HomeMy WebLinkAbout1630 JAMES DR; ; CBR2017-0939; Permit..
Print Date: 05/16/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1630 James Dr
BLDG-Residential
1562111300
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E Status:
Lot#: Applied:
Reference#: Issued:
Construction Type: Finaled:
Bathrooms: Inspector:
Orig. Plan Check#:
Plan Check #:
Description: EKDAHL: INSTALL LED CAN LIGT FIXTURES AND 1 OUTLET FOR SKYLIGHT FRAME ROPE LIGHT IN KITCHEN
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST EKDAHL FAMILY TRUST 05-16-14
1630 James Dr
CARLSBAD, CA 92008
Total Payments Ta Date: $166.00 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: CBR2017-0939
Closed -Finaled
05/03/2017
05/03/2017
PDrei
$166.00
$0.00
' THE F~LLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING ~BUILDING QFIRE □HEALTH 0 HAZMATIAPCD
(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.CC, R?.017 -OCf?JCj
Est. Value
SUITE#/SPACE#/UNITJ .-
PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT
EXISTING USE PROPOSED USE GARAGE (SF)
4/
ZIP
2.008
CITY
PHONE
EMAIL
CONTRACTOR BUS, NAME
ADDRESS
CITY STATE ZIP CITY
PHONE FAA PHONE
EMAIL EMAIL
STATE UC.# STATE UC.#
Plan Ck. Deposit
Date
APN
NAME
FIREPLACE
YESD
AIR CONOITION\NG
No0 YES □No □
STATE ZIP
FAA
STATE ZIP
FAA
CLASS CITY BUS. UC.#
PE OCC. GROUP
FIRE SPRINKLERS
YEsQNoO
(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 s~ned statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the
B_us1ness and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Coflllensatlon Declaration: I hereby affirm under penalty of perjury one of the fol/lJNing declarations:
8 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' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compensation insurance earner and po hey
number are: Insurance Co. _____________________ Policy No ______________ Expiration Date _________ _
This section need not be completed rt the permit is for one hundred dollars {$100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, \ shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crlminal penalties and civil fines upto one hundred thousand dollars (&100,000\ in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,.6$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason: D \, 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. \f, 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).
gJ 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 Contracto(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. Oves 0No
2. I (have/ have not) signed an application for a building permit for the proposed work
3. l have contracted with the following person {firm) to provide the pr~sed 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/ 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 name/ address I phone I type of work)·
,.6$ PROPERTY OWNER SIGNATURE □AGENT DATE
{fOMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY '•
ls the applicant or foil re building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sect!ons 25505, 25533 or 25534 of the
Presley-Tarmer Hazardous Substance Account Act? □ Yes □ No
Is the applicint or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfonnatlon Is oorrect and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laNs relating to building construction.
I herelr; aulhorlze represenlalive of lhe Cfy of Cansbad ID enter upoo Ille above menli<>'led properfy for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MI\Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0' deep and demd/lion or construction of strucb.Jres fJ.Jef 3 stones in height
EXPIRATION: Every permit issued by 1he Building Official under lhe prcMS10f15 of !his Code shall expire by limitation and become null and void if the building or WOO< authorized by such pem,it is not commeoce<:f within
180 days from the date of such permit or if the uilding or work authorized by such permit is suspended or abandoned at any time after the work is comfl1e(ICOO for a period of 180 days (Section 106.4.4 Uniform Building Code).
-f6 APPLICANT~ SIGNATURE DATE 5 / 3
-----"""
-. .-PERMIT INSPECTION HISTORY REPORT (CBR2017-0939)
-" ID "' ID ID ID
Pcrmit•Type: BLDG-Residential Application Date: 05/03/2017 Owner:
Work Class: P/MIE Issue Date: 05/03/2017 Subdivision:
Status. Closed -Finaled Expiration Date: 11/01/2017 Address:
IVR Number: 3493
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
05/05/2017
05/05/2017 05/05/2017
05/16/2017 05/16/2017
May 16, 2017
BLDG-34 Rough
Electrical
022644-2017
Checklist Item
BLDG-Building Deficiency
BLDG-31
Underground/Condu
It -Wiring
022341-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
023431-2017
Checklist Item
BLDG-Electrical Final
Passed Peter Dreibelbis
COMMENTS
Partial Pass Peter Dreibelbis
COMMENTS
Passed Peter Dreibelbis
COMMENTS
TRUST EKDAHL FAMILY TRUST
05-16-14
CARLSBAD TCT#77-07
1630 James Dr
Carlsbad, CA 92008-1956
Reinspection Complete
Complete
Passed
Yes
Relnspection Incomplete
Passed
No
Complete
Passed
Yes
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