HomeMy WebLinkAbout2219 Camino Robledo; ; CBR2019-0263; PermitCcityof
Carlsbad
Residential Permit
Print Date: 07/10/2019 Permit No: CBR2019-0263
Job Address: 2219 Camino Robledo
Permit Type: BLDG-Residential
Parcel No: 2552615400
Valuation: $0.00
Occupancy Group:
# Dwelling Units:
Bedrooms:
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Closed -Finaled
02/01/2019
02/01/2019
Inspector: CRenf
Final
Plan Check#: Inspection: 7/10/2019 1:52:0SPM
Project Title:
Description: REPLACE FllCTURES IN MASTER BATH
Contractor:
HOME REMODELING CENTER
830 Los Vallecitos Blvd, Ste A
SAN MARCOS, CA 92069-3932
760-591-3932
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00 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 eltpired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
Ccityof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check('M.2()J9-O2l.Q3
Est. Value
PC Deposit ---------
Date l:-I -lv1
Job Address Z:Jq ( Ar,lo2 C> flc g. l E O 0 Suite: ___ APN: ::1.-5:'57~ \ 61.f oD
CT /Project#: _________ Lot#:. ____ Fire Sprinklers: yes f§9 Air Conditioning: yes/ (lg)
BRIEF DESCRIPTION OF WORK: ft1~5TT/L::f3 ~ I\.JJ 'c)f"l, ,v e..-cs:: r,.., 0,, t=. ,9----,,) p ~ E---f" l A-C."E'.,..,; LL I i,j(),
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
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------
□Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
!
Reroof: ------------------------------------
PI um bing/Mechanic a I/EI e ctr i ca I Only: ________________________ _
D Other: -------------------------------------
APPLICANT (PRIMARY CONTACT)
Name: l:fnoc Q_Ci"'loPe«-,.:, C. ( CPl'"el'-.
Address: 930 LCJ:) VJ1-u, ?CC}g5 g,,e VO
City~ fV\..frA..loS State:~ Zip: 9-Z.O e,q
Phone: 7co Gc;s L..-b3 3
PROPERTY OWNER
Name:3r,NS:0,v fol.. LLJL H IMA!c'::{
Address: Z,Z..(9 c A:,:,,,-, o fl,orsl fS:P a
City: C.A-d\.L.~/21::Q State:c+-Zip: q--z.oot
Phone: 7co-?0Y-~s
Email: _________________ \......_Email: ___________________ _
':::I
DESIGN PROFESSIONAL
Name: ________________ _
Address: _______________ _
City: _______ State: ___ Zip: ___ _
Phone: ________________ _
Email: ________________ _
Architect State license: __________ _
CONTRACTOR BUSINESS
Name: ~t ~~06,W'-. ce:-~-r--iS""--
Address~"30 LO~ Uti>--,l l(f"~;> 15'(,,v P,
City:¼ r-,,4..._ C 0) State:CA-Zip: C}'Lo?;, °'
Phone: 7<&o ?-,,6 S '2...D 3 >
Email: __________________ _
State License: 13L-oS )'2..;(.5--Bus. License: 'd') [ 5"""5"3
17
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, impr ve, demolish or repair any stru , rior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant provisions of the Contr or' icense Law
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is xe t therefrom, an e basis f r the alleged
exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not re than · hundred dollars {$S00}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
8-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following 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.
,fi have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fort e perfor"!)ilnce of the work for which this permit is issued.
My workers' c mpitnl3tion insurance carrier and policy number are: Insurance Company Name: O fl..... ~ ,'f .,;1'-t) /v UfL I l. O.
Policy No. OvV C. 97 Expiration Date: 7 -, 0 -( a,
□ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mariner so as to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
crlmlnal penaltles and civil fines up to $100,000. , In a ltlo the to the cost of compensation, damages as provided for In section 3706 of the Labor Code,
Interest and attorney's fees.
CONTRACTOR SIGNATURE:
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License 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 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. 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. □ Yes O 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 (firml 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 number):
5. 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: □AGENT DATE: _____ _ --------------------------
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ____________________ _ Lender's Address: ____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to 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 □ No
Is the applicant or future building occupant required to obtain a permit 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 ofa 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.
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. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of carlsbad to enter upon the above mentioned property for inspection purposes, I ALSO AG REE 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 S'O' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days da e of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 ctio 1 .4.4 Uniform Building Code).
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-0263)
Permit Type: BLDG-Residential Application Date: 02/01/2019 Owner:
Work Class: P/M/E Issue Date: 02/01/2019 Subdivision: CARLSBAD TCT#SS-03-02 UNIT#02
Status: Closed -Finaled Expiration Date: 10/21/2019 Address: 2219 Camino Robledo
Carlsbad, CA 92009-9336
IVR Number: 16837
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
02/16/2019 02116/2019 BLDG,414 Rough 083993-2019 Passed Michael Collins Complete
Combo{14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Master Bath only. Yes
B LDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
03/18/2019 03/18/2019 BLDG-17 Interior 086465-2019 Passed C hrls Renfro Complete
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-27 Shower 086466-2019 Pasaed Chris Renfro Complete
Pan/Tubs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
04/23/2019 04/23/2019 BLDG-Final 089668-2019 Failed Chris Renfro Reinspection Complete
Inspection
Checkllst Item COMMENTS Passed
BLDG-Building Deficiency Not ready No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLOG-Electrical Final No
07110/2019 07110/2019 BLDG-Final 097037•2019 Passed Chris Renfro Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Fina! '(es
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
July 1 o, 2019 Page 1 of 1