HomeMy WebLinkAbout2413 SACADA CIR; ; CBR2018-1373; Permit(city of
Carlsbad
Residential Permit
Print Date: 06/25/2018 Permit No: CBR2018-1373
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2413 Sacada Cir
BLDG-Residential
2161903402
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orlg. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
06/08/2018
06/08/2018
TFraz
Plan Check #:
Final
Inspection: 6/25/2018 9:07:55AM
Project Title:
Description: SIEJA: REPLACE TANKLESS WATER HEATER
Owner:
TRUST SIEJA ROBERT MAND KAREN A TRUST
2413 Sacada Cir
CARLSBAD, CA 92009
WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL
Total Fees: $98.00 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 wlth 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 wlth 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
$98.00
THE t=OLLOWINQ: APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ..
«~ Building Permit Application Plan Check No.t1!fe:;h5(-/~ ~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -
~ Cl TY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. _Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date ,1/J /JJ( lswPPP
JOB ADDRESS SUITEf/SPACEf/UNITf APN 2413 SACADA CIRCLE, CARLSBAD 92009 ---
CT/PROJECT# /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(sJ
REPLACE TANKLESS WATER HEATER
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[}I "'° YES□No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME ROBERT AND KAREN SIEJA Pfflla"" Contact
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2413 SACADA CIRCLE, CARLSBAD 92009
CITY STATE ZIP CITY STATE ZIP San DieQo CA 92123 CARLSBAD CA
PHONE IFAX PHONE IFAX 888-991-4377 7609439008
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 IFAX PHONE I FAX 6195909300
EMAIL EMAIL
ISTATELIC. # STATE LIC.# I ''c201c36 I CITY""'· u,1200804 513115
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty whrch 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt 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 than five hundred dollars [$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perj/.Jf'/ one of the following declarations: D I havs and will maintain a certificate of consent to self-Insure for workers' compensation as provide(j by Section 3700 of the Labor Code, for the performance of the war!( for which this permit is issue(j,
[Z] I have and will maintain workers' compensallon, 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 ASWC817703 Expiration Date 91112018
J!Jj§,section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as pro "ded fur in Section 3706 of the labor code, interest and attorney's fees. ./
6$ CONTRACTOR SIGNATURE (o ... i
I hereby affirm that I am exampt 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 to 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 conlractor(s) licensed pursuant to the Contractor's license Law).
I am exempt under Section ~---Business ar,d 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 war!(,
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 worl( (include name/ address I phone I 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/ address/ phone I type of war!():
,K! PROPERTY OWNER SIGNATURE □AGENT DATE
•
C o½A P L E T E T H I S S E C T I O N F O R N O N -R E S I D E N T I A L B U I L D I N G P E R M I T S O N L Y
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management aod prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substam:e Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a pennit 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 1s a construction lending agency for the performance of the work this penmt 1s rssued (Sec 3097 (1) Ctvrl Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have lead the application and state that the above information Is correct and that the infonnatlon on the plans Is accurate. I agree to complyv.tth all Clwoldlnareesand State laws relating ID building consb'Uclion.
I hereby authorize representaijveof lhe City of Ca~sbad toenteru!XJ11 lhe above menOOned JYQperty tJr ins~ pufJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: M OSHA pennn is required for excavations over 5'0' deep and dem:>lltion or 0'.)11Slrucoon of structures over 3 stories in height.
EXPIR/l.TION: Every permit issued by the 0.Jilding Official under the provisions of this Code shall expi"e by imitation and become nun and void if the building orw:Jrk authorized by su::h pennit is notoommenced wthin
100 days from the date of sudl f):!rmlt or if the building or oork authorized by sudl pennlt is suspended or abandoned al any lime after the v.ork is commenood bra f):!rkxl of 100 days (Sectbn 100.4.4 Uniform 0.Jilding Code).
AS APPLICANT'S SIGNATURE DATE
' '
PERMIT INSPECTION HISTORY REPORT (CBR2018-1373)
' ' ' "'
Permit Type: BLDG-Residential Application Date: 06/08/2018 OwnN:
Work Class: P/M/E Issue Date: 06/08/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 12/24/2018 Address:
IVR Number: 11856
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
06/26/2018 06/25/2018
June 25, 2018
BLDG-25 Water
HeaterNents
062006-201 B
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
062006-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Tim Frazee
COMMENTS
Passed Tim Frazee
COMMENTS
u
TRUST SIEJA ROBERT MAND
KAREN A TRUST
LA COSTA-SOUTH UNIT# 1
2413 Sacada Cir
Carlsbad, CA 92009-8031
Reinspection
Passed
Yes
Passed
No
No
No
No
No
Complete
Complete
Complete
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