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
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