HomeMy WebLinkAbout2747 VICTORIA AVE; ; CBR2017-0010; PermitPrint Date: 01/13/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2747 Victoria Ave
BLDG-Residential
1674206700
$0.00
REA: REPLACE FURNACE
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: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Owner:
TRUST REA FRANK&DIANE FAMILY TRUST
02-05-90
2747 Victoria Ave
CARLSBAD, CA 92010
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
THE PLUMBING DOCTOR
760-738-0900
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: CBR2017-0010
Closed -Finaled
01/03/2017
01/03/2017
$166.00
$0.00
( THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
C_cicyof
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(:,B~20 l 7-00 / Q
Est. Value
Plan Ck. Deposit
Date f--17, SWPPP
SUITEI/SPACEI/UNITI APN
CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITION FIRE SPRINKLERS
YES0 NO□ YES(Ji No[] YES 0 NO
PROPERTY OWNER
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DESIGN PROFESSIONA
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.#
(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 !hat 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 ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declaraUons. Q 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.
~ I have and will maintain workers' c~s~,-~quir b_lS,ect" n 3700 of the Labor Code, for the performan of the work for which is ·1 i issued. My workers' compensation ins arce a~ d policy
number are: Insurance Co. f::i:-~/ I f+'. / ___ Policy No. ~1--1~=~-L1£__lc_jc___L-,f----Expiration Date --~'--'-/-4-).....:./~,_ __
~section need not be completed if the permit is for one hundred dollars (SHlO) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I ,not employ any person In any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to se workers' compensation coverage is unlawful, and shall • ct an employer to criminal penalties and clvll fines up to one hundr thousand dollars (&100,000), in
addition to the cost of com sation, dam vide ection 3706 of the Labor co terest and attorney's fees. I Ji5 CONTRACTOR SIGNATUR □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense 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 t~ereon, 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 lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlractor'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 ol the proposed property improvement. 0 Yes 0No
2. I (have / have not) signed an application for a building permit for the proposed work.
3. t have contracted with the following person (firm) to provide the proposed construction (include name address I phone I conlractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supelVise 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/ phone/ type of work):
Ji5 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 Acr? □ 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 certifythatl have read the application and slate that the above Information is oormctand that the information on the plans is accurate. I agree to oomplywith all City ordinances and Stite laws relating to buildingoonstruction.
I hereby authorize representative of the City of Carlsbad to enter upon lhe above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY AC RUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permn is required for excavations over 5'0' deep and demolitk)o or oonstrudion o tures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code sha by limitation and be<Xlme null and void if the building or YoOl1I authorized by such permit is not oommenced within
180 days from the dale of • • lhe build' or authorized by such permit is s or abandoned at any time after the v.ork is oommenced for a riod of days (Secti:Jn 100.4.4 Uniform Building Code).
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
C E r; T I F I C A T E OF OCCUPANCY (Co,nmerc1.il l' r O J t' c t s on f y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
□PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. :I.)
o ASSOCIATED CB#
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION
□MAIL/FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION
,k5 APPLICANT'S SIGNATURE DATE
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual Start Date Inspection Type
Application Date: 01 /03/2017 Owner:
Issue Date: 01/03/2017 Subdivision:
Expiration Date: 07/03/2017 Address:
IVR Number: 1246
Inspection No. Inspection Status Primary Inspector
01/13/2017 01/13/2017 BLDG-43 Air
Cond./Furnace Set
009672-2017 Passed Peter Dreibelbis
January 13, 2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
009673-2017
Checklist Item
BLDG-Mechanical Final
BLDG-Electrical Final
COMMENTS
Passed Peter Dreibelbis
COMMENTS
TRUST REA FRANK&DIANE
FAMILY TRUST 02-05-90
2747 Victoria Ave
Carlsbad, CA 92010-2146
Relnspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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