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
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