HomeMy WebLinkAbout1660 Basswood Ave; ; CBR2020-0162; PermitPrint Date: 02/05/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1660 Basswood Ave
BLDG-Residential
2050602500
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#;
Plan Check#:
Description: 200A PANEL UPGRADE (EVSE READY REQUIRED)
Owner:
TRUST ROWLETT ROBERT D AND ANN M
REVOCABLE TRUST
1660 Basswood Ave
CARLSBAD,CA 92008
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
Ccityof
Carlsbad
Permit No: CBR2020-0162
Status:
Applied:
Issued:
Closed -Finaled
01/21/2020
01/21/2020
Permit
Fina led:
Inspector: CRenf
Final
Inspection: 2/5/2020 10:17:57AM
Contractor:
JOE MOORE CONSTRUCTION INC
3612 Valley St
Carlsbad, CA 92008-2639
760-434-1203
Balance Due: $0.00
$175.00
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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
Ccicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check<!.,W202.Q-'DI l1l2
Est. Value
PC Deposit ---------
Date --'1_--"'2.='--1---=2.uc.=-__
Job Address JG b CJ /3455 u ) Q OD '
Suite: _____ APN: __________ _
CT/Project#: _________________ Lot#:, ___ _
Fire Sprinklers: yes / ~ Air Conditioning: yes / no Electrical Panel Upgrade: yes/ no
BRIEF DESCRIPTION OF WORK: ___________________________ _
□ Addition/New: ______ Living SF, ____ Deck 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
Additional Gas or Electrical Features? □ Pool/Spa: ____ SF -------------
□ Solar: ___ KW~ Modules, Mounted: Roof /Ground, Tilt: Yes/ No,
Panel Upgrad~_::~)/ No
RMA: Yes/ No, Battery: Yes/ No
D Reroof: ___________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
□ Other: ZJ,..; ~ L u/J 6-tf!M6, (!) N t 1 --r: :;;.i-/ (!)ur It r
APPLICANT {PRIMARY CONTACT) PROPERTY OWNER
Name: ..Joe., /1-1.cro /Z....c Name: ftb'16,e,T lZ, w{ E {{
Address: ~ c;., Z... VA:?l&'=t ! C Address: /G:' 0 ~,q~stA->-.-,....C
Cit,.C::,· ~ Zs c; ..(' State:<:! I+ Zip/'l 2,CKJ "i(' City:~{<, 4,_._o State:Cl"'-Zip: q 2.J:>Cl Y'
Phone: 7,:;.a 'f:~ f ( ZO ~ Phone: _:7!'-'G,"-G)"---_._7-=2.,:c.9,__ . ...,_9-=o'-7-'--+i--------
Email: .....Jo-'=-@ lLJ tNf;,'5unfe5. Co M Email:__:IV..::....i...c"-________________ _
DESIGN PROFESSIONAL ~ CONTRACTOR BUSINESS
Name:_________________ Name: .f a'L Pl ooe.er-Co tsJ ~-,
Address:________________ Address: :, C. 1 z. VAUf! '< ~ r-
City: _______ State:_~Zip: ____ City: Q. B,+tJ State?-A--Zip: 7? o ° K
Phone:_______________ Phone: <Jt,, 0 'i 3 <f ( 2..o '3,
Email:________________ Email: _)o (Q_ u.'.lt ... 'O'.:'Tun.l'i'. j . C.O M
Architect State License: ___________ State License: 3 e, 7, 1 ~-Bus. License: I "2. ~'f q:;i' I
(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 signed statement that he/she is licensed pursuant to the provisions of the Contractor's license Law
{Chapter 9, commending with Section 7000 of Division 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 subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602·2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06118
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
□ I have and will 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.
0 I have and will maintain orker'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' compe ranee carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. __ _J_~_j~,lc_ _______ Expiration Date: _________ _
"" _ff rtif1cate of Exemption: I certify that 1n the performance of the work for which this perm rt is issued, I shall not employ :ny person 1n any manner so as to be come ~:~t to the workers' compensation Laws of Cahfornia. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil 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. /4
co"'"'""o' S,GNAru,., ~y UmNT wm, _____ _
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's license Law for the following reason:
0 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).
0 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 pfan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. t 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. l will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
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: _____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a 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 O No
rs the applicant 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 s'chool 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 AND THE AIR POLLUTION CO_NTROL DISTRICT.
APPLICANT CERTIFICATION:
J certify that I have read the application and state that the above information is 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 City of carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY JN 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' deep and demolition or construction of structures over3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime
after the work is commenced for a peri n 106.4.4 Uniform Building Code).
1635 Faraday Ave Carlsbad,
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2020-0162)
Permit Type: BLDG-Residential Application Date: 01/21/2020 Owner:
Work Class: P/M/E Issue Date: 01/21/2020 Subdivision:
Status: Closed -Finaled Expiration Date: 08/03/2020 Address:
IVR Number: 24358
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
02/04/2020 02/04/2020 BLDG-33 Service 118315-2020
Change/Upgrade
02/05/2020 02/05/2020 BLDG-Final
Inspection
February 05, 2020
Checklist Item
BLDG-Building Deficiency
118535-2020
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
TRUST ROWLETT ROBERT D AND
ANN M REVOCABLE TRUST
CARLSBAD LANDS
1660 Basswood Ave
Carlsbad, CA 92008-1947
Reinspection Complete
Passed
Yes
Passed
Yes
No
No
No
Yes
Complete
Complete
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