HomeMy WebLinkAbout1015 Foxglove View; ; CBR2018-3205; Permit{'city of
Carlsbad
Residential Permit
Print Date: 12/12/2018 Permit No: CBR2018-3205
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1015 Foxglove Vw
BLDG-Residential
2144101700
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
11/16/2018
11/16/2018
Plan Check#:
Final
Inspection: 12/12/2018 10:22:55AM
Project Title:
Description: LOGAN: HOT WATER HEATER REPLACEMENT
Owner: Contractor:
SYDNEY LOGAN
1015 Foxglove Vw
CARLSBAD,CA 92011
AFFORDABLE WATER HEATERS AND
PLUMBING INC
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
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. tf 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
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
bu"i \di Cru...\sbad
Plan Check CJ3~1'h-32-05
Est. Value
PC Deposit --------
Date --------
Job Address IO IS-fsii,jl ave V: e,W Suite: ____ APN: _________ _
CT/Project#:, _________ lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DEscR1PT1ON oF woRK: -Bep\:ace ~o ga\, ol',) w:a-t:€.JL he-:a+e2---. S'c).X'Y} e
lDC-at\!)I\:,: (?1r'¾
· 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
Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------
0 Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: -----------------------~ (!iu m ~Mech an I ca 1 /Electric a I Only: Re ?\:ace. I ,1,)a.,teR-h E' a,-\-e,(L
• Other: ----------------------------
APPLICANT (PRIMARY) PROPERTY OWNER
Name: :Z.SC(Z.,SQ ~ )J?.bi l\)QI Name: ..::S::..'/-i-=-D--'l-::;;..:;,o<;~a.,v1:..:..:..~---,-------
Address: l'Q·'.':2?j3 CoNSW'@iioN pcl.#(p9'6Address: ,o,~ ;::;';t,,5/v\/!/; vi.e.w
City: \/a-\€.NCxa State: CA Zlp:°11355 City:WIC~d State:H Zip: qc;)-pll
Phone: 'pS5 -31.-\ 5-0J OL\ Pi Phone: _J,..c..1/""'D_-....... s .:.~7-'---~.!...:..Dl,_/"'-5 _______ _
Email: peJ:::lY)U:S@-awr-a.p. COM _ Email: _______________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: _____ Name: A_££Qgci:sJ.ble._ w~ H.P.:aiP..!bS..
Address: ________________ Addres~is3¾TuNsteiiifoNP-r[-ik9'(J
City: ______ State: __ .Zlp: ----City: \!a,leNC1:i\ State: CA Zip: 91355
Phone:______________ Phone: £,55-~':15-0tQYB
Email:_____________ Email: f?(LyY)it::S@awbaJ?· C.D(YJ
Architect State license:__________ State llcense:(o'.2-3:'? (gR Bus. license: 11-1 J 7-J \
(Sec. 7031,5 Business and Professfons 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/she 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/she 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 clvil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
n---,.,,..,,.,.
B-1 P~ni=i 1 nf?
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury QIN of the following dec:larations
ml have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit Is issued.
JJ6-t,ave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the~ork for which this permit Is Issued.
My workers' cqmoensatlon Insurance carrier and policy number are: Insurance Com~::Name: \NS ~ CO Qt ±'o, €... (Jv € S\:::
Policy No, ,? 0'3 '.2,'-\ 0\ :JO::Z Expiration Date: __.\_-_\,__--'-\ _':')..._ __ _
CTil::ertlflcate 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 be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and clvll flnes up to $100,000.00, In addition the to the cost of compensation, damages as provlzed f In Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: tvp}l AGENT DATE: / !/tz !ff>
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Cbntractor's License Law for the following reason:
ml, 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 ottered for sale (Sec.
7044, Business and Professions Code: The Contractor's Ucense 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 wlll have the burden of proving that he did not build or Improve for the purpose of sate),
IT11, 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).
