HomeMy WebLinkAbout169 SEQUOIA AVE; ; CBR2017-0353; Permit) City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 03/22/2017 Residential Permit Permit No: CBR2017-0353
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
169 Sequoia Ave
BLDG-Residential
2060130700
$0.00
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
CLOSSEY: INSTALL OUCTLESS MINISPLIT ANO AIR HAN OLER W ELECTRICAL
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Closed -Finaled
02/22/2017
02/22/2017
TRUST CLOSSEY FAMILY TRUST 09-28-04
169 Sequoia Ave
SHERLOCK HEATING AND AIR CONDITIONING
INC
CARLSBAO, CA 92008
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
2880 Scott St, Ste 104
Vista, CA 92081-8560
760-295-5014
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
$166.00
,
Jt1E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
<<~f Building Permit Application Plan Check No.CfiCt20 \7 c:;,....,e=-. ' -:-:::;~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. pepos t
CARLSBAD email: building@carlsbadca.gov
Date 2 f?.-?-, -, ISWPPP www.carlsbadca.gov
JOB ADDRESS SUITEI/SPACEt/UNIT# IAPJ\I 169 Sequoia Avenue, Carlsbad 92008 ---
CT/PROJECT# I LOT# I PHASE# l#QFUN,,w l#BEOROQMS # BATHROOMS I TENANT BUSINESS NAME
1
CONSTR. TYPE I acc. GROUP
DESCRIPTION Of WORK: Include Square Feet of Affected Area(•)
INSTALL DUCTLESS MINI SPLIT AND AIR HANDLER W/ELECTRICAL
EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE AIR CONDITIONING I FIRE SPRINKLERS
YESO N<O v,s □NoD vesONoO
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME GUYCLOSSEY Prtn--· "-nt•ct ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 169 Sequoia Avenue, Carlsbad 92008
CITY STATE ZIP CITY STATE ZIP
SAN DIEG CA 92123
PHONE I FAX PHONE IFAX 888-991-4377 (760) 420-1655
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Sherlock heatinq and air
ADDRESS ADDRESS 2880 scot! st. #104
CITY STATE ZIP CITY STATE ZIP
vista ca 92081
PHONE l'AX PHONE
760-295-5014 T'AX
EMAIL EMAIL
lSTATELIC.# STATE LIC,# I'""' T"l'I aus. uc.1226684 804838 c20
(Sec, 7031.5 Business and Professmns Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9. commending with Section 7000 of D1visIon 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a perm,t subjects the applicant to a
cIvII penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Worken' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: 0 I have and will maintain a certificate of consent to self•in1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the won. for which this permit Is Issued.
[{] I have and will maintain workers' compensation, as reciulred by Section 3700 of the Labor Code, for the pelformance of the work !Or which this permit Is Issued. My workers' compensation Insurance carrier alld policy
number are: Insurance Co. B8S1 Polk;y No. C48101277 Expiration Date 8·2015
~section need not be completed if the permit Is !Or one hundred rs ($100) or less. LJ Certificate of Exemption: I certify that In the performance t work for which this permit Is Issued, I shall oot employ any person in any manner so as to beeome sub)ect to the Workera' Compensation laws of
Callfomla. WARNING: Failure to secure workers' com at" n coverage ful, and shall tubject an employer to criminal penalties and civil flnn up to one hundred thouund dollars (&100,000), In
addition to Iha cost of compensation, damages H provld f In 3706 of the La or and attorney's fees.
/IS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the folJomng reason:
□
□
□
I, as owner ol lhe property or my employees with Wcl!leS as their sole compensation, will do the work and the structure Is not Intended or offered !Or sale {Sec. 7044, Business and ProfessiOns Code: The Contractor's
License Law does not apply to an ovmer of property who builds or improves thereon, and who does six:h work himself or through his own employees, provided that su::h Improvements are not intended or offered for
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 sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professbns Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts !Or such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under SecUon ____ ,Business and Professions Code !Or this reason:
1. I personally plan to provide the mapr labor and materials !Or construction of the proposed property Improvement. 0Yes []No
2. I (have/ have not) signed an applicatloo !Or 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/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the IOllowlng person to coordinate, supeivlse and provide the major 'M'.lrk (Include name/ address/ phone/ contractora' 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):
Ji'S PROPERTY OWNER SIGNATURE □AGENT DATE
:
, ,, , C <>,1111 Pt f T & TH I$ $ & CT ION FOR NON •RIES ID I! NT 1.11 L BU IL DIN cl PER 11111 TS ONLY
Is the appllcanl or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substanca Account k.t? o Yes □ No
Is the applicant or future blJldlng occupant required to obtain a permit from the air pollutiOn control district or airquaUty management district? □ Yes □ No
ls the facility to be constructed within 1,000 feet of the outer bounda:y of a school site? □ Yes D No
1F 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 C81tify that I have ieact the application and state that the a bow lnfonnation Is col1'8Ct and that the infonnatlon on the plans Is accurate. I agi&eto comptydh all City ordinances and State lew5 ielalingto bulkflng construction.
I t'ereby aulhonze -ti>O of Ito City of Cal'obad kl enter upon Ito abow fllElllOO!>ld property tlr lnspecoon P-JIJXlSB' I ALSO AGREE TO SA~ INDEMNIFY AND KEEP HARl,LESS THE CllY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCRUE AG.'JNST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: An OSHA permit is required for excavatioos over 5'0' deep and derrdb or coostnx:tbn of structures OIM 3 stories in heght
EXPIRATION: Every permit Issued by the Buik:lirg Official uooer the provisbns tlis Code shall expire by lllltaocn end boo:'.lrne nul irld \Qkt w lhe buidirg er work autroriza:l by su:h r,amil is not oorrmenood 'Mlhin
180days from Ire dalaofsuch parrritornlte bul~lng or"°"' authorized by , is suspended or-at any tire atterlte "°"' is oommera,d tlr a perbd of 180days (Secti>l 10M4 Un-Bul~ilg Code),
./15 APPLICANT'S SIGNATURE DATE
. PERMIT INSPECTION HISTORY REPORT (CBR2017-0353)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 0212212017
Issue Date: 02/22/2017
Expiration Date: 09/1812017
IVR Number: 2059
Inspection No. Inspection Status
03122/2017 03/22/2017 BL0G-43 Air
Cond./Furnace Set
017322-2017 Passed
March 23, 2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
017323-2017
Checklist Item
BLOG-Mechanical Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Peter Dreibelbis
Peter Dreibelbls
TRUST CLOSSEY FAMILY TRUST
09-28-04
169 Sequoia Ave
Carlsbad, CA 92008-4058
Reinspectlon
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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