HomeMy WebLinkAbout2263 AVENTURINE PL; ; CBR2019-3492; PermitPrint Date: 12/17/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2263 Aventurine Pl
BLDG-Residential
2132421000
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: HEYVAERT: REPLACE WATER HEATER
WATER HEATER PERMIT
Total Fees: $98.00
Owner:
TRUST HEYVAERT DONNA M SEPARATE
FAMILY TRUST 08-28-13
2263 Aventurine Pl
CARLSBAD, CA 92009
Total Payments To Date: $98.00
(city of
Carlsbad
Permit No: CBR2019-3492
Status:
Applied:
Issued:
Closed -Finaled
12/09/2019
12/09/2019
Permit
Finaled:
Inspector:
Final
Inspection: 12/17/2019 ll:33:07A
Contractor:
AFFORDABLE WATER HEATERS AND
PLUMBING INC
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
Balance Due: $0.00
$98.00
Please take NOTICE that approval of your project includes the "Imposition" of fees1 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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
('ci~of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan CheckCE£2019-34,9:Z.
Est. Value
PC Deposit ------=--~
\2 _n_ 19
Date --"=---__,__ '-"-'--
____ APN: _________ _
CT/Project#: _________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
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
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? __________ _
O Solar: ___ KW, __ Modules, Mounted; Roof/ Ground, TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ________________________________ _
19-Plumblng/Mechanlcal/Electrlcal Only: ---'W=-.a.fl.._+'-"t.,_t;_...,h'-'-e.._.a.._._+..,e...._v_._r_e....,tJ,../'-""a'-'r"-. :e~m.,_...,f_,_o.,_t:..__ I
~Other: YCI I u 0±1 S) O : 14-0CQQ
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: Name: 1:ff o v; d 0 k I c.. !Ala+ t. v tie 4 te. r: .r
Address: Address:25/'-',S&; CRr1,t+e,J/(Jtfioo id -;#;t,,'1,1;,·•·.1.··_• ..
City: ______ state: __ .Zip: ____ City: Va I e k7 c I ,a.. State: C-1" Zip: q I, 1 S S I .
Phone: Phone: n..s._ -~ .< -:J.. r::..:t, ,f · .
Email: Email: Pe;;;;;.;;; (? A Wh <1. J". Co (YI ',,,.
' Architect State Ucense: State License: LI' Z.1 3 l,, IC Bus. License:(, I D J I 2../ 7 2.. 1/
{Sec. 7031.S 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 flle a signed statement that he/she Is licensed pursuant to the provlskms of the Contractor's Ucense Law
{Chapter 9, commending With Section 7000 of DMslon 3 of the Business and Professions Code} or that he/she Is e,cempt therefrom, and the basis for the aHeaed
exemption. Any vlolatlon of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$SOO}J.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760-602-8558 Email: l3uildlng@carlsbadca.gov
B-1 Page 1 of2 Rev, 06/18
I .
. 11.•~· •
,.,,,, { OPTION A J: WORKERS'COMPENSATION DECtARATION:
· 0 t have and wUI maintain a certlflcete of ~tto setf.ln,ure for workers' compensation provtded by Section 3700 of the Labor Code, for the performance of the
•
' I hearby affirm under penalty of perjury a of the fol/owing dec/aratlans:
. . -which this permtt Is lssucd,
-~-•·;i;.,: )$1 have and will maintain WOrkl!r's compensation~ as required by Section 3700 of the Labor Code, for the performance of the work for which this perm t Is Issued.
My worfcer.s' compensatton Insurance carrier and policy number are: Insurance Company Name: ..LUIU..LJ...LJ..LJ:J,-.C.._-"-l.,_,_.JJ..r.._u:.:.LJ::._-1.dl e ,rt
Polley No • .$ D -:\ 2 '/ 'i 7 ll 3 EIIJllratlon Date: J • I • 2. O
0 Certificate of Exemptton: I Qtttlfy that In the performance of the work for whleh this permit Is Issued, I shall not emplov anv person in any manner so as to be come
1"'4>Ject to the workers' compensation Laws of C.llfomla. WARNIIIG: Follure to,....,. worloln ~ -•flll• ls unlawful, and....,, subject an•~• to
~ --and cMI fl-up to $100,000.00, In addition tht to the cost of -nutlon, damosu a• provided for In 5ectfon 3706 of the Llbur COde,
.-.., and attorney's IHI. fj\
: tl>NTRACTOR SIGNATURE: &J; ~AGENT DATE: rz,;,/4 /tq
. \ /
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby afjlrm that I am exempt from Contractor's License Law for the following reason:
• ,:, _O I, u owner of the property or myemplavees wJth wages as thetr sole compensation, WIii do the work and the structure Is not Intended or offered for sale tSec.
' •4944, 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
.
~. f orthrouah his own employees, provided that such improv.ements are not Intended or offered for sale. If, however, the bulldlng or improvement Is sold within veer of completion, the owner•bulk:fer wllf haw the burden of proving that he dld not bulfd or improve for the purpose of sale}.
