HomeMy WebLinkAbout2822 RANCHO PANCHO; ; CBR2018-2326; Permit(City of
Carlsbad
Residential Permit
Print Date: 10/02/2018 Permit No: CBR2018-2326
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2822 Rancho Pancho
BLDG-Residential
2156206000
$0.00
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
09/06/2018
09/06/2018
Plan Check#:
Final
Inspection: 10/2/2018 2:54:lOPM
Project Title:
Description: LUKOSKI: INSTALL A/C AND FURNACE W/ ELECTRICAL
Owner:
MICHELLE E LU KOSKI
2822 Rancho Pancho
CARLSBAD, CA 92009
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
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 92D08-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
THE FOLLOVJIN(f APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD .
Plan Check No. 0-vz,,., ifj1-;:J ~ «~ Building Permit Application V 1635 Faraday Ave., CaMsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. De •osl
CARLSBAD email: building@caMsbadca.gov
www.carlsbadca.gov Date '1 I. 'I J I")( lswPPP
JOB ADDRESS SUITlf/SPACH/UNITf IAPN . ' 2822 Rancho Pancho, Carlsbad, CA 92009 USA ---
..,,;PROJECT# ILOT# lt'H,a,;:,E# l#uf UNl1:, r BEOROOM:. # BATHROOM:) I TINANT ■U$1N-NAMI I cuNSTR. lYPE I v,,-... GROUP
DESCRIP110N Of WORK: Include Square Fffl of Affitct9d A, .. ,.,
INSTALL AC AND FURNACE W/ ELECTRICAL
EXISTING USE l PROPOSED USE IGARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE 1 IAIR CONDITIONING I IFIRESPRINKLERS
YES[Jo "'° YES □No □ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME MICHELLE LUKOSKI
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2822 Rancho Pancho, Carlsbad, CA 92009 USA
CITY STATE ZIP CITY STATE ZIP
San DieQo CA 92123 CARLSBAD CA
PHONE IFAX PHONE IFAX 888-991-4377 7608899450
EMAIL JERMAINE@WEGREENINC.COM
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME sherlock heatin!1 and air
ADDRESS ADDRESS 2880 scott st 104
CITY STATE ZIP CITY STATE ZIP
vista CA 92081
PHONE IFAX PHONE IFAX 7602955014
EMAIL EMAIL
I STATE LIC. # STATE LIC.# I 'e20/C36 I cnY BUS LIC.1226684 804838
(Sec~ 7031.5 Business and Professions Code: Any Crty or County which requires a permit to construct alter, improve, demohsh or repair any structure, prior to its issuance, also requires the apphcant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commendini with Section 7000 of D1v1sion 3 of the Business and Professions Code} or [hat he is exempt therefrom, and the basis for the ane&ed exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$5001).
WORKERS' COMPENSATION
Work,rs' Compenutlon Declaration: I hereby affirm under penalty of perjury one of the following declaratkw: D I havt and will maintain a certlflcalt of consent to stlf.insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the pertormance of lhe work for v.tlich lhis pem1il is issued.
[Z] I havt and will maintain workers' compensation, as reQUired by Section 3700 of the Labor Code, for the pertormance of lhe W04"k for which this permit Is issued. t.4y workers' compensation insurance earner ard policy
number are: Insurance Co ace Policy No. rwcc48545312 Expiration Date 811117
~section need not be completed if the pem1it is for one hundred dollars ($100) or less. LJ Certlflcllt of Exemption: I certify Iha! in the pertormance of the work for which this pem1it is issued, I shall not employ any person in any manner so as to becOme subject to the Workers' Compensation Laws Of
Califomla. WARNING: Failur1 to secure workers' compensation covtrage is unlawful, and shall subject an employ..-to criminal penalties and civil flnt1 up to one hundred thousand dollm (&100,000), In
addition to the cost of compenutlon, damagN as provided for in Section 3706 of the Labor code, lnttrelt and attorney's fees.
,15 CONTRACT0RS1GNATURE
I hereby affirm that I am exempt ITT:1111 Contractors License Law for the following reason: D I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the structure is not intended oroffef8d 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 sucti 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 OOilds or improves thereon, and contracts for sldl projects with contractor(s) licensed pursuant to the Contractor's License law).
I am exempt under Section ____ ,Business ard Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves Q«i
2. I (have I have not) signed an application for a OOilding permit for the proposed work.
3. I have contracted with the following person {flm1) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, 001 I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contr.ctors' license number):
5. I will provide some of the 'M)rk, but I have contra:;ted (hired) the following persons to provide the work indicated (include name I address I phone/ type ofworil):
,I$ PROPERTY OWNER SIGNATURE □AGENT DATE
!
i
c(JMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future btjldilg occupant required to submit a business plai, acutely hazardous materials registratioo form or risk manSIJement ald prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner HazcW'dous Substance Account Act? □ Yes □ No
Is the applicant or Mure btjk!ing occupant required to obtain a permit from the air pollution control dlsbicl or air quality management district? □ Yes □ No
Is the mlity 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 F1NAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE .APPllCANT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE Of
EMERGENCY SERVICES AND THE AIR POLLUTION CONlROL DlSTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a conslruction lendmg agency for the performance of the wOfX this permit 1s tssued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I 11M 191d 1h11 applk:atlon and stat! 1hat1he above infomiatlon lsoomictand that th& inbmatlon on the plans Is aa:uiate. I agiN ID comply'Mlh all ~ Oldlnances and Stal! laws l98ti1g t> buld.-« construction.
I hereby aulhorize -,1aliYe of lhe Clly of Garlsbo:l ~ enrer upon lhe above mentioned prop,rty br il~ purpose< I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS IBE CITY OF CAALSIWl
AGAINST Al]_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAG.AJNST SAID CITY IN C~SEOUENCE OF IBE GRANTING OF rns PERMIT.
OSHA AA OSHA permit is rtqJired br excavations (1./f!S 5'0' deep aid demolkoo or oonstrucoon of structures (1./f!S 3 sbies in heqtl.
EXPIRATION: E\l8fY permit issue:1 by ttle 9Jik.1ing Oftial under the provisk>ns of this Code shall expie by init;fui aid tecane nul and void if the bJik.1ing or v.ak authoriZed by such permit is not oommenca:I wthin
100days iool lhe daleof sooi pennl or iflhe buidilg or""" aulhori2ed by sooi pennl is suspended or aband:Jrod at any line all!rlhe """is oornmerced bra period of 100days (Secoon 11li4.4 Unillrm Ellikmg Code).
AS APPLICANT'S SIGNATURE DATE
' ', PERMIT INSPECTION HISTORY REPORT (CBR2018-2326)
Permit Type: BLDG-Residential Application Date: 09/06/2018 Owner:
Work Class: P/M/E Issue Date: 09/06/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 04/01/2019 Address:
IVR Number: 13709
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
10/02/2018 10/02/2018 BLOG-43 Air 071651-2018 Passed Andy Krogh
October 02, 2018
Cond.lFumace Set
BLDG-Final
Inspection
071650-2018
Checklist Item
BLDG-Mechanical Final
BLOG-Electrical Final
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
Passed Andy Krogh
COMMENTS
COMMENTS
MICHELLE LUKOSKI
CARLSBAD TCT#93-04 RANCHO
CARRILLO VILLAGE Q PHASE 01
2822 Rancho Pancho
Carlsbad, CA 92009-3014
Reinspection
Passed
Yes
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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