HomeMy WebLinkAbout1213 Gold Flower Rd; ; CBR2018-2853; PermitCcityof
Carlsbad
Residential Permit
Print Date: 01/02/2019 Permit No: CBR2018-2853
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1213 Gold Flower Rd
BLDG-Residential
2145603900
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
10/18/2018
10/18/2018
TFraz
Plan Check#:
Final
Inspection: 1/2/2019 9:34:03AM
Project Title:
Description: YUNIS: REPLACE FURNACE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $17S.00
Owner:
ADELA YUNIS
1213 Gold Flower Rd
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
$175.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD .
'~ Building Permit Application Plan Check No(ll.')R 'Jl, \ R-, . .,, J\ ' ...,, «~r 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date I()_ IP°) -I~ \SWPPP
JOB ADDRESS SUJTH/SPACEf/UNITf l'~PN 1213 GOLD FLOWER RD, CARLSBAD 92011 ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHRvvMS I TENAN' BUSIN-NAME ICv, .... ,n.TYPE I CCC.GROUP
DESCRIPTION OF WORK: Include :.quare Feet of Aftected Area(s)
REPLACE FURNACE ONLY
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIRCONDITIONING IFIRESPRINKLERS
YES[), N,:0 YES □No □ YES□No[:
APPLICANT NAME WE GREEN INC/ SABRINA MOREY PROPERTY OWNER NAME ADEL YUNIS p .... •-• "An••-
ADDRESS ADDRESS 3645 RUFFIN RD #330 1213 GOLD FLOWER RD, CARLSBAD 92011
CITY STATE ZIP CITY STATE ZIP
san dieao ca 92123
PHONE I"" PHONE IFAX 888-991-4377 7608041972
EMAIL EMAIL
SABRINA.MOREY@WEGREENINC,COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS 4870 Viewridge Ave #200
CITY STATE ZIP CITY STATE ZIP
san dieao ca 92123
PHONE IFAX PHONE I 'AX 619-590-9337
EMAIL EMAIL
I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.1200804 513115 c20
(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 per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code} or fuat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS. COMPENSATION
Workers' Compensation Dectaratlon: I hereby affirm under penalty of perjury one of the following declarations: D I have and wm 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.
[Z] I have and will maintain workers' compensation, as reQuired by 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. CYPRESS INS Po!icy No. ASWC605204 Expiration □ate 911116
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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
Galifomia. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil flnn up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Se n 3706 of the Labor code, interest and attorney's fees.
_a:5 CONTRACTOR SIGNATURE
I hereby aff«m that I am exempt from Contractor's License 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 inter,ded or offered for sale {Sec. 7044, Business and Professior,s Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, ood 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 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 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 laOOr and materials br construction of the proposed property improvement 0Yes 0No
2. I (have I have r,ot) sigr,ed an application for a building permit for the proposed work.
3. I have cor,tracted 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):
_a:5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY -,
ls the app!iii:\nt 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 □ 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 faolty 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 oortlfy that I have read the appllcatlon and state that the a bow lnfonnatlon Is correct and that the information on the plans Is accurate. I agree to comply with all City on:Hnances and State laws n!latlng to building construc:tlon.
I hereby aull1oliZe repiesanlalive of lhe City of ca1sbad ID enler upon lhe _,, mentioned property for i1spedion purposes. I ALSO AGREE TO SAVE, IND-IFY AND KEEP HARl,USS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN Afff WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: "'1 OSHA pem,I • requred for excavatiais CNel 5"0' deep and_, r, conslrudion of studuleS <Net 3-r, height
EXPIRATION: Eve!y pem,i osued by lhe Bli~il\l Ollcial under lhe prtNisions of~• Code shal expie by -and become nul and void I lhe buidilg r, wori< au1ho'ized by such penrit o not Oliiil., IOOd ,.;tt,r,
180 days from lhe dale of such penritoc rrlhe buidilg ocwori< ~~~I~~ r, abandooed at any line allerlhe wori< ;s "'"''"IOOd lo period of 180 '!'IJ (Section 106.4.4 Un!oon Buildrg Code).
AS APPLICANT'S SIGNATURE l/2> V V I DATE / / t ti f'"
PERMIT INSPECTION HISTORY REPORT (CBR2018-2853)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 10/18/2018
Issue Date: 10/18/2018
Expiration Date: 04/16/2019
IVR Number: 14712
Inspection No. Inspection Status
01102/2019 01/02/2019 BLDG-43 Air
Cond./Fumace Set
080252-2018 Passed
January 02, 2019
BLDG-Final
Inspection
Checklist ltom
BLDG-Building Deficiency
080253-2018
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Tim Frazee
Tim Frazee
ADEL YUNIS
CARLSBAD TCT#91-12 UNIT#02
1213 Gold Flower Rd
Carlsbad, CA 92011-3422
Re inspection
Passed
Yes
Passed
Yes
Yes
Complete
Incomplete
Complete
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