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Home My WebLink About1365 SHOREBIRD LN; ; CBR2019-0675; Permit{city of Carlsbad Residential Permit Print Date: 07/23/2019 Permit No: CBR2019-0675 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1365 Shorebird Ln BLDG-Residential 2157900900 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 03/26/2019 03/26/2019 Plan Check#: Final Inspection: 7/23/2019 9:24:33AM Project Title: Description: BRISTOL: CHANGEOUT FURNACE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST BRISTOL ARNOLD AND CAROL LIVING TRUST 05-05-83 1365 Shorebird CARLSBAD 92011 Total Payments To Date: $175.00 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 760-602-85601 I www.carlsbadca.gov $175.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD - «1~> Building Permit Application Plan Check No. C{3!21(;)f'.'.1 /0(o1'J 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 Date ?,,:la-· lq lswPPP www.carlsbadca.gov JOB ADDRESS SUITEI/SPACE#/UNITI IAPN 1365 SHOREBIRD LANE, CARLSBAD 92011 --- CT/PROJECT# ILOT# I PHASE# l#OFUNITS !#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME lCONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGEOUTFURNACE EXISTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF} I OECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES0, NO□ YES □No □ YES □No□ APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME ARNOLD AND CAROL BRISTOL Plfnarv Contact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1365 SHOREBIRD LANE, CARLSBAD 92011 CITY STATE ZIP CITY STATE ZIP San Die110 CA 92123 CARLSBAD CA PHONE IFAX PHONE I FAX 888-991-4377 7604380771 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 FAX PHONE IFAX 6195909300 EMAIL EMAIL I STATE LIC. # STATE LIC.# I CC20/C36 I CITY BUS LIC 1200804 513115 (Sec. 7031.5 Business and Professions Code: Any City 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 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 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 c1v1I penalty of not more than five hundred dollars [$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co CYPRESSINSURANCE Policy No. ASWC924123 Expiration Date 9/1/2019 ~section need not be completed if the permit is for one hundred dollars($ ) or less. LJ Certificate of Exemption: I certify that in the performance of the work r 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 cov age 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 Se ion 3706 of Labor code, interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affinn 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 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 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. OYes ONo 2. I (have I have not) signed an application for a building permit for the proposed work. 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 work (include name I 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 I address I phone I type of work)· ,85 PROPERTY OWNER SIGNATURE □AGENT DATE ' I. 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 registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes O No Is the facility to 00 constructed within 1,000 feet of the 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 that the above information is correct and that the Information on the plans Is accurate. I agree to comply~ all City ordinances and State Jaws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter UJXln the at:xJve mentioned property for inspecbon pu~s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfJY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required forexc.avations over 5'0' deep and demolf oro:mstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provision this O:x:le shall expire by limitation and tE:ome null and void if the buik:1ing or W){k authorized by such permit is not commenced Wthin 180 days from the date of such permit or if the building orv.ork authorized by perm~ is suspended or abandoned at anytime after the 'MJrk is commenced for a period of 180 days (Section 106.4.4 Uniform Buik:1ing O:x:le). ~ APPLICANT'S SIGNATURE DATE 1/1 .. t .. l .. PERMIT INSPECTION HISTORY REPORT (CBR2019-0675) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential PIMIE Closed -Finaled Actual Start Date Inspection Type Application Date: 03/26/2019 Owner: Issue Date: 03/26/2019 Subdivision: Expiration Date: 01121/2020 Address: IVR Number: 17894 Inspection No. Inspection Status Primary Inspector 07/2312019 07/23/2019 BLDG-43 Air Cond./Fumace Set 098376-2019 Passed Paul York July 23, 2019 . BLDG-Fin al Inspection Checklist Item BLDG-Building Deficiency 098376-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Paul York COMMENTS TRUST BRISTOL ARNOLD AND CAROL LIVING TRUST 05-05-83 CARLSBAD TCT#90-31 AREA 28 UNIT#01 1365 Shorebird Ln Ca~sbad, CA 92011-4885 Reinspection Complete Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of1