HomeMy WebLinkAbout1125 LARKSPUR LN; ; CBR2018-0125; Permit(city of
Carlsbad
Residential Permit
Print Date: 05/22/2018 Permit No: CBR2018-0125
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1125 Larkspur Ln
BLDG-Residential
2054301300
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/17/2018
01/19/2018
01/17/2018
Tfraz
Plan Check#:
Final
Inspection: 5/22/2018 5:26:47PM
Project Title:
Description: HOOK: METER RESET DUE TO FIRE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
TRUST HOOK FAMILY TRUST 02-27-02
1125 Larkspur Ln
CARLBAD, CA 92008
Total Payments To Date: $170.00
Contractor:
R & M CONSTRUCTION INC
7959 Silverton Ave, 1001
SAN DIEGO, CA 92126
8S8-566-49S0
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
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
, 't (._ Cicyof Building Permit Application Plan Check No.l"' AJ),201 'ic' -()125
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value
Carlsbad Ph: 76CMI02-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov \-\9-,~, Date
JOB ADDRESS . /4 SUITE#/SPACE#/UNIT# IAPN .?/I . . . bZ..f ~~K s;,,_rr
CT/PROJECT# ILOTI I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME --r◊NSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(&)
fll~-✓~ ~-r
/>'J,;,, tr/ r, Y" ~ ,::>YI ?...-v-e--~
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES □# __ NO □ YES □ NO □ YES D NO □
APPLIC~a:AME (Primary Contact)
-r;)?--~ -✓ / , . .::. PROPERTY OW~ER ~E ob.,.,, _ _/,,{,.. -,/ A/.-n-c l/"
ADDRES:::,r "' ADDRESS /
R1n .h'vA..., Qr
Clls c,4-
STATE ZIP CITY STATE ZIP . 7> ?"?,If/ PHO&, IFAX PHONE I FAX rt; -2.i-7 -2-1 'J I
EMAIL EMAIL
DESIGN PROFESSIONAL NAME CONfflA~BUS.NAME _/4 ,fr-: r,YJ.l":~ ,t::;. LC!--' YC
ADDRESS ADD~S r ' ;;,ir.s Hd..Sr.r[ ,~,,,--
CITY STATE ZIP CITY Sv:> ;:+-ZIP '" 92-11
PHONE IFAX PHONE IFAX lt?lf'-J..J-1 -:u <ti
EMAIL EMAIL _s] /. ,f,,.,,..<Je/0/•e--fr. c-(i)Slx 7/J 6.. • /V-L
I STATE LIC. # STATE UC.# 89?02-S-lcct-10 ~'AA'Lu._a
(Sec, 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure. pnor to its issuance, also requires the applicant for such per_mIt 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 fhat he is exemP.t 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
Workers' Compensation Declaration: / 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.
J<!' I have and will maintain workerf compensation, as required b Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co.~,.,":!,£c.>C..,'--~e-,""'"-""''-----------Policy No. ---2~~ Cd~ Expiration Date __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 wor s' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to lhe cost of compensation, dama as provided for in Section 3706 of the Labor code, interest and attorney's fees.
_,,g CONTRACTOR SIGNATURE
/ hereby afflrm 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 lo the Contractor'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 property improvement. □ Yes □ No
2. I (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 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/ 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 I phone/ type of work):
_,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
.
l:oMPLETE THIS 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
Presley-Tanner Hazardous Substance Account Act:? □ 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read theappllcatlon and state that the above information ls correct and that the Information on the plans lsacx:urate. I agree to oomplywith all Cifyordlnances and Stat.e laws relating to building construction.
I hereby authorize represenlative of 1he City of Carlsbad lo enler upon 1he above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY 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 OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or coostruction of strucb.Jres over 3 stories in height.
EXPIRATION: Every pennit issued by the Bui ing Official under the provisions of this Ccxle shall expire by limitation and become null and void if the buik:ling or work authorized by such permit is not commenced within
180 days from the date of such perrrit or iflh uikf aulh permit is suspended or abandoned at any ijme after the work is commenced for a period of 180 days (Section 106.4.4 Unifom1 Building Cooe).
_.,g APPLICANT'S SIGNATURE DATE
~ ' \ ' ~ . .
~. . ., '··, · • t, PERMIT INSPl:QTJON HISTORY REPORT (CBR2018-0125)
Permit Type: BLDG-Residential Application Date: 01/17/2018
Work Class: P/M/E Issue Date: 01/19/2018
Status: Closed -Finaled Expiration Date: 07/23/2018
Scheduled
Date
01123/2018
Actual
Start Date
01/23/2018
0512212018 05/22/2018
May 22, 2018
IVR Number: 8939
Inspection Type Inspection No.
BLDG-34 Rough
Electrical
046507-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
058957-2018
Checklist Item
BLOG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLOG-Electrical Final
Inspection Status
Passed
COMMENTS
Passed
COMMENTS
Owner: TRUST HOOK FAMILY TRUST
02-27-02
Subdivision: WOODLAND HEIGHTS
Address: 1125 Larkspur Ln
Carlsbad, CA 92008-3405
Primary Inspector Reinspection Complete
Tlm Frazee Complete
Passed
Yes
Chris Renfro Complete
Passed
No
No
No
No
No
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