HomeMy WebLinkAbout2353 JEFFERS PL; ; CBR2021-1909; PermitPrint Date: 08/04/2021 Permit No: CBR2021-1909
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
2353 JEFFERS PL, CARLSBAD, CA 92008-3870
BLDG-Residential
2081620200
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
06/30/2021
07/05/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
TAlvaPlan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:08/04/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
REPLACE HVAC (E-REVIEW)Description:
Project Title:
Contractor:
QSP CORP
340 N PALM ST, # STE B
BREA, CA 92821-2868-ORANGE(562) 371-4625
AMOUNTFEE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00
Total Fees:$175.00 Total Payments To Date:$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 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.
1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
1 REV. 08/20
__________________________________________________________________________________________________
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit
Date
Job Address Suite: APN:
CT/Project #: Lot #: Year Built: ______________________
Fire Sprinklers: YES NO Air Conditioning: YES NO Electrical Panel Upgrade: YES NO
BRIEF DESCRIPTION OF WORK:
This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
PROPERTY OWNER APPLICANT PROPERTY OWNERS AUTHORIZED AGENT APPLICANT
Name: Name:
Address: Address:
City: State: Zip:
Phone:
City: State: Zip:
Phone:
Email: Email:
DESIGN PROFESSIONAL APPLICANT CONTRACTOR OF RECORD APPLICANT
Name:
Address:
City: State: Zip:
Phone:
Email:
Architect State License:
Name:
Address:
City: State: Zip:
Phone:
Email:
State License/class: Bus. License:
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
Solar: KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N,
Battery: Y N, Panel Upgrade: Y N
Reroof:
Plumbing/Mechanical/Electrical
Only: Other:
Additional Gas or Electrical Features? Pool/Spa: SF
Addition/New: _Living SF, _ Deck SF, Patio SF, Garage SF ______
Is this to create an Accessory Dwelling Unit? Y N New Fireplace? Y N , if yes how many?
Remodel: SF of affected area Is the area a conversion or change of use ? Y N
CBR2021-1909
6/30/21
2353 Jeffers
5 ton 16 seer hvac change out
Chris Clarke
2353 Jeffers
Carlsbad ca 92008
760-814-3142
clarkeinvestments@hotmail.com
clarkeinvestments@hotmail.com
QSP Construction
340 N Palm ST suite B
Brea CA 92821
562-371-4625
1034787 009745
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( City of
Carlsbad
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NTI Y WH WILL Ef I OHM THI: WORI( BY COMPLETING (OPTION A) OR (OPTION B) BELOW:
(OPTION A): LI OR DECLARATIOl,I:
I h rt.>by off,rm und r p nalty of p r1ury that I om licensed under provisions of Chapter 9 (commencing with Section 7000) of D1v1s1on 3
of th(' Ru In and f>rofc ~s/ons dl' ond my /tcense Is in full force and effect I al.m afftrm under penalty of perjury one of the
folloi ing d lorot,on\
01 h v ancl vIll maIntaln rtIflt ale ,ir comc>n 10 sr lf Insur for workers' compensation provided by Section 3700 of the l abor Code, for the pPrformance of the
work vh h thl\ r rmI1 1s ts ued Polley No
I!] I h v , nd will m, int, Ill w rkN on p!'m,ltlon, a\ required by Section 3700 of the labor Code for the performance of che work for which this permit 1s issued
My orkc-'"' con,p!'n atlon In ur nee c,mll'r .1nd policy number arc· lnsuranceCompany Nam e: .:.:nm:.:.:.::.:~N::c.1:::.n:..:con::::::tr..::.""':::""':::..::..;'.:.::nd:;;".:.::m.:.::"':.=.1y ____________ _
Poll No. 100 7704 8 ____________ Eicplration Date: _112_0_:n ____________ _
0 rtl , ,11 of ( cmplion I <'rttfy Iha In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner o as to become
subJe 10th w r c, mt rn\~t1on L.1ws of California WARNING: failure to sec\Jre workers compensation coverage is unlawful and shall subject an employer to
crlm1nal p nalli sand civil flm!, up to $100,000.00, ill addition the lo the cost of compensation, damages as provided for In Section 3706 of the labor Code,
inter ,t and ,lttornt>y', foe,.
