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Home My WebLink About2800 RANCHO COSTERO; ; CB163775; Permit10-06-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 163775 Building Inspection Request Line (760) 602-2725 2800 RANCHO COSTERO CBAD PME Status: 2218110900 Lot#: 0 Applied: ANGUS: INSTALL 2 A/C'S A/C Entered By: Plan Approved: Issued: Inspect Area: Owner: ANGUS FAMILY TRUST 12-24-86 2800 RANCHO COSTERO CARLSBAD CA 92009 760-438-8711 ISSUED 10/06/2016 SLE 10/06/2016 10/06/2016 $0.00 $0.00 $163.00 $0.00 TOTAL PERMIT FEES $163.00 Total Fees: Inspector: $163.00 Total Payments To Date: $163.00 Balance Due: FINAL APPR VAL Date: I 2-, / 1 U.I t. Clearance: $0.00 NOTICE A ease ta<e that WM ci )OJ( prtject irdudes tre "lrrpa;itiai' ci fees, dedcatio-s, -= or ctrer exoctio-s -a::llectivay rete,red to as "f-e><a'.liorls." Yoo reveOOda),;fiantre-ttis p81Tit >10S issued to pn:test irrpositi01 citresef-~ If )OJ pn:test trem )OJ rrust fdlONtre i,ctest procecires set forth in GMJrrrert Olde Secti01 6002:J(a), nJ file Ire i,ctest nJ any drer req.ired irtonrati01 wlh Ire Qty Mr,agerfor prooessirg ;., a:wda cewlh Qrlsba:l M.ridpa Olde Section 3.32.cro. Falu-etotirrelyfdlDNthat procecl..rewll ta-anySLIJsecµrt I~ a:lion toattoo<, review; set aside, \Od, a crnJ tt-eir irrp:xsition. Yoo a-e rereby R.RTtER NOTIFIED that yos rig-I to pn:test tre specified f-~o-s CXJES NOf !'PA.. Y to v,ate, nl .,,_ 001nection f"'5 nl ~ ctmges, rcr planrg, mrg 11"(1rg cr cth..-snila-'l')plic:ali01 prooessirg ex,.,.,,.,, f"'5 in cxrrectio, wth ttis prtject. i'ffi CXJES IT !'PA.. Y to any fees'exadicns v,.h a NOTI sinila ti a as to W1 ute cl lini THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD <<~~ Building Permit Application Plan Check No. (' ~ILQ ~(171:) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ·~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date r-,_ u-/1 n lsWPPP JOB ADDRESS SUITEI/SPACE#/UNIT# APN 2800 RANCHO COSTERO, CARLSBAD 92009 --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ICQN:,TR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) install 2 ac's EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS v,so "'° v,s □•o □ v,so•o□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME gordon angus , ... ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2800 RANCHO COSTERO, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san die110 ca 92123 CARLSBAD CA PHONE I FAX PHONE I FAX 619-590-9337 (760) 438-8711 EMAIL EMAIL JERMAINE(@.WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san die110 ca 92131 PHONE l'AX PHONE l'AX 619-590-9337 EMAIL EMAIL I STATE UC.# STATE UC.# !"ASS I CllY ,us. uc.1200804 513115 c20 (Sec: 7031.5 Business ~nd P_rofes~1ons Code: Any City or Coun_ty which requires a permit to_cpnstruct, alter, improve, qemolIsh or repair an~ structure, pnor t9 Its issuance, also reqi,ures the applicant for such permit to flle a s1Med statement that he Is hcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendmg with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or fhat he Is exemP.t 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 {$5001). WORICERS' COMPENSATION Workers' Compensation Declaratlon: I hereby affirm under penalty of petjury one of the fol/owing declarations: D I have and will maintain a certificate of consent to self-insure for 'Mlrkers' compensaOOn as provided by Section 3700 of the Labor Code, for the performaoce of the 'Mlrk for which this permit Is ISSued. [Z] 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the VJOrk for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: I1'\SUrance Co. CYPRESS INSURANCE COMPANY Polk:y No. ASWC605204 Expiration Date 9/1/201& ~ 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 "MJrk tor whieh this permit is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Callfomla. WARNING: Failure to secure workers' compensation coverage 1, unlawful, and shall subject an employer to criminal penalUn and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for