Loading...
HomeMy WebLinkAbout2343 Altisma Way; A; CBR2018-0774; Permit( City of Carlsbad Residential Permit Print Date: 04/16/2018 Permit No: CBR2018-0774 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2343 Altisma Way, A BLDG-Residential 2152402948 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Fina led: Inspector: Closed -Fi naled 03/29/2018 03/29/2018 TFraz Plan Check#: Project Title: Final Inspection: 4/16/2018 9:02:20AM Description: AU EBACH: REPLACE AC AND FURNACE Owner: Contractor: JOE AUEBACH ACTION AIR CONDITIONING HEATING ANO SOLAR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 2750 s Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 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 $170.00 1 (cicyof Building Permit Application Plan Check No. CBRd.Olrs--017~ f-------- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 78CMI0247:19 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit . www.carl§t;!adca.gov 2>tJcr11r Date JOB ADDRESS '131\ '?, {)I \-t I'S "'-<I W«L\, SUITE#/SPACE#/UNIT# IAPN ~~ --- CT/PROJECT# I LOT# -... I PHASE# l # Vl;.l'JNITS l # BEDROOMS # BATHROOMS I TENANT-BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) F-~ \ 11\_(.Q. ~le ~V\.,c\ ~r~c:e . EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES O # __ NOD YES D NOD YES O NOD APPLICANT NAME (Primary Contact) r'\1',k~ B\v"Y\<ll\ PROPERTY OWNER NAME Jo e Piv-e.b,,.c\,, ----ADDRESS 3 '5 -~ '?,.,,:-\ ... ~ ADDRESS ). '3 \.{?, /\ \ +r; -~ ~ ':tl'P< l'l.L Lo. \)..-'2-I "3 CITY ""~SM~ STATE c~ ZIP CITY Gu-\".)b~ STATE (.AIP q,2.J)o'J q1"31t,2-~--- PHON~t--'1 3 l_,-·ns1 /p I FAX ·1FAX (P. --------PHONE ....,,""-11<'.6.::-Sa 1 1 ~--EMAIL --EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME ~ c-\-'""" "JG ADDRESS ADDRESS ']_ ,rso (; 5 ""'11' 0--c='e , . f,~ -CITY STATE -----ZIP CITY (2 tJ\o.r CV', STATE ZIP q 2.o1,,g ;J(}V\ (. fl _IF~ PHONE I FAX -PHONE ,l9o-12..-1-V, X1---EMAIL --EMAIL --I STATE UC.# STATE LIC.# 5 o'li ll 'j I c~~ J (\fl, I c1TYBuSLJcf 'f S,, ,1t7) -- (Sec. 7031.5 Business and Professions Code: An Cit or County which requires a permit to construct. alter, improve, demolish or re air an structure, ptior to its issuance, also reql}ires the applicant for such permit to file a signed statemeht tJat he 1s licensed pursuant to the provisions of the Contractor's License LawjCgapter t. comme_nding with Section 7000 of Div1s1on 3 of the Business and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 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 amrm under penalty of perjury one of the following declarations: D..) have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ej" l have and will maintain worker~· comFe~sauon, as ~equJred ~~!ion 3700 of the Labor Code, f_or the _perform~nc~ of thil,:l:'.~O)i. ~'h},0~~5ri:sued. My wor~e~' compensatio inp ran9€ carrier and policy number are: Insurance Co. o-\-±~ W'2 . _ Policy No. ~s V ..!2_ U ~ li2Q__1 Expiration Date L<4-~'J~{')_J~<{,.___ ____ _ This section need not be completed iflhe permit is for one hundred dollars ($100) or less D 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 lo become subject to the Workers' Compensation Laws of California WARNING: Failure lo secure workers' mpensalion coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition lo lhe cost of compensation vided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE , I hereby amrm that I am exempt from Contractor's License Law for the following reason- 0 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). D 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} D 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 D Yes D No 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 (frrm) 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 I 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 I address I phone I type of work)· ~ PROPERTY OWNER SIGNATURE a AGENT DATE ft OM PL ET E T ff I S $ EC TIO N FOR NO N • R E $ I DENT I A'L B ttl-L DING PE RM 1-T $ 0 NL Y. ""'"" " ' 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? 0 Yes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CJ Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. I certify that I ha~ read the applic.ation and state that the above infonnation lsoorrectand that the infonnation on the plans lsacx:::urate. I agree to comply with all City ordinances and State laws relating to building construction. 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 ANO 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 pennit issued by the Building c I 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 not commenced within 180 days from the date of such pennit or· ing work authorized b such pennit is suspended or abandoned at any time after the work is commenced for period of 180 days (Section 106.4.4 Unifoon Building Code). ,If APPLICANT'S SIGNATUR DATE 3 21 rt / !0, , ' 0 Y' ' { " 0 '' . , · ·., -'·" • ' . PERMIT ll)ISPECTION HISTORY REPORT (CBR2018-0774) Penn it Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 03/29/2018 Owner: Issue Date: 03/29/2018 Subdivision: Expiration Date: 10/15/201 B Address: IVR Number: 10432 Inspection No. Inspection Status Primary Inspector 04/16/2018 04/16/2018 BLDG-43 Air Cond./Furnace Set 055040-2018 Passed Tim Frazee April 16, 2018 BLDG-Fin al Inspection Checklist Item BLDG-Building Deficiency 055041-2018 Checklist Item BLDG-Mechanical Final COMMENTS Passed Tim Frazee COMMENTS JOEAUEBACH LA COSTA VALLEY #5 2343 Altisma Way. A Carlsbad. CA 92009-6300 Reinspection Pas sod Yes Passed Yes Complete Complete Complete Page 1 of 1