HomeMy WebLinkAbout1320 Chuparosa Way; ; CBR2019-1873; Permit(cityof
Carlsbad
Residential Permit
Print Date: 07/24/2019 Permit No: CBR2019-1873
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1320 Chuparosa Way
BLDG-Residential
1561105400
$0.00
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
07/17/2019
07/17/2019
Plan Check#:
Final
Inspection 7/24/2019 4:07:03PM
Project Title:
Description: STEVENS: REPLACE 40 GAL WATER HEATER; SAME SIZE LOCATION IN GARAGE
Owner: Contractor:
MARGRETHE T STEVENS
1320 Chuparosa
CARLSBAD 92008
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 9135S-5044
661-2S9-7131
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. If you protest them, vou 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
(Cityor
Carlstiad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check _____ l_Y-z3 __
Est. Value
PC Deposit --------
Date--------
l Job Address ..a.-~M:..~1µ,1.~1oo11;:....l..!~~~~::,J_---; APN: ________ _
CT/Project#:. _________ Lot#: ____ Fire Sprinklers: yes/ no Air Condltlonln1: yes/ no
0 Addition/New: _____ Living SF, ___ Dede SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? _
D Remodel: ____ Sf of affected area Is the area a conversion or change of use ? Yes / No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
D Solar: ___ KW, __ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes / No
D Reroof: ---------------------------------E.. Plumbinl/Mechanlcal/Electrlcal Only: w g, + e t: J.., e a+ e,; r >-e PI a r t rn e, n ±: _______ .....a:___......._....,._...._-"-"',~ ....... .......,....,_ ..................... .____
l1l Other: Y l.1 ) u a±, SJ c, · ~ ?2 D5D ---
DESIGN PROFESSIONAL
Name: _______________ _
Address: ______________ _
City: _______ state: ___ .Zlp: ___ _
Phone: _______________ _
Email: _______________ _
Architect State license: ----------
CONTRACTOR BUSINESS
Name: 1ffr;r:: d a k I e.. Wa+ e-v rl l! a tee ✓
Address: 28'. ..\ ss:: C PICI s±e fl fA±[o O I( d --# u q .I'"
City: ~[ a I en , , · 0-,, State: C,1" Zip: q /,. 1 S s
Phone: fres;, --J:;,< -· ~ ~ l
Email: Jr i (?h ;;__;. com
State Ucense: LI Z.73 le 8: Bus. Llcense:5 l OJ f Z..I 1 2.. 7 /
(Sec. 7031.S Buslneu and ProfesslOns Code: Any Qty 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 s1&ned statement that he/she Is licensed pursuant to the provisions of the Contractor's license Law
{Chapter 9, commending with sectton 7000 of DlvlSlon 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.s by any applicant for a permit subjecu the applicant to a clvll penalty of not more than five hundred dollar1 {$5001).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuHding@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury QM. of the fol/owing declaration,:
□ I have and wlll 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.
X, I have and wlll maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' ~ompensatlon Insurance carrl@r and policy number are: lnsur11nce Company Name: ln1Ci) r,,n { e C Q • {J f the tA.Jeu-J-
Pollcy No. '> D 'I 2 'i 9 7 t} 3 Expiration Date: I , I • 2. D
□ Certificate of Exemption: 1 certify that In the performance of the work for which this permit Is Issued, 1 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 coveraae ls unlawful, and sh1ll 1ubJect an employer to
criminal penaltles and clvll fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor COde,
Interest and attorney's fees. tl!jJll f\ /
CONTRACTOR SIGNATURE: --------'-,-F+jll-_/-+-\ _______ ~AGENT DATE: 7 /2 Co / I °I , 7 l
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason:
□ I, as owner of the property or my employees with wages as their sole compensation, wlll 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
hlmself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the build Ing or Improvement Is sold within
one year of completlon, the ownerMbullder 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 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 property Improvement. □ Yes O No
2. I (have/ have not) signed an appllcation 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. 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/ phone/
contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the followln& persons to provide the work Indicated (Include name/ address/ phone/ type of work):
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY. IF ANY:
1 hereby affirm that there Is a construction lend Ins agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code).
Lende~s Name: ____________________ Lender's Address: ___________________ _
ONLY COMPLETE THE FOLLOWING SEOION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future bulldlng occupant required to submit a business plan, ac1,1tely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 2S534 of the Presley• Tanner Hazardo1,1s 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? Cl 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 ANO TH£ AIR POUUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above Information 15 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 Oty of carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE OTY OF CARLSBAD AGAINST AU UABILffiES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit Is reQulred for e1Ccavations over S'O' deep and demoliUon or construction of structures over 3 stories In height.
EXPIRATION: Every pemilt Issued by the Building Official under the provisions of this Code shall expire by llmltatlon and become null and vold if the bulldlngor work authorized
by such permit ls not commenced within 180 day:i: 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 period of 180 days (Section 106.n,4 ~l~orm Bulldlng COde). / /
p( APPLICANT SIGNATURE: {M Y ~ DATE: 7 i lo I I "'I
V r I
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bulldlng@carlsbadca.gov
B-1 Page 2 of 2 Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-1873)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLOG-Residential
P/M/E
Closed -Finaled
Actual Start Date Inspection Type
Application Date: 07/17/2019 Owner:
Issue Date: 0711712019 Subdivision:
Expiration Date: 01/13/2020 Address:
IVR Number: 20445
Inspection No. Inspection Status Primary Inspector
07/24/2019 0712412019 BL0G-26 Water
HeaterNents
098478-2019 Passed System Administrator
July 24, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
098479-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed System Administrator
COMMENTS
MARGRETHE STEVENS
1320 Chuparosa Way
Carlsbad, CA 92008-1005
Reinspectlon
Passed
No
Passed
No
No
No
No
No
Complete
Complete
Complete
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