HomeMy WebLinkAbout2448 La Costa Ave; ; CBR2018-2076; PermitCcityof
Carlsbad
Residential Permit
Print Date: 01/03/2019 Permit No: CBR2018-2076
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2448 La Costa Ave
BLDG-Residential
2161601200
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled;
Inspector:
Closed -Finaled
08/20/2018
08/20/2018
MColl
Plan Check#:
Final
Inspection: 12/24/2018 3:39:38PM
Project Title:
Description: WALDEN: INSTALL NEW AC UNIT AND DUCTING
Owner: Contractor:
COOWNER WALDEN CLIVE ML
TRUST/WALDEN CINDY T TRUST
2448 La Costa Ave
CALRSBAD,CA 92009
ACTION AIR CONDITIONING HEATING AND
SOLAR-INACTIVE
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
...
JOB ADDRESS
/PROJECT# LOT# PH
□ □
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@car1sbadca.gov
www.carlsbadca.gov
SUITEI/SPACEf/UNITf
DESCRIPTION OF WORK: Include Squ-Feet of Affected Area(•)
□ □
Plan Check No. (
Date
. GROUP
EXISTING USE GARAGE (Sf) PATIOS (SF) FIREPLACE
vesO
AIR CONDITIONING
Ne[] ves 0 No0
FIRE SPRINKLERS
vesO NoO
PROPERTY OWNER NAME
ADDRESS
1'1Lf~ L,.. Cos-\-oc-v~
t b~ c1TY C ~.(' \s·loaJ STATE C..>-ZIP
~o~
FM PHONE / I lo,~ -:iO~ ~1..1 o
FM
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME c+----~ Pi/C
ADDRESS ADDRESS
') .. :1511 ~. 5(ll~ f"'e. t--~
CITY STATE ZIP STATE c:.j. ZIP l\'J.o {f)
PHONE FM FM
EMAIL
STATELIC. # STATELIC.# 15otfDo15
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an:t structure, prior to Its issuance, also requires the applicant for such permit 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 that he is exempt 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 of not more than five hundred dollars {$5001).
WOl1(en1' Compensation Declaration: I hereby affirm under penalty of pe,juty one of the following d9c/a'ations: 0 I have and will maintain a certificate of con1181lt to self-lnt111re for workefs' compensation as provided by Section 3700 of the labor Code, fOo' lhe pertornmce of lhe WOik for which this permit is issued.
0 I have and will maintain worilers' ~on. as reQuired bV Section 3700 of the Labor Code, for the performar::= rJ&m this permit is issued. My workers' compensa7· 'o/Il-carrier and policy
numberare:lnS1JranceCo. ~-Hz. ll1 Qr~ \,~J@':&r PoocyNo. ~ 'l~L-f ExpiratiooDate~l....,Lr"'~c.....,~-----
~sectioo need not be completed if the pennlt is for one hundred dollars ($100) orless. LJ Certificate of Exemption: I certify that in the per1ormance of the WOik for which this permil is issued, I shall not employ any person in any manner so as 10 bEmne S1Jbject to the Workers' Compensation Laws of
Galifornia. WARNING: Failure to sac:ura wor11 'compensation coverage Is unl,wful, and shall subject III employer to crtmlnal penalties and clvll fines up to one hundred thousand dollaB {&100,000}, In
addition to the cost of compensation, ded on 3706 of the Labor code, Interest and attorney's fees.
_15 CONTRACTOR SIGNATURE 0AGENT DATE
I hereby affirm that I am exempt from c.ontrador's License Law for the following reason: D I, as owner of the property°" my employees with wages as their sole compensation, will do the Wllf1t and the structure is not Intended°" offered for sale (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 who does such WOik himself or through his own employees, provided that such inprovements are not intended or oflered for
sale. If, howe\11!(, the building or Improvement is sold within one year of completion, the owner-buildEr wiU have the burden of proving that he did not bulld or improve for lhe purpose of sale}.
