HomeMy WebLinkAbout1004 Goldeneye Vw; ; CBR2017-1888; Permitf
Print Date: 09/28/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1004 Goldeneye Vw
BLDG-Residential
2110900900
$0.00
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#:
Description: BIGLAISER: REPLACE FAU & A/C
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST BIGLA\SER MARCIA TRUST 10-27-97
1004 Goldeneye Vw
CARLSBAO, CA 92011
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
GUTHRIE AND SONS INC
3914 Hicock St
San Diego, CA 92110-4316
619-269-3013
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: CBR2017-1888
Closed -Finaled
08/17/2017
08/17/2017
$0.00
$166.00
-.•
('city of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 780-802,271.9 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
Plan Check No~20 I 1-l'olo'c,
Est. Value
Plan Ck. Deposit
Date 8,-1"1-1,
SUITE#/SPACE#/U NIT# APN
CT/PROJECT#
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS
NOD YES D NOD YES O NOD
APPLICANT NA ~
ADD~' lCO~ 5'I
CITY STATE ZIP CITY
CP<.-C1,"2Jl0 I (
FAX FAX
~.:>\'o
EMAIL
C
DESIGN PROFESSIONAL NAME
ADDRESS ADDRE~\Y
STATE ZIP CITY STATE ZIP CITY 'tSO CA--°11dtO
[FAX PHONE FAX PHio't "I ~""l.oOI~
EMAIL EMAIL e (.,<;, f::m;:t-/ ,_ Q S-can,
STATE UC.# STATEL~ CLASS CITY BUS. UC.# e--?.-O
(Sec: 7031.5 Business <;1nd P.rofessions Code: Any City or Coun_ty which requires a permit to c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per.m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law [Chapter 9, comme_nd1ng with Section 7000 of Division 3 of the B_usiness and Professions Code} or [hat he is exem.et 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
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
D I have and will maintain worke~:-o~~..:~s:io_rr· as require'!.Pl: Section 3700 of th) Labm. ~~e .. !oJ'e 'performance of the work for hich !hi pe~i ' 'ssued. My workers' compensa~ontin~u7nje carrier and policy
numberare:lnsuranceCo. r~ {,i,,JTJl-AtAr,L(, fV'5lJ~ohcyNo. ~ Expiration Date ft!._ l l-&'
This secLion need not be completed if the permit is for one hundred dollars ($100) or less. E::1l,o,,J tr' / 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 the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' com ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up 10 one hundred thousand dollars (& 100,000), in
addition to the cost of compensation, Section 3706 e Labor code, interest and attorney's fees.
,/15 CONTRACTOR SlGNAT
I hereby affirm 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).
Cl 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. I"] Yes I"] No
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 f 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 f type of work):
A$ PROPERTY OWNER SIGNATURE ClAGENT DATE
--" -! -~
COMPLETE THI$ SECTIO'N 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 \he
Presley-Tanner Hazardous Substance Account Act? D 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? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carisbacl to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA pennlt is required for excavations ' emolition or C011struction of structures over 3 stories in height.
EXPIRATION: Every permit issued b the Buildi s of this Code shall expire by limilation and become null and void W the building or work authorized by such pem,it is not commenced within
180 days from the date of such · Y. uch permit is pended or abandoned at any time after the work is commenced fo a period of 180 days (Section 106.4.4 Uniform Building Code).
,.6$ APPLICANT'S SIGNAT DATE
a
PERMIT INSPECTION HISTORY REPORT (CBR2017-1888)
Permit Type: BLDG-Residential Application Date: 08/17/2017 Owner:
Work Class: P/M/E Issue Date: 08/17/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 03/27/2018 Address:
IVR Number: 5772
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
09128/2017 09/28/2017
September 28, 2017
BLOG-43 Air
Cond./Furnace Set
036029-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
036030-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLOG-Electrical Final
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
TRUST BIGLAISER MARCIA
TRUST 10-27-97
CARLSBAD TCT#94-11
1004 Goldeneye Vw
Carlsbad, CA 92011-1222
Relnspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
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