HomeMy WebLinkAbout2384 Botella Pl; ; CBR2019-0281; Permit(city of
Carlsbad
Residential Permit
Print Date: 02/22/2019 Permit No: CBR2019-0281
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2384 Botella Pl
BLDG-Residential
2163511200
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
02/05/2019
02/05/2019
TFraz
Project Title:
Final
Inspection: 2/22/2019 11:S0:27AM
Description: ABRAMSON: REPLACE A/C COIL CONDENSER
Owner: Contractor:
SURFSIDE HEATING AND AIR BETH D ABRAMSON
2384 Botella Pl
CARLSBAD, CA 92009 6351 Corte Del Abeta, Ste A108
Carlsbad, CA 92011-1441
760-304-4882
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00 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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$0.00
$175.00
. ( Cicyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 780-802-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
Plan Ch~Ol'l_-02..~ I
Est. Value
Plan Ck. Deposit
Date 2-
JOB ADDRESS Bo .J._ ~ I I 2-304 ·1c:,, tf CT/PROJECT_# _______ LOT#
Pletce
PHASE#
SUITE#/SPACE#/UNIT# APN
# 00,eu~N~l"IB~~.~,",~D'RO·"o"M"s~--+.=,A"T~H~R0'00"M'S-~T"E"N"A"NT=sus1NESS NAME
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □# __ NOD AIR CONDITIONING FIRE SPRINKLERS
YES □ NO □ YES O NO □
APPLICANT NAME (Primary Contact) Ju I j a s DI a ve2.~---PROPERTY OWNER NAME fu+n A);:,y OI ms on ______ _
AooR,ss7Cf52. AVY!ar ~ J)y, ADDREss2301-Bo-te.1 lci Place
'CI-TY~c~a __ , r I< h.ttd STATE q'Jli)q CITY Ca rlsbtt.d STATE ZIP
PH07/R~O-iif 32 -=-~~-=-F~-=--===:::~:--::~~-<-PH-ON~E 0AX ·-'1'2-DD~_
EMAIL ----i-~EM~A~l~L-------------~-------------------
DESIGN PROFESSIONAL NAME
ADDRESS
cTrv----
-------------·---
ZIP
coNrRAcroR Bus. NAMES n d I l A ~ .1... o. A :
ADDRess(p
351
CoY;~~_)x__rur __
PHONE FAX
CITY c.,e,r I ~A' ·z1P -----+--_V-Shad . __ _ __ CJU)LL_ __
--1-='1'2'tp__o-30L/-4Be2-_______ _
EMAIL
STATE LIC. # STATE LIC.# q CLASS
(Sec, 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct. alter, improve, demolish or repair any structure, prior to its issuance, also requires 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 /Chapter 9, commending with Section 7000 of Division 3 of the
Business and Professions Code) or fhat he 1s exem_P.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 1031.5 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: / hereby affirm under penalty of peljury one of the following declarations:
□ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Ccxle, 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 whic.b,_th!§_ permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. H::u vx+er t Vl s u ra y],Q?.,., Policy No. swc l 11--Z.:S 't 2 Expiration Date----------
This section need not be completed iflhe permit is for one hundred dollars ($100) or less
□ 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 lo the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penallies and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees.
_,g CONTRACTOR SIGNATURE
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 exclus·1vely contracf1ng 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 contraclor(s) licensed pursuant lo 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 conslrucl'lon of the proposed property improvement. □ Yes □ No
2. I (have/ 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 / phone I contractors' license number):
4. I plan to prov'ide porf1ons of the work, but I have hired the following person to coordinate, superv·Ise 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/ phone/ type of work):
,,Ji$ PROPERTY OWNER SIGNATURE □AGENT DATE
-"::"' pyr:0f ,~0m~ +} ,.,,-""'-' '& ,:11~ ,.COMPLETE THIS SECTION FOR NON•RESIDE,NTl~ti BUILDING PERMITS ONLY
" ' .;G\)i' ' ;;& -
Is the applicant or future building occupant required lo 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? □ Yes □ No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? □ 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.
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 agreetooomplywlth all City ordinances and State laws relating to building construction.
thereby authorize representative of the City of Carlsbad to enteru/X)fl the above mertioned 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMfT,
OSHA: An OSHA permit is required for excavations over5'0' deep and demolition or construction of structures rNer 3 stories in height.
EXPIRATION: Every permit 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 permit is not commenced within
180 days from the date of such permit orlf the building or work authorized by such permit is suspended Of abandoned at any time after the WOOi is commenced for a pericx:I of 180 days (Section 106.4.4 Uniform Building Code).
_.,g APPLICANT'S SIGNATURE DATE 1---'S-J Cj
PERMIT INSPECTION HISTORY REPORT (CBR2019-0281)
Permit Type:
Work Class.
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Dato: 02/05/2019 Owner:
Issue Date: 02/05/2019 Subdivision:
Expiration Date: 08/21/2019 Address:
IVR Number: 16874
Inspection No. Inspection Status Primary Inspector
02/22/2019 02/22/2019 BLDG-43 Air
CondJFumace Set
084368-2019 Passed Tim Frazee
February 22, 2019
BLDG-Final
Inspection
Checklist Item
BLOG-Building Deficiency
084367-2019
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Electrical Final
COMMENTS
Passed Tim Frazee
COMMENTS
BETH ABRAMSON
CARLSBAD TCT#72-24
2384 Botella Pl
Carlsbad, CA 92009-8011
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
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