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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