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Home My WebLink About2061 Gayle Way; ; CBR2019-1263; Permit(City of Carlsbad Residential Permit Print Date: 06/26/2019 Permit No: CBR2019-1263 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2061 Gayle Way BLDG-Residential 2051520300 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 05/21/2019 05/21/2019 Orig. Plan Check#; Plan Check#: Final Inspection: 6/26/2019 2:20:46PM Project Title: Description: BELLACK: CHANGE OUT AC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: OWNER BELLAK KAREN W 2061 Gayle CARLSBAD 92008 Total Payments To Date: $175.D0 Contractor: ASI HASTINGS INC 4870 Vlewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-93D0 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 $175.0D THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCO «~~', Building Permit Application Plan Check No.C bP,tf[}\C\-\203 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 5 -21-iq \SWPPP JOB ADDRESS SUITEI/SPACEI/UNlT# rPN 2061 GAYLE WAY, CARLSBAD 92008 --- CT/PROJECT# I LOT# l PHASE# I# vF UNITS I# BEDROOMS #BA1HROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) changeoutac EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS {SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES□, NO□ YES □No □ YES □No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME greg bellack Prln•.,, cont•ct ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2061 GAYLE WAY, CARLSBAD 92008 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE IFAX PHONE I FAX 888-991-4377 7608453929 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 /FAX PHONE I FAX 6195909300 EMAIL EMAIL I STATE UC.# STATE UC.# I Clc20/C36 I CITY BUS. LIC 1200804 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, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law JChapter 9, comme_nding 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 violation of Section 031.5 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: 0 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 [Z] 1 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 CYPRESSINSURANCE Policy No. ASWC92'123 Expiration Dale 911/2019 ~section need not be compleEd if the permit is for one hundred dollars ($100) or less. LJ 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 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 compensation, damages as provided for In Secti 3706 of the Labor code, interest and attorney's fees. "- ~ CONTRACTOR SIGNATURE ':r l_\- 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. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the b.Jrden 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 labor and materials for construction of the proposed property improvement. OYes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work 3. I have contracted with the bllowing person (firm) to provide the proposed construction (include name address/ 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 I I 1 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 fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes □ No Is lhe applicant or future building occupant requ'1red 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 lhe 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is 1ssued (Sec 3097 (i) C1v1I Code) Lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnation is correct and that the lnfo1mation on the plans is accurate. I agree to comply with all City on:linances and State laws relating to build Ing construction. I hereby authorize representative of the City of Carlsbad to enter ui:x:m lhe ctove men~oned property !brinsr:ection purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY OF CARLSBAD AG<\INST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG~NST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolttion or oonstn.Jction of structures OVff 3 stories in height. EXPIRATION: Every ~rmit issued by the Building Official under the provlsio~fthis Ox!. e shall expire by limitation and become null and void if tile buik:ling orv.ork authorized by sudl permit is not commenced v...ithin 180 days from lhe date of such permit or iflhe buik:ling orv-.ork authorized by ch permit is suspended or abandoned at any lime after the 'MJfk is commenced for a period of 180 days (Section 100.4.4 Unifonn Buik:ling Oxle), ...@!APPLICANT'S SIGNATURE DATE ~-l,\ -\ . . PERMIT INSPECTION HISTORY REPORT (CBR2019-1263) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 05/21/2019 Owner: Issue Date: 05/21/2019 Subdivision: Expiration Date: 12/23/2019 Address: IVR Number: 19206 Inspection No. Inspection Status Primary Inspector 06/26/2019 06/26/2019 BLDG-43 Air Cond./Furnace Set 095687-2019 Passed Paul York June 26, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 096688-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Paul York COMMENTS OWNER BELLAK KAREN W CARLSBAD GARDENS UNIT# 1 2061 Gayle Way Carlsbad. CA 92008-2018 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1