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Home My WebLink About2265 Masters Rd; ; CBR2019-1727; Permit('city of Carlsbad Residential Permit Print Date: 08/06/2019 Permit No: CBR2019-1727 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2265 Masters Rd BLDG-Residential 2121400900 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 07/05/2019 07/05/2019 Plan Check#: Final !nspection: 8/6/2019 6:59:3SAM Project Title: Description: BERTUSSI: REPLACE 2 FURNACES PLUMBING, ELECTRICAL, ANO MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST BERTUSSI FAMILY 2011 TRUST 3 11-14-11 2265 Masters Rd CARLSBAD, CA 92008 Total Payments To Date: $175.00 Contractor: ASI HASTINGS INC 4870 Viewrldge 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 D HAZMATIAPCD «~p' Building Permit Application Plan Check No. l-tJf<_J()lq-17.;i,7 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 7-'6-/q fswPPP JOB ADDRESS SUITEI/SPACE#/UNIT# I APN 2265 MASTERS ROAD, CARLSBAD 92008 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS l # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE2FURNACES EXISTING USE I PROPOSED USE l GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 I AIR CONDITIONING l FIRE SPRINKLERS YESO, NO□ YES □No □ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME GIOVANNI BERTUSSI Prlna"' Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2265 MASTERS ROAD, CARLSBAD 92008 CITY STATE ZIP CITY STATE ZIP San Die!lo CA 92123 CARLSBAD CA PHONE IFAX PHONE I FAX 888-991-4377 7608040889 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 IFAX 6195909300 EMAIL EMAIL I STATE UC.# STATE LIC.# I 'c20,c36 I ,,TY ,u,. '" 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, p_nor to its issuance, also requires the applicant for such per_mIt to file a si@ed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law [Chapter 9, commending with Section 7000 of DIv1s1on 3 of the B_us1ness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any vI0IatIon of Section 7031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I 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 pennit 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 911/2019 ~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 pennit 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 ection 3706 of the Labor code, interest and attorney's fees. ~. _g CONTRACTOR SIGNATURE 7 -')' \\ 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. 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 Contracto(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 ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (!inn) 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 I phone/ 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/ address/ phone/ type of work) ,/E5 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 mana;iemenl 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 O 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 Is a construction lending agency for the performance of the work this perrmt Is issued (Sec 3097 (1) 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 infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the Cily of Car1sbad to enter upon the above mentioned property for insp;ction purp:ises, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAG~NST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA kl OSHA pennit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Ofocial under the provisions of this Code shall expire by limitation and become null and void if the building orv.ork authorized by sudl pennit is not oommenced 't'lithin 180 days fr'om the date of such permit or if the building or'MJrk authorized by such perm~ is suspended or abandoned at any time after the v.ork is commenced for a J:Eiliod of 180 days (Section 100.4.4 Uniform Building Code) ...@S° APPLICANT'S SIGNATURE DATE \ PERMIT INSPECTION HISTORY REPORT (CBR2019-1727) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 07/05/2019 Owner: Issue Date: 07/05/2019 Subdivision: Expiration Date: 02/03/2020 Address: IVR Number: 20174 Inspection No. Inspection Status Primary Inspector 08/06/2019 08/06/2019 BLOG-43 Air Cond./Furnace Set 099697-2019 PaHed Paul York August 06, 2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 099698-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLOG-Structural Final BLDG-Electrical Final COMMENTS Passed Paul York COMMENTS TRUST BERTUSSI FAMILY 2011 TRUST 3 11-14-11 CARLSBAD TCT#91-03 2265 Masters Rd Carlsbad, CA 92008-3849 Re inspection Complete Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of1