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Home My WebLink About2362 Hosp Way; 234; CBR2018-2327; Permit( City of Carlsbad Residential Permit Print Date: 10/10/2018 Permit No: CBR2018-2327 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2362 Hosp Way, 234 BLDG-Residential 1672504250 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check #: Status: Applied: Issued: Permit Fina led: Inspector: Closed -Finaled 09/06/2018 09/06/2018 Plan Check #: Final Inspection: 10/10/2018 10:00:45AM Project Title: Description: MOOG: INSTAL DUCTLESS MINI SPLIT Owner: Contractor: JILL MOOG 2362 Hosp Way 234 CARLSBAD, CA 92008 MY GUY HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 4561 Lambeth Ct Carlsbad, CA 92010-6408 760-505-5834 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 OHAZMAT/APCD ( «1? Building Permit Application Plan Check NO()P-J£:1./1 /Y: ~ l 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C I TY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. qepoflt CARLSBAD email: building@carlsbadca.gov www.cartsbadca.gov Date lf fin //'i( lswPPP JOB ADDRESS SUIT£f/SPACEI/UNITI IAPN 2362 Hosp Way #234, Carlsbad 92008 --- I <,;1/PRuJE1,;1 # I LvT # I"~·· I# v• UNII~ 1 • BEDnvvM~ # c,,\1Hnvvm.) I '~""" BUSIN~ NAME I """-'TR. l'IP~ I """-unV\Jr DESCRIPTION OF WORK: Include Squa,e FHt of Affected Ate.t(I) INSTALL DUCTLESS MINI SPLIT EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES0, NcQ YES •NO• YES• NO• APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME JILL MOOG -.. ~l".11n••- ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2362 Hosp Way #234, Carlsbad 92008 CITY STATE ZIP CITY STATE ZIP SAN DIEG CA 92123 PHONE rAX PHONE rAX 888-991-4377 7607292218 EMAIL EMAIL JERMAINE(@,WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME MY GUY HEATING AND AIR ADDRESS ADDRESS 4561 LAMBETH COURT CITY STATE ZIP CITY STATE ZIP CARLSBAD ca 92010 PHONE rAX PHONE I FAX 7607102989 EMAIL EMAIL 'STATE UC.# STATE UC.# ICLASSc20 1022863 lca~;~o 17 -~fo-\1--, ..i~ (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 ,ts 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 9, 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). I WORKERS ' co~ PENSATION : Workers' Compensation Declaration: / herellf sffinn under penalty of pe,JLfY one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for v.orkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1< for which this permil is issued. 0 I have and will maintain workers' compensation, as reQuired bv 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 MARKEL INSURANCE Policy No. MWC0110861 Expiration Date 5/2018 ~section need not be completed~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the wor1< for "11ictl lhis 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 Section 3706 of the Labor code, Interest and attorney"s fees. ~ CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Coolnlctof's /.mlse Law for tf>e folfowing r&aSOn: D I, as owner of the property or my employees wilh wages as lhetr sole compensation, will do the work and lhe structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or lhrough his own employees. provided that such lmprovemenlS are not Intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have the burden of l)(Oving that he did not build or improve for the purpose of sale). • • I, as owner of the property, am exclusively contracting wilh licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an o-of property who builds or improves thereon, and contracts for such projects wilh contractor(s) licensed pursuant to the Contractor's License Law}. I am exempt under Section ____ Business and Professions Code for lhis reason: 1. I personally plan to provide lhe major labor and materials for construction of lhe proposed property improvement O ves [}-«J 2. I (have / have nol) signed an application for a building permit for the proposed work. 3. I have contracted wilh lhe following person (firm) to provide the proposed construction (Inell.de name address / phone I contractors' license number}: 4. I plan to provide portions of the work, but I have hired the following person to cooo:finate, supetvise and provide the major work (lllciude name I address/ phone I contractor.;' license number}: 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the v.ork Indicated (include name/ address/ phone/ lype of work): ~ PROPERTY OWNER SIGNATURE •AGENT DATE co0PLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is Ille applicant or future building occupant required to submij a business plM, acutely hazaroous materials registration m or risk mMagement and prevention program under Sections 25505, 25533 or 2553-4 of the Presley-Tanner Hazardous Substance Aocount Act? • Yes • No Is the applicant or futU/8 building occupant required to obtain a permit from the air pollution conlrol dislrict or air quality management dislrict? • Yes • No Is the facility to be constructed within 1,000 feet of the outer bound.ry 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 wor1< this permit is issued (Sec. 3097 (i) Civil Code). Lende(s Name Lender's Address APPLICANT CERTIFICATION I certify1hat I hM read the application and state that the above lnbmation Is oo1T8Ctand that the lnfonnation on the plans lsaa:ura1e. I agreetooomply'M1h all City Otdlnancesand StalB laws l8latlng t> bulldlngcons1rudlon. I hereby autlorize ~tatiYe of the Qy of Ccr1sbad kl en~ upon the above mentioned property tir i1sp3COOO PJfiX)Sl!S. I .AJ.S0 AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY CF CARLS8AD AGAJNST ALL UABIUTIES, JUOOMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlO CflY IN CCllSEQUENCE CF THE GRANTING CF THIS PERMIT. OSHA: kl OSHA pem,it is required tir excavations oYer SO' deep and demoitm cc oonstrudion of strucilres aver 3 sbies n heglt EXPIRATION: Every perrnl issued by the a.Jng ai:ial underlhe l)fM01S of lhis Qxle shall expie by lmillful and become nul and -.oo ff the buiklng or'l,00( authorized by such pemit is notoommenced 'Mlhil 100days tom lhe date of such permit cc ff lhe buildng cc'Mlf1o: aulhorized by such perrnl is suspended or abandoned at any tine a!'er the 'Mlf1o: is oommenced tir a period of 100 days (Secliln 100.4.4 LM:inn ElJtt,g Qxle). ,,65 APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2018-2327) Permit Type BLDG-Residential Application Date: 09/06/2018 Owner: JILL MOOG Work Class. P/M/E Issue Date: 09/06/2018 Subdivision: CARLSBAD TCT#81-41 Status: Closed -Finaled Expiration Date: 04/08/2019 Address: 2362 Hosp Way, 234 Carlsbad, CA 92008-1231 IVR Number: 13711 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 10/05/2018 10105/2018 BLDG-43 Air 072196-2018 Cancelled Chris Renfro Relnspection Complete Cond./Furnace Set Chock list Item COMMENTS Passed BLDG-Building Deficiency Nobody home. Spoke with homeowner No didn't know she had an inspection today BLDG-Final 072195-2018 Cancelled Chris Renfro Relnspectlon Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 10/1012018 10/10/2018 BLDG-43 Air 072413-2018 Passed Chris Renfro Complete Cond./Furnace Set Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 072412-2018 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes October 10, 2018 Page 1 of 1