HomeMy WebLinkAbout2514 La Golondrina St; ; CBR2019-2812; PermitPrint Date: 10/29/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2514 La Golondrina St
BLDG-Residential
2155612000
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: CHRISTIE: REPLACE SO GAL GAS WATER HEATER; SAME LOCATION.
WATER HEATER PERMIT
Total Fees: $98.00
Owner:
OWNER CHRISTIE LINDA
2514 La Golondrina
CARLSBAD 92009
Total Payments To Date: $98.00
(city of
Carlsbad
Permit No: CBR2019-2812
Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Final
Closed -Finaled
10/08/2019
10/08/2019
Inspection: 10/29/2019 9:04:25AI
Contractor:
WATER HEATERS ONLY INC
970 E Main St, Ste 200
Grass Valley, CA 95945-5845
530-274-3001
Balance Due: $0.00
$98.00
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
{city of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit --,--,---=:---.---/6 -B-/q Date
Job Address 2 S \ 4-I ,CA., G:]0 \ bt\ct,r·11'\Cl., ~uit~: ___ APN: _______ _
CT/Project #: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
0 Addition/New: _____ Living 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? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No
0 Pool/Si,a: ____ 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 ,,roof: _________________________________ _
ff Plumbing/Mechanical/Electrical Only: W iAJCt y-· _l,,v.__,""""'J}J;:1=_,,,,,,~, _r_. __________ _
D Other: ----------------------------------
DESIGN PROF~~S!ONAL
Name: I\J _ A
Address:---=---------------
City: _______ State: __ _,Zip: ___ _
Phone: ________________ _
Email: _________________ _
Architect State license: ___________ _
Err.ail. :1
State L1cense3J 451 J
I • LO l'\I\
B . license: l '1..4lf'11
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a oermit to construct, alter, improve, demolish or repair any structure, prior to its
i~suance, also requires the applicant for such permit to file a signed s.tatemf.int that ne/she is licensed p•Jrsuant to the provisions of tt1e Contractor's license Law
{Chapter 9, commending w1th Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therPfrom, and the basis for the alleged
exemption. Any violation of-Section 7031.5 by any applicant for a permit subjects tho applicant to.,: civil penalty of not more than five hundred dollars {$500>).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-502-8558 Emili!: Building@carlsbadca.gov
B-1 Page 1 o'2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION_DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
□ I have and will maintain a ct1rtifa:ate of consent to seif-ir.surc for workers' compensatior provided by Section 3700 of the Labor Code, for the performance of the
wor~hich this permit is issu<.?d.
i'l'ihave an~ will maintain wocker's compensation, os ,eqvired by Section S;OD of the Labo, Code, for the pp,~,n~,,he wµk for ~hie:"'' permit is issued.
My workers compensation insurance earner and policy number are: Insurance Comranv Name: b._'LM A.L C(tl,~
Policy No. Qi ·15 \1A115\.v10\'\·-Expiration Date: 7 I I I 1,uD--
□ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person fn any manner so as to be come
subject to the workers' compensation Laws of Californi.i. WARNING: Failure to secure workers .:ompensation coverage i5 unlawful, and shall subject an employer to
criminal penalties .and civil fines up to $100,000.00, in addition the to th0 co~t of rcmpens.ation, damages as provided for in Section 3706 of the Labor Code,
interest and attorne'fs fees.
CONTRACTOR SIGNATURE
( OPTION B ): OWNER-BUILDER DEC.b8,8i:.11Ql't
I hereby affirm that I am exempt from Contractor's license Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, w!U do the work and the structure is not Intended or offered for sale {Sec.
