HomeMy WebLinkAbout2329 LONGFELLOW RD; ; CBR2016-0278; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/19/2016 Permit No: CBR2016-0278Residential Permit
www.carlsbadca.gov
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2329 Longfellow Rd
BLDG-Residential
2121423600
$0.00
Work Class:
Lot #:
Reference #:
P/M/E Status:
Applied:
Issued:
12/05/2016
12/05/2016Construction Type:Finaled:
Closed - Finaled
Plan Check #:
Project Title:
Inspector:
Orig. Plan Check #:
Bathrooms:
Bedrooms:
# Dwelling Units:
Description:DEGRASSE: REPLACE 50 GAL WATER HEATER IN GARAGE
Contractor:
AFFORDABLE WATER HEATER
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
Owner:
TRUST DEGRASSE PAUL &ALYCEREVOC LIVING
TRUST 12-20-99
2329 Longfellow Rd
CARLSBAD, CA 92008
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00
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.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: a PLANNING El ENGINEERING 0 BUILDING iiiii FIRE n HEALTH 1. HAZMAT1APCD
Carlsbad.
City of k.._.
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. C43/2,ja 162 --WI<
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Est. Value
Plan Ck. Deposit
Date la /VII, SWPPP
JOB ADDRESS
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SUITEVSPACEVUNIT# APN _ _ _
CT/PROJECT # LOT # PHASE 14 # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP I
I
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) H
1Z.e,i0 0‘ c e. 50 0, \ \ 0 yTh wo,-A--e-r 1e.-\ -eater.
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EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES D# NOE
A11I CONDITIONING
YES I:Iwo
FIRE SPRINKLERS
YES Nofl
APPLICANT NAME
Prinary contact A tshl-el t--, IZ 0 u-_,,L
ADDRESS
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PROPERTY OWNER NAME
ADDRESS
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(Sec. 7031.5 Business and Professions Code: Any City or County wh"ch requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed 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 that 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 applicant to a civil penalty of not more than five hundred dollars f$5001).
- il..WICI.RKERS COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty f perjury one of the following declarations:
El have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 370001 the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. \ r \ ‘.), v-ance, (:,() • 0----.1-V-\ . \1\1 e Si-Policy No. '0 :3") LA '11 D .'.) Expiration Date 1 • t
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, t.eall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in
addition to the cost of compensation, damages a provided for in Section 3706 of the Labor code, interest and attorney's fees.
../e CONTRACTOR SIGNATURE illAtAlk.A_A-...... JI) o e n -i- 12/AGENT DATE \ 2 a' 1 LP
OWNER-BUILDER DECLARATION
I hereby affirm that lam exempt from Contractor's License Law for the following reason:
El 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 Ucense taw).
I am exempt under Section Business and Professions Code for this reason:
I. I personally plan to provide the major labor and materials for construction of the proposed property improvement. I:]Yes ONo
2.1 (have have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone! ormtractors' license number):
4.1 plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name! address / phone / contractors' license number):
5.1 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):
..'PROPERTY OWNER SIGNATURE DAGENT DATE
. COMPLETE THIS SECTION FOR NON REIDENTI4 _ ISA/11.011%G PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration forrn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes 0 No
Is the applicant Of future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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.
CO-NSTRUCTION LEN
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
-__AP_PLICANT 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 orcfinances and State laws relating to building consbudion.
I hereby authorize representative of the City of Carlsbad 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 CITY 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 permit issued by the Buikiing 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
180days 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 bra period of 180days (Section 106.4.4 Uniform Building Code).
.APPLICANT'S SIGNATURE DATE \ \
PERMIT INSPECTION HISTORY REPORT (CBR2016-0278)
BLDG-Residential 12/05/2016Application Date:Permit Type:Owner:TRUST DEGRASSE PAUL
&ALYCEREVOC LIVING TRUST
12-20-99
Subdivision:P/M/E 12/05/2016Work Class:Issue Date:
2329 Longfellow Rd
Carlsbad, CA 92008-3830
Address:06/05/2017Expiration Date:Status:
IVR Number: 635
Closed - Finaled
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
12/19/2016 12/19/2016 BLDG-25 Water
Heater/Vents
006135-2016 Passed Jonathan West Complete
BLDG-Final
Inspection
006136-2016 Passed Jonathan West Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
December 19, 2016 Page 1 of 1