ln 3706 of the Labor code, interest and attorney's fees. flS CONTRACTOR SIGNATURE I hereby affirm that I &11 exempt from Contractor's License Law for the fol/owing reason: D 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 Controctor's License Law does not apply to an owoer of property who builds or Improves thereon, and who does such work himself or through his own employees, provkled that such Improvements are not intended or offered for sale. If, however, the building or Improvement iS sold within one year of COll't)leUon, the owner-buliderwlll have the burden of proving that he dkl not buikl or improve for the purpose of sale). □ □ /, as owner of the property, am exclusively contracHng with lk::ensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property vmo builds or improves thereon, and contracts for such projects with contraclor(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 ma,lor labor and materials for construction of the proposed property Improvement. 0Yes 0No 2. I (have/ have not) s,Jned an <l)plicatioo tor a bulidlng pem11t for the proposed work. 3. l have contracted with the following person (flnn) 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 following person to coordinate, supef'llse and provide the major work (Include name I address/ phone t contractors' license numberj: 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 I phOne /type of work): _g PROPERTY OWNER SIGNATURE □AGENT DATE Is the ap~lcant or future building occupant required IO submit a business plan, ocutely hazardous materials registration form or risk management ard prevention progran 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 disbict or air ciuallty management dlsbicl? □ Yes □ No Is the foclllty to be constru::ted within 1,000 feet of the outer boundary of a scl"ool 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. I certify that I have read the appllcatlon and state that the aboYe lnfonnatlon Is coned.and that the lnfonnallon on !tie plans Is accurate. I ag,ee ID complyYlflh all Cil'J ordinances and State laws relatlng ID bulldlng construction. I hereby aulhorize representattve of the City of Carlsbad b enter up::n the atxive mentbnoo property br inspeclk>n pulJX)SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP 1-V<.RM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES 'M<ICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA perml Is required for excava!IIYls over 5'0' deep and derrolltbn or coostrucoon of structures OYef 3 stctles fl hekJhl EXPIRATION: Every pe,mlt issued by the Buikllng Official under the provisbns of this Cede shaU expire by linilfo:)n and become nul !lld -.ok'.l If lhe bulkling or work ~ by Sldl penm is not romnenced withil 180 days from lhe date of such permit or lflhe buikling er work au SOOl permit is suspendoo or abanct>n8:I at any line after the work is ccmmencoo t>r a perbd of 100days (Sectioo 106.4.4 Unibm Buiklilg Cooe). Ji5 APPLICANT'S SIGNATURE DATE C)· PERMIT INSPECTION HISTORY REPORT (CB163775) Permit Type: BLDG-Commercial Application Date: 10/06/2016 Owner: Work Class: P/M/E Issue Date: 10/06/2016 Subdivision: Status: Issued -Active Expiration Date: 04/04/2017 Address: IVR Number: 717543 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 11/18/2016 11/18/2016 11/29/2016 11/29/2016 January 11, 2017 BLDG-43Alr Cond./Fumace Set 001916-2016 BLDG-Final Inspection Checklist Item BLOG-Building Deficiency 001915-2016 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-43 Air Cond./Fumace Set 003218-2016 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 003219-2016 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Partial Pass Paul York COMMENTS Failed Paul York COMMENTS Passed Paul York COMMENTS Passed Paul York COMMENTS TRUST ANGUS FAMILY TRUST 12-24-86 2800 Rancho Castera Carlsbad, CA 92009 Reinspection Reinspection Passed No Reinspection Passed No No No No No Passed No Passed No No No No No Complete Incomplete Complete Complete Complete Page 1 of 1