HomeMy WebLinkAbout2884 Camino Serbal; ; CBR2018-2979; Permit{"city of
Carlsbad
Residential Permit
Print Date: 02/21/2019 Permit No: CBR2018-2979
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2884 Camino Serbal
BLDG-Residential
2552830100
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
10/30/2018
10/30/2018
Project Title:
Final
Inspection: 2/21/2019 ll:12:06AM
Description:
WATER HEATER PERMIT
Total Fees: $98.00
CO DIGA: REPLACE 75 GAL WATER HEATER
Owner:
TRUST CODI GA FAMILY TRUST 10-03-00
2884 Camino Serbal
CARLSBAO,CA 92009
Total Payments To Date: $98.00
Contractor:
ASI HASTINGS INC
4870 Viewridge 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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
·<<~~ Building Permit Application Plan Check No('~.,., "7/) / y. ,;;J_ q ';t1
, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Denoslt.
CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date //) /:ZCJ // x lswPPP
JOB ADDRESS SUrTl!#/SPACEf:/UNrT# APN /
2884 CAMINO SERBAL ---
,.,,/PROJECT# ILOT# ll'H~--* l#urUNITS l#BEDKVuMS # BATHNuOMS I TINAm __ N_.,. NAMr. I CON::iTR. TYPt. I occ. GROUP
DESCRIPTION OF WORK: Include Squ.,. Ffft of Att.cted Alu(•)
REPLACE 75 GAL WATER HEATER
I
I
EXISTING USE 1PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIRCONDITIONING IFIAESPRINKLERS I I
YES[], No[] YES □No D vEsD No□ ,
APPLICANT NAME WE GREEN INC/ SABRINA MOREY PROPERTY OWNER NAME RICHARD CODIGA
ADDRESS ADDRESS
3645 RUFFIN RD #330 2884 CAMINO SERBAL
CITY STATE ZIP CITY STATE ZIP
san dieQo ca 92123
PHONE I FAX
PHONE IFAX 888-991-4377 (760) 634-6958
EMAIL EMAIL
SABRINA.MOREY@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS 4870 Viewridge Ave #200
CITY STATE ZIP CITY STATE ZIP
san die!lo ca 92123
PHONE I FAX PHONE l'AX 619-590-9337
EMAIL EMAIL
I STATE LIC. # STATE LIC.# I Cl-6.5S l Cl1Y BUS. LIC.1200804 513115 c20
(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 its issuance, also requires the applicant for such perm,t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, comme_nding w1th Section 7000 of Division 3 of the Business and Professions Code} or Illat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$5001).
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 performaflce of the work for which this permit is issued.
[ll 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. CYPRESS INS Policy No. ASWC605204 Expiration Date 9/1116
~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 mariner so as to become subject ta the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages u provided for in Section 3706 of the Labor code, interest and attorney's fees .
.f!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 sale 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 far
sale. If, however, the building or improvement is said within one year of completion, the owner-builder will have the burden of proving that he did riot build or improve far 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 buikls or improves thereon, and contracts for such projects with contracta~s) licensed pursuant ta the Cootractor's License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I personally plan ta provide the mapr labor and materials for construction of the proposed property improvement. 0Yes Oa
2. I (have/ have not) signed an application far a building permit for the proposed work.
3. I have contracted with the following person (firm) ta provide the proposed construction (include name address I phone/ contr.ctors' license number):
4. I plan ta provide portions of the work, but\ have hired the following person to coordinate, supeivise and provide the majar work (include name I address I phone I contractors' license number):
5. I will provide same of the work, but I have contracted (hired) the fallowing persons to provide the work indk:ated (include name I address I phone I type of work):
.f!S PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the appl~nt or future building occupant required kl submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
.: Presle)·-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pdlution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer bounday 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
APPLICANT CERTIFICATION
1 certify that I have read the appllcatlon and state that the a~ Information Is correct and that the information on the plans Is aca11ate. I agree to comply with all Clly ordinances and State laws relating to building OJl'IStrUdlon
I hereby aull"aize represeolative rtlhe Ci!/ rt Cirtsbad ID enter_ Ile_,, mentioned property for ilspedlo,1 purposes. I ALSO AGREE TO SAVE, INDe.t,IFY AND KEEP HARi.LESS THE CITY OF CARLSBAD
AGAINST ALL UABILrTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH IIAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM!".
OSHA; AA OSHA pennit o requied for excavations CMt 5'0' deep and delroliion o: cons1I\Jdion rt slrucms CMt 3 shies i1 height
EXPIRATION: Eve!)' pem,lt osued by lhe Buidr,g Ollk:a underlhe prollisions of~• Code shall exp;re by imitalkln and become nul and void I Ile buidr,g o:-OJ1horized by such penrit o noto,111 .,u,j .,;a,;,
180 dais from Ile dale of such penrit o: W Ile buidr,g o: -OJ1horized by such pennt • suspended o: abandoned at i11Y line after Ile -• come u,j for a period rt 180 dais (Section 106.4 .4 Unii>'rn EI.Jidilg Code)
,,«S' APPLICANT'S SIGNATURE DATE •. 0
PERMIT INSPECTION HISTORY REPORT (CBR2018-2979)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Flnaled
Actual
Start Date Inspection Type
Application Date: 10/30/2018 Owner:
Issue Date: 10/30/2018 Subdivision:
Expiration Date: 08/19/2019 Address:
IVR Number: 15000
Inspection No. Inspection Status Primary Inspector
02/20/2019 02/20(2019 BLDG-25 Water
HeaterNents
084177-2019 Failed Andy Krogh
02/21/2019
February 21, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
084178-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
BLOG•25 Water
HeaterNents
084292-2019
BLDG•Flnal
Inspection
Checklist Item
BLDG•Building Deficiency
084293·2019
Checklist Item
BLDG•Building Deficiency
BLDG•Plumbing Final
BLDG-Mechanical Final
BLDG•Structural Final
BLDG·Electrical Final
COMMENTS
No one home
Failed Andy Krogh
COMMENTS
No one home
Scheduled Chris Renfro
COMMENTS
No one home
Passed Chris Renfro
COMMENTS
No one home
TRUST CODIGA FAMILY TRUST
10-03-00
CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
2884 Camino Serbal
Carlsbad, CA 92009-6994
Reinspection
Reinspectlon
Passed
No
Relnspectlon
Passed
No
No
No
No
No
Passed
No
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Incomplete
Complete
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