HomeMy WebLinkAbout2223 PASEO SAUCEDAL; ; CBR2017-0289; PermitPrint Date: 08/21/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2223 Paseo Sauceda!
BLDG-Residential
2552603400
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: LOPEZ: 200A PANEL UPGRADE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST LOPEZ FAMILY TRUST 05-16-11
2223 Paseo Sauceda!
CARLSBAD, CA 92009
858-336-2708
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Fina led:
Inspector·
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.
Permit No: CBR2017-0289
Closed -Finaled
02/13/2017
02/13/2017
$0.00
$166.00
..
THE FOLLOWING f!-PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA T/APCD
( City of Building Permit Application Plan Check No.<' €'2.."Lctr ·-o•:i..-~')
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. pep(!sit email: building@carlsbadca.gov
Date2-/1:>/17 lswPPP www.carlsbadca.gov
JOB ADDRESS SUITEf/SPACE#/UNIT# IAPN ---"Z.-2-2-3 Pa. "<C.• sr,u.,. ~,.1 ,. I
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS 1TENANT BUSINESS NAME I c5Nsrn. TYPE I occ GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
UX:> ,A R,;,,_YI('. \ u. 'f'8, r; ctelL
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF)
YESQ
IAIR CONDITIONING I FIRE SPRINKLERS
Nc0 YES □No □ YES □No□
APPLICANT NAME M , ; \,v· _,, I I~,-, e_-:,, PROPERTY OWNER
Primary Contact
ADDRESS Sc,{ V-C.:t" o{ q_ (
AJDRESS
2--'2--'2.--3 F::i::..s.eo
CITY Cc,~ k, bc-t ,;,{ STATE CA ZIP q-l(:J)C-f CITY STATE ZIP
PH.ONE ;) I FAX • PHONE I FAX fi-5:6 S?,6-Z70v'
£MAIL i-10 +-.,.A-·: I'. ,., r>\ j,,vl
EMAIL = 1 lo"•'?r.c)
DESIGN PROFESSIONA CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
I STATE LIC, # STATE LIC.# I Cl.ASS I CITY BUS. LIC.#
(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 s1Med statement that he 1s licensed pursuant to the provisions of the Contractor's License Law \Chapter 9, commending with Section 7000 of D1v1s1on 3 of the B_usiness and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a
c1v11 penalty of not more than five hundred dollars ($500}).
WORKEl!'s-:7 coMPENSATi!DN--, ,-, ~·:--1: . 'I
~> " --=~-¼ ~M •~-2-• • ~ --~• '"'-C =-~•
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earlier and policy
number are: Insurance Co Policy No ____ _ _________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less 0 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 manner so as to become subject to the Wor1<.ers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees .
.fl5 CONTRACTOR SIGNATURE
111111
□AGENT DATE
□
, as owner ol 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. 11, 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)
, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Gode: 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. OYes
2. I (have I 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 proposed construction (include name address I phone I contractors' license number)·
4. I plan 10 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of \he work, but I have contracted (hired) the II owing persons to provide the work indicated (include name I address/ phone/ type of work)
,@$° PROPERTY OWNER SIGNATURE M1 -~ □AGENT DATE 7 /3
•
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? O Yes D No
Is the facility to be constructed within t ,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 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above information is correct and that the information on the plans is aa:urate. I agree to comply with all City ordinances and State law;; relating to building cxmstruction.
I hereby authorize representative of the City of Ca~sbad to enter u1xm the atxive mentioned property KJr inspection DUl'p:)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.O
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 M OSHA permij is required for excavations over 5'0' deep and demolition or coostruc!ion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Ofocial under the provisk:ms of this Code shall expire by limitation and beo:Jme null and vod W the buikling or WJrk authorized by such permit is not commenced 'Mthin
180 days from the date of sudl permit or if the building orWJrk authorized by such permit is suspended or abandoned at any time after the WJrk is rommenced for a period of 180 days (Section 100.4.4 Uniform Building Code)
,65 APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Ca~sbad, California 92008
CONTACT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DELIVERY OPTIONS
□ PICK UP: u CONTACT (Listed above) ·c.J OCCUPANT (Listed above)
u CONTRACTOR (On Pg. 1)
□ MAIL TO: o CONTACT (Listed above) n OCCUPANT {listed above)
n CONTRACTOR (On Pg. 1)
□MAIL/FAX TO OTHER: ________________ _
,.6$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
o ASSOCIATED CB#------------
u NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Pr:i"<Ld r/pe; BLDG-Residential Application Date: 02/13/2017
Wort( (~l;1s~; P/M/E lssm1 Date: 02/13/2017
:::u1tu-Closed -Finaled Expiration Date: 02/14/2018
Scheduled
Date
Actual
Start Date
03/24/2017 03/24/2017
0811812017 0811812017
IVR Number" 1926
Inspection Type
BLDG-33 Service
ChangelUpgrade
Inspection No.
017609-2017
Checklist Item
BLDG-Building Deficiency
BLDG-33 Service
Change/Upgrade
032156-2017
Checklist Item
Inspection Status
Passed
GOMIVl[N IS
Passed
COMMENTS
Owrwr:
Subdivision:
Addrnss:
Primary Inspector
Paul York
Michael Collins
BLDG-Building Deficiency New meter panel labeled No card on site.
08/21/2017 0812112017
August 21, 2017
BLDG-Final
Inspection
032367-2017
Checklist !tcin
BLDG-Electrical Final
Passed Michael Collins
COMMENTS
TRUST LOPEZ FAMILY TRUST
05-16-11
2223 Paseo Sauceda!
Carlsbad, CA 92009-8705
Reinspection Complete
Complete
Pas,:,cd
No
Complete
Yes
Complete
Passed
Yes
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