□
□
I, as owner of the property, an, exclusively contracting with licensed contractor.; 10 construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of
property who builds°" improves thereon, and contra:ts for such projects with contractor(s) ricensed pursuant to the Contractor's License Law).
I am exempt under Section ____ Business and Professions Code for this reason:
1. I P8fS011811y plan to provide the major labor and materials for construction of the propooed property improyement. OVes ~
2. I (have/ have not) sl;Jned an application for a building permit for the proposed WOik.
3. I have conlracted with the following person (finn) to provide the proposed construction (include name address/ phone I contractOo'S' license number):
4. I plan to provide portions of the WOik, but I have hired the follotling person to coordinate, S1Jpervise and provide the major WOik [include name/ address/ phone I contractors' licellse numbef):
5. I will provide some of the WOik, but I have contracted (hired) the following peisons to provide the WOik indicated Onclude name / address / phone I type of WOik):
NS PROPERTY OWNER SIGNATURE □AGENT DATE
..
Is the applicant or future building occupant required tD submit a business plan, acutely hazardous materials registration mn 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 to obtain a pennit from the air pollution conlrol district or air quality management <istricl? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sim? □ Yes □ No IF ANY OF TIIE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS TIIE APPLICANT HAS IIET OR tS IIEETING THE REQUIREMENTS OF TIIE OFFICE OF
EMERGENCY SERVICES AHO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affinn that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code).
Lende(s Name Lende(s Address
I certtfylhat 1 '-iead theapplicallon and stale 1hatthe abollle 1nforma1lon Is COffllCtand that the 1nbma1lon on the plans Is aa:un.1 agJee ID complywllh all Cll>'Oldinanoos and Stal81-relatir.i ID bulldilg oonstructlon.
I hereby authaize representatiYeof the Cityof Garlsboo klenteruim the~ menooned JrOPllllYb"ilspediln JllllXlS8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY CJ' CARLSBAD
AGAINST All UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING CJ' THIS PERMIT.
OSHA An OSHA perml is requied b' excavations over 5'0' deep and demoloon or oonstrudiln of stucnJres over 3 stllies il heglt
EXPIRATION: Every permft issued by the Buiklilg . undeftheprovisilnsof this Codeshalle>qie by fmitaoon and become nul and voo f the bukf119orv.ak aJthorized by such permit is not<XJrMlel'lald v.ithil
100 days from the dale of such ~ or W the or authorized by such perml is ~ or a:uldoned at any tine after the v.ak is ,..,..,.,.__..""1 b' a · of 100 days (Sldiln 100.4.4 lJnilorm lllildilg Code).
A!APPLICAHT'SS1GNATIJRE ~~-;,.,...,..,--:..-~ ~,,.-
PERMIT INSPECTION HISTORY REPORT (CBR2018-2076)
Permit Type: BLDG-Residential Application Date: 08/20/2018 Owner: COOWNER WALDEN CLIVE M L
TRUST/WALDEN CINDY T TRUST
Work Class: P/M/E Issue Date: 08/20/2018 Subdivision: LA COSTA-SOUTH UNIT# 1
Status: Closed -Finaled Expiration Date: 06/24/2019 Address: 2448 La Costa Ave
Carlsbad, CA 92009-7301
IVR Number: 13293
Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Reinspection Complete
12/24/2018 BLDG-43 Air 080528-2019 Passed Paul Burnette Complete
CondJFumace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLOG-Final 080529-2019 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Mechanical Final No
12/04/2018 12/0412018 BLDG-43Air 077850-2018 Failed Mlchael Collins Reinspection Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 077849-2018 Failed Michael Collins Reinspectlon Complete
Inspection
Checklist Item COMMENTS Passed
BLOG-Building Deficiency No
BLDG-Mechanical Final No
12/24/2018 12/24/2018 BLOG-43 Air 079713-2018 Failed Paul Burnette Relnspection Complete
Cond./Furnace Set
Checklist Item COMMENTS Passed
BLOG-Building Deficiency No
BLOG-Final 079712-2018 Failed Paul Burnette Relnspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Mechanical Final No
January 03, 2019 Page 1 of 1