HomeMy WebLinkAbout1393 Oak Ave; ; CBR2017-2270; Permit( City of
Carlsbad
Pri nt Date: 02/13/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1393 Oak Ave
BLDG-Residential
2050201900
$0.00
BECKMAN: GAS LEAK REPAIR
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Owner:
COOWNER DAVID AND STEPHANIE BECKMAN
1393 Oak Ave
Carlsbad, CA 92008-1932
619-755-9429
Total Fees: $170.00 Total Payments To Date: $170.00
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Inspection:
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: CBR2017-2270
Closed -Finaled
09/27/2017
09/27/2017
A Krog
2/13/2018 10:08:40AM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMAT/APCD
C City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No.~20\t-2.2-lD
Est. Value
Plan Ck. Deposit
sunn ;SPACEt/UNITt
FIRE SPRINKLERS
vaCJN<O
ADDRESS
arv STATE ZJP
PHONE FAX
EMAIL
STATE UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, Improve, demolish or repair an~ structure, prior to Its Issuance, alSo requires the applicant for sueh permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, oornmendlng with Sectlon 7000 of DlviSlon 3 of the Business and Professions Code) or Olathe Is exempt therefrom, and the basis for the alleged exemption. Any violation of SectJon 7031.5 by any applicant for a permit subjects the applicant to a ctvtl penalty of not more than f,ve hundred dollars ($500)).
Worlun' Compensalfon Dednlon: I hereby affirm utKJer pena/!y of {18ljlJty ooe of the followr1g decJ8r8llons: 0 I have and will manllin • certificate of consent to self~nsure for worl(efs' canpensation as provided by Section 3700 of the Labo( Code, for the perfoonance ol the work for wllich this pemm is issued. D I have and will mllnuin workers' compenSlllon, as r8QUired by Section 3700 of the labor Code, f()( tie pe,formance al the work for wllich this permit is issued. lllf workets' canpensation insurance carrief and policy
number are: lnS1nnce Co Policy No. __ __ Expiration Date _______ _
Qseciion need not be completed W the perml Is for one hun«ed dollars ($100) ()( less.
Certlllcate of Exemption: I certify thal ii the perfonnance of the work for wllich this permit is issued, I Shall not employ any per.;on In any manner so as lo become subjeel to the Workels' Compensation Laws of
ifornia. WARNING: Flllure to secure workers' compenSltion CO-IQ• Is unlawful, 111d shill subject 111 employ• to crimlnll penllltles 111d ctvtl fines up to one hundred thousand dolln (&100,000~ In
addition to the cost of comptMadon, dlffllgtS a provided for In Section 3706 of the Lll>or code, Interest and lltomey's tea.
Ji! CONTRACTOR SIGNATURE 0 AGENT DATE
I henlby Bfflrm that I am BxBmpl from Contractors t..icense LBW for the following f88son: 0 I, as owner of the property()( my employees with wages as lhei.' sole compensalion, wil do the work and the sru:lile is not intended()( offered for sale (Sec. 7044, Business and Professions Code: The Contraco's
License law does not apply to an owner of property wl1o builds or inproves thereon, and wl1o does such work hinse!f ()( ttvough his OWll employees, provided that such inprowments are not intended or offered lor
, sale. If, ix--. the buiding ()( inprovement is sold withil one ye¥ of completion, the owner-builder wil have the bLwden of prwng that he cfld not build()( inprove lor the P1-fPOS8 ol sale).
m'1. as OWllEll' ol the property, am exclusively contracting wi1h icensed contractors to construct the~ (Sec. 7044, Business and Professloos Code: The Contractor's License Law does not apply to an owner of q property wl1o boUds ()( inproves thefeon, and contracts lor such projects with contractlr(s) licensed pun;uant to the Contractor's License law).
D I am exempt undef Section Business and Piofessioos Code lor this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property inprwement O ves ON<>
2. I (have I have not) signed an application for a buiking permit lor the proposed work.
3. I have c:ontraC1ed with the kllowing pen;on (firm) t> provide the proposed construction [include name adaess I phone I conlraciors' icense number):
4. I plan t> provide portions of the work, I have hired the folbwing per.;on dinate, upervise and provide the major work ftndude name I adaess I phone I conb'actlrs' license number):
5. I wi1 provide some of the v.m<, bu (h ed) the fobwl ' the work indicated Onclude n:me I adaess I phone I type ol work):
Ji! PROPERTY OWNER SIGNATURE D AGE NT DATE
Is the applicant or fulu"e building occupant required to sutmtt a business plan, acutely hazardous materials registration form or risk management and prevention pro(1311 under Sections 25505, 25533 or 25534 of the
Presley-Tannw Hazadous Substance Account lv;t? D Yes D No
Is the applicant or tub.le building occupant required IO olllain a pem,tt from the air pollution control <istrict or air quality management disllict? D Yes D No
Is the facility 10 be cooslrucled within 1,000 feet of the outlll' bounday 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I cer11fy1hat I ha\te read the 3A)lcatiofl and state 1hat the above lnfoonation Is oonett and that the Information Oil the plans ls acxuate. I ai,e0 tocoo,>lywlth all City ortlnances and State laws relall~ to bl.ildql conslruCllon.
I hereby aulhorize repnisentative of the City of Catsboo 10 en\lr upon the above menoooed property b-ilspedi:)n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
A~NST ALL UABILITlES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT.
OSHA: AA OSHA perTrit i5 required b-e1.CaYatioos over 5'0' deep and · · · of res over 3 storils i1 height
EXPIRATION: EYe!Y perTrit issued by the ial the shal 1m1aoon and become nul .rid voo l the buikli,g or work au
180 days from the dae of such perTrit W the authorized ab.ridoned al aiy lire ale-the work is coomenced bra pe ·
. is not coomenced wi1hi1
· 106.4.4 Unmn &iiklilQ C.odeJ .
...f! APPLICANT'S SIGMA TURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2017-2270)
Permit Type: BLDG-Residential Application Date: 09/27/2017
Work Class: P/M/E Issue Date: 09/27/2017
Status: Closed -Finaled Expiration Date: 03/27/2018
IVR Number: 6598
Owner: COOWNER DAVID AND
STEPHANIE BECKMAN,
COOWNER MILLS TROY & JUSKIE
LORI
Subdivision: CARLSBAD LANDS
Address: 1393 Oak Ave
Carlsbad, CA 92008-1932
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
09/28/2017 09/28/2017 BLDG-23 036271-2017 Passed Andy Krogh Complete
Gas/Test/Repairs
02/13/2018 BLDG-Fina I 048577-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
February 13, 2018 Page 1 of 1