EID 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. rn)yes [ID-,Jo
2.1 (have/ 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/ phone/ contractors' license number):
4.1 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' llcense number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: ----------~GENT DATE: _____ _
CONSTRUqlON LENDING AGENCY, IF ANY:
I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Clvll Code).
Lender's Name: _____________________ Lender's Address: ___________________ _
ONLY COMPLETE THE FOLLOWING SECTION 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 the Preslev-Tanner Hazardous Substance Account Act? CIDtes filNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CIDtes fn.Jo
Is the facilfty to be constructed within 1,000 feet of the outer boundary of a school site? (ID-(es (ID\Jo
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.
APPLICANT CERTIFICATION:
I certify that I 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 bullding construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I AlSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE Cll'I Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cll'/ IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT .OSHA: An OSHA permit Is required for excavations over 5'0' deep and demolltion or construction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by !Imitation and become null and void if the build Ing or work authorized
by such permit Is not commenced within 180 days from the date of such permit or if the bulldlng or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT SIGNATURE: -------'--tq,__,_,_,t'-'A ________ DATE: --'-,!/'"f-7!+/_12~--,, ..... l .... 1~1-
1635 Faraday Ave Carlsbad, CA 92008
8-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
-----------,.~---~·-
PERMIT INSPECTION HISTORY REPORT (CBR2018-3205)
Permit Type: BLDG-Residential Application Date: 11/16/2018 Owner: SYDNEY LOGAN
Work Class: P/M/E Issue Date: 11/16/2018 Subdivision: CARLSBAD TCT#73-39 UNIT#03
Status: Closed -Finaled Expiration Date: 05/15/2019 Address: 1015 Foxglove Vw
Carlsbad, CA 92011-4822
IVR Number: 15516
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
Date Start Date
12/12/2018 BLDG-25 Water 078585-2018 Scheduled Paul Burnette Incomplete
HeaterNents
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 078584-2018 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
December 12, 2018 Page 1 of 1
---' INVOICE (00037792)
BILLING CONTACT
SYDNEY LOGAN
1015 Foxglove Vw
Carlsbad, Ca 92011
INVOICE NUMBER
00037792
REFERENCE NUMBER
CBR2018-3205
INVOICE DATE INVOICE DUE DATE
11/16/2018 11/16/2018
FEE NAME
WATER HEATER PERMIT
1015 Foxglove Vw Carlsbad, CA 92011-4822
City of Carlsbad Ccity of
1635 Faraday Avenue C l b d
Carlsbad, CA 92008-7314 ar S a
INVOICE STATUS INVOICE DESCRIPTION
Due NONE
TOTAL
$98.00
SUBTOTAL $98.00
TOTAL l.__ _____ $_9_s._oo__.l
11111111111111111 IIIII 11111 11111 111111111111111 IIIII IIIII IIII IIII
Faraday Center
1 Faraday Cashiering
Date Time: 11/16/2018 16:55:PM
CARD NBR: **** **** **** 7947 TRANS TYPE: PURCHASE
AMOUNT: $98.00
.~UTH#: 084426
PAYFILE/CUST: 1832001-1/69
SIGN: _________ _
**************Cl i~ V•'·!Fc CJi'Y*************
November 16, 201811 :19 am
City of Carlsbad
Faraday Center
Faraday Cashiering 001
1832001-1 11/16/2018 229
Fri, Nov 16, 2018 04:55 PM
•cceipt Ref Nbr: R1832001-1/0069
: 1/ERG0V -ENERG0V
ran Ref Nbr: 183200101 0069 0076
l rans/Rcpt#: 00037792
SET #: 00037792
Amount:
Item Subtota 1 :
Item Tota 1:
ITEM(S) TOTAL:
Credit Card (Auth# 084426)
Total Received:
Have a nice day!
1 @ $98,00
$98.00
$98,00
$98.00
$98,00
$98,00
**************CL·,· :'·',~ ~-noy*************
Page 1 of 1