HomeMy WebLinkAbout2118 Pine Crest Way; ; CBR2019-2674; Permit{'city of
Carlsbad
Residential Permit
Print Date: 10/09/2019 Permit No: CBR2019-2674
Job Address: 2118 Pine Crest Way
Permit Type; BLDG-Residential
Parcel No: 1563320300
Valuation: $0.00
Occupancy Group:
# Dwelling Units:
Bedrooms:
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Closed -Finaled
09/25/2019
09/25/2019
Inspector: MColl
Final
Plan Check #: Inspection: 10/9/2019 12:11:41PM Project Title:
Description: REICH: INSTALLA/C
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00
Owner:
TRUST REICH ELMER AND LORRINE M FAMILY
TRUST
2118 Pine Crest
CARLSBAD 92008
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 HAZMAT/APCD
«~~' Building Permit Application Plan Check No. ~J4-(Jrf?v .. ,, 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 Datetf ·25 · I q lswPPP
JOB ADDRESS SUITEI/SPACEf/UNIT# IAPN 2118 PINE CREST WAY, CARLSBAD 92008 ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS l TENANT BUSINESS NAME I CONSTR. TYPE l OCC. GROUP
DESCRIPTION OF WDRK: Include Square Feet of Affected Area(s)
INSTALL AC
EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS {SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, NO□ YES □No □ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER Prtnaru Contact
PRDPERTY OWNER NAME ELMER REICH
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2118 PINE CREST WAY, CARLSBAD 92008
CITY STATE ZIP CITY STATE ZIP
San Diei:io CA 92123 CARLSBAD CA
PHONE I FAX
PHONE IFAX 888-991-4377 7607344752
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
ISTATELIC.# STATE UC,# lcc20,c36 ICllYBUS LIC1200804 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 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 D1v1s1on 3 of the Business and Professions Code) or that he 1s e:,:empt therefrom, and the basis for the alleged e:,:empt1on. Any v1olat1on 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: / hereby affirm under penalty of perjury 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
[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, CYPRESSINSURANCE ______ Policy No ASWC924123 Expiration Date 9/112019
~section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of
California WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,,1$ CONTRACTOR SIGNATURE [Z)AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm 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 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 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. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ 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/ 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/ type of work)·
~ 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 registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley,Tanner Hazardous Substance Account Act? D 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 D No
Is the facility to be constructed Within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affim1 that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) Civil Code)
Lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information Is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State lav.s relating to building construction.
I hereby authorize representative of the City of Car1sbad to enter uµm the above mentioned property for insr:ection purp:Jses, 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 ACCRUEAGPJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pennit is required for excavations over 5'0' deep and demolnion oroonstrucUon of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and recome null and void if the buik:ling orwrk authortzed by such permit is not commenced 'IYithin
180 days ITTJm tile date of such pennit or if the building orwrk autllorized by such permit is susp;nded or abandoned at any time after the wrk is oommenced for a ~riod of 180 days (Seeton 100.4.4 Unibrrn Buiiding C.ode}
...@S" APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2019-2674)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual Start Date Inspection Type
Application Date: 09/25/2019 Owner:
Issue Date: 09/25/2019 Subdivision:
Expiration Date: 04/06/2020 Address:
IVR Number: 22018
Inspection No. Inspection Status Primary Inspector
1010912019 10/09/2019 BLOG-43 Air
Cond./Fumace Set
106949-2019 Passed Michael Collins
October 09, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
106960-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Mechanical Final
COMMENTS
Passed Michael Collins
COMMENTS
TRUST REICH ELMER AND
LORRINE M FAMILY TRUST
CARLSBAD TCT#77-02 UNIT#03
2118 Pine Crest Way
Carlsbad, CA 92008-6848
Re inspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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