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Home My WebLink About2309 Mica Rd; ; CBR2018-3183; Permit• (city of Carlsbad Residential Permit Print Date: 02/08/2019 Permit No: CBR2018-3183 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2309 Mica Rd BLDG-Residential 2132820300 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/15/2018 11/lS/2018 Tfraz Plan Check#: Final Inspection: 2/8/2019 8:38:32AM Project Title: Description: BUROICK: REPLACE WATER HEATER, SAME LOC Owner: Contractor: TRUST BURDICK JOHN AND MARSHA TRUST 08-11-82 AFFORDABLE WATER HEATERS AND PLUMBING INC 2309 Mica Rd 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 L. $98.00 .. Ccifyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan CheckC8fRsRQI~'> 3/\?3 Est. Value PC Deposit _______ _ Date _,/,_./_---'-'l~"----..._/.._8: __ C·d.f..\Sbad Job Address 2-3.:,7 e::S,,; S¼'s ~. Suite: ____ APN: _________ _ CT /Project #: _________ Lot#: ____ Fire Sprinklers: yes / no Air Conditioning: yes/ no BRIEF DESCRIPTION OF WORK: :Be?\:ace, ~ g:a\ \ oi::;i 0 Addition/New: _____ living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? __ 0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No D Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------ O Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: -----------------------~ (!iu m b ~Mechanical/EI ec tr I ca I Only: Re t>\:8 Cf t >,)aJ::e(L. lo e wteJL 0 Other: ---------------------------- APPLICANT (PRIMARY) PROPERTY OWNER Name: 7..$CU,SQ \,,.,\J2.bi NOi Name: ,:)sa....,__,_ '6:,, .-£ ~ c:.'5v-- Address: 2:B ·:75~ CaNS+el\:ati QN \2cl :#(p9'i3Address: -z.Se"r tl-= c...4-P:£: . City: Ya.\-eNCl'a State: CA Zip: O! 1;',55 City: c; ....... to;.l2"-'.Jl State: d4; Zip: ']7.=f?S Phone: 'e,S'S -3'--15-°104?:, Phone: ;fy,p-s,;n -~L::l:--D Email: PeJ'iY\'&:s@-a.w~a;p.CoM Email: ______________ _ DESIGN PROFESSIONAL Name: _______________ _ Address: ______________ _ City: _______ State:. ___ .Zip: ___ _ Phone: _______________ _ Email: _______________ _ Architect State License: __________ _ CONTRACTOR BUSINESS ~:~=s~g~~~~l#=r-D~ft}~!J;9p City: VaJeNrn State: CA Zip: 91355 Phone: £,515-:!>'::i:j·· OiQYB Email: reJ:mitj@:a,µ;baJ?· C:o<Y) State Ucense:lo'.1-1::} (pR Bus. License: \'2.) J ?.7 l (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, fmp~ove. demolish 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 provlslons of the Contractor's License Law {Chapter 9, commend Ina: with Section 7000 of Division 3 of the Buslnen and Professions Code} or that he/she lsiexempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permft subjects. the applicant to a civil penalty;.of not more than five hundred dollars {S500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuUding@carlsbadca.gov 8-1 Page 1 of2 -------------~- I OPTION A ): WORKERS'COMPENSATION DECLARATION: I hearby_ affirm under penalty of perjury me of the following declarations: [II h~ and WIii 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. ' jm,have and wlU maintain wortce~s compensation, as required by Section 3700 of the Labor Code, for the performance of the!':ork for which this permit ls Issued. My workers' ,111moensatlon Insurance carrier and policy number are, Insurance Compa~ Name: f:.. C. 0 01'"_ fu e, (A) f' S,\;: Polley No, ·J03 '2/::\ 0\3CQ< Expiration Date:__,_\ _-_,l_--'IL..:~:_i_--- [ID:ertlflcate of Exemption: I certtfy 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 Callfomla. WARNING: Failure to secure workers companutlon coverap Is unl■wfui ■nd shall subject an employer to criminal penalllfl and cMI fines up to $100,000.00, In add~lon the to the cost of compensation, damages as provlzed to In Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: tvp.A AGENT DATE: f I -\-....(_-~5;,, · ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Olntractor' s License Law for the following reason: an, as owner of the property or my employees with waseJ as their .sole compensation, wllJ do the work an~ 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 suth work himself or through his own employees, provided that such Improvements are not Intended or offered for sa~e. 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 /or the purpose of sale), ml, as owner of the property, am exdusivety contracting with licensed contractors to construct the proj~ (Se<:. 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). m am exempt under Section _______ Business and Professions Code for thls reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property lmpruvement. rn:tfes 11:No 2, I (have/ have not) signed an application for a building permit for the propased work, 3, I have contracted with the following person {firm) to provide the propased 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): 5, I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name/ address/ phone/ type of wor1<)~ OWNER SIGNATURE: ----------------~G:NT DATE: ____ _ CONSTRUCTION LENDING AGENCY. If ANY: I hereby affirm that there Is a construction lendlns agency for the performance of the woric this permit Is lssu,d {Sec, 3097 (l) Clvll Code}. Lender's Name: ___________________ Lender's Address: __________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING j>ERMITS 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 Presle'f" Tanner Hazardous Substance Account Act? [l}/es !ll)io Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qual~ management district? tIDles !lilllo IS the fatll~ to be constructed within 1,000 feet of the outer boundary of a school site? [ll}(e, liNo IF ANY OFTHE 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 POU.UTION 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 Oty of carlsbad to enter upon the above mentioned property for Inspection purposes. I AlSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE C11Y OF CARISBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Arctl WAY ACCRUE AGAINST SAID CnY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA, An OSHA permlt ~ required for excavations over 5'0' deep and demofftion or <:onstnJctlon of structures over 3 stories In helsht, EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code shall expire by limitation •nil become null and void ff the bull ding or work authorized by such permit b not commenced within 180 days from the date of such permij or W the bulldlns or work authorlled by such pennlt Is suspended or abandoned at any time after the work~ commenced for a period of 180 days (Section 106,4A Uniform Buffdlng Code). APPLICANT SIGNATURE: ftliA DATE: t-(_-(L{-<:2c I 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 ~ ---·--···------------- Email: Buildlng@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (C.BR2018-3183) Permit TYpe: BLDG-Residential Application Date: 11/15/2018 Owner: Work Class: P/M/E Issue Date: 11/15/2018 Subdivision: Status: Closed -Finaled E:xpiration Date: 08/07/2019 Address: IVR Number: 15447 Scheduled Date Actual $tart Date Inspection Type Inspection No. Inspection Status Primary Inspector 02/08/2019 02/08/2019 February 08, 2019 BLOG-25 Water HeaterNents 083421-2019 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 083420-2019 Checklist Item BLDG-Plumbing Final Passed Tim Frazee COMMENTS Passed Tim Frazee COMMENTS TRUST BURDICK JOHN AND MARSHA TRUST 08-11-82 2309 Mica Rd Carlsbad, CA 92009-1739 Reinspection Complete Complete Passed Yes Complete Passed Yes Page 1 of 1