;-,. I, as owner of the property, am exduslvely contractlng with licensed contractors to construct the project (Sec. 7044, Business and Profemons Code: The
COntractor's Ucense Law does not apply to an owner of property who bllllds or Improves thereon, and contracts ror such projects with contracto<(sJ llce<ISe<I
purs1.11nt to the Contractor's License Law).
0 I am exempt under section ~------·Business and Professions COde for this reason:
1.1 personally plan to provide the major tabor and matertlls for construction of the proPosed property lrnprovement. 0 Yes O No
I (have/ have not) signed an appllcatlOn for a bulldlng permit ror the prof)OSed work.
I have contracted with the rollowlng person (firm) to provide the proposed construction (Include name address/ phone/ controctors' ll<anse number):
Effan to provide portions of the work, but I have hired the rollowlna person to coordinate. supervise and provtde the maJorwork (Include name/ address/ phone/
ori license number):
.. lwm provlde some of the work, but I have contracted {hired) the following persons to provide the work Indicated (Include name/ address/ phone /ttr,e of work}:
OWNER SIGNATURE: ---------------------□AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCV, IF ANY;
. ,id\lll'ObV affirm that there b a construction lendlna agency for the performance of the work this permit ls luued (Sec. 3097 (IJ CMI Code). :r~• Nama: Lande~• Address:
' COMPLETE THE FOi I QIIIING SECTION FOR NON-RISIQENTlAL BUJWING PERMITS ONLY:
i.tbe appUcant or fut\lre bulldlns occupant required to submit a business plan, acutely hazardous matertals reaistratlon form or risk manasement and prevention
PfOIP'am under Sections 25505, 25S33 or 25534 of the Prestey. Tanner Haurdovs Substance Account Act? □ Yes CJ No
Is the appffcant or future bulldln1 occupant required to obtain a permft from the air pollution control district or air quaUty managem.nt district? □ Yes □ No
Jltht facfHtyto be constructed within 1,000 feet of the outer boundary of a school site? 0 Ves O No
ll'AN'/ Of Tffl AKSWERS ARE VIS, A FINAi. CIIITlflCAll: Of octUPANC'I MAY NOTBE 1$SUl!D UNL£$$ Tilf APPUCANT HAS MET DR IS MEETING THE
ENT$ OF THE OFFICE OF £MlRGENC'I SERVICES AND TliE AIR POLLUTION CONTROi. DISTIUCT,
that I have read the appflcatlon and stite that the-above information Is correct and that the Information on the plans Is accurate. I agree to comply wlth an
nances and State laws t1!1atfn1 to bUlldlng construction.
ll1811b\l authorf,e -'>tlve of theOty of Qn'isbod to enter upon the above mentlonld property for lnspectJon pu,_. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
IIAAMWS THE CITY OF CAfllSJIAO AGAINST ALL LJA8JUTJES,JUDGMEN1S, C051'SANO EXPENSES WHICH MAY IN ANYWAY ACCJ\UE AGAINSTSAJD QTY IN CONSEQIJENCE OF
TIIEGRANTJNG Of THIS Pl:RMJT.OSHA: An OSHA peffl'lt Is ,.quired for excavations over 5'0' deep and den1clltlon or construction of structures tM!r 3 stories In height
TJON: Ew,y pe<mlt lsoued l>ythe Bultdfn& Offlcial under the provl~ons of this COde shall expire by llmttatton and become null and void Wthe building or work authomed
. Jl'lrmll Is not commented within 180 days from the data of such permit or W the buJldlng orwork autllarlted by such permn ls suspended or abandoned at~ time
SIGNATURE: ~ DATE:\ 7-/_C\ _fq
, -klscommencedforaperJodoflSOclays{Sectl:~:r:Buff~~-! I
? 1
1635 Faraday Ave carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558 Email: Bulldlng@carlsbadca.gov
Page 2of 2 Rev, 06/18
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PERMIT INSPECTION HISTORY REPORT (CBR2019-3492)
Permit Type: BLDG-Residential Application Date: 12/0912019 Owner:
Work Class: PIMIE Issue Date: 12109/2019 Subdivision:
Status: Closed -Finaled Expiration Date: 06115/2020 Address:
IVR Number: 23567
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date
12/17/2019 12/17/2019 BLDG-25 Water 113911-2019 Passed Tony Alvarado
HeaterNents
BLDG-Final 113910-2019 Passed Tony Alvarado
Inspection
Checklist Item COMMENTS
BLDG-Plumbing Final
December 17, 2019
TRUST HEYVAERT DONNA M
SEPARATE FAMILY TRUST
08-28-13
CARLSBAD TCT#02-24 LA COSTA
GREENS NEIGHBORHOODS
1.11,1.13&1.14
2263 Aventurine Pl
Carlsbad, CA 92009-1709
Reinspection Complete
Complete
Complete
Passed
Yes
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