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Home My WebLink About2267 Camino Robledo; ; CBR2019-0956; Permit(city of Carlsbad Print Date: 05/10/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2267 Camino Robledo BLDG-Residential 2552726700 $0.00 Residential Permit Work Class: Lot#; Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Description: OSBORN: REPLACE 50 GAL WATER HEATER SAME SIZE: LOCATION -GARAGE WATER HEATER PERMIT Total Fees: $98.00 Owner: TRUST OSBORN SHANA S REVOCABLE TRUST OS-10-10 2267 Camino Robledo CARLSBAD, CA 92009 760-814-7314 Total Payments To Date: $98.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: 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: CBR2019-0956 Closed -Finaled 04/23/2019 04/23/2019 5/10/2019 12:45:SOPM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {cicyof Carlstiad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check C\%;zp\O\ -rfl..o/f Est. Value PC Deposit _______ _ Date .l-f-2-'3-\0. ____ APN: _________ _ CT/Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no 'I\ BRIEF DEscR1PT10N oF woRK: /\ e ,; I ! c ~ 5D ~ same, ..ri:i e,4: Io c'.J'.i _, _n =$ __ _ k\l a.1:, v h e a +e r 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? __________ _ D Solar: ___ KW, __ Modules, Mounted: Roof/ Ground , TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ------------------------------- Jg_ Plumblng/Mechanlcal/Electrlcal Only: --'W=-.::.g._+'--"e-'t;--'h'-'--.,._e..Ja....,_+ .... e_, &.i:::-:..Y-...,,.e.+e..JIL.,j,<cal.JCc..f->-LO'.J.L.L ... e..,__n.L+:.L-_ I D9..0ther: \f <J I U 0± \ S) 0 . 1 '2. L\ 5 I, PROPERTY OWNER ,t" Name: SbWN'cl Qspt,l'U\J ~~dressi2.'2'-a:J: (' aJY\\l\)C) P:Qp \e d 0 Clty:...ll..;~~~.;,.n__State:Cfx Zlp:':fl9 51'.'l City: c Clv 1 [le a J. State: c :1 Zip: '1-Z.OD9 Phone:~3'-~1-\5-".lD=i\ Phone: '7(q(> ··Cl,! q -7 31 L;t Email: ~ts 42$1U'na.(?,COm Email: ______________ _ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: Name: tl::ffc r:: d q b I G IJ\fq+ C-IC ti~ 4 fer:J' Address: Address: 251'), s,r C cnv:±e II "'f[o Q t( d --# u 'JI"" City: _______ State:. ___ .Zlp: ____ City: I/ a {en cir& State: C:t Zip: q /d.SS Phone; Phone: 8"S:..S:.. -~ .<; -'i. o 3-.J:. Email: Email: fe;,;,; iii (? A tgh g JI". Co M I Architect State License: State License: Lf Z. 1 3 (,,, /( Bus. License:(, I O J I 2. / 1 2. 7 / (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, dernollsh or repair any structure, prior to Its Issuance, also requires the applicant for such permit to me a signed statement that he/she Is 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 vtolatlon of Section 7031.S by any applicant 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: Bullding@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury l2lJt of the fol/owing 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. );I I have and will rnalntaln worke~s cornpensatlon, as required by Section 3700 of the Labor Code, for the perforrnance of the work for which this perrnhs Issued. Mvworkers' ~rnpensatlon Insurance carrier and pollcynurnberare: Insurance Company Name: ln.r11 Y(7Q re Co. p f t~ e we,rt- Pollcy No •• ) D ; 2 "/ 1 7 I) 3 E,q,lratlon Date, / , / • 2,. Q □ Certificate of Exemption: l certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so es to be come subject to the workers' compensation Laws of Callfomla. WARNING: Failure to secun workers compeRHtlon coverage Is unlawful, and shlN subject an employer to ~::;:: :;::::.~1c1'::1~n•• up to $100,000.00, In addition th~• to th;~• of compensation, damaaas 11 provided for In Section 3705 of the /~or co! CONTRACTOR SIGNATURE: --------'-l-~L.,,,!J-1--------~AGENT DATE: lj j'/J...3 f1 't ' r , ( OPTION 8 ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason: □ I, as owner of the property or my employees with wages as their sole compensation, wlll do the work and the structure Is not intended or offered for sale (set. 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 doa such work hlmself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the bulldln1 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), 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See, 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) llcensed 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 □ No 2.1 (have/ have not) signed an application for a bulldlna permit for the proposed work. 3. I have contracted with the followlng 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 followlns person to toordlnate, supervise and provide the major work (lndude name/ address/ phone/ contractors' license number}: 5. I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated {Include name/ addreH / phone/ type of work): OWNER SIGNATURE: ________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY I 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} Clvtl Code). Lender's Name: __________________ Lender'sAddreH: _________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a buSlness 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? C Yes a No Is the applicant or future building occupant required to obtain a permit from the air pollutlon control district or air quality mana,ement district? CJ Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C Yes CJ No IF ANY OF THE ANSWERS ARE YES,A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR t$ MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, APPLICANT CERTIFICATION: I certify that I have read the appllcat1on 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 c;onstructlon. I herebV authorize representative of the Cltv of C.risllad to enter upon the above mentioned property for lnsPectlon purposes. I ALSO AGREE TO SAVE, INO£MNIFY AND KEEP HARMLfSS THE CITY OF CARLSBAD AGAINST AU. UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIDCITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA pennlt Is required for excavations over 5'0' deep and demolition or construction of sttuctures over 3 stories In height. EXPIRATION: Every permit Issued by the SUlldlng Offlclal under the provisions of this Code shall expire by llmltation and become null and void If the buRdlng or work authorized bV such permit Is not commenced within 180 days from the date of such permit or If the bulkllng or worfc authorized by such permit is suspended or abandoned at any tkne efter the worl< Is cornmenced for a perlOd of 180 davs (Section 106,fl-~l~m BuHdlns Code), ! ! P?. APPLICANT SIGNATURE: ~ J~ DATE: '-/ /_1..-'3 !J) Ql 7 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602·2719 Fax: 760-602-8558 Email: Bulldlng@carlsbadca.gov B-1 Page 2 of 2 Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2019-0956) Permit Type: BLDG-Residential Application Date: 04/23/2019 Owner: TRUST OSBORN SHANA S REVOCABLE TRUST 05-10-10 Work Class· P/M/E Issue Date: 04/23/2019 Subdivision: CARLSBAD TCT#88-03-02 UNIT#02 Status· Closed -Finaled Expiration Date: 11/06/2019 Address: 2267 Camino Robledo Carlsbad, CA 92009-9346 IVR Number: 18586 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 05/10/2019 05/10/2019 BLDG-25 Water 091484-2019 Passed Andy Krogh Complete HeaterNents BLDG-Final 091485-2019 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLOG-Plumbing Final Yes May 10, 2019 Page 1 of 1