HomeMy WebLinkAbout1669 Chamisal Ct; ; CBR2019-3098; PermitPrint Date: 11/07/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1669 Chamisal Ct
BLDG-Residential
2157300705
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
(city of
Carlsbad
Permit No: CBR2019-3098
Status: Closed -Finaled
Applied: 11/01/2019
Issued: 11/01/2019 Permit
Finaled:
Inspector:
Final
Inspection: 11/7/2019 10:46:47M
Description: SHINSAO: REPLACE 40 GAL WATER HEATER; LIKE FOR LIKE; LOCATION -GARAGE
WATER HEATER PERMIT
Total Fees: $98.00
Owner:
TRUST SHINSATO POWERS REVOCABLE TRU!
1669 Chamisal
CARLSBAD 92011
Total Payments To Date: $98.00
Contractor:
AFFORDABLE WATER HEATERS AND
PLUMBING INC
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
Balance Due: $0.00
$98.00
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
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
C'/3 R9£! 10 -3)q ~
Plan Check "'--------
Est. Value
PC Deposit --i(-11,..· ____ _
Date ..ul ~-0-~/-..q __
i Job Address --1..::=---'--=--"'-"L.!..l.i...:Ju.>.__;:C:..:'.t.:.....:.-_ __, ____ APN: ________ _
CT /Project#:, _________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
·f\ BRIEF DESCmPTION OF WORK: ~s......µ...w1.J._--1-~__14--1<~Jl.!:-l-....1£1.L.!Au..J~--l:.U~I.J;;..L... ___ _ s :['
0 Addition/New: _____ Living SF, Deck SF, ___ Patio SF, __ __:Garage SF
Is this to create an Accessory Dwelllng Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? __
0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
O Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ________________________________ _
E-Plumblng/Mechanlcal/Electrical Only: --;:W'::;-~g~+::;t~t:==h':::::':-e::'a"':':+:::e~vc---_,_Y_,_e.1P'--'-/ -"a,._._r_.:e'"'t:Y1uc.1..l'.._.o.......,t:'---1
1:)9,_0ther: Y Cl l u <3 ± \ 'v O : 4 2:COQ
DESIGN PROFESSIONAL
Name: _______________ _
Address: ______________ _
City: _______ State:. __ Zip: ___ _
Phone: ______________ _
Email: _______________ _
Architect State License: _________ _
CONTRACTOR BUSINESS
Name: lf:fft; V d fl k I" Wa± "V rl e ti, te y-J''
Address: '25{;, ScC C PVJ J+e Ji c.tfo a g d, --# /., "f /-
City: \/ Cl I en c i" 12,, State: C,t Zip: 1 /, '! .S $
Phone: 't'S;:: -.3 'is -~';;I
Email: fev i+:..r (:'?ha.e-C 0 o:J > State License: Lf 2,J 3 le 8" Bus. Llcense:6 1 OJ I 1../ 7 2. 7 /
(Sec. ·1031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demoJlsh or repair any structure, prior to Its
Issuance, also requires the applicant for such permit to file a signed statement that he/she Is llcensed purSUBnt 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 vlolatlon of Section 7031.5 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: Bulldlng@carlsbadca.gov
B-1 Page 1 of 2 Rev, 06/18
I OPTION A): WORKERS'COMPENSATION DECIARATION:
I hearby affirm under penalty af perjury !/!1J/. of the following declarations:
□ I have and will maintain a certificate of consent to seffwlnsure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit IS Issued.
X, I have and will maintain worker's compensation, ill required by Section 3700 of the Labor Code, for the performance of the work for whJch this permit Is Issued,
My worker( compensation insurance carrier and policy number are: Insurance Company Name: lnru ran re CO. o £ the /J]ecf-t
PollcyNo.;S"tl,7 'f 120 3 ExplratlonDato, / .1.2,D
□ Certificate of Exemption: I certify that In the performance of the work for which this permit ls Issued, I shall not employ any person In any manner so as to be came
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverap ls unlawful. and shaU ,.a an emploVer to
criminal penalties and cMI fines up to $100,000.00, In addition the to the cost of compematlon, dam11es as provided for In Section 3706 of the labor Code,
Interest and attorney's fees. ~8~
CONTRACTOR SIGNATURE: ------'-1-H-IL .... LJ-+-_______ !.lqAGENT DATE: ID/,:; >/jq \ (
( OPTION BI: 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 struct1.1re Is not Intended or offered for sale (Sec,
7044, Business and Professtons 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 thrcruch his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the buildln1 or Improvement Is sold within
one year of completion, the owner•bullder wlll have the burden of proving that he did not build or Improve for the purpose of sale).
CJ 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 wtth contractor(s) ncensed
pursuant to the Contractor'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. □ Yes □ No
2. I (have/ have not) slgrlE!d an application for a bulldina permit for the proposed work.
3, I have contracted with the followlns person (firm) to provide the proposed construction (include name address/ phone/ contractors' llcense number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide ttle major work (Include name/ address/ phone/
contractors' lk:eme 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/ 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 (l) Clvll Code), Lender'sNama: ___________________ Lender'sAddren: __________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the appllcant or future bulldlng occupant required to submit a business plan, acutely hazardous materials realstratlon form or risk management and prevention
pros:ram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? CJ Yes :J No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qua6ty management district? C Yes CJ No
Is the facllityto be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O 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 SERV1CES AND THE AIR POLLUTION CON't'ROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the appllcatlon and state that the above Information is correct and that the Information on the plans Is accurate, I asree to comply with all
City ordinances and State laws relating to bulldlng construction.
I hereby authorize representative of the City of C!r15bad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIF't AND KEEP
HARMLESS THE OTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINSTSAID OlY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit ls required for excavatloru over S'O' deep and demolition or construction of structures over 3 stories In height.
EXPIRATION; Every permit lSSUed by the Bui/ding Offldal under the provisions of this Code sh~I expJre by Hmltatfon and become nuh and void ff the bulldlng or wort authorized
by such permit Is not commenced within 180 days from the date of such pemiit or if the building or work authorized by such permit Is suspended or abandoned at any time
after the work Is commenced for a penod of 180 days (Section 106,3,worm Building Code).
:Pi. APPLICANT SIGNATURE: ~IQ DATE: 1 D /2 r /21
1635 Faraday Ave Carlsbad, CA 92008
B-1
V 1 1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Bulldlng@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-3098)
Permit Type: BLDG-Residential Application Date: 11/01/2019 Owner: TRUST SHINSATO POWERS
REVOCABLE TRUST
Work Class: P/M/E Issue Date: 11/01/2019 Subdivision: CARLSBAD TCT#90-05B AREA 07
Status: Closed -Finaled Expiration Date: . 05/05/2020 Address:
IVR Number: 22845
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
11/07/2019 11/07/2019 BLDG-25 Water
HeaterNents
110085-2019
November 07, 2019
BLDG-Final
Inspection
Checklist Item
BLOG-Building Deficiency
110084-2019
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
Passed Peter Dreibelbis
COMMENTS
Passed Peter Dreibelbis
COMMENTS
UNIT#02
1669 Chamisal Ct
Carlsbad, CA 92011-5031
Reinspection Complete
Passed
Yes
Passed
Yes
Yes
Complete
Complete
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