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HomeMy WebLinkAbout2792 SOUTHAMPTON RD; ; CBR2019-3411; PermitResidential Permit Print Date: 12/13/2019 Job Address: 2792 Southampton Rd Permit Type: BLDG-Residential Work Class: P/M/E Parcel No: 2081405600 Lot#: Valuation: $0.00 Reference #: Occupancy Group: Construction Type: # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: KIRSCH: INSTALL A/C AND FRUNACE WITH ELECTRICAL Owner: COOWNER KIRSCH LAWRENCE G AND KATHLEEN H 2792 Southampaton CARLSBAD 92010 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 (city of Carlsbad Permit No: CBR2019-3411 Status: Applied: Issued: Permit Finaled: Inspector: Final Closed -Finaled 12/03/2019 12/03/2019 Inspection: 12/13/2019 10:04:14A Contractor: STEVE MOORE QUALITY AIR INC 300 Carlsbad Village Dr, Ste 108A-447 Carlsbad, CA 92008-2990 760-587-7885 $175.00 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 asid_e, 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD • Plan Check No.C5 \2Jo IC\ -3k{ I -~ Building Permit Application «-..~'> 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 /Z -3 -/{I ISWPPP www.carlsbadca.gov JOB ADDRESS 2792 Southampton Rd., Carlsbad 92010 SUITE#/SPACEI/UNITI IAPN --- CT/PROJECT# [LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INSTALL AC AND FURNACE W/ ELECTRICAL EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESD NcQ YES □No □ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME LARRY KIRSCH Prtna-· Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2792 Southampton Rd., Carlsbad 92010 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE 1FAX PHONE I FAX 888-991-4377 7608451633 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME lllll!ll0MOORE QUALITY AIR INC ADDRESS ADDRESS 300 CARLSBAD VILLAGE DR SUITE 108A-447 CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92008 PHONE l:AX PHONE l'AX 7605877885 EMAIL EMAIL ISTATELIC.# STATE LIC.# lcC20/C36 lcn{?J'~IC\\ -'-<'\(o 1020671 (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 the applicant for such permit to file a siro1ed 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 the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged e~emptIon. 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: I hereby affirm under penalty of perjuf'/ one of the following declarations: 0 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, [Z] I 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. CYPRESSINSURANCE Policy No. ASWC924123 Expiration Date 911/2020 J!)§.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 work for w ich 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 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 3 6 of the Labor code, interest and attorney"s fees. HS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 tor 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 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 oon!ractorn 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 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/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supel'l/ise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address/ phone/ type of work) _,g PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY • Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk mana;iement and prevent on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes O 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 lo be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O 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 above Information Is conect and that the information on the plans Is accurate. I agree to comply with all City ordinances and State ~ relating 1D building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aOOve mentioned property br inspection p..irp:ises. 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 AG/>JNST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: kl OSHA permit is required for excavations over 5'0' deep and demolltk:Jn or oonstruction of structures over 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 buik:ling or w::xk authOOzed by such permit ts not oommenced v.ithin 180 days from the date of such permit or if the building oroorl< authorized by such perm~ is srpend~ or abandoned at any time after the oork is oommenced for a period of 180 days (Sectk:Jn 100.4.4 Uniform Building Cooe). A!S'APPLICANT'SSIGNATURE lV DATE 1-·1 . , · . PERMIT INSPECTION HISTORY REPORT (CBR2019-3411) Permit Type: BLDG-Residential Application Date: 12/0312019 Owner: Work Class: PIMIE Issue Date: 1210312019 Subdivision: Status: Closed -Finaled Expiration Date: 0611012020 Address: IVR Number: 23441 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 1211312019 1211312019 BLDG-34 Rough Electrical 113649-2019 December 13, 2019 Checklist Item BLDG-Building Deficiency BLDG-43 Air Cond./Furnace Set 113650-2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 113651-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS COOWNER KIRSCH LAWRENCE G AND KATHLEEN H CARLSBAD TCT#84-14 UNIT#02 2792 Southampton Rd Carlsbad, CA 92010-2882 Reinspection Complete Complete Passed Yes Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of 1