The URL can be used to link to this page

Home My WebLink About2683 LEIGHTON CIR; ; CBR2017-0473; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 03/16/2017 Residential Permit Permit No: CBR2017-0473 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2683 Leighton Cir BLDG-Residential 2131900528 $0.00 KHANAM: INSTALL AC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Owner: COOWNER ALAM ZEYN&KHANAM SHRIN 2683 Leighton Cir CARLSBAD, CA 92009 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: 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 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. Closed -Finaled 03/08/2017 03/08/2017 $0.00 $166.00 □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMATIAPCD I ~:E FO~,,;_.ING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: <.,(~~ Building Permit Application Plan Check No.CP>f<do/7 ...a11.2, 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 .'il'K/ I I JSWPPP - JOB ADDRESS SUITEI/SPACEIII/UNIT!II IAPN 2683 LEIGHTON CIR, CARLSBAD 92009 --- CT/PRvJECT # I LOT# I PHASE# l#OFUN,,u l#BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CvNSTR. TYPE ! OCC. GROUP DESCRIPTION OF WORK: Include Square Feet or Affected Area(s) INSTALL AC l ./' PATlus (S-FJ -i"oECKS (SF) EXISTING USE I PROPOSED USE IGARAGE (SF) !REPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YES0, "'° YES □No□ YES□No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME SHRIN KHANAM .... ••• ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2683 LEIGHTON CIR, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 CARLSBAD CA PHONE IFAX PHONE IFAX 619-590-9337 7609312728 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE l'AX PHONE l'AX 619-590-9337 EMAIL EMAIL !STATE UC.# STATE LIC.# I CLASS I en, ,us. uc1200804 513115 c20 (Sec. 7031.5 Business and Professions Code: Any Crty or County which reQuires a permit to,construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is hcensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORICERS' COMPENSATION Workers' Compensation Declaration: I hereby afflnn unde, penalty of petjury one of the fol/Owing daclaratlonS: D 1 have and will maintain a certificate of consent to self-Insure for workers' compensation as provKled by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennlt Is iSsued. [l] I have and will maintain workers' compensation, as 1'8QUlred 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 CYPRESS I URANCE COMPANY Polley No. ASWC711636 Expiration Date 91112t117 J,h§,section need not be completed If the pennit Is for one hu dollars ($100) or less. --··-U Certificate of Exemption: I certify that In the perfonna of the work forwhlch this , 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 workffl' comp satlo e awful, and shall subject an employer to criminal penalties and civ11 fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provld Section 3706 of the Labor code, Interest and attorney's fees. "J t Q, J#S CONTRACTOR SIGNATURE ':) 0 I hereby aff/nn that I 001 exempt from Contractor's License Law for the fol/owing reason: □ □ □ I, as owner of the property or my ell1)1oyees with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec, 7044, Busifless and ProfesskJns 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, provKled that soch Improvements are not Intended or Offered fof 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 contracUng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property who builds or Improves thereon, and controcts for such projects with controctor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. l personally plan to prowle 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. I have controcted with the follow,ng person (firm) to provide the proposed construcUon (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the fOIIOwlng person to coordinate, supervise and provide the major work (Include name I address I phOne / contractors' license number) 5. I will provide some of the work, but I have controcted (hired) the following persons to provide the work Indicated (Include name/ address/ phone I type of work): ,/l:5 PROPERTY OWNER SIGNATURE □AGENT DATE I ' ' :;t:QMIILIU"II Taff IS Ul<:TION f;OR HONiRI $11:ll:N 7:l?l\li 10/IUHN<l l'IBM l'U PH LY C.,~1=) ~ ~-~ -j ~ M " m "' " dC ,S -~ 1-;.S~~-" _ --' Is the appllcant or flllure building occupant required to submit a business plan, acutely hazardous materlSS reglstraHon fonn or risk ma:iagemen\ and prevenuon 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 pennlt from the alr pollution control diSlrict or airquallty management district? □ Yes □ No Is the faclllty to be constructed within 1,000 feet of the outer bounday of a schOOI 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 1S MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the applicatlon and state that the abow Information Is COIT8Cl and that the informatk>n on the plans Is accurate. I agree to comply with all Cit, on:lnanc:es and StatB laws relating to bulldlng construction. I hereby authorize representalivaof the City of Carlsbad to enter upon the atxwe prcperty for inspectbl pu[p:)S88. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP fi.6.RMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MA ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSfi.6. permit Is required for excavations over 5'0' deep al'(! derrolition structkm of structures over 3 stooes J1 height. EXPIRATION: Every permit issued by Iha Buik:l\ng Offdal under the provisbns of Qxle shall expire by imitatkln !lld becOOle nul and ',00 Wthe building or work aulhorm::I bysu::h i;erm'I is notCOll'IOOf/C8d wilhh 180 days from the date of such permit or ~ the buik:ling or work authorized by such · · at any !me after the work is commerO!d for a PIPl, of 1 BO days (Seclk:ln 100.4.4 Uniform Butlrtg Code). ~ APPLICANT'S SIGNATURE DATE _/ • J° ' PERMIT INSPECTION HISTORY REPORT (CBR2017-0473) Permit Type: BLDG-Residential Application Date: 03/08/2017 Owner: COOWNER ALAM ZEYN&KHANAM SHRIN Work Class: P/M/E Issue Date: 03/08/2017 Subdivision: Status: Closed -Finaled Expiration Date: 09/12/2017 Address: 2683 Leighton Cir Carlsbad, CA 92009-3053 IVR Number: 2407 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 03/16/2017 03/1612017 BLDG-43 Air 016085-2017 Passed Jonathan West Complete Cond./Fumace Set BLDG-Final 016086-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes BLDG-Electrical Final Yes March 16, 2017 Page 1 of 1