HomeMy WebLinkAbout2606 La Duela Ln; ; CBR2017-0516; Permit,. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 03/28/2017 Residential Permit Permit No: CBR2017-0516
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2606 La Duela Ln
BLDG-Residential
2550921500
$0.00
www .carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
BARABAST -50 GALLON WATER HEATER -SAME LOCATION
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Closed -Finaled
03/13/2017
03/13/2017
COOWNER BARABASZ TOMASZ
J&STARON-BARABASZ KATARZYNA
2606 La Duela Ln
AFFORDABLE WATER HEATERS AND
PLUMBING INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
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
$98.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
Ccityof
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@ca~sbadca.gov
www.carlsbadca.gov
SUITEI/SPACEI/UNtTI
□BUILDING □FIRE □HEALTH D HAZMATIAPCD
Plan Check No. CtjR..1.017 ~c:,,;-1 t
Est. Value
Plan Ck. Deposit
Date J,. JJ Ii SWPPP
APN
occ. GRoup·-··1
I
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CT/PROJECT# LOU
0.
# OF UNITS # BEDROOMS CONSTR. TYPE
Re,?\ C\ Ce, so ~a\\on
FIREPLACE FIRE SPRINKLERS EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
YES[], NO□ YES□No□;
APPLICANT NAME PROPERlY OWNER NAME T"om oar « bCI ,s-r
ADDRESS
7--0 0.. D1,1e\a Lone
CITY STATE ZIP
_J Car L<; 'O Cl d CA-Cf 2009.
PHON PHONE '11 FAX 11JJO
EMAIL
-COn-7
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME \j\J ()-'I-~.\-t
ADDRESS ADDRESS K cl 7.'D:, S Z _[l)Yl ~±CJ\ C1-tJ O (l #lYClf;> I
. ··srATE -I CITY ZIP CITY \[ {1 . STATE CA-ZIP q 12,<; 5 I I
' PHONE FAX
Cl _5_.S_ l.p : ---------1
EMAIL C-0 n-,
STATE LIC. #
(Sec. 7031.5 Business and Protessions Code: Any City or County which reciuires 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 provIs10ns of the Contractor's License law )Chapter 9, commendmg with Section 7000 of DIvisIon 3 of lhe Business and Professions COde} or that he is exemi;,t therefrom, and the basis for the alleged e,-;emption. Any vIolat1on of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500}).
WORKERS COMPENSATION
Worbn' Compensation Declaration: / heraby affirm under penalty of perjury one of the following dec/arations: Di 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.
~ I have and will maintain workers' compensation, as required bv Section 3(00 of the labor Code, for the pertormance o~ the work for which this permit Is issued. My workers' compensation insurance '3"er and !X)hcy
numberare, lns,,ra,ce eo IDS \ 1 \'. a o C e, CD . t, f--\:b e \,'\\ € S:teoloy No '5 v ?i 2 .L\ "'I 7 D D E,pi,alion Dale l . \ . I ~ ---
ThiS section need not be completed if the permtt is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that 111 lhe perlonnance of lhe 'Mli1< for which this permit is issued, !_~hall not employ aoy person in any manner so as to become subject to the Workers' Compensation laws of
Galifomia. WARNING: Failure to secure worker&' compensation coverage is unlawful, and shall subject an employer .to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addftlon to the cost of compensation, damages a provided for in Section 3706 of the Labor code, interest and attorney's fees.
IS CONTRACTOR SIGNATURE g{GENT
I hereby affirm that I am exempt from Confraclor's License Law for the fdlowing 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 oat 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 oompletion, the owner•builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as o'Mlerof lhe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's U:;ense law does not apply to an owoer of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law).
I am exempt under Section ~---•Business and Professions Code for this reason:
1. l personally plan to provide lhe major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I (have I have not) 5gned an application for a building pennit for the pro!X)sed work.
3. I have contra:ted with the following person (firm) to provide the proposed oonstruction {include name address I phofle I contractors' license number):
4. I plan to provide portions of the wol1<, but I have hired the following person to coordinate, supeNise and provide the major work (include name I address/ phOne I contractors' license number):
5. I wiH provide some of the work, but I have contracted (hired) the following persons to provide the wol1< indicated {include name/ address I phone I type of work):
I I
i
.
LS'PROPERTYOWNERSIGNATURE □AGENT DATE I L._--------------------------=-----------------J
'·
Is Ille applicant orflltlS& building occupant required to submit a business plan, acutely hazardous materials registration form or risk mMagement and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous SubStance Account Act? □ Yes □ No
Is the applicant orfulllll bl.ikllng occupant required to obtain a permit from the air pollution control district or air quality management diStriet? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer bounda,y 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 SERVtCES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certtfythatl have 188dthe appllCallon and statethattheabcMI information is coned: and that the infonnatlon on the plans isacx:urate. I agree to comply Mth all Qly ortinances ard State law relating to buildingontrud:ion.
I he!eby oolhorize _,iatiw of lhe City of Car1sbad lo enter upoo lhe above n-.nlioned properly lor ospectio'l p.irposes. I ALSO A<?l<EE TO SA VE, 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 <?!<ANTING OF THIS PERMIT
OSHA: All OSHA pem11t is requred br excavations o-..er 5'0' deep and demolioon oc construcoon of structures over 3 stories n height
EXPIRA TIOO: Every pemut iSSued by the Buitling Offlcial under tie proYisbns of this Code shall expire by limitalbn and become nul and void if the building or v.ork authorized by su::h pem11t is not ccmmercad withi'l
180 days mn the dale of sudl permit or if the btilding or worl<. auttnized by SLd1 permit is suspendOO or abandoooo at any time after lhe work is oommenced br a perb:l of 180 days (Se:tbn 106.4.4 Unibrn Buikling Code).
L APPLICANT'S SIGNATURE ( DATE J I 1
:"< " ' ' '
'! . PERMIT INSPECTION HISTORY REPORT (CBR2017-0516)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
PIMIE
Closed -Finaled
Actual
Start Date Inspection Type
Application Dato: 03/1312017
Issue Date: 0311312017
Expiration Date: 09/25/2017
IVR Number: 2490
Inspection No. Inspection Status
Ownor: COOWNER BARABASZ TOMASZ
J&STARON-BARABASZ
KATARZYNA
Subdivision:
Address: 2606 La Duela Ln
Carlsbad, CA 92009-9219
Primary Inspector Reinspection Complete
·······•-·"·····~---------------------------------
03(28/2017 03{2812017
.......... -.,.,,, ___ _
March 28, 2017
BLDG-25 Water
HeaterNents
017891-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
017892-2017
Checklist Item
BLDG-Plumbing Final
Passed Peter Dreibelbis Complete
COMMENTS Passod
Yes
Passed Peter Dreibelbls Complete
COMMENTS Passed
Yes
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