HomeMy WebLinkAbout1060 Buena Pl; ; CBR2019-1343; PermitPrint Date: 10/29/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1060 Buena Pl
BLDG-Residential
1552512600
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: SHAUGNESSY: INSTALL DUCTLESS MINI SPLIT
Owner:
TRUST SHAUGHNESSY MICHAEL D LIVING
TRUST
1060 Buena Pl
CARLSBAD,CA 92008
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
(city of
Carlsbad
Permit No: CBR2019-1343
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Closed -Fina led
05/30/2019
05/30/2019
Inspection: 10/29/2019 2:44:17Pr
Contractor:
ASI HASTINGS INC
4870 Viewridge Ave, Ste 200
SAN DIEGO, CA 92123-1671
619-590-9300
Balance Due: $0.00
$175.00
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 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
«~~' Building Permit Application Plan Check No. CfsR 2.a ,q -114 -.,
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
www.carlsbadca.gov Date $7'>..1:r/19 lswPPP
JOB ADDRESS 1060 BUENA PL, CARLSBAD 92008
SUITE#/SPACE#/UNIT# (PN ---
CT/PROJECT# I LOT# l PHASE# l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
INSTALL DUCTLESS MINI SPLIT
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING l FIRE SPRINKLERS
YESQ NO□ v,s □No □ YES □No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERlY OWNER NAME MICHAEL SHAUGHNESSY Prlnan1 Cont•ct
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1060 BUENA PL, CARLSBAD 92008
CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA
PHONE IFAX PHONE IFAX 888-991-4377 (760) 697-5409
EMAIL EMAIL JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS
4870 VIEWRIDGE AVE
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123
PHONE IFAX PHONE I FAX 6195909300
EMAIL EMAIL
I STATE ~IC.# STATE LIC.# l°c20,c36 I Cl1Y BUS "
01200804 513115
{Sec: 7031.5 Business and Profess10ns 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 per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Cha'/'ter 9, commending with Section 70_00 of Division 3 of the
B_usmess and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section i03 .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:
D 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. 0 I have and will maintain workers' compensation. as required bv 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 CYPRESSlNSURANCE Policy No ASWC924123 Expiration Date 91112019
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California, WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3 D6 of the Labor code, interest and attorney's fees.
,N$ 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 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. II, 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 witti 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).
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 ttie proposed work,
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name I address I phone I contractors' 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 I address I phone I type of work):
,N$ 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 regstration form or risk management and prevenfron program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ 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,
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfonnation Is correct and that the infonnatlon on 1he plans is accurate. I agree to comply v.fth all City ordinances and State laws relating ID build!ng construction.
I hereby authorize representative of ttie City of Carlsbad to enter u.cai the alxlve mentiored proi:ertyforins,ceclion purµ,ses. 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 AGAINST SI\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA NI OSHA permit is required for excava~ons over 5'0' deep nd demolttion or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by ttie Building Official under 111 revisions of this Code shall expire by limitation and become nu! and void if the building or w:Jrk authorized by sudl permit is not commenced 'Mthin
180 days from thedae of sLril i:ermtt or '1f the buildL'lg orw:Jrk auth · ed by suet, permtt is suspe17ded or abandoned at any time after the wrk is commenced for a i:eriod of 180 days (SectK:ln 106.4.4 Uniform Building Code) .
...@S" APPLICANT'S SIGNATURE DATE ~' 1 <) ..
PERMIT INSPECTION HISTORY REPORT (CBR2019-1343)
Permit Type: BLDG-Residential Application Date: 05/30/2019 Owner: TRUST SHAUGHNESSY MICHAEL
D LIVING TRUST
Work Class: P/M/E Issue Date: 05/30/2019 Subdivision: BUENA VISTA TERRACE
Status: Closed -Finaled Expiration Date: 04/27/2020 Address: 1060 Buena Pl
IVR Number: 19394 Carlsbad, CA 92008-1403
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
10/29/2019 10/29/2019 BLDG-43 Air 109005-2019 Passed Tony Alvarado Complete
Cond./Furnace Set
BLDG-Final 109004-2019 Passed Tony Alvarado Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
October 29, 2019 Page 1 of 1
----~--------