HomeMy WebLinkAbout1008 Grand Ave; ; CBR2019-3324; PermitPrint Date: 11/22/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1008 Grand Ave
BLDG-Residential
2031302400
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: JUSKIE: REPLACE GAS LINE LIKE FOR LIKE
Owner:
LORI JUSKIE
760-310-5079
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
{city of
Carlsbad
Permit No: CBR2019-3324
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Closed -Finaled
11/22/2019
11/22/2019
Inspection: 11/22/2019 2:49:35Pr
Contractor:
All AMERICAN PLUMBING INC
14322 High Pine St
POWAY, CA 92064
858-842-7876
Balance Due: $0.00
$175.00
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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CJsRZtJfl.-';>3Z4
Est. Value -------
PC Deposit-----=--
Date -'-'!l'--.... z .... l_-.,_IC/,__
JabAdcll-IOof C',caoQ .Aue,
CT/Prolect #: ,:fl.< ;51-ti"c.,
Sulte: ___ APN: Jt)J/J<>< ✓"1C
Lot#: J.1-~~ ell?/'
Fire Sprfnldets: ves / ,ir Air CondJtlonlntr. yes / no-Electr1cal Panel Uperedre: yes/ 111>
&RIEF DESCRIPTION OF WOIIK: ~Moc. ::..,.:":i::..f ... P-21( ... d..,,1...,·a ..5 .... .,.....-:;,-1"'.+"-S.>-~lc.i.:1 ·1..,( .... ,_C.....,.L.uiM-.._,J,Jl..!"&..,L..,_1 ·..,,e<,""-')'------
1.(,,r .l OIC,sn-i 0
0 Addition/New: ____ living SF, Deck SF, ___ Patio SF, ___ .Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes / No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? __________ _
0 Solar: ___ KW, __ Modules, Mounted: Roof/ Ground, TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
□Reroot: _________________________ _
J1!4 Plumbhw/Mechanlcal/Electri Only: _,M,r=-...,"""'='--Jp,._.1"""'J.::!"'""2!0C!.·~-----------
□ <>t11er: ___________________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: _______________ Name: A/4, f'th)t/"10,,, Pl Id,")~
Address: Adcllws: L '1JM Ma Pifv ?
aty: ____ 7""/4:_Zlp: ___ City: fb~ state:.&:l._Zip: 5ao1o'{
Phone: __ _,../0--________ Phone: fS{-8'1?-· ,:£lG,
Email:--,.,,/,:;____________ Email: y,l>I 111"\ed.,,,., p1tw'!'l b-b~ $0 ~~~❖ t:t .
AldlltectState UceMe: state Llceme: 'j (4~~~ Bus. License: A_.....cJI f' -' (Sec. 7031.S 8usinesl and Profeuions Code; Any City or County which requires a permit tQ c.onstruq, 1tter, improve, demoli$h or repair any structure, PriOr to Its
is$Uanc@, mo mqutret the applicant for sud, pttmk to $ea Siped statement that he/she iS fleensed pursuant to the provlstons of the Contractor's ucense Law
~ 9, conm\tfldllttwtth Section 7000of Dfffllort 3-of the Mness and ProfeUloM Code} Of ttm he/she I,: exempt therefrom, ,nd the basts for the alleged
exemption. Any vtotauon of Section 7031.S by any apptantfur a permit subjem the appfk:ant to a cMI penalty of not more than five hundred doftars {$500}).
1635 Faraday Ave tar1sbad, CA 92008 Ph: 760-602-2719 Fax: 760-602·8558 Email: Bulldjng@carlsbadca.gov
B-1 Page 1 of2
( OPTION A I: WORKERS'COMHNSATION l>EC1ARATION:
I heamy affirm under penolty <,f perjury !Wt<,{ tile following dedoratlons: □•-and wlll -ln•-of-,,o ,e11.....,.,.. _, -=tlon p,ovlded by Se<1lon 3700ofthe l.lbo<Code, ,..the perform...,. of the
work whk'.:h thls permit ls ISsued.
_/'have and will rmdnblll'lWOIWSCOft..,S'IOOI\ as required bysectton 3700ofthe Litboteode, forttte performance of the worltfor wMch thls,,.mtt ltlmMtd.
~:.,_.~ln,u..-came,and ..,......,,.,.,.,.,, .....,.....,, ('.ompony Name:~l .... -l ... 8u&11"._,.l5_.Q,.,A~O~---------
PolltyNo. ~GAll,a,OCU( Exphtlonoate: «jrit, jJ.e
□ .,._. of-:t<Ortily lhat In the ...,,.._ofthe_ ,.._this __ •sued, I shall not-anv-In anv-so as to be come
subject to the workers' compensation Lawsof callfornla. WANIIING: falkn to secun: WOttlen me.per a1den COlllffllllt Is~ andthlJtaullljlatan ......,_ to crlmlMI,..,..... llndct.'llfirleS upi0$100,D00"°1 ltt....,.thelOtMCOllofCOll\petutlOn, ....... as prowlldforlnS4ICtlon SJaofthel.ablw'Cocle, _ .... __..-. ~ ~ . I
CONTRACTOR SIGNATURE: ~<>' I?. ? ~ □AGENT DATE: l/(lf/4
( OPTION 8 I: OWNER-8U11.1>ER QECl,ARAJION:
I heteby affirm tlrat tam emnpt frmn Contractor's License Law tor the fo/lOWfllg reason:
Cl ~ .sownet"of the:ptopetty or my 11n,to,ees wlthWifltSiliS tMit' solt rmhJ)li48tion, will ff the work and the $lr\lCt\K'e IS no1: intended or offered to, Mle tsec:.
