HomeMy WebLinkAbout2270 La Costa Ave; 4; CBR2019-0103; Permit(city of
Carlsbad
Print Date: 06/24/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2270 La Costa Ave, 4
BLDG-Residential
2163101307
$0.00
BRICKER: REPLACE HVAC SYSTEM
Owner:
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Permit No: CBR2019-0103
Closed -Finaled
01/14/2019
01/14/2019
6/24/2019 10:30:50AM
TRUST BRICKER WENDY R TRUST 11-13-09
2270 La Costa Ave, 4
PEACH HOME SERVICES INC
CARLSBAD, CA 92009
951-737-4141
PLUMBING, ELECTRICAL, ANO MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00 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 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 simllar 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
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
Jli>
l...City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Chec,Cf:R2DA-Q(Q3
Est. Value
PC Deposit ----~~---
Date _.l,=-_l,_Y.._-_.jq_._ __
Job Address 2270 La Costa Ave #4 Carlsbad. CA 90029 Suite: ____ APN: 216-310-13-07
CT/Project#: Tract #73-57 Lot#:_..__ __ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF 0EscR1PT10N oF woR1<: Replace HVAC system. Same size. same original location
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ------------------------------------
f.2] Plumbing/Mechanical/Electrical Only: Replace H\/AC system Same sjze same original iocatjpn
D Other: __________________________________ _
APPLICANT (PRIMARY}
Name: Jane Recktenwald
Address: 532 MaUoy Crt
City: Corona State: CA Zip: 92880
Phone: 714-336-6159
Email: janereck@att net
PROPERTY OWNER
Name: Wendy Bricker
Address: 2270 La Costa Aye #4
City: Carlsbad State: CA Zip: 90029
Phone: 760-807-7889
Email: ___________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: ..,_N.,_/"'A..,________________ Name: Peach Home Seryjces PBA Goettl Air Condjtionjng
Address:________________ Address: 532 Malloy Cct
City: _______ State: __ ,Zip: ----City: Corona State: CA Zip: 92880
Phone: Phone: 951-737-4141
Email: Email: janereck@att net
Architect State License: State License: 1047781 Bus. LicenseCu .. KKkiif
(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 signed statement that he/she 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/she 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 dvil penalty of not more than five hundred dollars {S500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following dee/orations:
□ I have and will maintain a certificate of consent to self~lnsure for workers' compensation provided by Section 3700 of the labor Code, for the performance of the
work which this permit is issued.
'3 I have and will maintain worker's compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit 1s issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: Federal Insurance Co
Policy No. 54309856 Expiration Date: 12-1-19
CJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, ln addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees,
CONTRACTOR SIGNATURE: ___ ..;;;~=c'---+·.-... ~=--------c;,t)AGENT DATE: 1-14-19
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I om exempt from Contractor's License Law for the following reason:
O l, 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,
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 Ot improve for the purpose of sale).
□ 1, as owner of the property, am exclusively contracting with 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 Contractor's License Law},
0 I am exempt under Section ________ Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement_ 0 Yes □ No
2. I {have/ have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' hcense number):
4. I plan to provide portions of the work, but! have hired the followlng person to coordinate, supervise and provide the major work {include name/ address/ phone I
contractors' license number):
S. ! will provide some of the work, but! have contracted {hired) the following persons to provide the work indicated {include name/ address/ phone/ type of work):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ Lender's Address: ____________________ _
9NL)'__~_QMPLETE THE FOLLOWING SECTION FORJ\JQ_N-RESIDENTlAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes :J No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? W Yes □ No
Is the facility to be constructed within 1,000 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 AND THE AIR POLLUTION CONTROL DISTRICT.
APP.UCANT CERTIFICATION:
I certify that! have read the appllcation and state that the above information is correct and that the information on the plans is accurate. I agree to comply with a!I
City ordinances and State laws relating to building construction.
1 hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY iN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction 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 building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.4.4 un· Building Code
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760·602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-0103)
Permit Type: BLDG-Residential Application Date: 01/14/2019 Owner: TRUST BRICKER WENDY R
TRUST 11-13-09
Work Class· P/M/E Issue Date: 01/14/2019 Subdivision: CARLSBAD TCT#73-57
Status: Closed -Finaled Expiration Date: 12/23/2019 Address: 2270 La Costa Ave, 4
Carlsbad, CA 92009-6920
IVR Number: 16477
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspectlon Date Start Date Complete
06/18/2019 06118/2019 BLDG-43 Air 094872-2019 Failed Paul York Reinspection Complete
Cond./Fumace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 094873-2019 Falled Paul York Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structura! Final No
BLDG-Electrical Final No
06/24/2019 06/2412019 BLOG-43 Air 095325-2019 Passed Paul York Complete
Cond./Fumace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLOG-Final 095324-2019 Passed Paul York Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
June 24, 2019 Page 1 of 1
PLUMBER
532 Malloy Ct., Corona, CA 92880 • Phone: (951) 404-5657 • Fax (951) 735-2897 • UC 1047781
CITY AND COUNTY BUILDING DEPARTMENTS
Re: Contactors State License Number: 1047781/ C20
1047887/ C36
Date:01/03/2019
·"each Home Services LLC DBA Goettl Air Conditioning and Peach Home Services LLC DBA The Sunny Plumber hereby
authorizes the following persons listed below to act on my behalf in obtaining permits and/or business licenses from
the city and county building department Jurisdictions and to sign as agent on my behalf. I am properly licensed as
required by the State of Callfomia.
Jane Recktenwald
Mark Recktenwald
Katelyn Recktenwald
Judith Hallock
Ken Block
Laura Yenulonis
Rebecca Vega
Leonard Doelling
Ryan Cortes
I assume full responsibility under the law for permits taken be persons I authorize to act on my be~
I understand notarization is required and included.
Thank you,
Peach Home Services LLC
~~
Landon Brewer
Officer -CSLB #1047781 & #1047887
lof 1
C i+'j QY\cl (DUY\+<J 8-c,d&.in,1 ~\>-l-l$-h,y,.""''.s
This certificate is attached to a _~_poge document dealing with/entitled ~e. (p ):od~A:::QX; ~>¼r::k:.s and dated , -3-c) 0 )Cf.
\\ (_. l'u
California ACKNOWLEDGMENT
A notary public 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 _ __,k=~-'-✓-"'e_..15";,L.2-'..; ..,IY"'-' f ... ' ''-----
On __ ·_3_,,0:,..,,,_::r,'-'-_'.3_;;::&:,_S_·,, _2.~oL\LC\::.:·,._,. ____________ before me,
__ 3)_,_· .,_(N1w..;,,,'c..li+:=.:1'-----_a,µ..,.,fy,.,:' "-''~--1--1 _,l\.2.=0.w,t'U""'-''"'{)'l---eWJ\ICLk..,,_,1\..,:1,1,.C_,_, --'''-(here insert name and title of the officer),
personally appeared Lu:oclOYl IJ:\::x:e c, 2.:: 'C . • who proved to me
on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s). or the entity upon behalf of which the person(s) acted. executed the
instrument
I certify under PENAL TY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
n o._ Oc CC" Signature __ <iltc)t; /\.X: \ ½:: / .L,"> (Seal)
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