HomeMy WebLinkAbout2603 COLIBRI LN; ; CBR2017-0528; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 04/04/2017 Residential Permit Permit No: CBR2017-0528
www.carlsbadca.gov
Job Address:2603 Colibri Ln
Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled
Parcel No:2155351100 Lot #:Applied:03/14/2017
Valuation:$4,000.00 Reference #:Issued:03/14/2017
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check 4:
Plan Check 4:
Project Title:
Description:RUBINSTEIN: 2603 COLIBRI LANE, NO UPGRADE
Owner:Co-Applicant:
ZEV RUBINSTEIN SEMPER SOLARIS
2603 Colibri Ln
7879 Armour St, A
San Diego, CA 92111-3790
619-341-3414
BUILDING PERMIT FEE $2000+$61.74
BUILDING PLAN CHECK FEE (BLDG)$43.22
SB1473 BUILDING STANDARDS FEE $1.00
STRONG MOTION-RESIDENTIAL $0.52
Total Fees:$106.48 Total Payments To Date:$106.48 Balance Due:$0.00
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.
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THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:ElPLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD
Cft -2-6 ri -05-z8
C Building Permit Application Plan Check No.(a
rty of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2719 Fax: 760-602-8558Carlsbademail:building@carlsbadca.govPh:Plan Ck. Deposit
www.carlsbadca.gov Date 3-I`I-In SVVPPFnr
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1
JOB ADDRESS 2Le 05 Coiikiyi
SUITEVSPACEVUNIT#APN ---
CT/PROJECT#LOT #PH E0 #OF UNITS #BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)
040‘f—41
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ID MA&-e-S I 0 k Mill ---)----e1Y 4V (0100 0Nou-
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EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESElft.NOD YES ENO 0 YESDN0D
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APPLICANT NAME M C...
PROPERTY OWNER
Primary Contact \NI 16o f\•Zeiv go bt y\si-r k r\
ADDRESS ADDRESSI-.
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DESIGN PROFESSIONA )jA...CONTRACTOR BUS. NAME a .cm.V is111)1 1 P6 frbrdADDRESS\t ii ADDRESS
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CITY STATE ZIP CITY STATE ZIP_
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PHONE FAX PHONEV
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STATE LIT.#STATE LIC.#s '-•C S
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(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 is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) orthat 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 ($500)).
WORKERS'COMPENSATION
Workers' Compensation Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued.
I have and will maintain workers' comp ation, as required by Section
700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiTifil5ran
carrier and licy
number are: Insurance Co.Policy No.902 q 2'7s Expiration Date I S 1 la
This section need not be completed if t permit is for one hundred dollars ($100) or less.
DCertificate 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
California.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 compensatio .4ama!es as provided f.In Section 3706ofthe ...rcode, interest and attorney's fees.A A.ES CONTRACTOR SIGNATURIA j Alik.‘Allh.v..•GENT DATE 3 I I
OWNER -BUILI)'i It 1:1 ECL4RAT;ON
"iino' r
I hereby affirm that I am exempt fro TeIrr7ctor's License Law for the following mason:
O 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).
O 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).0 I am 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.OYes ONo
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/addressIphone/type of work):
Dont:wow nwurD CUIPJATIIRF
(01'
111AGENT DATE C3 "7 C7I
I)
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i
t,
COMPLETE THIS 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?0 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?0 Yes 0 No
Isthe facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 No
IF ANY OF THE ANSWERS ARE YES,AFINAL 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.
CONSTRUCTION LENDING AGENCY
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
APPLICANT CERTIFICATION
Icertify thatI have read the application and state thatthe above Information isconedand that the information on the plans is accurate.I agreeto comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 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 permit is required for excavations over 5B' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become nut and void if the building or work authorized by such permit is not commenced within
180 days from the dateofsuch pennit or if .;.tidingor •aufh ;.•-chpent is suspended or abandoned at any time after the work is commencedfora period of 80 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE r.Al ,,,,...DATE )1 /1
STOP
._.STOP:THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#:(Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#0 MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE/NO CONSTRUCTION
0 MAIL /FAX TO OTHER: CHANGE OF USE/NO CONSTRUCTION
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AS-APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2017-0528)
Permit Type:BLDG-Residential Application Date:03/14/2017 Owner:ZEV RUBINSTEIN
Work Class:Cogen Issue Date:03/14/2017 Subdivision:
Status:Closed -Finaled Expiration Date:10/02/2017 Address:2603 Colibri Ln
Carlsbad, CA 92009-4304
IVR Number:2521
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
04/04/2017 04/04/2017 BLDG-35 Solar 018643-2017 Passed Paul York Complete
Panel
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final 018644-2017 Passed Paul York Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
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