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Home My WebLink About2607 La Golondrina St; ; CBR2020-0133; PermitPrint Date: 02/10/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2607 La Golondrina St BLDG-Residential 2155622100 $0.00 Residential Permit Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: DYVIG: CHANGEOUT WATER HEATER WATER HEATER PERMIT Total Fees: $98.00 Owner: TRUST DYVIG FAMILY 2607 La Golondrina St CARLSBAD, CA 92009 Total Payments To Date: $98.00 {City of Carlsbad Permit No: CBR2020-0133 Status: Applied: Issued: Closed -Finaled 01/16/2020 01/16/2020 Permit Finaled: Inspector: TAlva Final Inspection: 2/10/2020 2:42:37PM Contractor: ASI HASTINGS INC 4870 Viewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-9300 Balance Due: $0.00 $98.00 Please take NOTICE that approval of your project includes the "lmposition11 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, zoning1 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «if Building Permit Application Plan Check No1-_,,,;,s' . ~~. ,..,, 3'3 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 [ ~ / /, -_::i,6 lswPPP JOB ADDRESS SUITEI/SPACEf/UNIT# IAPN 2607 LA GOLONDRINA ST, CARLSBAD 92009 --- CT/PROJECT# l LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUT WATER HEATER EXISTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO, NO□ YES □No □ YES □No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME ANNE AND JIM DYVIG Prfnarv Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2607 LA GOLONDRINA ST, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE I FAX PHONE l'AX 888-991-4377 7605798783 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 I STATE LIC. # 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 reparr any structure, prior to its 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 jChapter 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 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: 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 Lalxlr Code, for the performance of the work for which this permit is issued 0 I have and will maintain workers' compensation, as required by Section 3700 of the LaOOr Code, for the perfonnance of the work for which this pem,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 perfonnance of the work for ich this permit 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 coverag 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 706 of the Labor de, interest and attorney's fees . .Ji'5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ D 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 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 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 I 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 I address I phone/ type of work): .Ji'5 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 prevent on program under SecUons 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 lo be constructed within 1,000 feet of the outer boundary of a school site? □ 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 1S 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 lending agency for the performance of the work this permit 1s 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 lnfonnation Is correct and that the lnfonnation on the plans is accurate. I agree to comply with all Clfy ordinances and S1a1e la>NS relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter up::in the above men~oned proi:erty br inspaclion pu~ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfJYWAY ACCRUE AG~NST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA AA OSHA i:ennlt is required for excavations over 5'0' deep 811d demolltion or construction of structures over 3 stories in height. EXPIRATION: Every i:ennit tsSued by the Building Official under the provisions of this shall expire by limitation and become null and void if the building orv.ork authorized by such pem,it is not commenced IMthin 180days from the date of such i:ennit or if the building orv.ork authorized by such i:e It is suspended or abandoned at anytime after the v.ork is commenced for a period of 180 days (S€ction 100.4.4 Unifonn Building Code). ~ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2020-0133) Permit Type: BLDG-Residential Application Date: 01/16/2020 Owner: Work Class: P/M/E Issue Date: 01/16/2020 Subdivision: Status: Closed -Finaled Expiration Date: 07/14/2020 Address: IVR Number: 24306 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 02/10/2020 BLOG-25 Water 118907-2020 Scheduled Tony Alvarado Heater/Vents Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final 11890S-2020 Passed Tony Alvarado Inspection Checklist Item COMMENTS BLDG-Plumbing Final February 1 O, 2020 TRUST DYVIG FAMILY CARLSBAD TCT#73-29 2607 La Golondrina St Carlsbad, CA 92009-4323 Reinspection Complete Incomplete Passed No Complete Passed Yes Page 1 of 1