HomeMy WebLinkAbout1909 ALGA RD; B; CBR2019-2080; Permit(city of
Carlsbad
Residential Permit
Print Date: 08/13/2019 Permit No: CBR2019-2080
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1909 Alga Rd, B
BLDG-Residential
2151700311
$0.00
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Finaled
08/05/2019
08/05/2019
Plan Check#:
Final
Inspection: 8/13/2019 8:55:22AM
Project Title:
Description: AHLBORN: REPLACE WATER HEATER
Owner: Contractor:
TRUST AHLBORN DICK LIVING TRUST
07-27-00
AR S AMERICAN RESIDENTIAL SERVICES OF
CALIFORNIA INC
WATER HEATER PERMIT
Total Fees: $98.00
1909 Alga Rd, B
CARLSBAD, CA 92009
Total Payments To Date: $98.00
9895 Olson Dr, A
San Diego, CA 92121-2841
858-677-5445
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,
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
~.c:ity<)f
(_:arlslJad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Pi 21 n C t1 e c ~-
E:;t, Val•.iE:
P( D2po:;It ----------
~, 5/ICf ___ _
Job Address V30°i A\ gg Rd..,,_ B Suite: ---APN: '2.. \ 5 \ 7 0 0 3 \ \
CT /Project#: __________ Lot#: ___ _ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
Li Addition/New: ______ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many'/ --·
U Remodel: _____ SF of affected area Is the area a conversion or change of use ? Yes/ No
L] Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
:~J Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
Reroof: ---------------------------------------
: rPlumbing/Mechanical/Electrical Only: ----------~---------··----------
Other:
:":ir'tl1 .. ,:,f',1T (:-7 i<l1'111\H'r')
Name: t:'.\I:<,) I tlr~)CL'-t" ,2-oo+.:.
Address:'l'r,1 ,S C-il ';,Sr\\.),*(~
Cityt°).; a i) .; e.5 0 State: l' ('\ Zip: '11-1 2. l
Phone: 'h ~} 2. -'i S ·1 -(r S '1 '2
Email: d e·d rn I •;-1,-.0@-Cj_ :'.s, L<,">;l"'\
Name: __________________ _
Address: _________________ _
City: ________ State: ___ Zip: ____ _
Phone: _________________ _
Email: __________________ _
Architect State License:
~'Rd;:EF'. 1 ··1 U\\:.'if?
Name: D ",ck, f\h\ bo,r'\
Address: \ 0\0'7 @J.C?,a. Rd. ~ C:>
City: Cat \.SPl\.'4 State:0~ Zip: 9'"l.OtA
Phonei>S3 5 \ <',J So , I
Email: ____________________ _
r ,),'i;·,-;,\,t.:r~J?. [l'JSi it)'::
Name:(\{{':) / (( t;·-;..(, u~: ((Ql:•-\"" ·
Address: cl Is', ':> 0 l ~;;,c,, \ () 1 ~ (~
Citv:5ca ,\ D: e ')D State: c ct Zip: "l 0l.l z 1
Phone: ~DC· 'G l..:Fi .· lc5 -1 :Z.
Email: d ed rn,~):ii"O ~ ,, !"5 c. i:•rn
State License:'.) I .,c, 1 S '', Bus. License:r ' '"'".i j 2, OJ L• ~i 0
(Sec. 7031 S fLsiriess a:--.d Professions Code: A01y City or Co:.inty wh,ch requires a permit to corstruct, alter, improve, demolish or repair any structure, prior to :ts
·S'iJt>nce, also rE'quires the applicant for such per'l'lit to file a signed staterneflt rhal he/sf'e 1s licensed pursuart w the provisions of the Contractor's l.1ce:1se Law
t(-7ap,er 9, cor.:,end;ng w;tn Section 7000 cf Div1s1or-3 of the B...:siness and Profe~siors Code} or that he/she is exempt therefrom, and the Oasis for t>-ie alleged
ex,cc,r;u; o,-, ,,_.,,1· v,o,il(•0'1 oi !;,ccl,on IU.;! <.5 b'/ any aµp,,can{ re, a pe•n1L )UO/CCU tne c>pp1,ca"IC re iJ c,v11 pc.1arty af r.at r.o.-e ~/1<:1r. h·c r.._.·na.-ec cc:!<J,"5 !!:>.:iXii
l635 Faraday Ave Caclsl:ad, CA 92008 Ph: 750 502·2719 Fa, 760-602-8558
Page 1 of 2 Rev 05/': 8
...
