HomeMy WebLinkAbout2247 Camino Robledo; ; CBR2017-0918; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 07/07/2017 Residential Permit Permit No: CBR2017-0918
www.carlsbadca.gov
Job Address:2247 Camino Robledo
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2552715400 Lot #:Applied:05/01/2017
Valuation:$0.00 Reference #:Issued:05/01/2017
Occupancy Group:Construction Type:Finaled:
#Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check N:
Plan Check #:
Project Title:
Description:AMES: INSTALL 2 A/C UNITS AND 2 ELECTRICAL CIRCUITS
Owner:Contractor:
TRUST AMES 2008 TRUST ACTION AIR COND.& HEATING-S.D.
2247 Camino Robledo
CARLSBAD, CA 92009 2750 S Santa Fe Ave
San Marcos,CA 92069-5928
760-727-4152
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
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.
4
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMAT/APCD
q
k "
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Plan Check No.C5ka017— Ocli?Building Permit ApplicationCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. De ositCarlsbademail: building@carlsbadca.gov p
www.carlsbadca.gov Date 5l I /1 7 SWPPP
JOB ADDRESS 2 .2.ff 7 /1 _1 SUITE#/SPACE#/UNIT#APN
1... OVIA ‘A 0 9..010 ke.6 c.--
CT/PROJECT#LOT#PHASE ##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s);Z
N2
1)
(Z)kie‘a-)Pt IC bfel t4-S ciV e—ieck-Nr c..01/4 i C c cu..'+S
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESO#.Nap YES ONO 0 YES0 NOD
APPLICANT NAME PROPERTY OWNER --c 1
Primary Contact tt.(4-(.1 53 \ tom.ex"....AAA it2..AA4es
ADDRESS ADDRESS
3112-5 IA SI(/'Dr.4. 2T3 92-9 1 CCON/J(1 0 124 e.80
CITYSTATE ,A CITY "i f STATE ZIPOWeehkekexCIt\ZIP() (.3 6 2_Lack si247-6 CA q 2-00q
PHONF FAX PHONE FAXlkS'-`13 -7g76 —?0.3 .q2.2-1011i
EMAIL EMAIL
DESIGN PROFESSIONA CONTRACTOR BUS. NAME N.4.4-‘ 0 Ajc19‘
ADDRESS ADDRESS 275 0 _.....
-.....5-
300.%-bik_c-e A..fe
CITY STATE ZIP
CITY5
STATEZIP9AILNIco5 CA C) 2.016ei
PHONE FAX PHONE
-lbei:7 2:7—1.1 I 5 7.2
FAX
EMAIL EMAIL
STATE LIC. #STATE LIC.#5 CLASS CITY BUS. LIC.#
C2.01C16 9 1 1
(Sec.7031.5 Business and Professions Code: Arty City or County which requires a permit to construct, alter, improve, demolish or repair any structure,or to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provipfisions of the Contractor's License Law _(Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)).
WORKERS COMPENSATION
Workers'mpensation Declaration: / hereby affirm under penaltyofperjury one of the following declarations:
ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation,as required by Lion 3700 of the Labor Co e,for the performance oft work for which t is ermit is issued. My workers' compensationi uranc carrier and policy
number are: Insurance Co.-1-
1.'''.:i •Ca.Crf(,j..„:2 Policy No.(3
-;Expiration Date V2—ff ((1
This section need not be completed if the permitis for one hundred dollars ($100) or less.
C:1Certificate of Exemption:I certify that in the performance of the work for which this permit is issued,Ishall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California.WARNING: Failure to secure workers' co ..•sation 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,'i •'-s .pk.:'.ection 3706 of the Labor code, interest and attorney's tees.
...le CONTRACTOR SIGNATURE i 44,111.............„.....-------
AGENT DATE .•I I
-1'.011WI*-
-.,-.OWN 4RR ...0 Li I L.o E R DECLARATION :.....,..Licr•ac.:.1..::.........tom.:t.Atz...-
I hereby affirm that I am exempt from Contractor's License Law for the following reason:ElI,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).
El1,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 EINo
2.1 (have / have not) signed an applicationfora 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 I 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 I type of work):
_.__
IsOMPLETE THIS SECTION F.p it 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?0Yes 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permitis issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
Iceitify thatI have read the application and state thatthe above information is correct and that the intimationon the plans is accurate.Iagree to complywith all City ordinances and State laws relating to building construction.
Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 permit issued by the Building Official u der the provis'. nsofthis 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 from the dateofsuch permit or if the buildin. or ••:.b ch permit is suspended or abandoned at any time after the work is commen.:. for a p
-'od of 180 days (Section 106.4.4 Uniform Building Code).
ilKAPPLICANT'S SIGNATURE DATE 0"I 11
(STOP/
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 buildingOcarlsbadca.gpvor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#
0 MAIL TO: CONTACT (Listed above)o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE/NO CONSTRUCTION
0 MAIL /FAX TO OTHER:o CHANGE OF USE/NO CONSTRUCTION
•
ACAPPLICANT'S SIGNATURE
DATE
--•••
PERMIT INSPECTION HISTORY REPORT (CBR2p17-09.18)..„.„.t.„
Permit Type:BLDG-Residential Application Date:05/01/2017 Owner:TRUST AMES 2008 TRUST
Work Class:P/M/E Issue Date:05/01/2017 Subdivision:CARLSBAD TCT#88-03-02 UNIT#02
Status:Closed -Finaled Expiration Date:01/03/2018 Address:2247 Camino Robledo
Carlsbad, CA 92009-9346
IVR Number:3444
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
07/07/2017 07/07/2017 BLDG-43 Air 028044-2017 Passed Paul Burnette Complete
Cond./Furnace Set
Checklist item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Final 028043-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final Yes
BLDG-Structural Final No
BLDG-Electrical Final Yes
hav 07 2017 Page 1 of 1
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