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Home My WebLink About2320 La Costa Ave; D; CBR2017-0682; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 04/05/2017 Residential Permit Permit No: CBR2017-0682 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2320 La Costa Ave, D BLDG-Residential .;21<,,3.10 IY l.:l. $0.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: ALTA VERDE HOA: GAS LOCK OUT ON OUTSIDE LINE Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 04/04/2017 04/04/2017 ALTA VERDE HOA EUGENE BELLEN Bill HOWE PLUMBING HEATING & AIR COND.INC 858-922-2329 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 9085 Aero Dr, B San Diego, CA 92123-2377 619-245-5469 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 wm 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 $166.00 ... THE FOU •• OWIN4 APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING (city of Carlsbad JOB ADDRESS (} CT/PROJECT# EXISTING USE APPLICANT NAME Primary Contact ADDRESS EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov AVe.. 1.JdU') SUITE#/SPACE#/UNITI # OF UNITS # BEDROOMS # BATHROOMS □BUILDING □FIRE □HEALTH Plan Check No. CfD'{QJJ/ Est. Value SWPPP CONSTR. TYPE OCC. GROUP CITY BUS. UC.# STATE LIC. # STATE LIC.# ·0/;2 iq7J (Sec. 7031.5 Business and Profes~ions Code: Any City or C(!un_ty which requires a permit to. construct, alter, improve, demolish or repair any structure, prior t9 its iss~ance, also re~uires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law JCha'/'ter 9, comme_nding with Section 7000 of DIvIsIon 3 of the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 03 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS· COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. Ji(l I have and wJII maintain worke~COIIJl~nsatlon, as ~quired ~y Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuran carrier and policy numberare:lnsuranceCo. ~ l( fa(r'\.l(l 1n s.occncL. Cc> Policy No, 't38CfC.SCfS-0 /01 ExpiralionDate _ _,_.,,oC.J_.,_-J-.. __ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, da es as provided for In Section 3706 of the Labor code, interest and attorney's fees. ,,g CONTRACTOR SIGNATU I hereby affirm that I am exempt from Contractor's License Law for the following 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). 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. 0Yes 0No 2, I (have I 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 I phone I 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 I address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicated (include name/ address I phone I type of work): 8$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS 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 prevent on 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? D 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that r have read the application and state that the above lnfonnation is correctalKI that the lnfonnatioo on the plans Is accurate. I agree 1D comply with all City ordinances alKI State lav.s relating 1D building construction. I hereby authorize representative of the City of Car1sbad to enter upon the alxJve mentioned property b inspection !XJrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSMD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA permit is requred forexc.avatons over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Oflk:ial under the provisbns of this C.ode shall expire by limitation and become null and vok:I W the buikling or IMlrk authorized by suet, permit is not commenced v.ithin 100days from the date ofsudl pem1it or if the buikling or'MJrk authorized by sud1 permit is suspended or abandoned at any time after the W)IK is commenced for a period of 100 days (Secoon 100.4.4 Uniform Building Ccxle) . ..@S" APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELNERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#------------ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSfflUCTION MAIL/ FAX TO OTHER: _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE ' PERMIT INSPECTION HISTORY REPORT (CBR2017-0682) Permit Type: BLDG-Residential Application Date: 04/04/2017 Owner: ALTA VEROE HOA Work Class: P/M/E Issue Date: 04/04/2017 Subdivision: Status: Closed -Finaled Expiration Date: 10/02/2017 Address: 2320 La Costa Ave, D Carlsbad, CA 92009 IVR Number: 2919 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 04/06/2017 BLDG-Flnal 019199-2017 Passed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLOG-Electrical Final No 04/06/2017 04/0512017 BLDG-23 018998-2017 Passed Paul Burnette Complete Gas/Test/Repaint Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes April 05, 2017 Page 1 of 1