The URL can be used to link to this page

Home My WebLink About167 Cherry Ave; TP; CBR2017-1599; PermitPrint Date: 07/18/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 167 Cherry Ave, Tp BLDG-Residential 2042321800 $0.00 167 CHERRY AVE DUPLEX City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: DEV16050 Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: TAYLOR: lOOAMP TEMP POWER FOR FUTURE CONSTRUCTION PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: MATIHEW TAYLOR 1450 Ravenswood Ln RIVERSIOE, CA 92506 760-500-7020 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: 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: CBR2017-1599 Closed -Finaled 07/17/2017 07/17/2017 $0.00 $166.00 lT1-FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT 1ssuANCE: D PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMA T/APCD ,f?'c· f Building Permit Application '-_ Ity O 1635 Faraday Ave., Carlsbad, CA 92008 Carlsb".:11,d Ph: 760-602-2719 Fax: 760-602-8558 U email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS SUITE#/SPACE#/UNIT# I ro 1-- Plan Check No.Qe,Q.2011-\SC\~ Est. Value Plan Ck. Deposit Date -23 '2 -00 CT/PROJECT# I LOT# TPHASE # I# OF UNITS I# BEDROOMS N BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) E1e,1q, cc p5t.\J ) s}zoele I e ,, I .L\ -' oF EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE YES[), TAIR CONDITIONING IFIRE SPRINKLERS NOD vESONoO vesONoO PROPERTY OWNER m,,._ '1h<--W T"-'--'I~, APPLICANT NAME Primary Contact ADDRESS ADDRESS Pt'l\)l,-.-r I e, ' d,_, "(\,' p,,..'11.-, .S-""'°""°> C /l-1).{li,'j C.5"< r-,,-c,,.;,,\.,, Bt,,,fln CITY STATE ZIP PHONE I FAX EMAIL DESIGN PROFESSIONAL PHONE ,-.{.,fl -50()- EMAIL CONTRACTOR BUS. NAME STATE er_:_; TFAX -,--t)UJ ZIP '1")..c.oS PHONE----------~-CIF~AX~-------------P~H~O~N~,-----------~l~F~AX~---------------1 f-cE~M~A~IL ______________ sL....------------~--EMAIL -----------, I STATE LIC. # -t===----------~=~--~==~=--------1 STATE LIC.# l CLASS I CITY BUS. LIC.# (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 per.m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, comme.nd1ng with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt 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' Compensation Declaration: I hereby affirm under pena"y of perjury one of the following declarations: D 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. 0 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 carrier and policy number are: Insurance Co. ______ Policy No.----------------Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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' compensation 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, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE 0AGENT DATE OWNER-BUILDER DECLARATION ereby affirm that I am exempt from Contractor's License Law for the following reason: 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 a11d Professions Code: The Contractor's License Law does not apply to a11 owner of property who builds or improves thereon, and who does such work himse~ 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}. I, as owner of the property, am exclusively co11tracting 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 properiy 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 Professio11s Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2.1 (have I have not) signed an applicatkm 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 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 I contractors' license number): 5. I will provide some of the work tracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ~PROPERTYOWN SIGNATURE ---------------0AGENT DATE '• 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? D Yes O No !s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D 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. I certify that I have read the application and state that the above infonnation Is correct and that the infonnation on the plans is accurate. I agree to comply with all City on:linances and State laws relating to building construction. I hereby au~arize representative of ~e Cfy of Carlsbad lo enter upon ~e above menlioned properly for '1specoorl purposes. I ALSO AGREE TO SAVE, INDE~IFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required for excavatioos over 5'0' deep and dentailion or construction of slructures over 3 stories in height. EXPIRATION: Every permit issued by lhe Building Official under the provisions of lhis Code ~hall expire by limitation and become null and void if lhe building or won< aulhorized by such permit is not commenced wilhin 180 days from the date of such permit or if the building or work aulhorized by such pennlt is suspended or abandoned at any time after the won< is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). 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 building@carlsbadca.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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: ________________ _ .@S"APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Permit Type: Work Class: Status'. Scheduled Date BLDG-Residential PIMIE Closed -Finaled Actual Start Date Inspection Type Application Date: 0711712017 Issue Date: 0711712017 Expiration Date: 0111512018 IVR Number: 5038 Inspection No. Inspection Status ----··------------------------ 07/1812017 0711812017 July 18, 2017 BLDG-33 Service ChangelUpgrade 029028-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 029207-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul York Paul York MATTHEW TAYLOR PALISADES HEIGHTS REFILED 167 Cherry Ave, Tp Carlsbad, CA 92008 Reinspection Passed No Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1