HomeMy WebLinkAbout2561 DOGWOOD RD; ; CBR2018-2019; PermitCcityof
Carlsbad
Residential Permit
Print Date: 01/22/2019 Permit No: CBR2018-2019
Job Address: 2561 Dogwood Rd
Permit Type: BLDG-Residential
Parcel No: 2131701300
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
08/14/2018
08/14/2018
Inspector: TFraz
Final
Plan Check#: Inspection: 1/22/2019 11:39:24AM
Project Title:
Description: REPLACE A/C
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
Contractor:
ASI HASTINGS INC
4870 Vfewridge 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
$170.00
THE FOLLOWl~G ~PROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMA T/APCD I
~~ «1 Building Permit Application Plan Check NoC(},R .?rLf?-ZDfc:r
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 'Yi-{U -llfi lswPPP
JOB ADDRESS 2561 DOGWOOD RD, CARLSBAD 92009 SUITE#/SPACE!IP/UNIT# IAPN ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I" BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
changeoutac
EXISTING USE I PROPOSED USE 'GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONOITION\NG I FIRE SPRINKLERS
YESO No[] YES □No □ YES □No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME joel gutierrez Prtna · -
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2561 DOGWOOD RD, CARLSBAD 92009
CITY STATE ZIP CITY STATE ZIP San Diel!0 CA 92123 CARLSBAD CA
PHONE IFAX PHONE I FAX 888-991-4377 7605868569
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 I FAX PHONE !FAX 6195909300
EMAIL EMAIL
ISTATELIC,# STATE UC.# l0c20,c35 /0
'1YBUS "'1200804 513115
(Sec, 7031.5 Business and Professions Code: Any Crty 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 permit to file a signed statement tnat he is licensed pursuant to the provisions of the Contractor's License LawJChapter 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 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
Work.en' 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. ASWC817703 Expiration Date 911/2018
This section need not be completed if the permit is for one hundred dollars {$100) or less. 0 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 Sllbject to the Workers' Compensation laws of
California WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crtmlnal 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 o e labor code, interest and attorney's fees.
,.S CONTRACTOR SIGNATURE
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 structlJre 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 bllilds or improves thereon, and who does slJch 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).
1, 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 ~
2, I (have I 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 I contractors' license nllmber}:
4. I plan to provide portions of the work, blJt I have hired the following person to coordinate, Sllpervise 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 lo provide the work indicated (include name I address I phone I type of work):
,.S PROPERTY OWNER SIGNATURE □AGENT DATE
CO~Pl.ETE 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? □ 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 sctxiol 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
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnatlon Is correct and that the infonnation on the plans is accurate. I agree to comply with all City 01tllnances and State laws relatlng to building construction.
I hereby authorize rapresentali'le of \he City of C"1sbad lo enter upon \he -., mentioned property fur inspection purposes. I ALSO AGREE TO SA VE, INDEr.t!IFY AND KEEP HARt.l.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: AA OSHA permit is required for excavations ote15'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Buikling Official under the provisions of this Code shall expire by limitation and beccxne null and vdd W the build~ or work authaizecl by such perrrit is not corrmenced withil
180 days from \he date of such perml or I \he bui~ing or work au1holiZed by such perml is suspended or abandoned at any time after \he work is commenced fur a period of 180 days (Section 106.4.4 Uniform Bui~ing Code).
AS APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2018-2019)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 08/14/2018 Owner:
Issue Date: 08/14/2018 Subdivision:
Expiration Date: 07/22/2019 Address:
IVR Number: 13203
Inspection No. Inspection Status Primary Inspector
09/06/2018 09/06/2018 BLDG-43 Air
CondJFurnace Set
069054-2018 Failed Tim Frazee
0112212019 0112212019
January 22, 2019
BLDG-Final
Inspection
Checklist Item
BLOG-Building Deficiency
069055-2018
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
BLDG-43 Air
Cond./Furnace Set
081780-2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
081779-2019
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
COMMENTS
Failed Tim Frazee
COMMENTS
Need to move disconnect to have proper
clearances
Label breakers at Main panel
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
CARLSBAD TCT#02-14 BRESSI
RANCH UNIT#05
2561 Dogwood Rd
Carlsbad, CA 92009-3065
Re inspection
Reinspection
Passed
No
Relnspection
Passed
No
No
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
Complete
Complete
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