STRUCTfON LENDING AGENCY, IF ANY:
affirm that Chere Is a construction lending agencv for the performance of the work this permit is Issued (Sec. 3097 (I) Civil Code)
am : _____________ lender's Address: ____________________ _
CO TRACTOR PRI NT:_1;_i_"'-__ A_~_\i._~--SIGN: 2 ~---..~-..g.nATE :
(OPTION B) OWNER-BUILDER DECLARATION :
I hereby affirm that I om exempt from Contractor's license l ow for the following reason:
0 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 for sale (Sec.
70J4, 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
h,m If or through his own employees, provided that such Improvements are not intended or offered for sale. tr, however, the building or improvement is sold within
o"e year of completion, the owner-builder will have the burdell of proving that he did not build or Improve for the purpose of sale).
D I, as owllcr of the property, am exclusively contracting with licensed contractors lo 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}
0 I am e empt under Busmess and Professions Code Division 3, Chapter 9, Article 3 for this reason:
O •owner Builder acknowledgement and verification form" has beell nlled out, signed and atlached to this application.
~ O n rs wAuthorltcd Agent Form" has been OIied out, signed and attached to this appllcatioll g,v,ng the agent outhariry to obtain the permit an ihe owners behalf
By m · ,gniJture below I acknowledge that, except for my personal residence ill which I must have resided for at least one year pnor to completion o the
!Ppr fT1' n co~rr d by this permit, I cannot legally sell a structure that I have built as all owller-bu1lder 1f ol has not been constructed in ,ts enllretv by cen ed
ontr c or / undN tond chat a copy of the applicable low, Section 7044 of the Business ond Professions Code, ,s avoiloble upon request when this oppt,coc,on 1s
subm1t1cd or at thl' followtng Web site. http://www,leginfo.co,gov/colow.html.
OWN ER PRINT: __________ _ SIGN: __________ DATE: ______ _
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
By my srqnoture bl'low, I certify that I om the property owner or State of California Licensed Contractor or authorized to act on the property
owrwr or cont we tors behalf I certify that I hove read the application and state that the above information is correct ond that the mformot,on on
the plom rs accurate I agree to comply with all City ordinances and State lows relotmg to building construction.
I llere/Jy out home r<'presentative of the City of Carlsbad ta enter upon the above mentioned property for inspection purposes.. I ALSO AGREE TO SAVE,
IND[ MNlfY AND KFCP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAIN I SAID CITY IN CONSCQUENCf OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and
dcmol1t1on or constructron of structures over 3 stones In herght
APPLICANT PRINT: Um aubrey SIGN:
~ ~ DATE: Co.,. 30 ►-Z.../
lb-I!. I ~r,1day AVl' C.,1rl\bad, C/1 92008 Ph'. 760-602-2719 Fax. 760-602-8S58 Email: Buildmg@carlsbadca.gov
2 REV 08120
CALll'OANIA ALL-PURPO MET CIVI CODE 1189
iCO(:::(',QOO(;c<~ofX:::f'.G'G<CC.·~ ;cC.(".'{',ci'.ci'.c<'..c<x-~.c<'•c<,<
A notary publlc or other officer completing this certificate verifies only the identity of the Individual who signed the
document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of CL.~~!!ll~~LJ..'l.m.~~~~ZE.~S)
On //7 ~ Jt) "'ol020 before me, Cath Town Nota
Date
personaJly appeared ---....All:::..!..JL....lt_..!.....IL..-.1,£.,.ji.::...L.JL...!::.....L..J.~;;....=~---~--------
Name(sJ of Signer(s)
who proved to me on the basis of satisfactory evidenco to bo tho per on(s) whoso name(s) is/are
subscribed to the within Instrument and acknowledged to mo thot h / h /th y x cutod th s me ,n
his/her: heir authorized capacityQes), and that by his/her/th ir el n tur ( ) on th in trum nt the p rson(s).
or the entity upon behalf of which the person(1) acted, executed th in trum nt.
