HomeMy WebLinkAbout1740 Bluebird Ln; ; CBR2019-1634; Permit(city of
Carlsbad
Residential Permit
Print Date: 07/12/2019 Permit No: CBR2019-1634
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1740 Bluebird Ln
BLOG-Residential
2158801215
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed-Finaled
06/25/2019
06/25/2019
Plan Check#:
Final
Inspection: 7/12/2019 8:50:27AM
Project Title:
Description: KERL: CHANGEOUT AC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00
Owner:
TRUST WALSH JAMES V TRUST 06-14-01
1740 Bluebird
CARLSBAD 92011
Total Payments To Date: $175.00
Contractor:
AS! 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 wilt 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 OOES 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 0HAZMAT/APCD
«~~/ Building Permit Application Plan Check No.( ~g §C){v( -lu,3 t-
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 (P, -2-'5..,, [ q lswPPP
JOB ADDRESS SUITH/SPACE#/UNITI IAPN 1740 BLUEBIRD LANE, CARLSBAD 92011 ---
CT/PROJECT# rOT# I PHASE# 1 # OF UNlTS r BEDROOMS # BAHiROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: /11clude Square Feet of Affected Area(s)
CHANGEOUT AC
EXISTING USE I PROPOSED USE rARAGE (Sf) PATIOS (SF) [DECKS (SF) FIREPLACE rR CONDITIONING r FIRE SPRINKLERS
YESO No□ vESONoD YESONoO
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME BRIAN KERL Prlnarv Contacl
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 1740 BLUEBIRD LANE, CARLSBAD 92011
CITY STATE ZIP CITY STATE ZIP San Dieao CA 92123 CARLSBAD CA
PHONE IFAX PHONE IFAX 888-991-4377
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 (AX PHONE /FAX 6195909300
EMAIL EMAIL
I STATE UC.# STATE UC.# I CC20/C36 I CITY BUS. LIC.1200804 513115
{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 is licensed pursuant to the provisions of the Contractor's License Law !Chapter~. commending with Section 7000 of DiVision 3 of the Business and Professions Code} or That he is exempt therefrom, and the basis for the alleged exemption. Any viQlation of Section 7031.5 by any applicant for a permit subjects tile applicant to a civil penalty of not more than five hundr8{l dollars ($500!).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I heraby affirm under penalty of perjury one of the lo/lowing rlecfarations: 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 lhe work tlr wrich this permit is isS1Jed.
[Z] I have and will maintain workers' compensation, as rwuired by Secti0t1 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. CYPRESSINSURANCE . __ Policy No. ASWC924123 Expiration Date 9tll2019
This section need not be completed if the permitis for one hundred dollars ($100) or less. D Certificate of Exemption: I certify lhat in the performance of the work lorwhich this permit is issued, I shall not employ any person in any manner so as IO become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shalt 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 ctioo 3706 of the labor code, interest and attorney's fees.
_65 CONTRACTOR SIGNATURE
r hereby alfi1111 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. wiN do the work and the struCIUre is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractors
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 inlended or offered for
sale. If. however, the building or improvement is sold wtthin 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 o1 lhe property, am e~ctusively contracting with licensed contraclors IO construct the project {Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who buikls or improves thereon, and coolracts for such projects with contraclor(s) licensed pursuant lo the Conlraclor's License Law).
I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan IO provide the major labor and materials for conslruclion of the proposed propeny improvement. Oves ONo
2 I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone I contractors' license mJ11ber):
4. I plan to provide portions of the work, but I have hired the following person IO coordinale, supervise and provide the major work Onclude name I address/ 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/ phone I type of work):
_65 PROPERTY OWNER SIGNATURE 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 registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes O 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 O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 lnfonnatlon is correct and that the information on the plans is accurate. I agree to comply with all Clfy ordinances and State lav.s relating to bulldfng construction.
I hereby authorize representative of the City of Carlsbad to enter up:m the ab:Jve mentioned property for inspecUon pu~ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAG/>JNST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: NI OSHA penn11 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 limita1ion and become null and void if the buiiding orw::irk authorized by sucil pennit is not mmmenced within
180 days from the date ofsuc:17 i:;ermitor if the building orw::irk authorized by such permit is suspended or abandoned at any time after the v.ork is OJmmenced for a period of 180 days (Section 100.4.4 Uniform Building Code)
...@S" APPLICANT'S SIGNATURE DATE ,. 1,J \
Permit Type:
Work Class:
Status:
Scheduled
Date
0711212019
July 12, 2019
PERMIT INSPECTION HISTORY REPORT (CBR2019-1634)
BLDG-Residential Application Date: 06/25/2019 Owner:
P/M/E Issue Date: 06/25/2019 Subdivision:
Closed -Finaled Expiration Date: 12/23/2019 Address:
IVR Number: 19985
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
BLDG-43Alr
Cond./Fumace Set
097298-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
097297 -2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Scheduled Paul York
COMMENTS
Passed Paul York
COMMENTS
TRUST WALSH JAMES V TRUST
06-14-01
CARLSBAD TCT#93-03
POINSETTIA HILL
1740 Bluebird Ln
Carlsbad, CA 92011-2780
Reinspection
Passed
No
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Incomplete
Complete
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