r OPfiON A) l,','_QRl(~RS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the fallowing declarations·
,'JI have and will maintain a certificate of consent to self-insure fo~ workers' compensation provided by Section 3700 of the l.abor Code, for the perforrr-<.mce of the
·,,ork ·,vhich thi~ permit i:i issued.
ave and will main.tain worker's compensatio.n, a_s reqJired by Section 3700 of the Labor Code, for th per rmance.. the work f°'{ whi,c this permit 1s issued
ockecs: compernti~n.msu,anc,_caf"" and pol<ey numbe, ace Insurance C'mp\"y Name: _ ~' f\_',_ ) -JC:ci~-----_
Poltcy No.II.<, 3, 5o~ ({'/')IC'\ l:. __ Expiration Date: 1 o 1 19
J Cl:'rtrr,l:atl:' ufL:;,.0;:,i1w·,0,1 , (~rt,Fy ~i,at :1-, //;,: [Jc,.•·for111ar1:::tc of ti;c: wor"-for wi11:::h th,, h,e:110,c ,s :s~ued, ,' shai',' ,1ut e,;1µ<'uy ,:;,1y µ~r,;u:; ;,, a,:y ,r;d,-,. t!' :,..:; ,h t.J :;\: ... w,;
sub1ect to the workers' compensation laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penaltles and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
,nterestandattorney'sfees. '. /A_,r.ENT DATE·. ei( C: llt"t.
coNTRAcToR s1GNATURE, D. E c{: ,y,..,J~<,,":-1'-.-~ ~-'!." o _ ,/ ~ .:1. r-
( df'frU~i 8 ). QWJ'iEf{-8UILDER DECLARATIU_r'L
/ hereby affirm that J am exempt from Contractor's Liceme Law for the following reason:
7 :, as owner cf the property or ,.,,,y ernpioyees with wages as :heir sole corr~pensat1on, wili do the work and the struct-,re ·snot ,ntended or offered fc-sale (Sec
/044, B..isiness a'ld Pmfessions Code. Tfie Contractor's 1.1cense law does not app!y to an awrier of property who builds or improves thereon, and who does s1..:ch work
~,,11self or through his own employees, provided that suc'1 improvements are not intended or offered for sale. If, however, the building or improvement is so!d w;•.ii1i-
O"e year of corncletion, the owner•b..iilder wi!I h;;ve the burden of proving that tie did no~ build or improve for the pur;:iose of sale)
:1 ,, as owner of the oroperty, am exci.isively contracting w•tn licensed contractors to construct the project (Sec. 7044, Bus:ness ;;nd Professions Code. Tf1e
Cc·:~ractcr's License law does not appiy to an owner of prope-ty who builds or irrproves thereon, and contracts fa-swch projects w,tr co:,tractor(s) i::::ersed
poJrsua"t to the Contractor's L:ce:-ise l_aw'..
:11 arr exempt under Section___ _ ___ Busi:--ess arid Professions Code fer thrs reason
i perscnal!y clan to proviCe the ma,or !abor and materia1s for constr,;ct;on of ine proposec' D'operty irPprovement 7 Yes ::I No
2 i (nave/ have r.ot) signed an appliecitior, for a building per!T'1t for the proposed work
! r,ave contracted with the fol:owing perso'l (firm) to prov•de the proposed constn,ction (inc:ude name address/ phone/ co.-itractors' licer'se Pu-rbc:):
: ol2r tel orov1d2 portic,:s o' the WO"K, o· .. t I nave rircd c11e fo11owing person tc coor:::J1"ate, superv:se and provide the major wor~ (include na~c / 2d:::1ess / :ror:e /
cc1ntractors' 1;cense n1.rnber)
S , wrll p:ovide some of the work, but I have contracted (nired) the follow•ng oersons to provide ~be work indicated (inc!wde name/ address/ pnone / ~YPE' of w:X'<)
OWNER SIGNATURE: __JAGENT ----------------------DATE: ______ _
1_:0i•i?Jfit_.jJ'l iQ\11J.!_fJIJi_~ .4_r~~.Ei'-~C_'r', !F ::-\:\U.
