HomeMy WebLinkAbout2313 Kimberly Ct; ; CBR2017-0733; Permit·,
Print Date: 04/19/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2313 Kimberly Ct
BLDG-Residential
1675312700
$0.00
RIGGS: REPIPE HOUSE W PEX
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Owner:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class:
lot#;
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
P/M/E
TRUST RIGGS TERRY A TRUST 02-17-06
Total Fees: $166.00 Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
REPlPE 1
19326 Ventura Blvd, 201
Tarzana, CA 91356-3016
818-344-2927
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: CBR2017-0733
Closed -Finaled
04/11/2017
04/11/2017
$166.00
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD .
>1+-0Y:33 (city of Building Permit Application Plan Check No.," -~ ,
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov DateLJ-f/~ J-:,.. lsWPPP
JOB ADDRESS SUITEI/SPACD/UNITI IAPN "l...111 le f"I b e11 ~ \( ---
CT/PROJECT# 'LOT# I PHA.SE# I# OF UNITS I# BEOROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ... , , e 1,e. p ,p h 0\,\)€ 1.// re ..
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
1
rlR CONDITIONING I FIRE SPRINKLERS
YES[], •<O v,sQ•oO YESQ•oD
APPLICANT NAME -:r.J (\ \,if\'4)\ IA/'J d Primary Contact
PROPERTY OWNER -( l'/r ,, R " .. 1
ADDRESS V ADDRESS , , ,
) WH
CITY STATE ZIP CITY STATE ZIP
PHONEl I 'I 310 3 qi/ I"" PHONE I"" 11ov •11 r \ T\'7
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME R~D; {1.0 1-,--
ADDRESS ADDRESS • I BI -f::r'L 01 I ~ ;L &, Vf?t1 +-v ~ Cl
CITY STATE ZIP CITY1 . STATE Lll ZJP ~ I 3 5-& Ui 1--CVI (,i
PHONE I"" PHONE iii) L[ /..-l.--~Z...71FAX
EMAIL EMAIL
I STATE UC.# STATE UC.# q 'L-1 gq1.. I CLASS . } (,~CITY BUS. Lt# L l'l.1 ,· ,..
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a perrmt to construct, alter, Improve. demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a sl~ed statement that he 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 fhat 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 appllcant to a civll penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of pe(ju(y one of the folkJwirq declarations: O· I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor C'.ode, for the performance of the wol'li: for which this pennit is issued.
IS?] I have and will maintain worll:N~~on, as reQUifl!d by Section 3700 of the Labor Code, for the performance of the worlc;\. ;r which this ~rmil is ~µed-My workers' compensation insurance carrier and policy
rwmberare, losu""'8 Co. IA t \ ;J VI U. [ Poley No. V (_ l J 1.-(, l_ '1 I V Exp;ratioo DalB ~l/4--~~/ ~6 ___ _
"]]!ii.section need nol be completed if lhe permit Is forooo hundred dollars ($100) or less. LJ Certificate of Exemption: J amity thal in lhe perfmmance of the work brwhx:h this pennit is issued, I shall not employ any person in any manner so as lo become subject lo the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation cov~ is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dama provi~ed for in Section 3706 of the Labor code, interest and attorney's fees.
Ji$ CONTRACTOR SIGNATURE DATE '-7
I heraby afflrm thet I am exempt from Contractor's Ucense law for the following reason:
□
□
□
I, as owoorof the property or my employees with wages as their sole compensation, will do the work and the structure is ool intended oroffefed for sale {Sec. 7044, Business and ProfessKms Code: The Contractor's
license Law does not apply lo an owner of property who buikis or improves lh:!reon, and who does such work himself or through his own empk)yees, provided-that such improvements are not intended or offered for
sale. lf, however, the building or improvement is sold within one year of completion, the owner•bl.lilderwill have the burden of proving that he cfid not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contra;ting with licensed contractors lo construcl 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, Md conlracts for such projects with contractor(s) licensed pursuant to the Contractors License Law).
I am exempt under Section ____ .Business and Professions Code for this reason:
1. I personally plan to provk:Je lhe ma;Jr labor and materials for construction of the proposed property improvement. Oves []No
2. I (have I have not) signed an application for a building pennil for the proposed work.
3.1 have conlracted with the following person (!inn) to provide the proposed construction (include name address f phone/ oontraclOIS' license nl!mber):
4. I plall lo i:rovide portions of the work. 001 I have hired the following person to coordinate, supeNise and pro'Jide the major work (include name I address/ phone/ contractors' license number):
5. I will provkle some of the work, but I have contracted {hired) the following persons lo provide the wolk indbited (include name I oodress /phone/ type of work): ,
.Jl:5 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUIL:DING PERMITS ONLY , = ,
Is the applicant or future building occupant required to submit a business plan/<!Culely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley"Tanner4"lazardous Substance Account Act? □ Yes rJ'No /
Is the appl_icanl or future building occupant required lo obtain a permit from the air pollution control district or air quqlity management district? □ Yes O"No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes 01-Jo
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued {Sec 3097 {1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certifythatl have read the application and state that the above lnfonnation Is correct and that the lnfonnation on the plans Is accurate. I agree to oomplywith all City ordinances and State la..w relating to bulldlngconstruction.
I hereby au~orize representative of !he Cly of Carlsbad lo enrer upon~•-mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CrTY 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 pennit issued 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 pennit is notoommenced within
180 days from the date of such pennitor if the buildilg or work authorized by such permit is suspended or abanOOlled at any time after the wOl'k. is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
AiS'APPLICANT'SSIGNATURE DATE L(/117
, PERMIT INSPECTION HISTORY REPORT (CSR2017-0733)
Permit Type: BLDG-Residential Application Date; 04/11/2017 Owner: TRUST RIGGS TERRY A TRUST
02-17-06
Work Class: P/M/E Issue Date: 04/11/2017 Subdivision: CARLSBAD TCT#83-20
Status: Closed -Finaled Expiration Date: 10/16/2017 Address: 2313 Kimberly Ct
Ca~sbad, CA 92008
IVR Number: 3028
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
04/19/2017 BLDG-Final 020681-2017 Passed Jonathan West Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Re-pipe only Yes
04/17/2017 04/17/2017 BLDG-24 020200-2017 Passed Jonathan West Complete
RoughfTopout
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
April 21, 2017 Page 1 of1