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Home My WebLink About2846 RANCHO PANCHO; ; CBR2017-2775; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/07/2017 Residential Permit Permit No: CBR2017-2775 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2846 Rancho Pancho BLDG-Residential 2225912400 $0.00 www .carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: BYKOWSKI: REPLACE 2 FURNACES, LIKE FOR LIKE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Owner: TRUST BYKOWSKI RONALD F AND LINDA E REVOCABLE TRUST 2846 Rancho Pancho CARLSBAD, CA 92009 760-930-4321 Total Payments To Date: $170.00 Status: Applied: Issued: Fina led: Inspector: 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 time!y 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. Closed -Finaled 11/17/2017 11/17/2017 MColl $0.00 $170.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD -~ «~ Building Permit Application Plan Check No. c p, Rr::i1t r:, Q,?,,..- 7 ., ' 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 www.carlsbadca.gov Date 11-1?-"n ISWPPP JOB ADDRESS 2846 RANCHO PANCHO, CARLSBAD 92009 SUITE#/SPACE#/UNITI IAPN --- 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 2 FURNACES LIKE FOR LIKE 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 RON BYKOWSKI Prtna-· '"~nh ... ADDRESS ADDRESS 3645 RUFFIN RD #330 2846 RANCHO PANCHO, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 PHONE I FAX PHONE IFAX 888-991-4377 (760) 930-4321 EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE I FAX PHONE l'AX 619-590-9337 EMAIL EMAIL l STATE LIC. # STATE LIC.# I CL.ASS I CllY BUS. LIC 1200804 513115 c20 (Sec. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's license Law /Chapter 9, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORl(ERS' 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 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. 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 manner so as to become subject to the Workers' Compensation 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 provi for in Section 37 of the Labor code, Interest and attorney's fees. Rf CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees w~h 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 to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo 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 construction of the proposed property improvement. 0Yes 0No 2. \ {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 I 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 I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work): I _,@$ PROPERTY OWNER SIGNATURE rnZ'ENT DATE I I I (ti 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 registrafon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 Is issued (Sec 3097 (1) CIv1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the aboYe infonnation is correct and that the lnfonnation on the plans Is accurate. I agree to comply wlth all City ordinances and ~tate laws relating to building construction. I hereby aulholize rep"'5ef11ative of ~e Cily of Carlsbad lo enler upon ~e above mentioned property for ilspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN !W'( WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required foc excavatioos <:Ner 5'0' deep and derrdition or construction of strucb.Jres over 3 stones in h~hl EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nuft ancl void jf the building or work authorized by such pemit is not commenced withi1 180 days from the date of such permit or if the building ocwork authorized by such permit is suspended or abandooed at any tine after the work is commenced for a period of 180 clays (Sedioo 106.4.4 Unifoon Building Code). ,ws APPLICANT'S SIGNATURE DATE / / / / 7 I I l/' Permit Typn BLDG-Residential Application Date: 11/17/2017 Work CL1s~,: P/M/E Issue Date: 11/17/2017 Statu:s: Closed -Finaled Expiration Date: 06/05/2018 Scheduled Date Actual Start Date 12/05/2017 12/05/2017 12/07/2017 12/07/2017 December 07, 2017 IVR Number: 7817 Inspection Type Inspection No. BLDG-43 Afr Cond./Furnace Set 042222-2017 BLDG-Final Inspection Checklist item BLDG-Building Deficiency 042223-2017 Checklist Item BLDG-Building Deficiency BLOG-Mechanical Final BL0G-43 Air Cond./Furnace Set 042748-2017 BLDG-Fina I Inspection Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency 042747-2017 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final BLDG-Building Deficiency BLDG-Mechanical Final Inspection Status Failed COMMENTS No ladder on site Failed COMMENTS No ladder on site Passed COMMENTS No ladder on site Passed COMMENTS No ladder on site Owner: TRUST BYKOWSKI RONALD F AND LINDA E REVOCABLE TRUST Subdivision: CARLSBAD TCT#93-04 RANCHO CARRILLO VILLAGE Q PHASE 01 Address: 2846 Rancho Pancho Carlsbad, CA 92009-3014 Primary Inspector Re inspection Complete Michael Collins Reinspection Complete Passed No Mlchael Colllns Reinspection Complete Passed No No Michael Collins Complete Passed Yes No Michael Collins Complete Passed Yes Yes No No Page 1 of 1