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Home My WebLink About2624 SAUSALITO AVE; ; CB163191; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-18-2016 Permit No: CB163191 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2624 SAUSALITO AV CBAD PME 1675116800 Lot#: PINCUS: REPLACE A/C & FURNACE 0 Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/18/2016 SLE 08/18/2016 08/18/2016 AR S AMERICAN RESIDENTIAL SERVICES OF CALI FORNI PINCUS JEFFREY N&GIGI TRUST 06-09-98 STE 110 8949 KENAMAR DR 2624 SAUSALITO AVE SAN DIEGO CA 92121-2435 CARLSBAD CA 92010 858-805-0613 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: FINAL APPROVAL 1-l 't-1/ Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 Car1sbad 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 THE FQLLOWlNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD «,~ Building Permit Application Plan Check No. ~II 11 ?--1 q \ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date ~-t@-\\f'I lsWPPP www.carlsbadca.gov JOB ADDRESS SUITEt/SPACEt/UNITf rPN 2624 SAUSALITO AVE, CARLSBAD 92010 --- CT/PROJECT# I LuT # l PHASE# 1 #0FUNITS rBEDROOMS # BATHROOMS I TBIANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUT AC AND FURNACE EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YESO "'° YES □No □ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME JEFFREY PINCUS .... ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2624 SAUSALITO AVE, CARLSBAD 92010 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 888-991-4377 (949) 212-0325 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME America Residential Services (ARSI ADDRESS ADDRESS 8949 Kenamar Dr #110 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92121 PHONE IFAX PHONE l'AX 858-805-0606 EMAIL EMAIL TWICKHAM@_,ARS.COM I STATE UC.# STATE LIC.# l'e201c3s l'"YBUS "'1241226 791820 (Sec. 7031.5 Business and Professions Code: Any Crty or County which requires a permit to construct, alter, improve, demolish or repair any_ structure, pnor to its issuance, also requires the applicant for such per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of DivIsIon 3 of the Business and Professions Code) or fhat 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 a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perful'fone of the fol/owing declarations: D I have and wilt maintain a certificate of consent to self-insure for wolters' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for 'MIich lhls permit Is Issued. [Z] I have and will maintain workers' comDensatlon, as 19QUired by Section 3700 of lhe Labor Code, for the performance of the work for 'Mlich this permit Is Issued. My waiters' cofl1)8nsatlon Insurance carrier and policy number are: Insurance Co, Liberty Ins. Polk::y No. WC7-631-508631-014 Expiration Date 10·15 ~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 perf ance of the 'Mlrk fo, Which this permit ls 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' m satlon covera e Is unlawful, and shalt subject an employer to criminal penalties and clvll fines up to one hundred thousand dollar1 (&100,000), ln addition to the cost of compensation, damages as for I on 3706 of the Labor code, Interest and attorney's fees. 85 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 wilh wages as lhelr 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 bullds or Improves thereon, and WhO does such worll himself or through his own employees, provided that such Improvements are not Intended or offered fOf 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 dKI not build or Improve for the purpose of sale). 1, as owner of the property, am exclusively contracting v.ith 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 Contracto(s Lk::ense Law). I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the ma.Pr labor and materials for construcUon of the proposed property improvement. □Yes 0No 2. I (have/ have not) signed ao application for a building permit for the proposed work. 3. I have contracted wllh the followlng 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 fOllowlng person to coordinate, supervise and provide the ma):lr 'Mlrk (Include name I address/ phone I controctors' lleense number): 5. I will provide some of the work, but I have controcted {hired) the following persons to provide the 'M'.>rk Indicated (Include name I address/ phone I type Of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE % 1 ;,'J ' ",]!'(l'MP!..ETE THIS SECTION FOR NON•RE$1DSNTIAI. BUII..DIN~ PERMITS ONLY A< ~'¥ IS the applicant or future building occupant required to submit a business plan, .cutely hazardous materials registration form or risk management ard prevention program under Sections 25505, 25533 or 25534 of the Presl8y-Tanner 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? D Yes □ No Is the facility to be constructed within 1,00J 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. I certify that I have read the appUcatk>n and state that the above Information Is oolT8CI: and that the lnfonnatlon on the plans is accurate. I agiee to oomplyYitth all Cfti/ on:linances and StatB laws l8lallngto bullding construction. I hereby authorize re~ntative of the Cit>/ of Ca1sbad b en~r upon the atx>va meotbned pq>erty for Ins~ puq:oses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HA.RMLESS THE QTY OF CARLSBAD AGAINST ALL LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA. permit is required for excavations over 5'0' deep and demciioon or w,st · n of slructures over 3 stories i1 height EXPIRATION: Every permit 1ssu8:1 by the Buikling CXl'K:ial lJlder the provisbns of this II expire by lmitatkln and l:8Dne nul and wkj If the buik:llrg or work authorized by soc:h pemil is notcorrmencsd withi'l 180 days from the date of such peITTlt or If the bulk:ling orwcxk authorized by sudl permit· spended or abanoone:I atanytrne after the work is commenced for a peood of 180 ~ 106.4.4 Unibm Buiklilg Co:le) ,.s APPLICANT'S SIGNATURE DATE u -l I Inspection List Penni!#: CB163191 Type: PME Date Inspection Item 09/28/2016 43 AirCond/Furnace Set 09/28/2016 43 AirCond/Furnace Set 09/28/2016 49 Final Mechanical 09/28/2016 49 Final Mechanical Thursday, September 29, 2016 Inspector Act JW JW RI AP RI AP PINCUS: REPLACE A/C & FURNACE Comments Page 1 of 1