HomeMy WebLinkAbout1939 Marcasite Pl; ; CBR2019-1562; PermitCCityof
Carlsbad
Residential Permit
Print Date: 06/26/2019 Permit No: CBR2019-1562
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1939 Marcasite Pl
BLDG-Residential
2132922500
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
06/18/2019
06/18/2019
Plan Check#:
Final
Inspection: 6/26/2019 2:22:50PM
Project Title:
Description: PATTI: REPLACE SO GAL WATER HEATER; LIKE FOR LIKE; LOCATION GARAGE
Owner: Contractor:
TRUST PATTI FAMILY TRUST 12-10-03
1939 Marcasite
AFFORDABLE WATER HEATERS AND
PLUMBING INC
CARLSBAD 92009
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
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(ai 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 II mitation 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
{"cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
66 e--i,,,1cr -Js ,.~'7 Plan Check ___ f7V __ f_.........:~--~---
Est. Value
PC Deposit --------
( o -L 6 ·-l q Date 1 ...... ~------------
.fl Job Address _..._ ______ ...._ ___ __. ....... ....-~..L.Ji....x..: ....... -..l--J..,;___• APN: _________ _
CT/Project#: _________ Lot#: ___ Fire Sprinklers! yes/ no Air Condltloningl yes/ no
0 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? _
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes / No
O Pool/Spa: ____ SF Additional Gas or Electrical Features? -----------
D Solar: ___ KW, __ Modules, Mounted: Roof/ Ground , TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: --------------------------------E-Plumbing/Mechanical/Electrical Only: _....;W~__,q.._+___,..c ..... r_ .... h ___ f_a,_,+ ........ e. .... r ___ ..... r__.e....,P_..1 .... a ........ r ... -e ....... rn--.e__.._n~t:--f
t'il0ther: Y<J \ u a±, v n : 4 20DQ -
Name: 2 lZS._b.. ~-a ,.. Name: A\f P:€ cl \):aztt'\ ·
~APPUCAN~PRIMARV) _ PROPERTY O~NER ,\"'" _
Address; =~ Eo~i~ ¥,dj,;~~ress: \C\?C) M™1Las \Ve p I '
City: \1~2 State:CB Zlp;':'.fl, 5':} City: C ti v I fie a d-State: C -1'" Zip: G'J20 O'::]
Phone:~~4'5-~°=f> Phone: (p4Q ·-B5~ -:1crei2
Email: ~1'S]22'JQhaf,CO<n = Email: ____________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: Name:1:ffcrd@)zle, Wa±e.v tf,a,te,r;.f'
Address: Address; 28:~ SK CPn.J±G U ~tic a f{ d, --#-& q /"
City: ______ state: __ Zip: ____ City: \[a feta ,,·a,, State: C-'t Zip: q 13.SS.
Phone: Phone: :{..S -1.."" ~.! -i. C....:f. l.
Email: Emall: fi~;fi:G;> AVf'"1'\;, ~0 CYl ,
Architect State License: State License: l.f 2,:1 .3 le 8 Bus. Ucense:l> l,, D cJ I Z. / 7 2. 7 /
(Sec. 7031.5 Business and Professions Code: Any Cltv or County which requires a permit to c:oMtruc:t, alter, improve, demolish or repair any struct!lre, pt'lo(to Its
Issuance, also requires the appllcant for such permit to file a signed statement that he/she IS licensed pursuant to the provisions of the Contractor's Ucense Law
{Chapter 9, too'lmendlng With section 7000 of Division 3 of the Business and Professions Code} or that he/she Is exempt therefrom, and the basis for the aHepd
exemption. Any vlolatlon of Section 7031,S by any appllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)1,
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760·602-8558 Email: Bui1ding@>c11rlsbadca.gov
B-1 Page1 of 2 Rev. 06/18
----..... -.....
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby ajftrm under penalty of perjury £at of the following declarations:
□ I have and wUI maintain a certificate of consent to 11elf-Inwre for worlws' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is Issued.
~ I have and will maintain worker', compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thls pe~ls Issued.
Mywortert' c,.ompensatlon Insurance carrier and pollcynumberare: Insurance Comp1ny Name: Losa ran ( e CO. D £ t1::J e 1/J ed'+
Polley No. ,'.) C ~ L '-I q 1 D 3 Expiration Date: l • I • 2. O
□ Certlfi<:ate of hemptlon: I certify that in the performance of the work for which thl5 permit I, Issued, I shall not ~ploy any person In a1111 ma11ner .so as to be come
subject to the workers' compensation Laws of Callfornla. WARNING: Failure to secure wol'Kel'S compenaatloll co,,,.rqe It unl.-.vfut, and ahall IUbject an employer to
criminal panaltle1 and chill fines up to $100,000.00, In addition the to the Q1ft of compensetlon, damaces a1 provided for In Section 3706 of the Labor Code,
l11terest •nd auorney's fees. &' h\ ~ CONTRACTOR SIGNATURE: -----..... 411-,..+jL~lJ-+-. ______ il(AGENT DATE, (o /44~
( OPTlON B ): OWNEJM\UILDER DECLJ\ftATION;
I hereby affirm that I am exempt from Contractor's License Low for the following reason:
Cl I, a$ owner of the property or my employees with wages as their sole compensation. wlll do the work and the structure Is not Intended or Qffered for sale (Sec.
