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Home My WebLink About2213 David Pl; ; CBR2019-0926; Permit(City of Carlsbad Residential Permit Print Date: 05/09/2019 Permit No: CBR2019-0926 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2213 David Pl BLDG-Residential 1675801900 $0.00 Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig, Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 04/19/2019 04/19/2019 Plan Check #: Final Inspection: 5/9/2019 ll:OS:36AM Project Title: Description: CARMODY: INSTALL DUCTLESS MINI SPLIT PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST CARMOOY TRUST 08-28-95 2213 David 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: $0.00 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. 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.c.t3~t7t -04 ')_{p 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 Date 4-\q-\~ lswPPP JOB ADDRESS SUITEf/SPACEf/UNIT# IAPN 2213 DAVID PLACE, CARLSBAD 92008 --- <.,T/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet Of Affected Area(s) INSTALL DUCTLESS MINI SPLIT EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS YESO No□ YES □No□ YES0No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME DEBRA CARMODY Prtna"" Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2213 DAVID PLACE, CARLSBAD 92008 CITY STATE ZIP CITY STATE ZIP San Die!lo CA 92123 CARLSBAD CA PHONE IFAX PHONE IFAX 888-991-4377 8584429156 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 !STATE LIC # STATE LIC# I cc20,c3s I CllY BUS LIC1200804 513115 (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an>-: 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 provisions of the Contractor's License Law /Chapter 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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORl<ERS' 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 perniit 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 pern,it is issued. My workers' compensation insurance carrier and policy number are: Insurance Co CYPRESSINSURANCE Policy No ASWC924123 Expiration Date 9/1/2019 This section need not be completed if the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the performance of the work for which !hi~ permit is issued, I shall not employ any person in any manner so as to become subject to the Worllers' 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 Section 3706 of the Labor code, interest and attorney's fees . .Ji5 CONTRACTOR SIGNATURE ~ @AGENT DATE OWNER-BUILDER DECLARATION I t-ereby afffrm 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, 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 labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a building perniit for the proposed worll. 3. I have contracted with the following person {firni) 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 tired 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/ phone I type of work): .fi5 PROPERTY OWNER SIGNATURE □AGENT DATE I COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required lo 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 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 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 I hereby affirm that there 1s a construction lendmg agency for the performance of the work this perrrnt ,s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lende(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 accurat.e. I agree to complyy,,jth all City ordlnarx:esand State laws relating tD bull ding construction. I hereby aulhorize representa~ve of lhe City of Carlsbad to enterup:in the above mentioned property for inspecfton ~rp::ises. 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 ACCRUEAGl'JNST &\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~. OSHA: Ari OSHA pem,it is required for excavations over 5'0' deep and demolition ormnstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Official urKlerlhe provis'rons of this Code shall expire by f1mila1'1on and become null and void if lhe building orw:irk authorized by such pem,it is not mmmenced within 180days tom the date ofsuc:17 permit or if the building orv.ork authorizoo by suc:17 pennlt is suspended or abandoned at any time after the v.ork is 0011menced for a period of 180 days (Sectk:ln 106.4.4 Uniform Building Code), ~ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2019-0926) Permit Type: Work Class: Status: Scheduled Date BLOG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 04/19/2019 Owner: Issue Date: 04/19/2019 Subdivision: Expiration Date: 11/05/2019 Address: IVR Number: 18523 Inspection No. Inspection Status Primary Inspector 05/09/2019 06/09/2019 BLOG-43 Air Cond.lFurnace Set 091306-2019 Passed Chris Renfro May 09, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 091306·2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Chris Renfro COMMENTS ------------------ TRUST CARMODY TRUST 06-26-95 CARLSBAD TCT#96-03 UNIT#01 AMENDED 2213 David Pl Carlsbad, CA 92006-6884 Re Inspection Complete Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of 1