7044, Business and Profess;ons Code: The Contnictor'$ !.ic("nse Law does not app!y to an ownf'r ot proµertv who builds or improves th Neon, and who does such work
himself or through his own employees, orov1ded that :,uch 1mproverwmts arr,, not intended or offered for sale. If, however, the building or improvement is so!d within
one year of completion, tht• owner-builder wlll hove the bt,rd1:'n of proving that he did m~t tiuild ci-improvt:< for the purpose of sale),
□ I, as owner of the property, am exclu.~iveiy contracting with licensed comractor5 tc construu the project {Sec. 7044, Business and Professions Code: The
Contractor's License law does not .apply to ;in owner of prop;-;rty who builds or improve::, thereon, and ,:-ontracts tor such projects with contractor{s) licensed
pursuant to the Contractor's license Law)_
□ I am exempt under Section----~ _____ ,_Business and Profession'> Code for th(<; reason:
1. ! personally plan to provide tt1e major tabor and material'i for construc::ion of thr! propo:,ed property imprnvemer:t. 0 Yes ;"'.] No
2. I (have/ have not) signed an 3pplicatitin for a building permit for th<e· proposed work
3. I have contracted with the foilowing oc-rson {firm) to rrovide the pronosed coristrvcticn {ind::d,:, rnme address/ phone/ contractors' license number):
4. I plan to provide portions ofthe work, but 1 have hired the following per~on to n,ordir:Ti'.12. s'.,pervbc and provide the major work (include name/ address/ phone/
contractors' license nJrnber):
S. I will provide some of the wo:k, but I have contracted ihired} the following persons to provi.:fo_, the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: __________________ ::JAGENT DATE: _____ _
thereby affirm that there io, ,) constr tio lending ,ig,.'ncv h.>r the pe:torr:1ance of the work thi.s permit is issued {Sec. 3097 (i) Civl! Code)_
Lender's Name: ,J lender's Address:
ONLY COMPLETE TH!;, FOLLOWING SECT!ON FOR NON-RESIDENTIAL BU!lJ)ING PERMITS ,9NLY:
ls the applicant or future building occupant required to submit a business plan, ¥utely hazardous materials re-gistr2tion form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Pr0sl~,v--Tanm:r :-iazardous Substance A,:,:;count Act} :J Yes □ No
Is the applicant or future building occupant requir('d to obtain a permit from the dir pollution control district or air 1w1:itv managemem district? □ Yes □ No
Is the facility to be construc!.ed within 1,000 feet of th1-: outer boundc1~y ~)f 2 scho::ii ~lte"r' □ Yes :J No
IF AN't OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVIC£::S AND THE AIR POt.LUllON CONTROi. DISTRICT.
APPLICANT CERTIFJ.(,,ATION:
1 certify that I have read the application and state that the above information i::. correct and that the information on the plans is accurate. ! agree to comply with all
City ordinances ;ind State !aw.'> re-1;·,ring to building construction.
I hereby authori2e representative of the City of Carlsbad tc, 0nte,, 1pon the obove mentioned property k;rins.pection purposes.! ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAlNST All UABlUT!~S, JUDGMENTS, COSTS AND EXPENSfS WHICH MAY !N ANY WAY i\CCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PEHM!T.OSHA: An OSHA permit is r€:Quired for exca-.:11tions over 5'0' deep and demoiition or construction of structures over 3 stories. in height.
EXPIRATION; Evti!.ry permit issued by the Building Offi(.ia! under th,:,, provisions of this Code shall expire by limitation and be-:ome null and void if the building or work authorized
by Such permit is not c-ommenced within 180 days from the dctti? nf such pNmit or if the building or worknuHmriled by $Ul".h permit is suspended or abandoned at anytime
after the work is commenced for a period of 80 d Section 100.4A Uniform Building Code).
APPL1CANTs1GNATURE·7J,..,--.lri,µ...L..!~:....:::.._,c,....d~~~=--'-L1------DATE: 10/ lo I lq -l I
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760 602-2719
Pago 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2019-2812)
Permit Type: BLDG-Residential Application Date: 10/08/2019 Owner: OWNER CHRISTIE LINDA
Work Class: P/M/E Issue Date: 10/08/2019 Subdivision: CARLSBAD TCT#73-29
Status: Closed -Finaled Expiration Date: 04/27/2020 Address: 2514 La Golondrina St
Carlsbad, CA 92009-4319
IVR Number: 22280
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
10/29/2019 10/29/2019 BLDG-25 Water 109009-2019 Passed Tony Alvarado Complete
HeaterNents
BLDG-Final 109008-2019 Passed Tony Alvarado Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
October 29, 2019 Page 1 of 1