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Home My WebLink About2884 Camino Serbal; ; CBR2020-0041; PermitPrint Date: 01/29/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2884 Camino Serbal BLDG-Residential 2552830100 $0.00 Residential Permit Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: CODIGA: REPLACE FURNACE Owner: TRUST CO DIGA FAMILY TRUST 10-03-00 2884 Camino Serbal CARLSBAD,CA 92009 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 (city of Carlsbad Permit No: CBR2020-0041 Status: Applied: Issued: Closed -Finaled 01/06/2020 01/06/2020 Permit Finaled: Inspector: CRenf Final Inspection: 1/29/2020 12:32:41P~ Contractor: ASI HASTINGS INC 4870 Viewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-9300 Balance Due: $0.00 $175.00 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «~r Building Permit Application Plan Check No. G{3K :;i e,,;;, o -cJ(I LI/ 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 I -&,, --2eJ lswPPP www.carlsbadca.gov Date JOB ADDRESS SUlTEt/SPACEt/UNIT# IAPN 2884 CAMINO SERBAL, CARLSBAD 92009 --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE FURNACE 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 RICHARD CODIGA Prlnanr Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2884 CAMINO SERBAL, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 888-991-4377 7606346958 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 I FAX 6195909300 EMAIL EMAIL I STATE UC.# STATE UC.# I 0c20/C36 I CllY BUS '"1200804 513115 (Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair anx structure, prior to its issuance, also requires the applicant for such per_mit to file a s11med statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_nding with Section 7000 of D1vis1on 3 of the B_usiness and Professions Code) or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subiects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of fhe 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 ASWC924123 Expiration Date 911/2019 ~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 subject to the Workers' Compensation Laws of California WARNING: Failure to secure workers' compensation coverage is uni a ul, 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 o ~ 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 contracting with licensed contractors lo 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 contraclor(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 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/ 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 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 / phone I type of work): 8$ 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 prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes D 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 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 perrrnt is issued (Sec 3097 (1) Crv1I Code) Lenders Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurale. I agree to comply with all City ordinances and State lav.s relating 1D building construction. I hereby authorize representative of the City of Carlsbad to enter u~n the above mentioned property for insl)3Clion purposes, I ALSO AGREE TO SAVE, INDEMNIPr' AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG~NST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is required for excavation over 5'0' deep and demolmon or oonstruction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building ial under the provisions of this c.ode shall expire by limitation and become null and void if the building orv.ork authorized by such permit is not commenced v.ilhin 180 days from the date of such permit or if the bui orv.ork authorized by such permit is suspended or abandoned at anytime after lhe v.ork is commenced for a period of 180 days (Sec!Kln 100.4.4 Uniform Building Oxle). .Al$ APPLICANT'S SIGNATURE DATE \-(;/1.,,,1 PERMIT INSPECTION HISTORY REPORT (CBR2020-0041) Permit Type: BLDG-Residential Application Date: 0110612020 Owner: Work Class: PIMIE Issue Date: 0110612020 Subdivision: Status: Closed -Finaled Expiration Date: 07/2712020 Address: IVR Number: 24070 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 01/29/2020 01/29/2020 BLDG-43 Air Cond./Furnace Set 117775-2020 January 29, 2020 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 11777 4-2020 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS 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 Complete Passed Yes Passed Yes Yes Yes No Yes Complete Complete Page 1 of 1