7044, Business and Professions Code: rhe Contractor's Ucen,e Law doe. not apply to an owner of property who builds or Improves thereoo, and who does such work
himself or throll8h his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Jmprovement Is sold within
one vear of completion, the owner-builder wlll have the burden of proving that he did not build or Improve for the purpose of sale).
□ l, as owner of the property, am exdu5ively contracting with licensed contractors to connruct the project (Sec. 7044, Business and Professions Code: rhe
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 Contr~r' s Utense Law).
Cl l am exempt under Sl!Ctlon _______ auslness and Professions Code for this reason:
1.1 personally pfan to provJde the major labor and materials for construction of the propased property Improvement Cl Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted w!th the following pe(SOn (fl rm} to provide the proposed construction (indude name address/ phone/ contractors' lice~ number):
4.1 pla11 to provide portions of the work, but I have hired the following person to coordl11ate, supervise and provide the major work (Include name/ address/ phone/
contractors' license number):
5. J wm provfde some of the work, but I have contracted (hired) the following person5 to provide the work Indicated (Include name/ address/ phone/ type of work);
OWNER SIGNATURE: □AGENT -----------------------DATE: _____ _
CONSTRUCTIQN LENDING AGENcy. IF ANY;
I hereby cJffirm that there Is a construction lending age11cv for the performance of the work this permit ls Issued (Sec, 3097 (I) CMI Code}.
Lender's Name: ___________________ Lender'sAddfeu: __________________ _
ONLY COMPLETE THE FOLLOWING SEC[lON EOR NON~RESJDENTIAL BUILOlr;IG PERMITS QfiLY;
ls the i,ppllc.int or future building occupant reQuired to submit a business plan, acutely nazardous materials registration form or risk management and prevention
program under Sections 25S05, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou11t Act'? □ Yes O No
ls the appllcant or future bulldlng occupant required to obtain a permit from the air pollution control dlstrlet or air quallty management district? □ Yes □ No
Is the fuclllty to be conmucted wJthln 1,000 feet of the outer boundary of a school site i' □ Yes Cl No
IJ: ANV OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY MAY NOT BE fSSUEO UNI.US THE APPLICANT HAS MET OR IS MEETING 1HE
REQUIRV-'IENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT gJIJIACATIQt!:
I certify that I have read the application and state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all
City ordinances and St• lawsre4atlng to bulldlngconstruc:tlon.
I hereby authorize representlt!W of the. Qty of Cirlsbad to enter upon theabowe mentioned ptaperty for In~ purpoR1$, I A\SO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE QTY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH .MAY IN Attf WAY ACCRUE AGAINST SAID arv IN CONSEQIJENCE OF
THE GRANTING OF l'HIS PERMIT .OSI-IA: An OSHA petmlt IS requli,id for excavi11tiON 0111!1' S'O' deep and demolltlon or construction of snuctures over 3 stories In hel&ht,
EXPIRATION: Every permit llsUed by the Bultdlna Official under the pcovlslan5 of this Qlde shall eicplre by lln!ltat!On and become null and VOid if the bulldl.,.. Ol work allthorized
by such permit Is not QOmmenced within 180 days from the date of such pennlt or If the buildlna o, wotk authorized by such pennlt Is suspended or abaniloned at any time
after the work is commenced fora period of 180 days (Sec11an 106.r ~ BulldloflCode), / /
-P. APPLICANT SIGNATURE: 01 ~ . DATE: eo IL rJ /I :1 V ' ? I
1635 Faraday Ave Carlsbad, CA 92008
8~1
Ph: 760·602•2719 "Fax: 760-602-8558
Page 2 of2
Email: Buildlng@ggrlsbftdca.ggv
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-1562)
Permit Type: BLDG-Residential Application Date: 06/18/2019 Owner: TRUST PATTI FAMILY TRUST
12-10-03
Work Class: P/M/E Issue Date: 06/18/2019 Subdivision;
Status: Closed -Finaled Expiration Date: 12/23/2019 Address: 1939 Marcasite Pl
Carlsbad, CA 92009-5204
IVR Number: 19828
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date Reinspection Complete
06126/2019 06126/2019 BLDG-25 Water 095726-2019 Passed Andy Krogh Complete
HeaterNents
BLDG-Final 095727-2019 PaHed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
June 26, 2019 Page 1 of 1