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.
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-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//
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CITY STATE ZIP CITY .-".STATE ZIP
C;fr t<01)t-,4443
PHONE FAX PHONE FAX
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EMAIL EMAIL
DESIGN PROFESSIONA CONTRACTOR BUS.NAME(//.-
--eaelAV ee1efl#C44 f#4*-
ADDRESS
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CITY STATE ZIP CI
(:0470ir4V Sle
ZIP
,77.
PHONE FAX PHO E FAX
EMAIL EMAIL
STATE LIC. #
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(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
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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
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