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HomeMy WebLinkAbout2415 La Costa Ave; D; CBR2019-0339; Permit(city of Carlsbad Print Date: 02/21/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2415 La Costa Ave, D BLDG-Residential 2162405530 $0.00 Residential Permit Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Description: FRANKLIN: INSTALL TAN KLESS WATER HEATER WATER HEATER PERMIT Total Fees: $98.00 Owner: ERIC FRANKLIN 2415 La Costa Ave, D CARLSBAD, CA 92009 Total Payments To Date: $98.00 Status: Applied: Issued: Permit Fina1ed: Inspector: Pinal Inspection: 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 1T 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: CBR2019-0339 Closed -Finaled 02/12/2019 02/12/2019 2/21/2019 10:42:36AM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Plan Check Est. Value ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PC Deposit ------=--- Date -~~j'--'-(~J__,,_)~/ q~ Job Address _;;J_:_L_/1_\>;:::c-_~c_::::.=o~="---"Ll-C-=---·Suite: ~D __ APN: -------- CT/Project#: ________ Lo~#:~ F\ire Sprin~efl: yes/ noO,::n~it;oni7f: ye\/ no-'-- BRIEF DESCRIPTION OF WORK: ~ ~Wb,D -~ \JJ o.11u.._ ~ 0 Addition/New: _____ Li.ving SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ O Remodel: ____ SF of affected area !s the area a conversion or change of use ? Yes/ No 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? _____________ _ □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: -----------------,.;---+1--------+-,.-----~----~ m bing/Mechanic a I/EI e ctr i ca I Only: -~U:.:~LIM:Ji!''--'4JU::!L.-~~~~~~~lt:'.:~'.l-~!!f,l<lJl.'7\ lJ Other: ---------------------------------------- APPLICANJ (P-RIMARY CONTACT), \, 1, PROPERTY OWNER ~ (\, Name: IC-\\ e,_, \.,0 -tY-0-.,IA. 1---\,> ti\ Name: t;.,.:.; C.,. W ~ I V\ Address: ams: IA ~it°' ~M!JfrHD.ddress:~U?-~~-t~ Ave- City: MD_ State •. ~--~Z.ip: ..,,_ .. _"""-....__ City: C ~-State: CA· Zip: Phone: 7 '-lJ O @ \ 7 OS" lo Phone: '1 '-" C> ~d, \ ~ Email: ~:6c.., WCi.rrelA fu.1t.t:.lin~ Email: f'.dc. W Ctr11e,v\ t½ ll,w;kY) q~<fnl\ G)'6o.furo, ( DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: __________________ _ Name: ____________________ _ Address: _________________ _ Address: __________________ _ City: ________ State: __ ~Zip: ____ _ City: _______ State: ___ .Zip: ______ _ Phone: _________________ _ Phone: __________________ _ Email: __________________ _ Email: ____________________ _ Architect State License: ___________ _ State License: ______ Bus. license: ______ _ (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, a!so requires the applicant for such permit ta file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's Ucense Law {Chapter 9, commending with Section 7000 of Division 3 of th.e Business and Professions Code} or that he/she is ex:empt 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 ot not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06118 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury Qru!. of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. □ I have and wil1 maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit fs issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: ___________________ _ Policy No. _____________ Expiration Date: ________ _ □ Certificate of Exemption: I certify that ln the performance of the work. for which this permit is issued, I shall not employ arry person in any manner so as to be come subject to the workers' compensation laws of California. WARNING: Failure to secure workers c;ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's tees. CONTRACTOR SIGNATURE: __________________ □AGENT DATE: _____ _ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt fram Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wases as their sole compensation, will do the work. and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Thi! 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 wltl have the burden of proving that he did not build or improve for the purpose of sale). IW{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). V,_ m exempt under Section _______ ,Business and Professions Code for this reason: ~ ~ersonally plan to provide the major labor and materials for construction of the proposed ptoperty improvement. es □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have c:;:ontracted with the following person (firm) to provide the proposed consttuction (include name address/ phone/ 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/ address/ phone / contractors' license number): s. I will provide some of the workl'-..J.-~ persons to provide the work indicated (include name/ address/ phone/ type of work): DATE: 2-l \-on IC\ CONSTRUCTION LENDING AGENCY. IF ANY: I hereby affirm that there ls a construction lending agency for the performance of the work this permit is issued jSec. 3097 (i) CM! Code). Lender'sName: ____________________ lender'sAddress: ___________________ _ ONLY COMPLETE THE FOLLOWING 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 prevention program under Sections 25505, 25S33 or 25534 of the Presley-Tanner Hazardous Substance Account Act? C] Yes □ 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 □ 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 Y£5, A FINAL aRTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO TH£ AIR POLLUTION CONTROL DISTRICT, APPLICANT 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 ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 11-IE OlY OF CARISBAOAGAINST ALL UAlllUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OlY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSH it ls required for excavations over S'O' deep and demolition or construction of structures over3 stones in height. EXPIRATION: EVE!ry pennit issued by the by such permit is not commenced within after the work Is commenced for a peri APPLICANT SIGNATURE: ~~~~J.!_~~!.2!:~14A------DATE: ;;2-l \-80{9_ 1635 Faraday Ave carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06/18 , PERMIT INSPECTION HISTORY REPORT (CBR2019-0339) Pormit Type: Work Class: Status Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 02/12/2019 Issue Dato: 02/12/2019 Expiration Date: 08/20/2019 IVR Number: 17033 Inspection No. Inspection Status 02/21/2019 02/21/2019 BLDG-25 Water HeaterNents 084235-2019 Passed February 21, 2019 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 084236-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: ERIC FRANKLIN Subdivision: CARLSBAD TCT#73-07 Address: 2415 La Costa Ave, D Carlsbad, CA 92009-7310 Primary Inspector Re inspection Chris Renfro Passod Yes Chris Renfro Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1