The URL can be used to link to this page

Home My WebLink About1850 Canyon Pl; ; CBR2017-2995; Permit(city of Carlsbad Residential Permit Print Date: 04/06/2018 Permit No: CBR2017-2995 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1850 Canyon Pl BLDG-Residential 2050808400 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed· Fina!ed 12/14/2017 12/14/2017 Plan Check#: Final Inspection: 4/6/2018 10:28:28AM Project Title: Description: FAR: REPALCE FURNACE AND DUCTING Owner: Contractor: TRUST FORNELL! RA AND L K FAMILY TRUST 09-20-02 ACTION AIR CONDITIONING HEATING AND SOLAR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 1850 Canyon Pl CARLSBAD, CA 92008 Total Payments To Date: $170.00 2750 S Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 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. lf 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.g-0v $170.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILOING DFIRE DHEALTH D HAZMAT/APCD C_cityof 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.([~ r2 w r 7 -tJ er q ~ Est. Value Plan Ck. Deposit . ' Date JOB ADDRESS SUITE#/SPACE#/UNIT# I APN CT/PROJECT# ILOT# J IPHASE# l#OFUNITS l#BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE YESO I AIR CONDITIONING IFIRE SPRINKLERS NOD vESONoD YESONoO APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS ADDRESS \"tSO V STATE Cf!, z1p q '2,oo<g PHONE "3"J't-73 s ~7r;7 /c IFAX EMAIL EMAIL 0o_ES_'"_"_"_"_o_F_•_ss_,_o_••_' _____________________ +-c-o_•m_•_c_To_•_•u_s_._ N.~~~-~---~ G-f-;: v ~ __ -!2f_~---------------1 ADDRESS ADDRESS C°' V:: ~ cz_-i50 ,,; . ::,"""+"'-~ ""--C----------------------------------+------CITY STATE ZIP STATE C fl ZIP Q (l -12vh'-1 CITY c" )(}. \V\,,_.,cc>5 PHONE IFAX -------f-P-H_O_N_E~--------'{JL-0 jFAX f----------~----------+----,_'e9:7Z-7-, Pl EMAIL EMAIL I STATE UC.# (Sec. 7031.5 Business <;1nd P_rofes~ions Code: Any City or Cqun_ty which requires a permit to_c~nstruct, alter, impro"'.e, qemolish or repair any structure, ~rior to its issuance, also requires the applicant for such permit to file a s1~ned statement that he 1s licensed pursuant to the prov1s1ons of the Contractors License LawJChapter9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or fhat he is exempt 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 civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION ompensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· 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' co pensation, as req~re~ection 3700 of the Labor Code, for the .performp!Jfe ~pr wffl ~ibepiit is issued. My worke~' compensation i sla ce carrier and policy number are: Insurance Co. k' W Polrcy No. ~L2...Jj.2V2,,t>t, 2 Exp1rat1on Date ~'~Z,'-+~3~,_,_\-+------ This section need not be completed if 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, 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 worke ' ompensatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ousand dollars (&100,000), in addition to the cost of compensation,11 s rovided for in Section 3706 of the Labor code, interest and attorney's fees./ ~ CONTRACTOR SIGNATURE //1 --ltiAGENT I hereby affirm that I am exempt from Confractor's Ucense Law for the following reason: D D D 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 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 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. 0Yes 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 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, but I have contracted (hired) the following persons to provide the work indicated (include name f address I phone I type of work) _g PROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occupant required lo 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 ActJ D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 lnfonnation Is correct and that the infonnation 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 IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building nder the provisions of this Code shall expire by limitation and become null and void W the building or WOO( authorized by such permit is not commenced within 180 days fi"om the date of such permit or W e buildin ()( rk aulho!ized by such permit is suspended or abandoned at any time after the work is commenced for a riod of 180 days Section 106.4.4 Uniform Building Code). ,fl5 APPLICANT'S SIGNATURE DATE 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, Bui~ing Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY DPT10NS 0 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 ASSOCIATED CB#•------------- o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL/ FAX TO OTHER: ________________ _ o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-2995) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 12/14/2017 Issue Date: 12/14/2017 Expiration Date: 10/03/2018 IVR Number: 8347 Inspection No. Inspection Status 04(06/2018 04/06/2018 BLDG""43 Air Cond./Furnace Set 054077-2018 Passed April 06, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 054076-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST FORNELL! RA AND L K FAMILY TRUST 09-20-02 CARLSBAD TCT#85-13 1850 Canyon Pl Carlsbad, CA 92008-1175 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of1