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Home My WebLink About2846 RANCHO PANCHO; ; CBR2018-2256; Permit(city of Carlsbad Residential Permit Print Date: 11/01/2018 Permit No: CBR2018-2256 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2846 Rancho Pancho BLDG-Residential 2225912400 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 08/31/2018 08/31/2018 Plan Check#: Final Inspection: 11/1/2018 10:49:04AM Project Title: Description: BYKOWSKI: ADD TWO A/C'S PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Owner: TRUST BYKOWSKI RONALD F AND LINDA E REVOCABLE TRUST 2846 Rancho Pancho CARtsBAD, CA 92009 760-930-4321 Tota\ Fees: $170.00 Total Payments To Date: $170.00 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. $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 FOLLOWING Af PROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD . , 4s Building Permit Application Plan Check No(.B>t'.:lC>/ 8--XJ6-f n «1 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. D!tposij CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date K / '3( I/ 'i( fswPPP JOB ADDRESS SUITEt/SPACH/UNITf IAPN 2846 RANCHO PANCHO, CARLSBAD 92009 --- CT/PROJECT# ILOT# I PHASE# I# uF UNITS I# BEDROOMS # BATHROOMS I TENANT IUSIN-NAMli TCONSTR. TYPE J """· GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Aru(s) ADD2AC'S EXISTING USE l PROPOSED USE !GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE 1 rlR CONDITIONING I FIRE SPRINKLERS YES[} "'° YES0No□ v,soNoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME RANDY BYKOWSKI p ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2846 RANCHO PANCHO, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE 1FAX PHONE IFAX 888-991-4377 7609304321 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 IFAX 6195909300 EMAIL EMAIL ISTATELIC.# STATE LIC.# I CC20/C36 I CITY BUS LIC1200804 513115 (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 {Chapter 9, comme_ndingw1th Section 7000 of Division 3 of the B_usiness and Professions Code} or [hat he Is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more Ulan five hundred dollars {$500}). WORl(ERS' COMPENSATION Workers' Compen11tlon Declaration: I hereby affirm under penalty ofpeljury 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 pelfoonance 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 9Ml2018 ~sectiOn need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certlflcata of Exemption: I certify that in the pelfonnance of the work for which is permit is issued, I shall not employ any person in any manner so as to become subject to the Worllers' Compensation Laws of California. WARNING: Failure to secure workers' compensation c0'18ra u awful, and shall subject an employer to crtmlnal penalties and cMI flnn up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in n 3 of the Labor code, Interest and attorney's fees. g -.-, I. 65 CONTRACTOR SIGNATURE . ) ! °? I hereby affitm that I am exempt from Contractor's Ucense 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 thereoo, 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 Of 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 Controctor'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 coostruction of the proposed property improvement. 0Yes 0No 2. I (have/ ha'Je not) signed an application for a building permit for the proposed work. 3. \ 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 IX)rtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work) AS PROPERTY OWNER SIGNATURE □AGENT DATE I ' COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY ls the applieant or future blildlng occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention progrclTl under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? C:I Yes C:I No Is the applicant or future blllding occupant required to obtain a permit from the air pollution control district or air quality management district? C:I Yes C:I No Is the facility to be constructed within 1,000 feet of the outer boundcry of a school site? □ Yes C:I 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there 1s 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 oertlfy that I have iead the application and statB that the ab<Mt information Is oonect.and that the Information on the plans Is acx:urate. I agree to <X1111ply'Mth all Cit¥ on:lnances and Stai!! laws relatlng to bulldlnll oonscruction. I hereby aulhorize represen~tive of Ille Cly of Ca1sboo ~ enter upon Ille alxlw meolioned property tJr ilspeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AAD KEEP HARMLESS THE CITY OF CARLS8AD ACAINST ALL LIABILITIES, JUDGMENTS, COSTS AAD EXPENSES WHICH MAY IN AAY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRAATING OF THIS PERMIT. OSHA: M OSHA permit is required br excavations over 50' deep cWlCI deroolb or ronstruclion of structures over 3 stories in heght. EXP1RA TlON: Every permit issued by the Buikling Cfficial under the proYCSions of this Oxle shall expire by imitaion and become nul cWlCI wid if the OOitling or 'I.Ork authorizoo by such permit is not carrnenCEd wlhin 100 days fi'om the date of such permit or if the buiklilg or 'AOl1<. authorized by such perml is-::,;:u or abandooed at illY time a1'er the 'I.Ork is rommenced bra i;erm of 1~ days (Sectm 100.4.4 Unibrm Buikli'lg Oxle) ..,, a: "'7f, 9 -APPLICANT'S SIGNATURE r-DATE 0 · ) / ,1 'c0'C X!:, P!;MIT INSPECTION HISTORY REPORT (CBR2018-2256) ' l ' t ✓ Permit Type: BLDG-Residential Application Date: 08/31/2018 Owner: Work Class P/M/E Issue Date: 08/31/2018 Subdivision: Status: Closed -Finaled Expiration Date: 04/30/2019 Address: IVR Number: 13600 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 11/01/2018 11/01/2018 November 01, 2018 BLOG-43 Air Cond,/Furnace Set 074783-2018 BLDG-Flnal Inspection Checklist Item BLDG-Building Deficiency 074784-2018 Checklist Item BLDG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS TRUST BYKOWSKI RONALD F AND LINDA E REVOCABLE TRUST CARLSBAD TCT#93-04 RANCHO CARRILLO VILLAGE Q PHASE 01 2846 Rancho Pancho Ca~sbad, CA 92009-3014 Re inspection Complete Complete Passed No Complete Passed No No No No No Page 1 of1