HomeMy WebLinkAbout2683 LEIGHTON CIR; ; CB162708; Permit07-13-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
ASI HASTINGS
STE 200
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB162708
Building Inspection Request Line (760) 602-2725
2683 LEIGHTON CR CBAD
PME
0000000000
KHANAM RES-NEW NC UNIT
NO NEW ELECTRIC
Lot#: 0
Owner:
SHRIN KHANAM
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/13/2016
RMA
07/13/2016
07/13/2016
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
2683 LEIGHTON CR
CARLSBAD CA 92009
760 931-2728
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$0.00
$0.00
$163.00
. $0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: $0.00
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE \ ( 2:3j l:Js1GNATUREQ_Q ~~8
ND fc-~r()r((:, W
\'C\lQ
\'-\ 0 \ l'.\C:::: ~-tcti ~ S
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTlCE: A""" ta<e NOTlCE that~ ci \OJI' ?'(ject irducles tte "lrrµ:stion' ci fees, declcaicns, reseivaticns, O' cirer e>Odicns h.-astt,n:dlectivay
r,;lerred to as 'fees'e,a;:ticns." Yoo rave 00 days fromtte date lHs pemit v.m issued to prciest irrµ:sitic:n ci trese fees'e,,nic:ns. If )OJ prciest ttem \OJ nust
fcilONlt-eprciest prorerues set foih in GNerrTrenl Ccxle Sectic:n 60020(a), ard file tteprciest ardany cirer raµred infooralic:nv..ith tteOtyMmgerfcr
processillJ ;,, ax.uda ce v..ith Ca1sboo M.ridpa Cooe Sectic:n 3.32.(ll(). FallJ'8\otirrayfcilON\hal ~v..ill ta' anysubseq.a"l lega aciic:ntoatta:k,
rEMew, set aside, vcid, a-nu treir irn::xstioo.
YOJ ,re J-a'ecy FlRTtER I\OTIFIEDthal yo.r ng1 to prciest ttespedfied fees'e,a;:tic:ns DCES NOf APPLY1o"'31..-ard -oc:nnectic:n feesard "'l)lrily
cra,g,s, ra plannllJ, ming g,dllJ ex drer sml!l' ,wication processillJ cr SElf\Aca fees in ro, atio, with \tis ?'(iect. J\ffi DCES IT APPLY to any
f cf . a si·la-wi
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE O~EALTH 0 HAZMAT/APCD
«1~ Building Permit Application Plan Check No. I /41/1) I/JY
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value "V V
~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov ~
www.carlsbadca.gov Date 7/tJ//f ISWPPP
JOB ADDRESS 2683 LEIGHTON CIR, CARLSBAD 92009 SUITEf/SPACEf/UNITf IAPN ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I CCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~ At.tvJ JJ:::c
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YESO No[] YES □No □ YES □No□
APPLICANT NAME SABRINA MOREY PROPERTY OWNER NAME SHRIN KHANAM Prfllaou Contact
ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2683 LEIGHTON CIR, CARLSBAD 92009
CITY STATE ZIP CITY STATE ZIP
san dieQo ca 92123 CARLSBAD CA
PHONE IFAX PHONE IFAX 619-590-9337 (760) 931-2728
EMAIL EMAIL SABRINA.MOREY@lWEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinQs
ADDRESS ADDRESS
4870 viewridge ave
CITY STATE ZIP CITY STATE ZIP
san dieao ca 92131
PHONE IFAX PHONE IFAX 619-590-9337
EMAIL EMAIL
I STATE UC.# STATE LIC.# I CLA.SS I CllY BUS. LIC.1200804 513115 c20
(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, 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 fChapter 9, commendIngwIth 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 vIofatIon of Section 7031,5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of petjury 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. 0 I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. CYPRESS INSURANCE COMPANY Policy No. ASWC605204 Expiration Date 91112016
~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 permit is issued, I shall not employ any person in any manner so as to become sub,iecl to the Workers' Compensa~on 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 on 3706 f th abor code, interest and attorney's fees.
_e5 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 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 contracfing 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 wtlo 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/ 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/ address/ 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/ address I phone/ type of work):
RS PROPERTY OWNER SIGNATURE □AGENT DATE
• •
I 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 tisk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or Mure building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes D 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 permit 1s issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I r.ertlfy that I have read the application and state that the abcwe information is correct and that the infonnation on the plans Is accurate. I agree to comply mth all City ordinances and Stile law.; relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter u~m the atove mentioned p-operty t:Jr inspection 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 N-JYWAY ACCRUE AG.AJNST &\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pennil is required for excavations over 5'0' deep and demolltion or constnJCOOn of structures over 3 stories in height.
EXPIRA.TION: Every pennit issued by the B.Jilding Ofocial under the provisions of this Code shall expire by limitation and beoome nul and ~k:I Wthe building orw::irk. authOlized by sudl permit is notoommenced within
180 days from the date of such permit or if the buik:li'lg or 'Mlrk authOlized by sudl pennlt is suspended or abandoned at any time after the wk is commericed for a period of 180 days (Section 106.4.4 Unibml Building Cede).
AS APPLICANT'S SIGNATURE DATE
{'Cityof
Carlsbad
November 30, 2016 Permit Number: B162708
Issue Date: July 13, 2016
SHRIN KHANAM
2683 LEIGHTON CR
CARLSBAD CA 92009
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: PLUMB/MECH/ELECT PERMIT
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
Our records indicate that your building permit will expire by limitation of time on January 9, 2017
N IF WORK IS
The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "EXPIRATION."
Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null
and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days
from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit
exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the
permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within
one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee
has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day
period upon the initial commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half
the amount required for a new permit for such work, and provided that no changes have been made or will be made in
the original plans and specifications for such work, and provided further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under
that permit when the permittee is unable to commence work within the time period required by this section for good and
satisfactory reasons.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days. (must attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at 760-
602-2725.
If you have any questions, please contact the Building Inspection Division at 760-602-2700.
Rachel Cross
Senior Office Specialist
Community & Economic Development
Building Division I 1635 Faraday Avenue Carlsbad, CA 92008-73 l 4 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov