HomeMy WebLinkAbout1096 Goldeneye Vw; ; CBR2018-2746; Permit(City of
Carlsbad
Residential Permit
Print Date: 02/21/2019 Permit No: CBR2018-2746
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1096 Goldeneye Vw
BLDG-Residential
2121800100
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
10/09/2018
10/09/2018
TFraz
Plan Check#:
Final
Inspection: 2/21/2019 9:27:53AM
Project Title:
Description: PROVINCE: CHANGEOUT FURNACE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $17S.OO
Owner:
TRUST PROVINE JOHN W REVOCABLE
1096 Goldeneye Vw
CARLSBAD, CA 92011
Total Payments To Date: $175.00
Contractor:
ASI HASTINGS INC
4870 Viewridge Ave, Ste 200
SAN DIEGO, CA 92123-1671
619-590-9300
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
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$17S.OO
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD -, ,~ Building Permit Application Plan Check NY-P,J?:;;2!', J 9-;)1-l/l~
K 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -V ' ~~ ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D,eposlt CARLSBAD email: building@ca~sbadca.gov
www.carlsbadca.gov Date /6/c; l,r ISWPPP
JOB ADDRESS SUITlf/SPACEt/UNITf IAPN '
,
1096 GOLDENEYE VIEW, CARLSBAD 92011 . . .
CT/PROJECT# ILOT# I PHASE# \" o~ UNITS I# BEORvvMS # .,...,,HROO .. ...,
1
.... _ .. ■USIN-NAMI I wNSTK. I YPE I VV'-'• GRQUI'
DESCRIPTION OF nuRK: Include Squa,. Ffft of Nfet:t9d Area(s)
CHANGEOUT FURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YES[}, Nc0 ves0No0 vesONoO
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME JOHN PROVINCE ,~ .
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1096 GOLDENEYE VIEW, CARLSBAD 92011
CITY STATE ZIP CITY STATE ZIP
San Dieao CA 92123 CARLSBAD CA
PHONE IFAX PHONE I FAX 888-991-4377 7609186822
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 UC.# STATE UC.# lcc20,c36 ICITYBUS uc1200804 513115
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct. alter, improve, demolish or repair any structure, pnor to its issuance, also reQuIres the applicant for such per_mIt to file a sIar,ed statement that he is licensed pursuant to the provIsIons of the Contractor's License Law !Chapter 9, commending with Section 70_00 of DivIsIon 3 of the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subiects the applicant to a c1vII penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty' of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for v,orkers' compensation as provided by Section 3700 of lhe LaOOr Code, for tne performance of lhe work for which this pennit is issued
[Z] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the perfonnance of the work for which tt,is permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co CYPRESSINSURANCE Policy No. ASWC817703 Expiration □ate 91112018
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I shall not employ any person in any manner so as to oecome subject to the Workern' Compensation Laws of
GalitJmia WARNING: Failure to secure workers' compensation coverage is 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 compeneatlon, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
65 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 witn 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 irr,;:>roves thereon, and who does such work himself or 111rough his own employees, provided tt,at such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, tt,e owner-builder will have tt,e burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively con~ting 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)
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 tt,e proposed property improvement 0Yes 0No
2. I (have I have not) signed an application for a building pennit for the proposed work.
3. l 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/ 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 wor1<):
65 PROPERTY OWNER SIGNATURE □AGENT DATE
i
COMP~ETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is ttllf applicant or future building occupant required to submit a business plan, a::ute!y hazardous materials registration fonn or risk management and prevention 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 to 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 ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APP\.ICANT HAS MET OR 1S MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lendmg agency for the performance of the wont this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I hM 198d the appllcatlon and state ttlatthe above lnbmaUon Is comlCtand that the lnbmation on tt,e planS Is accurn. I agree tr, com~wlltl all ~ on:tlnances and Sta1B laws nllatlng 1D bulldlng construction.
I hereby aultorize _la..., aflie Cityaf Carlsbl,j kl enter upon lie atx,,,, mentioned property br 11specoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CAALSSA0
AGAINST I'll UAflllfTIES, JUDGMEITTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA kl OSHA p:milt is required br excavatioos oyer 50' deep and demoM01 oc constructiOn of structures (jo/PJ 3 sbies in height
EXPIRATION: Eve~ pem,i osued by lie Buidi1g Offcial under lie provisions of ~is Cade shall expre by imlaoon and beoxre nul and .,;; I lie bui~i1g or l'<lfk aultorized by such pem;t o not coomenced v.iihin
100days run tt,e date ofsudl permltoc if lhe builoog orv.ork authorized by sudl permit is sus~ or abanooned at any lime after the w:,rk is OJmmenced for a i;eriod of 100days (Secoon 1~.4.4 Uniform aiikmg Code}.
,6$ APPLICANT'S SIGNATURE DATE
· PERMIT INSPECTION HISTORY REPORT (CBR2018-2746)
Permit Type
Work Class·
Stcitl1~:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date; 1010912018
Issue Date: 10/0912018
Expiration Date: 0812012019
1VR Number: 14489
Inspection No. Inspection Status
Owner: TRUST PROVINE JOHN W
REVOCABLE
Subdivision: CARLSBAD TCT#95-03
Address: 1096 Goldeneye Vw
Carlsbad. CA 92011-1226
Primary Inspector Reinspection Complete ---·····-------------------------------------------------
02/2112019 02/21/2019
February 21, 2019
BLDG-43 Air
Cond./Fumace Set
084240-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
084241-2019
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
Passed Tim Frazee
COMMENTS
Passed Tim Frazee
COMMENTS
Passed
Yes
Passed
Yes
Yes
Complete
Complete
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