The URL can be used to link to this page

Home My WebLink About2769 SOUTHAMPTON RD; ; CBR2017-2698; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/18/2017 Residential Permit Permit No: CBR2017-2698 Job Address: Permit Type; Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2769 Southampton Rd BLDG-Residential 2081402400 $0.00 www.carlsbadca.gov Work Class; Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E BERBERET: REPLACE -1-FAU & ADD-1-NEW A/C UNIT & -1-NEW 20 AMP CIRCUIT Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 11/09/2017 11/09/2017 KERRI M BERBERET 2769 Southhampton Rd CARLSBAD, CA 92010 760-68S-73S7 OAK ISLAND HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 1250 Pacific Oaks Pl, Ste 103 Escondido, CA 92029-2908 760-839-8383 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 wilt 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 $170.00 THE FOtLOl'iiNG APP~OVALS REQUIRED PR10R TO PERMIT ISSUANCE :::::i PLANNING L] ENG!NE!:RING JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov 2769 SOUTHAMPTON RD. SUITEI AC&f/UNfTf HEALTH D HAZMA TJAPCO Plan Ch~~DI l:--~'l& Est. Value Plan Ck. Deposit --~-------~ SWPPP Lt1;Pao,~cn . io, ,------rm-• J o,u,ns T iliN<ooMs DESCRIPTION "OF WORK': lncludit Siiuate Feit~Atea(s) . . . N REMOVE AND REPLACE 1 FAU, ADD 1 NEW A/C UNIT AND 1 NEW 20 AMP CIRCUIT i EXISTING USE PROPOSED USE GARAGE !SF) PA 1 S (SF) DECKS ( F) FIR PLACE YESO AIR CONDITIONING N<{J YES0No0 FIRE SPRINKLERS vESONoOi [APPLICANT NAME TOM WOOD PROPERTY OWNER NAME KERRIBERBERET ' ----ADDRESS Cl1Y · 1250 PACIFIC OAKS PL #103 ------STATE ZIP ,~-----...C:2"--'76=9-=,S~OU~Tc..c_HAMPTON RD. CITY STATE ZIP ESCONDIDO CA 92029 CARLSBAD CA 92010 /PHONi L~. !EMAIL 760 839-8383 : FAX ,-------+----PHONE 760-685-7357 760 839-8380 ,FAX EMAIL I I DESIGN PROFESSIONAL ADDRESS PHONE ' INFO@.OAKISLANDAC.COM •• STATE , FAX . STAil LIC. # CONlRACTOR BUS. NAME ADDR'tSS OAK ISLA]\I_D HEATING AND AIR 1250 PACIFIC OAKS PL #103 ----'-CITY .. ZIP ESCONDIDO PHONE c..c_c...c ___ ~I FAA 760 839-8383 . EMAIL' ' .. ~---~-- CA 92029 760 839-8380 INFO@OAKISLANDAC.COM a.ASS en BtJS. UC.II 745400 C-20 1212710 (Sec. 7031.5 Business and Professions Gode: Any C1tyor County which requires a permit to construct, alter. improve. demohsh or repair any structure, prior to 1ts issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JCha_pter 9, commending with Section 7000 of D1v1s•on 3 of the Business and Professions Code) or that he is elem pt therefrom. and the basis for tho alleged exemption. Any violation of Section 031.5 by any apphcanl for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001). Workn' Compensation Declaration: I hereby atfifm under penalty of petjur; one of the fo/JCwing dedarations 0 I have and will maintain a certificate of consent to self.insure lot workers Q'lfTlpe!'!S.lti011 as provided by Section 3700 of the Labor Code. tor the performance of the wcxk for which this permit is issuec (Z] I have and will maintain workers' comoensatlon, as roouired bv Section 3700 of !he Laoor Code for the performance of lhe WOO: for Vttiich !his permit is issued My WOO.ers· compensation insurance earner ar\d Pol!CY number are: lliSurance Co EVEREST NATIONAL INSURANCE Policy No 7600000635141 Expiration Date 01i0lf2018 1]1!§.section need oot be completed tf the pemlll is for one hundred dO!lars (S 100) Of iess. LJ Certificate of Exemption: I certify !hal in the pertonnance of tile work for which lhiS perm~ is 1SSued, ! shall not employ any person in any rrannE!f so as to becotlle subject to the Workers' Compensation Laws of California. WARNING: Failure to secUfe workers' compensation coveragt: is unlawfu~, an all subject an employetto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damag~~ided for in Sactl~ 3706 of the. ,code, Interest and attomey's fees. L CONTRACTORSIGNATURE ~ (,_,r.ro-. IZJAGENT DATE I hereby affirm thal I am exempt from Contractor's