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HomeMy WebLinkAbout1460 Buena Vista Way; ; CBR2016-0447; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 02/17/2017 Residential Permit Permit No: CBR2016-0447 www.carlsbadca.gov Job Address:1460 Buena Vista Way Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:1561207000 Lot #:Applied:12/23/2016 Valuation:$0.00 Reference #:Issued:12/23/2016Occupancy Group:Construction Type:Finaled: #Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:RODRIGUEZ: REPLACE EXISTING FAU IN SAME LOCATION Owner:Contractor: COOWNER RODRIGUEZJESSE R&MARY E COASTAL REFRIGERATION 1460 Buena Vista Way CARLSBAD, CA 92008 6525 Paseo Frontera, Apt L Carlsbad, CA 92009-4534 760-683-5683 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00 Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00 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. ...... ......,..,... -THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD Building Permit ApplicationCity of 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check NoCli2.2-0(-Of-kkks1 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date V)...2.-%1t (c.SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT#APNAlbe'YereAiit a-ff.i4---- CT/PROJECT #LOT #PHASE ## OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:include Square Feet of Affected Area(s) ,-----.----- cFi.A e 1--A-.:e-4---7--".t,r..5:•30.1.e et3e41-7e74./V. EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESEy Nop YES ONO E YESD NOE:3 APPLICANT NAME PROPERTY OWNER E ..-.2 .1 . Primary Contact <re /eper --fie.ezADDRESSADDRESS// :keg. /6 0 ade/'-'17"0.'P CITY STATE ZIP CITY .-".STATE ZIP C;fr t<01)t-,4443 PHONE FAX PHONE FAX 9 EMAIL EMAIL DESIGN PROFESSIONA CONTRACTOR BUS.NAME(//.- --eaelAV ee1efl#C44 f#4*- ADDRESS AD;SS -*--gZ S'--/204-Citre 41 - '—'41*e'e-Z. CITY STATE ZIP CI (:0470ir4V Sle ZIP ,77. PHONE FAX PHO E FAX EMAIL EMAIL STATE LIC. # ST;JCyt ;7:I4liC.# C (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construe alter, improve, d molish or repair any structure, prior to its issuance, also requires theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($5001). WORKERS`COMPENSAT6ON Workers' Compensation Declaration:I hereby affirm under penalty of perjury one of the following declarations: L::1 I h 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. have and will maintain workers'pensZyed by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M;workers' compensation in rance c 'er and policy number are: Insurance Co.14/Pr Policy No.16411,k./.70 Expiration Date 20/7 This section need not be completed if the permit is for one hundred dollars ($100) or less.0 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' c•pensation 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, da.•.•-.s ovided for in S:'on 3706 of the Labor code, interest and attorney's fees. le CONTRACTOR SIGNATURE .-1.41LEtiff ..i or i -0 AGENT DATE /.2 ou .70/4- OWNER -BUIL -15ER rECLARATION n....4......4 a-.4.u.i I hereby affirm that l am exempt from Contr:tor's License Law for the following reason: E]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). EiI,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).0 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.Ekes EiNo 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 / contractors' license number): 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name I 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 nameIaddress / phone / type of work): ,ePROPERTY OWNER SIGNATURE DAGENT DATE .......,. • •'ETED TIA L BUIL X/iNG PERMITS ONLY ••• Is the applicant or future building occupant required to submita 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?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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. 7irr:CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertify thatI have read the application and state that the above information is correct and that the information on the plans is accurate.Iagree to comply with all Ctty ordinances and Statelamrelating to building construction. I hereby authorize representative of the City ofCarlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILFIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYIN 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'-p and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official,'der the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permitis not commenced within 180 days from the date of such permit or i • • •/ if •authorized ch permitksuspended or abandoned at any time after the workcommencedr a penod o days ion 106.4.4nifonnBuilding Code). AKAPPLICANT'S SIGNATURE DATE /3."4111 cSTOP) STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildingecarlsbadca.gov or Mail the completed form 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 FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 11 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) E3 CONTRACTOR (On Pg. 1) o ASSOCIATED CB#0 MAILTO:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On pg.•NO CHANGE IN USE /NO CONSTRUCTION 0 MAIL /FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION ..eAPPLICANT'S SIGNATURE DATE ,• .-••*.• ,• PERMIT INSPECTION HISTORY REPORT (CBR213164M7)- Permit Type BLDG-Residential Application Date:12/23/2016 Owner:COOWNER RODRIGUEZ JESSE R&MARY E Work Class.P/M/E Issue Date:12/23/2016 Subdivision: Status:Issued -Active Expiration Date:08/21/2017 Address:1460 Buena Vista Way Carlsbad, CA 92008IVR Number:1028 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 0211712017 02/1712017 SLOG-Final 014010-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Mechanical Final Yes 02/21/2017 02121/2017 BLDG-43 Air 014009-2017 Passed Jonathan West Complete Cond./Furnace Set • •-Page 10'