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HomeMy WebLinkAbout169 SEQUOIA AVE; ; CBR2017-0353; Permit) City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 03/22/2017 Residential Permit Permit No: CBR2017-0353 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 169 Sequoia Ave BLDG-Residential 2060130700 $0.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: CLOSSEY: INSTALL OUCTLESS MINISPLIT ANO AIR HAN OLER W ELECTRICAL Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 02/22/2017 02/22/2017 TRUST CLOSSEY FAMILY TRUST 09-28-04 169 Sequoia Ave SHERLOCK HEATING AND AIR CONDITIONING INC CARLSBAO, CA 92008 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 2880 Scott St, Ste 104 Vista, CA 92081-8560 760-295-5014 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 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 $166.00 , Jt1E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD <<~f Building Permit Application Plan Check No.CfiCt20 \7 c:;,....,e=-. ' -:-:::;~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. pepos t CARLSBAD email: building@carlsbadca.gov Date 2 f?.-?-, -, ISWPPP www.carlsbadca.gov JOB ADDRESS SUITEI/SPACEt/UNIT# IAPJ\I 169 Sequoia Avenue, Carlsbad 92008 --- CT/PROJECT# I LOT# I PHASE# l#QFUN,,w l#BEOROQMS # BATHROOMS I TENANT BUSINESS NAME 1 CONSTR. TYPE I acc. GROUP DESCRIPTION Of WORK: Include Square Feet of Affected Area(•) INSTALL DUCTLESS MINI SPLIT AND AIR HANDLER W/ELECTRICAL EXISTING USE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE AIR CONDITIONING I FIRE SPRINKLERS YESO N<O v,s □NoD vesONoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME GUYCLOSSEY Prtn--· "-nt•ct ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 169 Sequoia Avenue, Carlsbad 92008 CITY STATE ZIP CITY STATE ZIP SAN DIEG CA 92123 PHONE I FAX PHONE IFAX 888-991-4377 (760) 420-1655 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Sherlock heatinq and air ADDRESS ADDRESS 2880 scot! st. #104 CITY STATE ZIP CITY STATE ZIP vista ca 92081 PHONE l'AX PHONE 760-295-5014 T'AX EMAIL EMAIL lSTATELIC.# STATE LIC,# I'""' T"l'I aus. uc.1226684 804838 c20 (Sec, 7031.5 Business and Professmns Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9. commending with Section 7000 of D1visIon 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a perm,t subjects the applicant to a cIvII penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Worken' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: 0 I have and will maintain a certificate of consent to self•in1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the pelformance of the won. for which this permit Is Issued. [{] I have and will maintain workers' compensation, as reciulred by Section 3700 of the Labor Code, for the pelformance of the work !Or which this permit Is Issued. My workers' compensation Insurance carrier alld policy number are: Insurance Co. B8S1 Polk;y No. C48101277 Expiration Date 8·2015 ~section need not be completed if the permit Is !Or one hundred rs ($100) or less. LJ Certificate of Exemption: I certify that In the performance t work for which this permit Is Issued, I shall oot employ any person in any manner so as to beeome sub)ect to the Workera' Compensation laws of Callfomla. WARNING: Failure to secure workers' com at" n coverage ful, and shall tubject an employer to criminal penalties and civil flnn up to one hundred thouund dollars (&100,000), In addition to Iha cost of compensation, damages H provld f In 3706 of the La or and attorney's fees. /IS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the folJomng reason: □ □ □ I, as owner ol lhe property or my employees with Wcl!leS as their sole compensation, will do the work and the structure Is not Intended or offered !Or sale {Sec. 7044, Business and ProfessiOns Code: The Contractor's License Law does not apply to an ovmer of property who builds or improves thereon, and who does six:h work himself or through his own employees, provided that su::h 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 contractors to construct the project (Sec. 7044, Business and Professbns Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts !Or such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under SecUon ____ ,Business and Professions Code !Or this reason: 1. I personally plan to provide the mapr labor and materials !Or construction of the proposed property Improvement. 0Yes []No 2. I (have/ have not) signed an applicatloo !Or 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 IOllowlng person to coordinate, supeivlse and provide the major 'M'.lrk (Include name/ address/ phone/ contractora' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name/ address/ phone/ type of work): Ji'S PROPERTY OWNER SIGNATURE □AGENT DATE : , ,, , C <>,1111 Pt f T & TH I$ $ & CT ION FOR NON •RIES ID I! NT 1.11 L BU IL DIN cl PER 11111 TS ONLY Is the appllcanl or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substanca Account k.t? o Yes □ No Is the applicant or future blJldlng occupant required to obtain a permit from the air pollutiOn control district or airquaUty management district? □ Yes □ No ls the facility to be constructed within 1,000 feet of the outer bounda:y of a school site? □ Yes D No 1F 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 C81tify that I have ieact the application and state that the a bow lnfonnation Is col1'8Ct and that the infonnatlon on the plans Is accurate. I agi&eto comptydh all City ordinances and State lew5 ielalingto bulkflng construction. I t'ereby aulhonze -ti>O of Ito City of Cal'obad kl enter upon Ito abow fllElllOO!>ld property tlr lnspecoon P-JIJXlSB' I ALSO AGREE TO SA~ INDEMNIFY AND KEEP HARl,LESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCRUE AG.'JNST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for excavatioos over 5'0' deep and derrdb or coostnx:tbn of structures OIM 3 stories in heght EXPIRATION: Every permit Issued by the Buik:lirg Official uooer the provisbns tlis Code shall expire by lllltaocn end boo:'.lrne nul irld \Qkt w lhe buidirg er work autroriza:l by su:h r,amil is not oorrmenood 'Mlhin 180days from Ire dalaofsuch parrritornlte bul~lng or"°"' authorized by , is suspended or-at any tire atterlte "°"' is oommera,d tlr a perbd of 180days (Secti>l 10M4 Un-Bul~ilg Code), ./15 APPLICANT'S SIGNATURE DATE . PERMIT INSPECTION HISTORY REPORT (CBR2017-0353) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 0212212017 Issue Date: 02/22/2017 Expiration Date: 09/1812017 IVR Number: 2059 Inspection No. Inspection Status 03122/2017 03/22/2017 BL0G-43 Air Cond./Furnace Set 017322-2017 Passed March 23, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 017323-2017 Checklist Item BLOG-Mechanical Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Peter Dreibelbis Peter Dreibelbls TRUST CLOSSEY FAMILY TRUST 09-28-04 169 Sequoia Ave Carlsbad, CA 92008-4058 Reinspectlon Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1