HomeMy WebLinkAbout2076 AVENUE OF THE TREES; ; CBR2019-0003; Permit(city of
Carlsbad
Residential Permit
Print Date: 03/01/2019 Permit No: CBR2019-0003
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2076 Avenue Of The Trees
BLDG-Residential
1562902300
$0.00
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/02/2019
01/02/2019
Plan Check#:
Final
Inspection: 3/1/2019 1:58:50PM
Project Title:
Description: JOHNSON: REPLACE 40 GAL WATER HEATER-SAME; LOCATION-LAUNDRY
Owner: Contractor:
TRUST JOHNSON EASTON FAMILY TRUST
10-25-13
AFFORDABLE WATER HEATERS AND
PLUMBING INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
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(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
$175.00
{cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check Cfil?.Zp!tj ~ 0003
Est. Value
PC Deposit --------
Date 0a. Y) '2-, 2[}1t' I
Suite: ____ APN: _________ _
CT /Project#: _________ Lot #:, ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: :Be vl:ace ~o 9:a\, Ol',)
0 Addition/New: _____ ,Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: _________________________________ _
~~Mechanical/Electrlcal Only: Re 9\:c-1 Cf. r i\}&teft.-: lo P a,-te,AL
D Other: -----------------------------------
APPLICANT (PRIMARY) PROPERTY OWNER
Name: 7.SC\2,SQ \.,\\2-piNO\ Name: ::P.d..: ffe?q/p,v JDnnSor"l
Address: 2'5 ?:>5'.i'$ CaNStel\:ati QN \3cl .#Cp9'6Address: 2-P) C, ff'<:: Ill h/te b(l';"'A
City: \/ a-\eNtYa. State; CA Zip; 91355 City: Cct-rl.rb4d Stater;;'.24 Zip: 9,;; cos
Phone: '655-3'--\5-°104)¾ Phone: 8'S--$ ~ ;?f"f-,£}c)."';
Email: P~·IY1rts@av.,;>hap. COM Email:---------------
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name:----Name: A.££.D.Il.dwe.. w~ Ht>.a±P .J'.l.S._
Address:--------------Addres;ifu¼TuNsii~ DN&"[-iZ,9 'p
City: ______ State: __ Z.lp: ----City: l!aleNC1] State:-'=-'--z.ip: 9 13 55
Phone: Phone: B513-::.>':l5· ~QYB
Email: Email: f'?(4Y)its@rupbay, C..,9!'.'Q
Architect State License: State License: (o'.2-7:5 (g R Bus. License: I 1,. I J 'L7 I
{Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, Improve, demolish 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 License 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 violation of Section 7031,5 by any applicant for a permit subjects the appllcant to a clvll penalty of not more than flve hundred dollars ($500}),
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602·8558 Email: Building@cadsbadca.goy
8-1 P~m:a 1 nf?
( OPTION A): WORKERS'COMPENSATION DECLARATION;
I hearby affirm under penalty of perjury 11M. of the fol/owing declarations:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit Is Issued.
~ have and wlll malntaln worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work {or Which this permit ls Issued.
~workers' compensation lnsurante carrier and policy number are: Insurance COmpany__Name: 7"111$ , Cc of j"V\e wee:\;,,
Polley No. ,'7 0 :3 qi 44 1 0 ii?: Expiration Date: _ _._1 _-.,_l _-.,_f-=1~---
□ Certificate of Exemption: I certify that in the performance of the work for whleh this permit Is issued, I ihall not emplov any person In any manner so as to be come
subject to the workers' compensation Laws of Callfornla. WARNING: Failure to secure workers compensation covera1e l1 unlawful, and shaft aub)ed: an employer to
crtmlnal penalt1es and clvll fines up to $100,000.00, in addition the to the cott of compensation, damages as provided for In section 3706 of the Labor Code,
Interest and attorney's fees,
CONTRACTOR SIGNATURE: ___ _..,,,,/4=1"-"---------'~T DATE: 'P / If
( OPTION B ): OWNER-BUILDER DECLARATION;
I hereby affirm that I am exempt 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 emplovees, 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-bullder wlll have the burden of proving that he did not build or Improve for the purpose of sale}.
□ I, as owner of the property, am exduslvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions COde: The
Contracto(s License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such proje(;ts with contractor(s) licensed
pursuant to the Contractor's License Law).
□ I am exempt under Sectlon _______ Buslness and Professions Code for this reason:
1. t personally plan to provide the major labor and materials for construction of the proposed property improvement. Cl Yes □ No
2.1 (have/ have not) signed an appllcation 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/ phone/ 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/ address/ phone/
contractors' license m.1mber):
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 work):
OWNER SIGNATURE: ______________ µ~ftNT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there Is a construction I ending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code).
Lender's Name: ____________________ Lem:ler"s Address: __________________ _
ONLV COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
ts the applicant or future building occupant required to submit a business plan, acutely hazardous materlals registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley• Tanner Hazardous Substance Account Act? Cl Yes CJ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manqement district? □ Yes O No
Is the faclllty to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O No
IF ANY OF THI: ANSWERS ARE YH, A ANAL CIRTIFICATE 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.
APPLICANT CERTIFICATION:
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. 1 agree to comply with all
City ordinances and State laws refatlng 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 ANO KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ 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 stnJctures over 3 stories In height.
EXPIRATION: Every permit Wued by the Bulldlng Offlclal under the provisions of this COde shall expire by llmltatlon and become nun and void If the bulldlngor work authorized
by such pennlt ls not commenced within 180 days from the date of such permit or If the bulkllng or work authorized by such permit Is SU$pended or abandoned at any time
:;~~:;::: c::~=~o~:~rlod m180days (Section 106,4A Uniform~~ DATE: !/¢ /I f
1635 Faraday Ave Carlsbad, CA 92008
8-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Bulldlng@carlsbadca.gov
Rev. 06/18
' '
PERMIT INSPECTION HISTORY REPORT (CBR2019-0003)
'"
Pcrmll Type
Work Class
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 01/02/2019
Issue Date: 01/02/2019
Expiration Date: 07/01/2019
IVR Number: 16277
Inspection No. Inspection Status
03/01/2019 03/01/2019 BLDG-26 Water
HeaterNent&
084979-2019 Passed
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
084978-2019
Checklist Item
BLDG-Plumbing Final
COMMENTS
Pasaed
COMMENTS
Owner: TRUST JOHNSON EASTON
FAMILY TRUST 10-25-13
Subdivision: CARLSBAD TCT#72-11
Address: 2076 Avenue Of The Trees
Carlsbad, CA 92008-1104
Primary Inspector Re inspection Complete
Tim Frazee Incomplete
Passed
Yes
Tlm Frazee Complete
Passed
Yes
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