~--··········1 a CATHYTOWN
_ NoUry Publk • C.ltfomll I f ora,.eounty _
CommtUIOl'I I 2327601 ~ My Comm. upll•n.:iun 3, 2024 t
Place Notary Seal Above
I certify und r PENAL TY OF PERJURY und r th I ws
of the Stat of Calif omia that th for oing parngr · ph
11 true and corr ct.
WITNESS my hand I.
::::;_.,.(,,,,C4-C-,~ ~
Not.Dry Public
----------------0PT10NAL---------------
Though this section is optional, completing this Information can deter alt ration of th docum nt or
fraudulent rNttachment of this form to an unintended d'lcym nt.
Description of Attached D~~ . 7/ H /IV J! ~ 7
Title or Type of Document: urrn{/l ff/tl/1ltlf/l,/~Docurnent Cate: __/{J--J,tJ -R«Jo;?o
Number of Pages: ___ Signer(•) Other Than Named Above: None othe_r_. ____ _
Capacity(ies) Claimed by Signer(■)
Signer's Name: ___________ _ Signer'• Name: ___________ _
D Corporate Officer -Title(s): _____ _ 0 Corporate Officer -Tltle(s): _____ _
□ Partner -D Limited D General □ P r1ner -D Limited D General
D lndividuaJ D Attorney In Fact 0 lndlvldual D Attorney i Fact
□ Trustee □ Guardian or Conservator D Tru tee D Guardian ·va or
□Other: _____________ _ D Other. ______ _
Signer Is Representing: ________ _ Signer Is Repreaentlng: ·---·,.
02014 National Notary Association• www.NatlonalNotary.org • 1-800-US NOTARY (1-800-876-6 27)
License # 1034 787
EI N # 82-3151509
1/1/2021 to 12/31/2021
RE: Letter of Authorization
To whom it may concern,
< >
QSP
QSP Construction gives full authorization to Tim Aubrey for the purpose to pull any and all
permits/business licenses under QSP Corp BDA QSP Construction from the above effective
dates of January 01, 2021 to December 31, 2021.
Thank you,
David Gonzalez
President @ QSP Construction
562-371-4625
r
QSP Construction 15330 Valley View Avenue u 5 La Mirada, Ca 90638 562-371-4625
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-1909)
BLDG-Residential 06/30/2021Application Date:Permit Type:Owner:TRUST CLARKE REVOCABLE TRUST
07-15-11
P/M/E 07/05/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#96-07 KELLY
RANCH VILLAGE E
01/31/2022Expiration Date:Status:
IVR Number: 34293
Closed - Finaled 2353 JEFFERS PL
CARLSBAD, CA 92008-3870
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
08/04/2021 08/04/2021 BLDG-43 Air
Cond./Furnace Set
163485-2021 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency August 4, 2021:
1. No Mechanical deficiencies.
2. Add new mechanical air conditioning
unit, located in attic dwelling location.
3. Air conditioning condenser motor located
side yard of garage– approved.
4. Changed-out existing mechanical
furnace unit, like for like, same size and
same interior attic closet
location-approved.
5. HERS report Verified-approved.
Yes
BLDG-Final Inspection 163484-2021 Passed Tony Alvarado Complete
COMMENTS PassedChecklist Item
BLDG-Mechanical Final August 4, 2021:
1. No Mechanical deficiencies.
2. Add new mechanical air conditioning
unit, located in attic dwelling location.
3. Air conditioning condenser motor located
side yard of garage– approved.
4. Changed-out existing mechanical
furnace unit, like for like, same size and
same interior attic closet
location-approved.
5. HERS report Verified-approved.
Yes
BLDG-Electrical Final August 4, 2021:
1. No Mechanical deficiencies.
2. Add new mechanical air conditioning
unit, located in attic dwelling location.
3. Air conditioning condenser motor located
side yard of garage– approved.
4. Changed-out existing mechanical
furnace unit, like for like, same size and
same interior attic closet
location-approved.
5. HERS report Verified-approved.
Yes
Wednesday, August 4, 2021 Page 1 of 1
{cityof
Carlsbad