HomeMy WebLinkAbout1695 Basswood Ave; ; CBR2019-1671; PermitPrint Date: 10/17/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1695 Basswood Ave
BLDG-Residential
2051306600
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: HERRERIA: NEW A/C 3 TON
Owner:
OWNER HERRERIA VICTOR AND CARRIE
1695 Basswood Ave
CARLSBAD, CA 92008
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
(city of
Carlsbad
Permit No: CBR2019-1671
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Closed -Finaled
06/27/2019
06/27/2019
Inspection: 10/17/2019 3:23:33Pr
Contractor:
WEST COAST APPLIANCES SERV INC
619-448-9136
$175.00
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 aside1 void1 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 changes1 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
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 I 2719
1695 BASSWOOD AVE
Fax 760-602-8558
www.carlsbadca.gov
SUITE# /SPACE#/UNIT #
Plan Check No.
Est. Value
Plan Ck. Deposit
Date {;/z_;j--/JC, i
IAPN 205 -130 -66 -00
hc-,;-p-e"oJ-,-c,-,~-_-__ ----_-JT_-,~-,-~---_-_-_ ---_~T-p-"'-,-,-,~-_-1-·_-o-,-uN-1-rn~l-,-,-rn-,-o-o-M-s--+-,-,_-,,-,-,-oo-M-s--l"'''"NA"N"J"B"US"l",C~SS=N-AM"E/--------~.1-co-~-s-~-RA"TY"'~"'-~lo-cc-s-~~,;~u-,--1
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
ADDING AC 3 TON
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF)
CONTACT NAME (If Different Fom App/leant} SYNDIE PICH APPLICANT NAME
ADDRESS ADDRESS
1256 FAYETTE ST
CITY STATE ZIP CITY
EL CAJON CA 92020
PHONE PHONE
619-557-0446 619-448-3708
EMAIL EMAIL
westcoastheatcool@lgmail.com
FIREPLACE
YESO, I
AIR CONDlTIONING IFIRE SPRINKLERS
No□ YES □No □ YES □No□
STATE ZIP
lFAX
PROPERTY OWNER NAME VICTOR HERRERIA
1695 BASSWOOD AVE
CONTRACTOR BUS. NAME WEST COAST APPLIANCE SERVICE INC. --------------------
ADDRESS ADDRESS 1256 FAYETTE ST
CITY STATE
CARLSBAD CA
ZIP CITY
92008 EL CAJON
STATE
CA
ZIP
92020
PHONE PHONE
760-715-4525 619-557-0446 619-448-3708
EMAIL EMAIL
westcoastheatcool@lgmail.com
ARCH/DESIGNER NAME & ADDRESS TSTATE LIC. # STATE LIC.# 810930 lcc10. C20 ICIWBUS IIC1211147
(Sec, 7031.5 Business and P_rofess1011s Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
c1pphcant for such per_111It to file a signed statement that he Is licensed pursuant to the provIsIons of the Contrc1ctor's License Law JChapter 9, comme_ndmg wItl1 Section 7000 of D1v1s1on 3 of Hie
Business and Professions Code) or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars {$500}}.
Workers1 Compensation Declaration: / hereby affirm under penalty 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.
[Z] I have and will maintain workers' compensation, as required bv SecUon 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy
number are: Insurance Co STATE fUND Policy No. 922551>19 Expiration Date 02-20
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shal! 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 hall 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 de, interest and attorney's fees.
fES CONTRACTOR SIGNATURE
I hereby 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 and Professions Code: The Contractor's
License Law does not apply to an owner of property v.tio builds or improves thereon, and who does such work himself or ttirough his own employees, provided that such improvements are not intended or offered for
sale. 11, 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 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 plan to provide the major labor and materials for construction of the proposed property improvement Oves 0No
2. I (have I have not) signed an application for a building permit for the proposed work,
3. I have contracted with the following pe~m• (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 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 I address I phone I type of work)
.Je5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business.Q@!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 ol the
Presley-Tanner Hazardous Substance Account Act? D Yes LJNo
Is the appl_icant or future building _occupant required to obtain a permit from the air pollution control district or a~ality management district? Oves D No
!s the facility to be constrt1cted within 1,000 feet of the outer boundary of a school site? Oves LJNo
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.
1 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).
j lender's Name lender's Address
IH~~jffi!tiii iiiiiiiSii~iJ : L 44
I certtfythat I have read the application and state that the above infonnation 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 atx:ive mentioned property for inspection puri:oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemll is required for excavations over 5'0' deep aid demOOtion or construction of structures over 3 stories in height
EXPIRATION: Every permrt issued by the Building Official under the provisions ofthls Cede shall ex~re by limitation and become null and void if the buikling or work authorized by such permit is not commenced within
180 days from the date of such pem1it or if the building or work authorized by such permit is sus ded or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Un dorm Building Ccxle)
./iS APPLICANT'S SIGNATURE DATE 6/27/19
''\ ,, " j,« ' "' j ' ' ':·.,,' . ..;,;i{\ PEftl!l'l INSPECTION F,if~TORY REPORT (CBR2019-1671)
Permit Type: BLDG-Residential
Work Class P/M/E
Status: Closed -Finaled
Scheduled
Date
Actual
Start Date Inspection Type
10/17/2019 10/17/2019 BLDG-43 Air
Cond./Furnace Set
BLDG-Final
Inspection
Application Date: 06/27/2019 Owner:
Issue Date· 06/27/2019 Subdivision:
Expiration Date: 04/14/2020 Address:
IVR Number: 20050
Inspection No. Inspection Status Primary Inspector
107871-2019 Passed Tony Alvarado
107870-2019 Passed Tony Alvarado
Checklist Item COMMENTS
BLDG•Mechanical Final
OWNER HERRERIA VICTOR AND
CARRIE
SANDALWOOD DALE
1695 Basswood Ave
Carlsbad, CA 92008-1948
Reinspection Complete
Complete
Complete
Passed
Yes
------------------________ ,. __________________ _
October 17, 2019 Page 1 of 1