I rereby affi:r:i that there is a constn .. ctio:-: lending agency for the performance of the wcrk thrs perm1l is issued (Sec. 3097 (1) C,v1i Code)
Lender's Name· ------· ------------------------lender's Address: _____________ .. --·-· _________ _
r)~h·r ~~QJ~!.f'LETE f_HE FOLLO\V1NG SECTION_FOR_N(J;'i·_RESlUEt•iTl;i~_B_UiLDl~J(i PERMITS 01\JLY.
is the app•ica.1t or future building occupant required to ~wbmit a bl.sines~ plan, acutely r.azardous matena•s registration form or risk rrianagemer,t a r".d prevent:cn
program ~nder Sect,ons 25505, 25533 or 25534 of the Presley Tanner Hazardous Sc,bstance Accoum Act? J Yes '.J No
1, the appiicai:t or fulure building occupant required to obtain a permit from the air pollution control d,str,cl or air quality manager-ient district? 7 Ves :7 i\!o
Is the fac•lity to be constructed within 1,000 feet of the outer boundary of a school site., 'J Yes ::I No
1F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR tS MEETING THE
REQU!REMENTS OF TH.E OFF!CE Of EMERGENCY SERVICES AND THE A!R POllUTlON CONTROL DISTRICT.
A ~-_ _e ~-i C_::_\l~-i r C_E R r L~ I <;fJ !Q/J_
certify t!-Jat I have read the appl1cat1on and state that the above information 1s correct and that the information on the pla.1s 1s uccurate I agree :o c::i.....,p!y 1,v;:~ a:'
c•ty ordinarices and State laws relating to building co1struct1on
! nereby authorize representative of the City cf Carlsbad to enter upon the above mentioned property for inspection purposes i Al.SO AGREE TO SAVE, INDEMNiFY Ai\>iJ K:::i: P
-'.P8VL~SS T~·c:_ -;:::1v c.:: U,"'.I.S!!A~) ACN:\JS": !\'_' .. 1 . .',A3'·,_·:••~s, '.',)IJGi\/~N":S, ':CS'S !ltF": ':X~':."-lSES W'-'·Cw !\.~.'\11 •~j Mi':' \/\JA':' /\CC?,·JE A.GP.'.NS~ Sd.'.!J c:v ''·-CQ~;~,[~,._::: '!C 0~
111<;: (:~Ai\:TIN(; OF TH:S PrnlV'IT.OSHA: Ar OS!--1/~ perr.,il is reqJ:red for excavations over 5'0' deep and demolition or constrJcticr: of structures over 3 stories'"· height
EXPlfl.ATiO,\J: Every permit issued by the Bui1ding Off1cra1 under the prov1sior:s of this Code shall expire by limitation and become null and void 1f me building or work a-..1thcri1ec
by sue' permit :snot commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abando,.,.ed at any time
::,:~:;:::c:~;::~~o~:~•r-io_c_,(,.).,18'..-0~d-•_,vf,,[=Se.!;,.t~.!.oc.rt-l::C~!'.'-•>c·4!.{rl,_n-",~"'c'--rr,,!., ,,:=·i-ld-~i:"-:-co_d_e_) __________ DATE: '6 \ s\ l.°J
1635 Faraday Ave Carlsbad, CA 92008
8-1
Ph 760-602-2 719 Fax: 760-602-8558
Page 2 of 2 Rev 06118
PERMIT INSPECTION HISTORY REPORT (CBR2019-2080)
Permit Type.
Work Class:
Status·
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 08/05/2019
Issue Date: 08/05/2019
Expiration Date: 02/10/2020
!VR Number: 20815
Inspection No. Inspection Status
08/13/2019 08/13/2019 BLOG-25 Water
HeaterNents
100665-2019 Passed
August 13, 2019
BLDG-Flnal
Inspection
Checklist Item
BLDG-Building Deficiency
100666-2019
Checklist ltern
BLDG-Plumbing Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Peter Dreibelbis
Peter Dreibelbis
TRUST AHLBORN DICK LIVING
TRUST 07-27-00
LA COSTA CONDOMINIUM# 1
UNIT# 2
1909 Alga Rd, B
Carlsbad, CA 92009-6105
Reinspection
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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