HomeMy WebLinkAbout2274 Aventurine Pl; ; CBR2019-2560; Permit_ (Cityof
Carlsbad
Residential Permit
Print Date: 10/03/2019 Permit No: CBR2019-2560
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2274 Aventurine Pl
BLDG-Residential
2132424000
$0.00
Work Class: P/M/E
Lot#:
Reference II:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
09/16/2019
09/16/2019
Plan Check#:
Final
Inspection: 10/3/2019 ll:53:32AM
Project Title:
Desc ri pt ion: MULLEN: REPLACE 75GAL WATER HEATER
Owner: Contractor:
TRUST MULLEN FAMILY TRUST 07-24-15
2274 Aventurine Pl
BLACK MOUNTAIN PLUMBING
CARLSBAD, CA 92009
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
9909 Hibert St, E
San Diego, CA 92131-1069
858-536-4161
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.
Vou 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 750-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
{'ci:cyof
Carlstiad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit ---------
Date _ ______.1-+/ ...... ( la=--1-/_._I Q_.__I _
Job Address A'd--1 Y f\Ne.1(\-:turvNL \7\,Ll__c-e_ Suite: ___ APN: _______ _
CT/Project#:. _________________ Lot#:. ___ _
Fire Sprinklers: yes/ no Air Conditioning: yes/ no Electrical Panel Upgrade: yes/ no
BRIEF DESCRIPTION OF WORK: ___________________________ _
□ 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? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ------------------------------------
cj_ PI um bing/Mechanic a I/EI e ctr i ca I Only: \<..e,hQ~ t-'4-R\CA..ce., lS ~i:t.lJo"""-v-.x\._'--\6[ ~
D Other: -------------------------------------
APPLICANT (PRIMARY CONTACT) PROPERTY OWNER
Name: Lf\C~ IT K01J'A..'ow\ Name: :Jo-€...,\ Mo \\--eV\
990 ~ ~\ ~ . E-Address:uJL\ A~C\\l)e... §'.\..-0....C~
~:,a....:,,~~F-\'-'<:...._ State:-'ltL_Zip: ?, j 3 l City: Gir lS\;>?\.C\State: Cift Zip: 9 2_60 i
Phone: -1-\\Gl Phone: 7la0 -(o~ -91.o ~l
Email: t',~Y\\,1 p\a,c.,~O'.)Ovctu,\'1\ Email: \o<l fV\v (\<2,v\ @ ½OI;;:°'-'-\_ · CO 't1 l ~Lv ~ \o l~ ~ u:>\V\ -::l
DESIGN PROFESSIONAL
Name: ______ -+-_____ ...:;.. _ _;__ __
Address:------>,+-->,..-+---,.,"'"-------
City: _____ .....__
Phone: _____ ...,.... __ --=-"""""'i.--------
Email: ----=~-----=---'-------~c M.DlJl'\.--\-GI. 'lf\ 0VV\.bi~ ,c"" ,/'--
Architect State License:___________ State License: lsus. License: ~ \_ 5 \ 1. 3 (p '11 lo
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to constructJer, iml~:LJh or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License 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.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: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
-. --------'·-·" --··--------------·-~--------·-
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the Jo/Jawing 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 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the wor for which this permit is issued.
My workers' comp~n,ation ins,!i!!ance c~rrjer and policy number are: Insurance Com~any Name: \JC\._-r-\. n5 u f a_ C e
Policy No. Q. \_WCC U 4 71S I Expiration Date:%\ :::z.. l •'2, C!JJ.C'}
□ 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 be come
subject to the workers' compensation Laws of California. WARNING: Fallure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE:
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the Jo/Jo wing reason:
□ I, 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).
0 I, 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 □ No
2. I (have/ 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/ 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/
contractors' license number):
s. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT DATE: _____ _ --------------------------
CONSTRUCTION LENDING AGENCY, 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) 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 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.
APPLICANT CERTIFICATION:
I certify that I have read the application 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 construction.
I hereby authorize representative of the Cityofcarlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF
THE GRANTING OF TH IS PERMIT.OSHA: An OSHA permit is required for excavations over 5'01 deep and demolition or construction of structures over 3 stories in height.
EXPIRATION; Every permitissued by the Building Official under the provisions of this 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 date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANTSIGNATURE: ·~ ~
1635 Faraday Ave Carlsbad, CA 92008
8-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
DATE: _q_\+-,\ \!),.;;._\+-< \_S_.____
Email: Building@carlsbadca.gov
Rev. 06/18
~-·---·•··---------·----------~
PERMIT INSPECTION HISTORY REPORT (CBR2019-2560)
Permit Type: BLDG-Residential
Work Class: P/M/E
Status; Closed -Finaled
Application Date: 09116/2019
Issue Date: 09/16/2019
Expiration Date: 03/31/2020
IVR Number: 21773
Owner: TRUST MULLEN FAMILY TRUST
07-24-15
Subdivision: CARLSBAD TCT#02-24 LA COSTA
GREENS NEIGHBORHOODS
1.11,1.13&1.14
Address: 2274 Aventurine Pl
Carlsbad, CA 92009-1709
Scheduled Actual Inspection Type Inspection No. Date Start Date Inspection Status Primary Inspector Re Inspection Complete
1010312019 1010312019 BLOG-25 Water 106372-2019 Paned Tony Alvarado Complete
HeaterNents
BLOG-Fina I 106371-2019 Passed Tony Alvarado Complete
1nepection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
October 03, 2019 Page 1 of 1