HomeMy WebLinkAbout1324 SHOREBIRD LN; ; CBR2018-0223; Permit(City of
Carlsbad
Residential Permit
Print Date: 03/20/2018 Permit No: CBR2018-0223
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1324 Shorebird Ln
BLDG-Residential
2157910700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status;
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/26/2018
01/26/2018
Plan Check#:
Final
Inspection: 3/20/2018 10:03:54AM
Project Title:
Description:
Applicant:
WE GREEN INC.
JERMAINE MAEWEATHER
3645 Ruffin Rd, St. 330
San Diego, CA 92123-1845
619-590-9337
KENNEDY: INSTALL DUCTLESS MINISPLIT
Owner:
TRUST KENNEDY WENDY J TRUST 10-10-04
1324 Shorebird
CARLSBAD, CA 92011
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total 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
T~E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMAT/APCD I
<<~► Building Permit Application Plan Check No. C.(3~) X"---f\2 Q.. g
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.cartsbadca.gov Date I f.:J/111/X lswPPP
JOB ADDRESS SUITEf/SPACEI/UNIT# lAPN .
1324 SHOREBIRD LANE, CARLSBAD 92011 ---
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(sJ
INST ALL DUCTLESS MINI SPLIT
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I I FIRE SPRINKLERS
YES0, No[] YES□No□ YES□No□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME WENDY KENNEDY Prtna-· Contact
ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1324 SHOREBIRD LANE, CARLSBAD 92011
CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA
PHONE l'AX PHONE l'AX 888-991-4377 6304081318
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 'AX PHONE T'AX 6195909300
EMAIL EMAIL
ISTATELIC.# STATE UC.# I cC20/C36 I CITY sus uc1200804 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 per_mit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Cha'/'ter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .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: / 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 pennit is issued
[Z] I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the perfonnance 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 9/1/2018
~section need not be completed if the permit is for one hul'ldred dollars ($100) or less
LJ Certificate of Exemption: I certify that in lhe 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 provided for In Section 3706 of the Labor code, Interest and attorney's fees.
_g 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 intel'lded 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 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. I (have/ have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the followir,g person {firm) to provide the proposed construction {include name address I phone/ 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/ 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):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
t 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 registra1ion form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Substance Account Act? O Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No
fs 1he facility to be constructed within 1,000 feet of 1he outer boundary of a school site? □ Yes O 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.
I certify that I have read the application and state lhatlhe above lnfonnatlon Is correct and that the information on the plans Is ac:cura1e. I agree to complyvath all CHy on:llnances and State iav.s 181ating to building construction.
I hereby authorize representative of the City of Carlsboo to enter up:m the aOOve mentioned ~rty Ur ils~n !XJ,poses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLseAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGPJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT,
OSHA: kl OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heght.
EXPIRATION: Every permit issued by the Building aficial under the provisk:Jns of this Coc1e shall expire by imitation and become null and void if the lx.Ji!ding or w:Jrl<. authorized by such permit is not cx:mnenced 'Mthin
180 days fi'om the dale of such i:ermlt or iflhe buik:li'lg oroork authorized by such permit is sus~ or abanooned at anytime after the w:Jrl<. is a:immenced for a i;erioo of 180days (Section 100.4.4 Unibm Buildi'lg Code).
_g APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2018-0223)
Permit Type: BLDG-Residential Application Date: 01/26/2018 Owner: TRUST KENNEDY WENDY J
TRUST 10-10-04
Work Class: P/M/E Issue Date: 01/26/2018 Subdivision: CARLSBAD TCT#90-31 AREA 28
UNIT#01
Status: Closed -Finaled Expiration Date: 09/17/2018 Addrc-ss: 1324 Shorebird Ln
Carlsbad, CA 92011-4884
IVR Number: 9160
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
03/20/2018 03/2012018 BLDG-43 Air 052172-2018 Passed Andy Krogh Complete
Cond.fFurnace Set
BLDG-Final 052173-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
March 20, 2018 Page 1 of 1