HomeMy WebLinkAbout1861 Palisades Dr; ; CBR2018-0811; Permit( City of
Carlsbad
Residential Permit
Print Date: 10/02/2018 Permit No: CBR2018-0811
Job Address:
Permit Type:
Parcel No;
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1861 Palisades Dr
BLDG-Residential
2073822800
$0.00
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
04/04/2018
04/04/2018
AKrog
Plan Check#:
Final
Inspection: 10/2/2018 10:19:36AM
Project Title:
Description: DODD RESIDENCE -REPLACE FAU, ADD PRE PLUMBER A/C, CHANGE OUT DUCTING
Contractor:
MAJOR LEAGUE COMFORT SYSTEMS
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
1664 Seattle Slew Way
Oceanside, CA 92057-5621
760-945-0975
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 1T 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 \ 760-602-2700 \ 760-602-8560 f \ www.carlsbadca.gov
$170.00
i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING 0BULDING □FIRE
{'city of
Carlsbad
CT/PROJECT#
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SU1TE1'/SPACEI/UNITI
Plan Check No.
Est. Value
Plan Ck. Deposit
Date L-\.
APN
# BATHROOMS TENANT BUSINESS NAME
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER
ADDRESS
ZIP
STATE LIC. #
□HEALTH 0 HAZMATIAPCD
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
YES0N00
ZIP Cjc).6()
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to fts Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provIsIons of the Contractor's license law /Chapter 9, commending with Section 7000 of Division 3 of the B_usIness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation 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)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations:
QI 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 pertormance of the work for which this permit is issued.
4f11 have and will maintain wor1lers' compensation, as requi by Section 3700 of tt-e Labor C.ode, for the pertormance of the work for which this permit is issued. My workers' compensatkln insurance carrier and policy
number are: Insurance Co. _ _A,/ll<~__J"z_l~!,4.,fL_/,~J.!.tll'.b.:GI~-~ Policy No. /17WC ~ I oa 7 ;t Expiratkln Date 7 /~IJ/ Y i ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Cert.iHcate of Exemption: I certify that in the performance of the work for wtiich 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 cove e is unlawful, and shall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars {&100,000), ln
addition to the cost of compensation, dam a ecf I ectlon 06 of the Labor code, Interest and attorney's fees.
85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense 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 who bu11ds 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).
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. OYes 0No
2, I {have I have not) signed an application for a building perm1l for the proposed work
3. I have contracted with the following person {firm) to provide the proposed construction (include name address I phone / contractors' lk:ense number):
4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the m~or work (include name I address I phone/ contractors' license number)·
5. I will provide some of the work, but I have contracted (hired) \he following persons to provide the work indicated (include name I address I phone I type of work):
85 PROPERTY OWNER SIGNATURE □AGENT DATE
)
COMP~ E,T E TH IS SECTION FOR NON-RESIDENT I Al BU IL DING PERMITS ONLY
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 Act? □ Yes D No
Is the applicant or future building occupant required to obtain a pennit 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 school 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 CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that 1 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 Cffy ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Cartsbad to enter upon the atove mentioned prop::!rty 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
OSHA: M OSHA pennrt is required for excavalions over 5'0' deep and demolrtk:ln orcoostruction of structures over 3 stories in height.
EXPIRATION: Every pennrt issued by the Building Official under the i:roviskJns of this (;ode shall expire by limitation and berome null and vod ~ the building orv.ork authorized by sudl pennit is not commenced 'Mthin
100 days from the date of sudl permit or if the build' 'a1uth<,._.d)"""l'"'11ilt is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Sectbn 106.4.4 Unifonn Bwlding Ccxle).
o/?i>(L<i JI$ APPLICANT'S SlGNA TURE 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, Building Division 1635 Faraday Avenue, Carlsbad, Cafffomia 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUP T NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELMRY OPl'IONS
PICK UP: o CONTACT (Listed above) □ OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#·-------------MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION
MAIL/ FAX TO OTHER:----------------~ □ CHANGE OF USE/ NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
, PERMIT INSPECTION HISTORY REPORT (CBR2018-0811)
Permit Type: BLOG-Residential Application Date: 04/04/2018 Owner:
Work Class: PIMIE Issue Date: 04104/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 04/01/2019 Address:
IVR Number: 10508
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
08/28/2018 08/28/2018 BLDG-43 Air 068368-2018 Failed Andy Krogh
Cond./Furnace Set
Checklist Item COMMENTS
BLDG-Building Deficiency Main electrical not labeled, missing
knockout blanks, missing ac breaker label,
white wire not taped to show current
carrying, ac fuses tripped as branch circuit
meets minimum for condenser (30amp)but
recommended circuit is 40 amp ... no HERS
reports, no inspection record onsite
BLDG-Final 068369-2018 Failed Andy Krogh
Inspection
Checklist Item COMMENTS
BLDG-Building Deficiency Main electrical not labeled, missing
knockout blanks, missing ac breaker label,
white wire not taped to show current
carrying, ac fuses tripped as branch circuit
meets minimum for condenser (30amp)but
recommended circuit is 40 amp ... no HERS
reports, no inspection and onsite
BLDG-Plumbing Final
BLDG-Mechanical Final
BLOG-Structural Final
BLDG-Electrical Final
10/02/2018 10/02/2018 BLDG-43 Air 071744-2018 Passed Andy Krogh
Cond./Furnace Set
BLDG-Final 071745-2018 Passed Andy Krogh
Inspection
Checklist Item COMMENTS
BLDG-Mechanical Final
BLDG-Electrical Final
October 02, 2018
CARLSBAD TCT#76-15 UNIT#02
1861 Palis/;des Dr
Carlsbad, A 92008-3757
Reinspection
Reinspection
Passed
No
Reinspection
Passed
No
No
No
No
No
Passed
Yes
Yes
Complete
Complete
Complete
Complete
Complete
Page 1 of 1