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
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