HomeMy WebLinkAbout2540 Wellspring St; ; CBR2018-1056; Permit(city of
Carlsbad
Print Date: 08/22/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2540 Wellspring St
BLDG-Residential
2081912900
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: TORUNE: RUN GAS AND ELECTRIC TO BBQ
Owner:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Permit No: CBR2018-1056
Closed -Finaled
05/01/2018
05/01/2018
8/22/2018 8:S0:4SAM
CRAIG TORUNE LAWNS ANO BEYOND-DO NOT USE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
2540 Wellspring St
Carlsbad, CA 92010-5604
Total Payments To Date:
999-999-9999
$170.00 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
,4"
' ( Cicyof
Carlsbad
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 780-602-271.9 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca gov
PlanCheckNo.e&~ol&-l05(o
Est. Value
Plan Ck. Deposit
Date
JOB ADDRESS SUITE#/SPACE#/UNIT# APN
,~1o;4,C;! we_ # OF UNITS # BEDROOMS # BATHRO~ TENANT BUSINESS NAME
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR COND\TIONING FIRE SPRINKLERS
YES0 # __ NOD YES O NOD YES O NOD
APPLICt\NT NAME (Primary Contact)
Ju" V\. fa<.'\)"' I c " ADDRESS
/05'71 .t.
DESIGN PROFESSIONAL NAME
ADDRESS
C 14,
IFAX
PROPERTY OWNER NAME
--rn r I ; "' e
ATE
CA
ZIP
9''J._o 10
CO"-'<. I<-<-0 ~ 5 tJy-. ;tr 'Y6 I
CITY STATE ZIP CITY STATE ZIP
---;-c=5=~~""' ()~·-~~s,~·~o~_~c~·=1~--~0_,:2~(-~~7~
PHONE --~·---~=r ---~--PHO~E"lJ_?:{<'../~ c,/, IFAX .(._
EMAIL EMAIL
STATE UC.# --·-----.--CLASS
o 3..'l 8' ol
(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, o requires e applicant for such per_m1t to file a signed statement that he is \icensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nd1ng with Section 7000 of Division 3 of the
B_usiness and Professions Code) or fuat he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/arau·ons:
0 I have and will maintain a certificate of consent to self.insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No Expiration Date -----------
This section need not be completed if the permit is for one hundred dollars ($100) or less. !11' Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
/Cahl'omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam a as provided for in Se~n 3706 of the Labor code, interest and attorney's fees.
A$ CONTRACTOR SIGNATURE ~ .;;,{ 0AGENT
I hereby afflrm that I am exempt from Contractor's License Law for the following reason:
D 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 wilt have the burden of proving that he did not build or improve for the purpose of sale).
D 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 lo 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)
Cl I am exempt under Secijon ·--__ 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 D Yes D No
2. I (have I 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 I phone I contractors' license number)·
4. I plan to provide portions of the work, but l have hired the following person to coor!Jnale, supervise and provide the major work (include name I address I phone I 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 I address I phone I type of work):
,/15 PROPERTY OWNER SIGNATURE 0AGENT DATE
,,,.
, 0 M PL ET E TH I S $EC TIO N FOR NON· RES ID "ENT I AL B U I L DI N G PERM IT$ 0 N LY
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? 0 Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes O No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? 0 Yes O 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.
I certify that I have read the appllcatlon and state that the above infonnation Is oorrectand that the lnfonnation on the plans Is accurate. I agree to comply with all Clly ordinances and State laws relating to bu II ding oonsbuctlorL
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARfv'II...ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem,it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stcnes in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nun and void if the building or work authorized by such pennit is not commenced within
180 days from the date of such pem,it or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a pericxl of 180 days (Section 106.4.4 Uniform Building Code).
,A:5 APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2018·1056)
Permit Type: BLDG-Residential Application Date: 05/01/2018 Owner: CRAIG TORLINE
Work Class: P/M/E Issue Date: 05/01/2018 Subdivision:
Status: Closed -Finaled Expiration Date: 10/29/2018 Address: 2540 Wellspring St
Carlsbad, CA 92010-5604
IVR Number: 11078
Scheduled Actual Inspection Type Date Start Date Inspection No. Inspection Status Primary Inspector Re inspection Complete
05102/2018 06/02/2018 BLDG-21 056767-2018 Passed Chris Renfro Complete
Underground/Underl
loor Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
08122/2018 08/22/2018 BLDG-Final 067719-2018 Passed Chris Renfro Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No inspection card on site. Bring to building Yes
department if you want a signed copy
BLDG·Plumbing Final Yes
BLDG·Mechan\cal Final Yes
BLDG-Structural Final Yes
BLDG·Electrical Final Yes
August 22, 2018 Page 1 of1
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