?OM.-and-CDN:Theeontrar:tor',.......,lllwdotinot-'vtoan_of_wl,o_or..._-..., and-doessudl-
Mmself or~ hlsow.. e::.;.k.,ees,. pl'C;Mded that s»c:h lrap1ow.menllare not~ or offeted fot Qle. If, however, tMbuildinSor hl1tpJowt1ment IS sokl within
... .,.,.or ccmpletion,, tM OW11ner tiulder wll MW the btmlen otprovmc that Mdkl not buffd or~ to, the P'lf'POM ofsak>).
□ ~ as....,oftlle-. ame,du"'1!1vC<llllnl<tinl wlffi llcensed _to_llleproject (sec. ?OM, au-ulhd P,........,Code: TIie _.,.......,...,doesnotapplyto .. _.,, ___ ., __ ,,ndcom.--fo<sudl-wid!~•l-
,..,....tothe-UcaMol.aw).
0 tam e.emptundet'Sedion ______ ,eusiftft5 and Professions Codefordm reason:
1.lper....tly.,,._to..-the-labo,and-fo<~looofthep...,.,,..tp,_,,,l_nt, □Yes □No
2.l{haw/_notJ.......,•n,ppllcatlonforai,-..ipom,1t1o<theP«>l>Cl$0d-1<.
3,1 ..... cootra<tedWOhthe--(flnnlto-llle--(lndude...,.address/phone/_license_):
4. I plan to..-po<tlons of the-but I h...,hlred the-person to--• supervise and pro"'de the majo,' -◄Include name/ address/ phone/
contractors' lk:eme number):
5.1 w<II ..-..... of the_., but I have wntno<ted CIIIN!d)the--• to -the work ind-{-name /address/ phone /tvpeof worl<),
OWNER SIGNATURE: ________________ □AGENT DATE: ____ _
CONSTRUCTION LENDING AGENCY. IF ANY:
1-affinnthatthenlsa""""'1dlon--fo<the...,,.._oftheworl<thi$-i$-(Se<.30970}CMICodeJ. -----------------__ , ______________ _
QIIILY COMPLETE THE fOIJ.QWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS OM.Y:
IS 1M applcant or fuamt btlldlnc~ required to submit• business plat\, acutetv hazardous materials reetstratiffl fomt or rtsk manacement and pre11enti0n
p,oa,:am under secttons 25505, 2553$ or l5534of the Presiey-,Tanner HQ3rdous SUbstance Account At.t.7 0 Yes □ No
,, the appbnt o,Mu,e bulldlng otcupant n,quiNld to-a permit fToolW•lt pollution -distl1etorair quality ............ -1 □ Yes □ No
1,the~tobeCD11slnlde6_1,llOO,...ofthe-"°"'1daryof•""'""""'? Ovas □No
IFAltYOf'IHl--11$.AffW.Clll'llfltAffO,CICX:UIWKY--IE-UMl!SSnEAMICANT-llffl:Ollts--1'fl!
MQ,IN at ffStJFTffEQfflCIOfll E le ICt"SHVlaSMiff>1'11AIRPOWmONCONTR01.mmucr,
APl't.lCANTCERTIFICATION:
,.......,., _ mdthe•~ and .,... .... ,....-.,,._,,ion lscorrectandthatthe lnloonation on the plans Is accurate. I....., tocomplywllh all
Clty ordtoalleeS 1M Stite 1aws relltffll to buikfln8 constn.u:tiOn.
I hereby authorb ,._,.,,tatwe of theCllyofClf't:mld to__, upo,t 1he-abo¥ementiunedJ)N>pettyfor inrf;peCUOn puq,oses. lALSO AGRE£ 10SAVI, INDEMNII-YANO KEEP
-.SS THfCTTVOFCIRISMl>NiNIISTAltlNllfflE$.~<XlST$ANOtlCPENSESWHICIIMA¥81NffWKtACCRUENil>IIISf5All>CflVINCllllSEQUalCEOf
~ GIWlllNG OF n<lS1'£RMlr,0$HkMOSHA-"""""""""-•--S'O' dOll'>nd-\lllCOI""""'°" of--3-hi hef&llt,
-110N:E\ller/ ____ llulldlnll __ the_of_Code __ .,_""'_ ... ""'"""*11"'~"'--... --.............. ,..,_UNo,s_tlle_d __ .,.,_......,.,,, ___ by_-,._., ........ ,e4 ...... -=:•~:::~.,zz~~ DATE:_ll.,..b ...... fi. ..... /4 __ _
1635 Faraday Ave Carisbad, CA 92008
B-1
Ph: 760-602·2719 FaK: 760-602-8558
Page 2 of 2
EmaU: Buildlng@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-3324)
Permit Type: BLDG-Residential Application Date: 11/22/2019 Owner: LORI JUSKIE, TRUST MILLS JACK
B
Work Class: P/M/E Issue Date: 11/22/2019 Subdivision: SCHELL & SITES ADD
Status: Closed -Finaled Expiration Date: 05/20/2020 Address: 1008 Grand Ave
Carlsbad, CA 92008-1813
IVR Number: 23285
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date Reinspection Complete
1112212019 11122/2019 BLDG-23 111903-2019 Passed Tony Alvarado Complete
Gas/TesURepairs
BLDG-Final 111904-2019 Passed Tony Alvarado Complete
Inspection
November 22, 2019 Page 1 of 1