HomeMy WebLinkAbout2539 Wellspring St; ; CBR2018-2742; Permit(city of
Carlsbad
Residential Permit
Print Date: 02/21/2019 Permit No: CBR2018-2742
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2539 Wellspring St
BLDG-Residential
2081914600
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
10/09/2018
10/09/2018
TFraz
Plan Check#:
Final
Inspection: 2/21/2019 1:20:SlPM
Project Title:
Description: STRIDE: GAS LINE TO FIREPITTO BBQ// ELECTRICAL TO WATER FEATURE LESS THAN 6' HIGH
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00
Owner:
COOWNER STRIDE GARRICK LAND DARBY G
2539 Wellspring St
CARLSBAD, CA 92010
Total Payments To Date: $175.00
Contractor:
GREEN EXPRESSIONS LANDS
3912 Bedford Ave
Oceanside, CA 92056-3337
760-653-9967
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
$17S.OO
(cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit ---------
Date _ _,j=O...._/~'i_,_/l._.'x"---
Job Address mr (ye(G,;r,~f' ,/-. 9-zcl/0 Suite: ___ 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
□ 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: _____________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: ____________________________________ _
APPLICANT (PRIMARY)
Name: _________________ _
Address: ________________ _
City: _______ State: ___ .Zip: ___ _
Phone: __________________ Phone:-1,..,"'='-'-L.!'-"'~-""--'-'"--l---'---'-'"'-------
Email: Email: ____________________ _
DESIGN PROFESSIONAL
Name: __________________ Name:_,,_,_,__-'---""-'-_,,_--'-----''-'-=--'--~~-----
Address: _________________ Address:_;' ~.:...1:--L~::!.1===-P-~-=-------
City: ________ State: ___ .Zip: _____ Citv:C~~~~-6~,,-J
Phone: Phone: '-,-.J-'-J"=-4---'-..,_.....,_..L_J.c...:i-'-l-!.~-~-----
Email: Email: ~~:::CU::'.2!:~ii:l'..:5.~:U:~l.S..!f~~~~..t'....f.~""~c:....'C.
Architect State License: ___________ -"1---'-=<-L....,_-'-_ Bus. License: / { '{0"-1 1-0
(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, also requires the applicant for such permit to file a signed statement that he/she 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/she 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 {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
8-1 Page 1 of 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 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.
~ have and will maintain worker's compensation, as required by Section 3700 of th Labor Code, for the performance of the work for which this permit is issued.
( ~V :,vorkers'JtC?rl'!.PFJl~ ipju219ce cp~r and policy nun:iber_ are: lnsuran o n_pap ame: ______________________ _
Polley No. LU L L<-J/,_/ 7 C:,b f:0/ Expiration Date: _ _,_.,_""0'-'("-(r_,_ ___ _
□ Certificate of Exemption: I certify that in the performance oft
subject to the workers' compensation Laws of Calitorn· . WAR
criminal penalties and civil fines up to $100,000.00, additi
work for which this permit is issued, I shall not employ any person in any manner so as to be come
G: Failure to secure workers compensation coverage ls unlawful, and shall subject an employer to
the to the cost of compensation, damages as provided for In Section 3706 of the Labor Co e,
interest and attorney's fees.
CONTRACTOR SIGNATURE:
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I om 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, 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
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 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
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).
□ lam 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. □ Yes □ No
2. I (have/ 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/ 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):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT ----------------------DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _____________________ _ Lender's Address: _____________________ _
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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ 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? □ 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 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.
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 Cityof carlsbad to enter upon the above menti ed property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE cnv OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS A PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF
EXPIRATION: Every permit issued by the Building Official unde
by such permit is not commenced within 180 days from the a of such p it o
after the work is commenced for a period o 80 10 106.4.4 U arm B
er 5'0' deep and demolition or construction of structures over 3 stories in height.
s Code shall expire by limitation and become null and void if the building or work authorized
if the building or work authorized by such permit is suspended or a band ned at y time
!ding Code).
1635 Faraday Ave Carlsbad, C
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 012
Email: Building@carlsbadca.gov
Rev. 06/18
' ' ' -, , , PERMIT INSPECTION HISTORY REPORT (CBR2018-2742)
Permit Type:
Work Class·
Status:
Scheduled
Date
"
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date; 10/09/2018
Issue Date: 10/09/2018
Expiration Date: 04/23/2019
IVR Number: 14483
Inspection No. Inspection Status
Owner: COOWNER STRIDE GARRICK L
AND DARBYG
Subdivision:
Address: 2539 Wellspring St
Carlsbad, CA 92010-5604
Primary Inspector Reinspection Complete
-------------------------------------
10/25/2018 10/25/2018
02/21/2019 02/21/2019
BLDG-34 Rough
Electrical
074140-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
084262-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Electrical Final
Passed
COMMENTS
Passed
COMMENTS
Tim Frazee
Tim Frazee
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
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February 21, 2019 Page 1 of 1