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Home My WebLink About2524 VIA ASTUTO; ; CBR2017-0399; PermitPrint Date: 03/15/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2524 Via Astuto BLDG-Residential 1673001300 $0.00 ALTICK: GAS LEAK REPAIR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Owner: ANNE ALTICK 2524 Via Astuto Carlsbad, CA 92010-8337 760-613-0742 Total Payments To Date: P/M/E $166.00 Status: Applied: Issued: Finaled: Inspector: 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. Permit No: CBR2017-0399 Closed -Finaled 02/28/2017 02/28/2017 $0.00 $166.00 1:HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD , ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No.cf>~2011-03 Est. Value Plan Ck. Deposit www.carlsbadca.gov Date Cr e-8-I 1 SWPPP JOB ADDRESS CT/PROJECT# # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) lh11f ~Ir,. cy !} 0.5 /-Yi Jt:- EXISTING USE PROPOSED USE APPLICANT NAME CITY ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# SUITE•/SPACEI/UNIT# # BATHROOMS PATIOS (SF) DECKS (SF) CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL APN STATE FAX CLASS C-1 CON TR. TYPE OCC. ROUP AIR CONDITIONING YES□No□ ZIP CITY BUS. UC.# FIRE SPRINKLERS YESO N0O (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 Business and Professions Code} or that he is exempt 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 c1v1I penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penatty of perjury one of the following declarations: ~ 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. _9Q. I have and will maintain workers' compens,uon, as reQuired by Section 3700 of lhe Labor Code, for lhe performance of the won< for which lhis permit is issued. My won<ers· compensatio nsu ce carrier and policy number are Insurance Co. i:J£n l A yr, v-r j:.. Policy No. e, s-r.s:ao ()~ 1 fr Expiralion Date--..+-+-1--1----- This section need not be completed if the perm~ is for one hundred dollars ($100) or less. \ 0 Certificate of Exemption: I certify that in the 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 lhe Worxers' Compensation Laws of California. WARNING: Failure to secure workers' mpensation covera unlawful, and shall subject an employer to criminal penalttcs and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages vided for in S ti 706 of the Labor code, Interest and attorney's fees. _g CONTRACTOR SIGNATURE • I hereby aff,rm Iha/ 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 won< 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, lhe owner-builder will have lhe 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 lhis reason: 1. I personally plan to provide the major labor and materials for construction of lhe proposed property improvement. 0 Yes O No 2. I (have I have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ 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 lhe won<, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone / type of work): _g PROPERTY OWNER SIGNATURE □AGENT DATE ; 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 □ 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 □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school 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 application and state that the above lnfonnation Is conectand that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bulldlngconstructlon. I hereby authorize representative of the City of Carlsbad to enter upoo the above mentioned property to,, nspecoon pulj)OSeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARM..ESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH 1#.Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennij is requ~ed for excavations over 5'0' deep and demolition or construction of structures CNef 3 stories in height EXPIRATION: Every pennij issued by the Building • under the p • • f this CodeshaU expie by Imitation and become null and void~ the building or work authorized by such pel!T1itis not commenced within 180 days from the dale of such permit or if the bui • work authorized such pennij is suspended or abandoned at any time after the work is corrmenced for a period of 180days(Section 106.4.4 Uniform Building Code). A$ APPLICANT'S SIGNATURE DATE ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □ PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) 0 MAIL/ FAX TO OTHER: ________________ _ ,I$ APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CBR2017-0399) Permit Type: BLDG-Residential Application Date: 02/28/2017 Owner: ANNE AL TICK Work Class: P/M/E Issue Date: 02/28/2017 Subdivision: Status. Closed -Finaled Expiration Date: 08/29/2017 Address: 2524 Via Astuto Carlsbad, CA 92010-8337 IVR Number: 2172 Scheduled Actual Inspection Status Primary Inspector Relnspection Complete Date Start Date Inspection Type Inspection No. 03/01/2017 03/02/2017 BLDG-Final 015356-2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Structural Final Yes 03/02/2017 03/0112017 BLDG-23 015047-2017 Passed Paul York Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes March 15, 2017 Page 1 of 1