l.icense Law tor the follcw,·ng reaSOII O 1. ~ owner cf !he property or my employees Wllh wages as !heir sole compensatlOfl. will do the Y,Of'k arui the structure 1s not intended or offered fol' sale (Sec. 7044, Business and Professions Code: The Contractor's License Law dOOS not apply to an cmner ol ~ woo tlUdds or improves thereon, and whO does such work h1msell or thrOug:h his own emplOyeeS, proVlded ltlat such improvements are not intended or offered fOr sale It nowever. !he building or improvement 1s sold \\1th in one year of comptet!on, the owner-OO!lcler Will nave the t>urden of proving that he did not build or 1mpiove tor the purpose of sale)-0 1, as owner cf the property, am exclusively contracting with licensed contra::tors to construct the project (Sec. 7044, BUSiness and Professions Cooe: The Contractors License Law does not apply to an owner of property who builds or improves thereon. and contracts for sueh projects wilh contractO!(s) hcellsed pursuant to the Contractor's License Law) □ I am exemP1 under SecliOn . Business and Professions Code for this reason: 1. l personaUy plan to provide 1he majOr labor and materials !Of construction of lhe proposed property improvement Oves Do 2, I (have I have not} signed an applicalion for a building pe!lrlit for the proposed worlc. J I have contracted with lhe following person {firm) to provide the proposed constructiOn {ioclude name address t phone t contractors· 1~nse number) 4 1 plan 10 provk!e portions of the wor'I( but I have hired the folk>wing person to coordmate, super.rise and provide the major work (inducle name t addross 1 01\0ne / oontractors· l,cense number): s. 1 wm p-ovide some of the worll. bul I have contracted (hired) the followmg persons to provide the wor11 indicate<! {indude name I address I phone I type of wcm): L ~-PROPERTY OWNER SIGNATURE □AGENT DATE i I hereby affirm that there is a construction lending agency for the performance of lhe work !his penmt is issued (Sec. 3097 (i) Civil Code). lender's Name lender's Address I certify that I have read the application and state that the above Information is conect and that the informa1icm on tbe plans Is aca1rate.. I aioeetocxmptywllh all City ordinances and State laws relating to bulldlngconstructloo. I hereby aulhorize -~we of lhe Ceyof Carlsbad'°""" upon lheaoow me/\ooned ~11)' br NlSpecoofl purposes. f ALSO AGREE TO&\VE, INDEMNIFY MJO KEEP HARMLESS rnE CITY OF CARLSBAD AGI\INST ALL LIABILITIES, JUcx;MENTS, COSTS MJD EXPENSES WHICH MAY fN !>N( WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING QC THIS PERMIT OSHA: AA OSHA i;em,d is required tx eJ!Ca\'ations over 5'0' deep and demolioon or oonstrvcoon of structures over 3 stooes ifl ~ht. EXPIRATION: EW!rypennlt iSsuectby !he Butt:lilg Cffiaal under the provisionsoflhis C.ooe shall~ t,;-limitaoon and bewne nul and vod tt #le b.Jii::ltlQ orv.oric aulhorimj by such pefffilt is no1 oommeiiOOd v.ilhin 180day.;: from 1hedate of SUCh pemllt or,, !he buicliog or 'NJlk authorized by such~ sus;:endedor abanoone.1 at.any tme afterlhe v.ofk is OJfM"Jef"IO.:.' b" a perod of 180days (Secoon 100,4_4 unoonn B..titii)g Cede) L.~••_•LICANT'S SIGNATURE 7A~ Wvrrr.-A ------·· .......... DATE { 1 /fa Ir, ··-------~ f.~ ' ' V > \ ,+, 0~;i;, PERMIT INSPECTION HISTORY REPORT (CBR2017-2698) H .-e < .,.,_ \ C , Permit Type: BLDG-Residential Application Data: 11/09/2017 Work Class; P/M/E Issue Date: 11/09/2017 Status: Closed -Finaled Expiration Date: 06/18/2018 Scheduled Date Actual Start Date 12/18/2017 12/18/2017 December 18, 2017 IVR Number: 7634 Inspection Type Inspection No. BLDG-43 Alr Cond./Furnace Set 043726-2017 BLDG-Final Inspection Checklist Item BLOG-Building Deficiency 043725-2017 Checklist Item BLOG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro KERRI BERBERET CARLSBAD TCT#84-14 UNIT#02 2769 Southampton Rd Carlsbad, CA 92010-2897 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1