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HomeMy WebLinkAbout1220 Chestnut Ave; ; CBR2018-1181; Permit(city of Carlsbad Residential Permit Print Date: 12/19/2018 Permit No: CBR2018-1181 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1220 Chestnut Ave BLDG-Residential 2051203200 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Repair Status: Applied: Issued: Permit Finated: Inspector: Closed -Finaled 05/16/2018 05/16/2018 PBurn Plan Check#: Final Inspection: 12/19/2018 2:50:59PM Project Title: Description: Applicant: PERMITS IN MOTION SKYLAR BORNEMAN 4715 60Th St San Diego, CA 92115-3802 619-994-5557 CROMIEM: FIRE OAMAGE REPAIR IN MASTER BEDROOM -REPLACE WALL & FLOOR FRAMING, REPLACE WIRING & DAMAGED EELECTRICAL PANEL Owner: TRUST CROM I EN LIVING 1220 Chestnut Ave CARLSBAO, CA 92008 Contractor: INTEGRITY RESTORATION INC 4901 Morena Blvd, Ste 502 SAN DIEGO, CA 92117-7312 858-270-9151 BUILDING PERMIT FEE ($0-$500) Total Fees: $260.00 Total Payments To Date: $260.00 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 ln connection with this project. NOR DOES tT 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 $260.00 .. • (cicyof Carlsbad Building Permit Application 1635 Faraday Ave .• Carlsbad, CA 92008 Ph: 780-80M719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Chilek No. (££,;?(_"ii )2 ~ I I y;\ I Est. Value Plan Ck. Deposit Date bot. V\. PATIOS (SF) DECKS (SF) FIREPLACE IR CONDITIONING FIRE SPRINKLERS YES •#~ NO • YES • NOD YES O NO • APPLICANTNAME (Primary Contact) ..,--e.,,'(V () PROPERTY OWNER NAME STATE UC.# CLAS (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 LawjChapter 9, commending with Section 70_00 of D1v1s1on 3 of the B_usiness and Professions Code) or that he Is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars [$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of peljury one of the following declarations: a11d policy ~ ~,ve 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 pe ~ve and will maintain work~ Cf_.m11Jne~n, as~'.~..£ ~ S~n 3700 of the Labor Code, for the _performanc1o/~~~::k ~h~hi,p@M'Jit is issued, My wo~e~' compens,lio °.lt1 number are: Insurance Co. ~"':I_Qtli::: l.fl..~ (L_. Policy No. ____ LJ[}__,..,__,'-t}_..,_~V,~~~1-~-'==--~-~--Expiration Date -'-1'-_:__j__j_CJ_ __ I This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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' co ge is unlawful, and shall subject an employer to criminal penalties and civil fine undred thousand dollars (&100,000), in addition to the cost of compensation, damag'l""'1'"1f;li, t,':~ijlla<~!""(abor code, interest and attorney's fees . ../15 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License L • 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 properly, 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). • 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 properly improvement. • Yes • 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/ 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/ 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 I phone I type of work) ,,$ PROPERTY OWNER SIGNATURE •AGENT DATE fcoMPLETE THIS SECTION FOR N'6N-RESIDEN°T11U euu.-O1NG PERMITS ONLY '', ~ 1i "" ,J " 4 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? D 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 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. CONSTRUCTIOIII LENDING AGENtC?Y, I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (1) CIvII Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnation is correct and that the infonnation 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 Cartsbad 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA permit is required for excavations over 5'0' deep and demolioon 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 limitation and become null and void if the building or WOO( authorized by such permit is not commenced within 180 days from the date of such permit or if the building or WOO orized b ch permit is sus ed or abandoned at any time after the work is commenced r a period 180 days (Section 106.4.4 Uniform Building Code). ,,6$ APPLICANT'S SIGNATURE DATE 5 ts IS PERMIT INSPECTION HISTORY REPORT (CBR2018-1181) Permit Type: BLDG-Residential Application Date: 05/16/2018 Work Class: Repair Issue Date: 05/16/2018 Status Closed -Finaled Expiration Dato: 12/17/2018 Scheduled Date 06/18/2018 Actual Start Date 06/1812018 12/19(2018 12/19/2018 December 19, 2018 IVR Number: 11388 Inspection Type Inspection No. BLDG-84 Rough Combo(14,24,34,44) BLOG-Fin al Inspection Checklist ltorn BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding {Decks) BLDG-24 Rough-Topout BLOG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers 079260-2018 Checklist ltern BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: TRUST CROMIEN LIVING Subdivision: THUM LANDS Address: 1220 Chestnut Ave Carlsbad, CA 92008-2513 Primary Inspector Reinspection Paul Burnette Passed Yes Yes Yes Yes Yes Paul Burnette Passed No No No No No Complete Complete Complete Page 1 of 1