HomeMy WebLinkAbout2515 VIA ESPARTO; ; CBR2017-0206; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Dat e: 02/03/2017 Residential Permit Permit No: CBR2017-0206
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2515 Via Esparto
BLDG-Residential
1674000600
$0.00
GAETANO: EMERGENCY GAS REPAIR
Owner:
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Finaled:
Inspector:
Co-Applicant:
Closed -Finaled
02/01/2017
02/01/2017
TRUST GAETANO BARBARA A TRUST 02-24-03
251S Via Esperto
INDEPENDENT PLUMBING AND DRAIN INC
DOMINIC CARR
CARLSBAD, CA 92010
619-920-8858
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00 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
$166.00
' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
( City of
Carlsbad
JOBAD~ESS _
G1\ ~I'>
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
0 SUITE#/SPACE#/UNIT#
□BUILDING □FIRE
Plan Check No
Est. Value
Plan Ck. Deposit
Date \ -17
APN
CT/PROJECT # PHA E # # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
6-A> letrt< -~ ~
EXISTING USE
APPLICANT NAME
Pr/mar Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONA
ADDRESS
PROPOSED USE
STATE ZIP
FAX
GARAGE (SF) PATIOS (SF)
PROPE
CONTRACTOR ~;;r,
CITY STATE ZIP CITY c..,/t-1< JS-~ /r o
PHONE
EMAIL
STATE UC.#
O HAZMAT/APCD
SWPPP
CONSTR. lYPE OCC. ROUP
CllY BUS. UC.#
FIRE SPRINKLERS
YES □No□
(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 Div1s1on 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 civil penalty of not more than five hundred dollars ($5001).
Woriler.;' Compensation Declaration: / hereby a/f,rm under pena#y of perjury one ofthe following declarations: a I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of Ille Labor Code, for Ille performance of the work for which lhis permit is issued.
I have and will maintain woriler.;' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work f()( which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed~ the pennit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the work for which 1/lis permit is issued, I shall not employ any person in any manner so as to become subject to Ille Workers' Compensation Laws of
California. WARNING: Failure to secure woriler.;' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar.; (&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.
~ CONTRACTOR SIGNATURE O AGENT DATE
•
I hereby a/f,rm that I am exempt from Contractor's License Law f()( the following reason:
□
□
□
I, as owner of the property Cl( 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 Contracto(s
License Law does not apply to an owner of property who builds Cl( Improves thereon, and who does such work himse~ Cl( 1/lrough 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 wnl have the burden of proving that he did not build or improve for the purpose of sale).
t, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(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 proper!'/ improvement. O Yes O o
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finn} to provide the proposed oonstruction (include name address I phone/ conlractors' 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 I phone I contractors' license number}:
5. ·11 provide some of the work, but I hav led (!]ired) the following persons to provide the work indicated Qnclude name I address / phone I type of work): --~ PROPERTY OWNER SIGNATURE □AGENT DATE
• •
Is lhe 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? D Yes □ No •
Is lhe applicant or future building occupant required to obtain a permit from lhe air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 .
• •
reby affirm that there is a construction le
I certifythatf 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 with all City ordinances and State laws relating to bull ding construction.
I hereby authorize represenlalive of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEM"-IIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OF THIS PERMIT.
OSHIA: An OSHA penmtt is requi'ed for excavations c:Ner 5'0' deep and demolition or construction of structures c:Ner 3 stories in height
EXPIRATION: Every penm~ issued by the Building Official under the provisions of this Code shall expie by lmitatiJn and become nul and void if the building or work authorized by such perm! is not commenced within
180 days from the date of such pe,mit ()( if the building or work authorized by such P8J1' ~ suspend~ or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
~APPUCANT'SSIGNATURE ~~ {), y~--'7~ DATE CJ .'.:2. -0 l-~01 )
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.a560, 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)
0 MAIL TO: o CONTACT (listed above) o OCCUPANT (listed above)
o CONTRACTOR (On Pg. 1)
□MAIL/FAX TO OTHER: ________________ _
~ APPLICANT'S SIGNATURE
o ASSOCIATED CB#-------------
□ NO CHANGE IN USE / NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
, PERMIT INSPECTION HISTORY REPORT (CBR2017-0206)
Permit Type: BLDG-Residential Application Date: 02/01/2017 Owner:
Work Class: P/M/E Issue Date: 02/01/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 07/31 /2017 Address:
IVR Number: 1717
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
02/01/2017
02/03/2017 02/03/2017
February 03, 2017
BLDG-23
Gas/Test/Repairs
012405-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
012615-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul Burnette
COMMENTS
Passed Paul Burnette
COMMENTS
TRUST GAETANO BARBARA A
TRUST 02-24-03
2515 Via Esparto
Carlsbad, CA 92010-1340
Reinspection Complete
Complete
Passed
No
Complete
Passed
Yes
Yes
Yes
Yes
Yes
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