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Home My WebLink About2385 Altisma Way; B; CBR2017-1518; PermitPrint Date: 09/18/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2385 Altisma Way, B BLDG-Residential 2152402913 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: CHAPNICK: REPLACE WATER HEATER AND FURNACE// SOME DUCTWORK PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: SHIRA T CHAPNICK 24706 Hickory Mdw San Antonio, TX 78261-2473 Total Payments To Date: $166.00 Status: Applied: Issued: Fina led: Inspector: 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: CBR2017-1518 Closed -Finaled 07/06/2017 07/06/2017 MColl $0.00 $166.00 E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING · {°Cityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov 0 BUILDING 0 FIRE 0 HEALTH Plan Check No.C Est. Value Plan Ck. Deposit Date APN CT/PROJEC # BATHROOM TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE APPLICANT NAME CITY PHONE FM EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE PHONE FM EMAIL ·-Z-"2- GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER ZIP ZIP STATE LIC. H FIREPLACE YESO AIR CONDITIONING NOD vEs 0 No0 FIRE SPRINKLERS vESO NoD (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve. demolish or repair any structure, prior to its issuance, al quir s the applicant for such permit to file a signed statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Divis· n 3 of e Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant o a civil penalty of not more than five hundred dollars [$500]). rs' Compensation Declaration: I hereby affirm under penany of perjury one of the following declarations: ave 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. ave and will maintain workers' compensation, as roouired 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. Policy No. Expiration Date---------- ~lion need not be completed~ the permit is for one hundred dollars ($100) or less. (Zjeertificate 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 civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages rovide · on 3706 of the labor code, interest and attorney's fees. fi5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 himse[ 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 Contracto(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 Contracto(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. 0 Yes 0 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 (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 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): fi5 PROPERTY OWNER SIGNATURE 0AGENT DATE 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 Acri O 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? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 infonnation Is correct and that the infonnation on the plans is accurate. 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 i1spection purposes. I ALSO AGREE TO SAVE, INDEM'-JIFY AND KEEP HARMLESS THE CITY OF CARLSBIID AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penntt is nequired for excavations Over 5'0' deep and demolition or construction of structures Over 3 stories in height EXPIRATION: Every penntt issued by the Building Official under the provisions of this Code shall expire by limitation and become nun and void W the building or work authorized by such permit is not commenced v.ithin 180 days from the date of such permit or Wthe build' work authonzed by such penntt is suspended or abandoned at any time after the work is COIM1ellc:ed for a · of 180 days (Section 106.4.4 UnWorrn Buildng Code). 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. C:i'T•.-1(/\lC 0 F OCCUPANCY ( C o n .-, c , c , 1 ! p -C' 1 l) ·-: I )' J 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 I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D ASSOCIATED CB# 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-1518) Permit Type· BLDG-Residential Application Date: 07/06/2017 Owner: Work Class: P/M/E Issue Date: 07/06/2017 Subdivision: Status. Closed -Finaled Expiration Date: 03/1 9/2018 Address: IVR Number: 4846 Scheduled Date Actual Start Date Inspection Type Inspection No. 07/10/2017 07/10/2017 09/15/2017 09/15/2017 09/18/2017 09/18/2017 September 18, 2017 BLDG-25 Water HeaterNents 028362-2017 Checklist Item BLDG-Building Deficiency BLDG-25 Water HeaterNents 034841-2017 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLOG-43 Air Cond./Furnace Set 034842-2017 Checklist Item BLDG-Building Deficiency BLDG-25 Water HeaterNents 034998-2017 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-43 Air Cond./Furnace Set 034997-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 034843-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Primary Inspector Failed Michael Collins COMMENTS Notice Failed Michael Collins COMMENTS No access, left door hanger Notice Failed Michael Collins COMMENTS No access left door hanger Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS SHIRA CHAPNICK LA COSTA VALLEY #5 2385 Altisma Way, B Carlsbad, CA 92009-6322 Reinspection Reinspection Passed No Reinspection Passed No No Reinspection Passed No Passed Yes Yes Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Complete Complete Complete Complete Page 1 of 1 Permit Type: BLDG-Residential Application Date: 07/06/2017 Owner: Work Class: P/M/E Issue Date: 07/06/2017 Subdivision: Status: Closed -Finaled Expiration Date: 03/19/2018 Address: IVR Number: 4846 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 07/1 0/2017 07/10/2017 BLDG-25 Water HeaterNents 028362-2017 Checklist Item BLDG-Building Deficiency 09/15/2017 09/15/2017 BLDG-25 Water HeaterNents 034841-2017 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-43 Air Cond./Furnace Set 034842-2017 Checklist Item BLDG-Building Deficiency 09/18/2017 09/18/2017 BLDG-25 Water HeaterNents 034998-2017 October 13, 2017 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency BLDG-43 Air Cond./Furnace Set 034997-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 034843-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Failed Michael Collins COMMENTS Notice Failed Michael Collins COMMENTS No access, left door hanger Notice Failed Michael Collins COMMENTS No access left door hanger Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS SHIRA CHAPNICK LA COSTA VALLEY #5 2385 Altisma Way , B Carlsbad, CA 92009 Reinspection Reinspection Passed No Reinspection Passed No No Reinspection Passed No Passed Yes Yes Passed Yes Passed Yes Yes Yes Yes Yes ete Comp te Com lete Co plete C plete Page 1 of 1