HomeMy WebLinkAbout2034 Avenue Of The Trees; ; CBR2019-0816; Permit(city of
Carlsbad
Residential Permit
Print Date: 05/06/2019 Permit No: CBR2019-0816
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2034 Avenue Of The Trees
BLDG-Residential
1562900200
$0.00
Work Class:
lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
04/09/2019
04/09/2019
Plan Check#:
Final
Inspection: 5/6/2019 11:00:SSAM
Project Title:
Description: HOSMER: REPLACE 40 GAL WTER HEATER SAME SIZE ANO LOCATION-LAUNDRY ROOM
Owner: Contractor:
TRUST HOSMER FAMILY TRUST07-06-05
2034 Ave Of The Trees
AFFORDABLE WATER HEATERS AND
PLUMBING INC
CARLSBAD, CA 92008
760-729-2431
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:
Ptease 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 I I www.carlsbadca.gov
$98.00
('cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Checlt C'Q~\u\ :::::b8( tJ
Est. Value
PC Deposit -,,:--.,,---,----
Date _+_j--_\~q __ _
i Job Address J:,.~Cl....:l[llt:.J:U.:..J::t'..._:g]Cf:.j~~).._.... APN: ________ _
CT /Project#:. _________ Lot#:, ____ Fire Sprinklers: yes/ no Air Conditioning: 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? __
0 Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No
Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------
O Solar: ___ KW, ___ Modules, Mounted: Roof /Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: _________________________________ _
19-Plumbing/Mechanical/Electrical Only: --'W'-"-"'g'-+'--"'e_,_r _ _,h'--'-e,.___.a,,,__,_+__.e-, .._v_._r_e,,._ . .,_e...,l ... a..,_,rc...i'J..-Ln?.c..,, ... e_n.__._t.,__ I
@.Other: Y cJ I U GJ ±\CA 4 \'p:f9--
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: Name: 1ffr:, v d q k I 4 Wa:t t;. r tie 4fer:"
Address: Address: 25?' ~ 5,:( C PK'.J J;te I{ t>.fi O O $ d "'#-fJ '1 I"
City:-------State:. ___ .Zip: ----City: \/Cl I en c i 0-: State: C:t Zip: q 13 S S
Phone: Phone: .!'.,i. i_-.3 4.c. -'l. c_ 'i ,f
Email: Email: &;;i:t:..r (? Aiiho..f'. Cam I
Architect State license: State license: Lf Z.13 le !? Bus. license:.& I O S I 2.. I 7 2.. 7 /
{Sec. 7031,5 Business and ProfessJons Code: Any City or County which requires a permit to construct, alter, Improve, demoHsh or repair any structure, prior to Its
Issuance, also requires the applicant 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she Is exempt therefrom, and the basis for the alleged
exemption. Any vlolatlon of Section 7031.S by any appllcant for a permit subjects the applicant to a clvll penalty of not more than flve hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760-602-8558 Email: Bulldlog@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury~ of the following declaratlons:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued.
~ I have and WIii maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which th15 perm)t Is Issued.
My workers' compensation Insurance carrier and policy number are: Insurance Company Name: lntCJJ ran ( e C Q • {) £ fb f i.A/ec.r-J-
Pollcy No . .S D ~ Z, ':/ 9 7 D 3 Expiration Date: / • I • 2, Q
□ Certlflcate of Exemption: I certify that In the performance of the work for which this permit Is Issued, l shall not employ any person In any manner so as to be come
subject to the workers' compensation Laws of California. WARNING; Fallure to secure workers compens■tlon coverage Is unlawful,, and shaU subject an employer to
criminal penaltles and clvll fines up to $100.000,00, In addition the to the cost of compensation, damages II provided for In Section 3706 of the Labor Code,
Interest and attorney's fees. &,~
<$? CONTRACTOR SIGNATURE: ~ \ D{AGENT DATE: /..\ /e /t<>,
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am eKempt from Contractor's License Law for the fol/owing 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 builds 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. 7CM4, Business and Professions Code: The
Contractor's License Law does not apply to an owner of propertv who builds or Improves thereon, and contracts for such projects with contractor(s) licensed
pur5uant to the Contractor's Ucense Law}.
□ I am exempt under Section _______ Buslne" and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for con5tructlon of the proposed property Improvement. □ Yes □ No
2. I (have/ 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 praposed construction (lndude name address/ phone/ contractors' Ucense number):
4. I plan to provide portlons of the work, but l have hired the follow Ing person to coordinate, supervise and provtde the major work (Include name/ address/ phone/
contractors' license number):
s. I will provide some of the work, but I have contracted {hired) the following persons to provide the work Indicated (Include name/ address/ phone/ type of world:
OWNER SIGNATURE: □AGENT DATE: _____ _ ---------------------
CONSTRUCTION LENDING AGENCY. IF ANV:
I hereby affirm that there ls a construction lendlng agency for the performance of the work this permit IS Issued (Sec. 3097 (1) Civil Code). Lencler'1 Name: ____________________ Lender'sAddres:s: ___________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON·RESlDt;NTIAL BUILDING PERMITS ONLY:
Is the applicant or future bulk:Jlng occupant required to submit a business plan, acutely hazardous materials reatstratlon form or risk management and prevention
program under Sections 25505, 2S533 or 25534 of the Presley•Tanner Hazardous Substance Account Act? 0 Yes □ No
Is the applicant or future building oceupant required to obtain a permit from the air pollution contrcN district or air quality manaa;ement dJstrlct? □ Yes □ No
Is the faclllty 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 UNWS THE APPLICANT HAS MET OR IS MEETING TI-IE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLWTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
1 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 State laws relating to building construction.
1 hereby au1horlze representative of the City of Carbbad to enter upon the above mentlOned propertv 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: An OSHA permit Is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories In height.
EXPIRATION; Every pennlt Issued by the Building Official under the provisions of this COde shall expire by llmlta~on and become null and void W the building or work authorized
bv such permit is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at anytime
after the work Is commenced for a period of 180 days (Section 106 4 iform BulldlngCOde), /
p{ APPLICANT SIGNATURE: ____ ....._++.._,.,_ _________ DATE: 'i ,/a 1/f 'I
1635'Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Emall: Bulldlng@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-0816)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 04/0912019 Owner:
Issue Date: 04/09/2019 Subdivision:
Expiration Date: 11/04/2019 Address:
IVR Number: 18200
Inspection No. Inspection Status Primary Inspector
05(06/2019 05/06/2019 BLDG-25 Water
HeaterNents
090884-2019 Passed Chris Renfro
May 06, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
090883-2019
Checklist ltom
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Fina\
COMMENTS
Passed Chris Renfro
COMMENTS
TRUST HOSMER FAMILY TRUST
07-06-05
CARLSBAD TCT#72-11
2034 Avenue Of The Trees
Carlsbad, CA 92008-1104
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
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