAME Jake and Cheryl Jacobsen P•lneni Cnn ADDRESS ADDRESS 1381 Puffin Place 1381 Puffin Place CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Carlsbad CA 92011 PHONE I FAX PHONE /FAX 858-735-9777 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Thompson Heatina and Air Conditionina Inc ADDRESS ADDRESS 1980 PEACOCK BLVD, STE. C C1TY STATE ZIP CITY STATE ZIP OCEANSIDE CA 92056 PHONE I FAX PHONE I FAX 760-842-7630 EMAIL EMAIL CONT ACT(@,THACC. NET I STATE LIC. # STATE LIU/ lc'c20.C361°1 TY BUSBLOS1246018 974400 (Sec. 7031.5 Business and P_rofess1ons Code: Any City or County which requires a permit to construct, aller, improve, demolish or repair any structure, pnor to 1lS issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1smns of the Contractor"s License Law [Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or {hat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars \$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by SecUon 3700 of the Labor Code, for the performance of the work for which this permit is issued 0 I have and will maintain workers' compensation, as required bv 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 INSURANCE COMPANY OF THE WEST Policy No.______ WSD50407190 ____ Expiration Date__ 04/07/2019 J.t!.i§,seclion need not be completed if the permit 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 to 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 (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,N:, CONTRACTOR SIGNATURE //J11A @AGENT DATE 2/26/19 :OWNER•RIJILQER PECLAR.ATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 0 □ 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 for sale If, however, the building or improvement is sold within one year of completion, the owner-builder wi•I 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 !o 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 lo the Contractor's License Law) I am exempt under Section 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. 0Yes 0No 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) ,N.'5 PROPERTY OWNER SIGNATURE IZJAGENT DATE 2/26/19 Is the applicant or fulurr!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-Tanne, Hazardous Substance Account Act? □ Yes D 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? D Yes D 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 aoove infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State I~ relating to building construction. I hereby authorize representatr,,e of the City of Carlsba'l 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 permrt is required for excavations over 5'0' deep and demolition or construction of structures OVf:! 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 if the building or wor1( authorized by such permit 5 not commenced within 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), AS APPLICANT'S SIGNATURE DATE 2/26/19 ,_ PERMIT INSPECTION HISTORY REPORT (CBR2019-0454) Permit Type: BLDG-Residential Application Date: 02/2712019 Owner: TRUST EPSTEIN MAND L TRUST 12-05-07 Work Class: PIMIE Issue Date: 0212712019 Subdivision: CARLSBAD TCT#94-03 AVIARA PLANNING AREA 15 Status: Closed -Finaled Expiration Date: 09109/2019 Address: 1381 Puffin Pl Carlsbad, CA 92011-4026 IVR Number: 17346 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 03/13/2019 03/1312019 BLOG-43 Air 085960-2019 Passed Andy Krogh Complete Cond./Fumace Set BLOG-Final 085961-2019 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes Page 1 of 1 March 13, 2019