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Home My WebLink About2243 Camino Robledo; ; CBR2018-2617; Permit(city of Carlsbad Residential Permit Print Date: 10/04/2018 Permit No: CBR2018-2617 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2243 Camino Robledo BLDG-Residential 2552715500 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 09/27/2018 09/27/2018 Plan Check#: Final Inspection: 10/4/2018 8:07:02AM Project Title: Description: QUESSENBERRY: REPLACE 50 GAL WATER HEATER, SAME LOC Owner: Co-Applicant: TRUST QUESSENBERRY DAVID LAND MAUREEN W REVOCABLE TRUST 2243 Camino Robledo AFFORDABLE WATER HEATERS AND PLUMBING INC CARLSBAD, CA 92009 WATER HEATER PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-2S9-7131 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 $98.00 {cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 bu i \ d i Nq C atL\Sbad Plan Check CB!.20lf•e<le ft Est. Value PC Deposit --:--.---,----- Date _q...:.+/;;""-L'f:...i.L:.Jl r.___ Job Address z,z_ y "') C.;amNQ ¾)o'o\ ec:\o Suite: ____ APN: _________ _ CT /Project#: _________ Lot #: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DescR1PT10N oF woRK: -Be~h,ce 50 g:a\, ob) w:crteJL ~'\e..:a,+e,?--, Sn.XY:l e lQc:at\cf'-:): gatz-agf 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: ----------------------- 8 ~um b ~Mechanic a I/EI e ct ri ca I Only: Rf! 9\:aC;e l ;.,)a±:eJ?-: \o P a,--t-e,rL • Other: ------------------------ APPLICANT {PRIMARY) PROPERTY OWNER Name: :Z.SC(LS-9 l..,\l2},iNOI_ . Name: Dave C,ue.S,<:el')bef:iR-'y Address: 1'o?2Sj3 CaNSte-1\a±i QN jgL#(p9'6Address: -Z. 1::f-= C:aro1 NQ B Q b I e cl Q City: \ja,,\e.NCl'g. State: CPI Zip: °lt355 City: C:o&:lsb~rT State: C.ft Zip: 91[:0 cl Phone:'o55-31.\5-0f04'i) Phone: r(p0 ·580-l3b9 Email: pw:ri&s@-awv--a,p. COM Email: ______________ _ DESIGN PROFESSIONAL CONTRACTOR BUSINESS ::::~-s:================= ~~~r:s~1€~~Tl~~~D~~!z9 City: ______ State: __ ,Zip: ____ City: \/a.le.N(r?, State: ~;p: 91355 Phone: Phone: \3'5'3-;,':j5--qDYB Email: Email: feJ-:mi:tS@atA.?baJ?· COM Architect State Ucense: State License: (o'.17:3 (p 8 Bus. License: \ 1,. I] 7,'J \ (Sec. 7031,5 Business and Professions COde; Any City or County which requires a permit to construct, alter, Improve, demolish or repair anv structure, prior to Its issuance, also requires the applicant for such permit to fife a signed statement that he/she ls 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 violation of section 7031.5 by anyappJlcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}}. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: 8ylldlng@carlsbadca.gov B-1 Page 1 of2 ( OPTION A ): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury QD!1 of the following declarations: ID 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. ~ave and wlll maintain worl<A>r's eompen,otion, as required by Section 3700 of the Labor Code, for the performance of the jY.Ork for which thb permit Is issued. My workers' JilF•ensatlon Insurance carrier and policy number are: Insurance CompaA.Name: \NiS, , CO 0-Y--_ fu e. (,>J e S.t Polley No . .:_J03 m 0\7:D:7 Expiration Date: __,_l_·-... 1._-_._\.::'.!_,_, __ _ rnkertmcate of Exemption: I certify that In the performance of the work for which this permit rs Issued, J shall not employ anv person In any manner so as to be come subject to the workers' compemiatlon Laws of Callfornla. WARNING: Failure to secure workers compensation coverqe Is unlawtui and shall subject an employer to crlmfnal penattres and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provlzed fo -in Section 370& of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: rvp./2. AGENT DATE: 9 /2,..4, /2 '2> { OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Qmtrac:tor' s License I.aw for the following reason: ml, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor" s license law does not apply to an owner of property who bullds or improves thereon, and who doe$ such work himself or throush his own employees, provided that such Improvements are not Intended or offered for safe. If, however, the building or Improvement Is sold within one year of completion, the owner.t>uilder will have the burden of proving that he did not build or Improve for the purpose of sale). !ID, as owner of the property, am excluslvely contracting with licensed contractors to construct the project (Se<:. 7044, Business and Professions Code: The Contractor's license Law does not appfy 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. tIDtes ul:No 2.1 (have/ have not) signed an application for a buJldlng permk for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (lndude 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 I contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) thefollowlns persons to provide the work indicated {include name/ address/ phone/ type of work): OWNER SIGNATURE: -----------------~GENT DATE: _____ _ CONSTRUCTION LENDING AGENCY. IF ANY: I herebv affirm that there ls a c:onstructlon I ending asencv for the performance of the work this perm ft 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 2S505, 25533 or 25534 of the Presley-. Tanner Hazardous Substance Account Act? Illlfes m:'.No Is the applicant or future bull ding occupant required to obtain a permit from the air pollution control district or air qualltv management district? mes IDlo Is the facility to be constructed within 1,000 feet of the outer boundarv of a school site? [ID(es ~o IF P.11Y 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 appllcatlon and state that the above Information ls correct and that the Information on the plans Is accurate. I agree to complv with all City ordinances and State laws relating to building construction. I hereby authorke representatlVe of the City of Carisbad to enter upon the above mentioned property for Inspection purposet I AISO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EJCPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID Cl1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.OSHA: An OSHA pennlt ls 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 .. plre by llmltatlon and become null and void ff the bulldlns or work authorized by such permit b not commenced within 180 days from the date of such perm~ or ff the buJldlng or work authorized by such pennlt is suspended or abandoned at any time after the work~ commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ----~~--t-te ... A...._ ________ DATE: er /1-"'-:Ii s 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 Pum,t l'ype Work Class Statw, Scheduled Date BLDG-Residential PIMIE Closed -Finaled Actual Start Date Inspection Type Application Date: 0912712018 Issue Date: 0912712018 Expiration Dato; 0410212019 IVR Number: 14245 Inspection No. Inspection Status Owner: TRUST QUESSENBERRY DAVID L AND MAUREEN W REVOCABLE TRUST Subdivision: CARLSBAD TCT#88-03-02 UNIT#02 Address: 2243 Camino Robledo Carlsbad, CA 92009-9346 Primary Inspector Re inspection Complete . , .. _, __ ............ ---------------------------------- 10(04/2018 10/04/2018 -~----···-·--- October 04, 2018 BLDG-25 Water HeaterNents 071882-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 071883-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Passed COMMENTS Chris Renfro Complete Passed Yes Chris Renfro Complete Passed Yes Yes Yes Yes Yes Page 1 of 1