HomeMy WebLinkAbout1230 Esmat Way; ; CBR2017-1252; PermitPrint Date: 12/05/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1230 Esmat Way
BLDG-Residential
1563512200
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: HUFFMAN: RUN GAS AND ELECTRIAL LINE FOR BBQ
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST HUFFMAN TRUST
1230 Esmat Way
Carlsbad, CA 92008-1054
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
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.
Permit No: CBR2017-1252
Closed -Finaled
06/09/2017
06/09/2017
A Krog
$0.00
$166.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING
( City of
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
0 BUILDING O FIRE
Plan Check No.
Est. Value
CT/PROJECT# # OF UNrTS # BEDROOMS H BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
l'>~ !> ~ f/et / 1 'N--h, BBQ
EXISTING USE PROPOSED USE GARAGE (SF)
APPLICANT NAME
STATE ZIP
C 12-/Zb
FAX
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
PATIOS (SF) DECKS (SF)
PROPERTY OWNER
EMAIL
CONTRACTOR BUS. NAME
PHONE
!Si· t.\8.s-So~o
STATE LIC.#
ft 5b
FIREPLACE
YES0 tt
AIR CONDITIONING
NOD YEs 0 No 0
FAX
STATE ( A-
FAX
ZIP
Gfzoo
ZIP
20lb
FIRE SPRINKLERS
YES0 NoD
(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 Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applfcant to a civil penalty of not more than five hundred dollars [$500)).
Workers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: D 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.
~ I have and will maintain workers' compens !ion, as r uired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insur ce carrier and policy
number are: Insurance Co. ' fAA! > ~11'5 Policy No. 6 A/I.,( Wt.o/l.3tJ '5/ Expiration Dale I g
This section need not be completed if lhe perm ii is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certtty 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 lo the Workers' Compensation Laws of
California. WARNING: Failure to secure worilers' 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 the cost of compensation, damages as rovided for in Section 3706 of the Labor code, Interest and attorney's fees.
_2f CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
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 Contracto(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 thal 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 Contraclor'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 Contractors license Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. D Y es 0 No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have oontracled 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 I phone I contraclors' 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):
.2f PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acl? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D 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 JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the abolle information ls correct and that the information 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 Carlsbad 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 demolition or construction of structures over 3 stories in heighl
EXPIRATION: Evel)' 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 work authorized by such permit is not commenced ~thin
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106.4.4 Uniform Building Code).
_N5 APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CfRllflCATl" 0 F OCCUPANCY ( C o 111 rn c t !: 1 (~ I Pro1ccts o ,, 1 i, I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LJC. No.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB# D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION
_g APPLICANT'S SIGNATURE DATE
Permit Typo: BLDG-Residential Application Date: 06/09/2017 Owner:
Work Class: P/M/E Issue Date: 06/09/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 06/04/2018 Address:
IVR Number: 4256
Actual Scheduled
Date Start Date Inspection Type Inspection No.
06/15/2017 06/15/2017
12/0512017 12/0512017
December 05, 2017
BLDG-21
Underground/Underf
loor Plumbing
026270-2017
Checklist Item
BLDG-Building Deficiency
BLDG-23
Gas/TesURepalrs
026424-2017
Checklist Item
BLDG-Building Deficiency
BLOG-31
Underground/Condu
it. Wiring
026271-2017
Checklist Item
BLDG-Building Deficiency
BLDG-84 Rough
Combo(14,24,34,44)
042345-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
042482-2017
Checklist Item
BLDG-Plumbing Final
BLDG-Electrical Final
Inspection Status Primary Inspector
Passed Andy Krogh
COMMENTS
As built, buried
Passed Andy Krogh
COMMENTS
Pot holed, partially covered, pressure test
ok
Passed Andy Krogh
COMMENTS
Pot holed I partially covered
Passed Andy Krogh
COMMENTS
Wrong code final required
Passed Andy Krogh
COMMENTS
TRUST HUFFMAN TRUST
1230 Esmat Way
Carlsbad, CA 92008-1054
Re inspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Complete
Passed
Yes
Yes
Page 1 of 1
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