HomeMy WebLinkAbout2608 Colibri Ln; ; CBR2018-0255; Permit(City of
Carlsbad
Residential Permit
Print Date: 02/27/2018 Permit No: CBR2018-0255
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2608 Calibri Ln
BLDG-Residential
2155340800
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
02/01/2018
02/01/2018
Plan Check#:
Final
Inspection: 2/27/2018 9:49:35AM
Project Title:
Description: AOAMS: REPLACE AC UNIT LIKE FOR LIKE
Owner: Contractor:
BRENOA ADAMS
2608 Calibri Ln
CARLSBAD, CA 92009
QUALITY MECHANICAL PROFESSIONALS INC
1536 Fayette St Attn: Vadim Bykov
El cajon, CA 92020-1527
619-449-2735
PLUMBING, ELECTRICAL, ANO MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $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
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BUILD1NG 0FIRE 0HEALTH 0HAZMAT/APCD
{ City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. r J/l. ~ Q( K -?l.:J S5
Est. Value
Plan Ck. Deposit
Date _') I / /1 IY
JOB ADDRESS C ,.-.\ ' b' • , I '2.G; OD '-= I \ ,~ '-"-'.
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME
SUITE#/SPACE#/UNIT# I APN
I CONSTR. TYPE I DCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~i!il\91 ,a PC .A-i12-~D~'nOf.JiN<=( 12ef'LA~-t--<----...,-.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE v,so • ,AIR CONDITIONING I FIRE SPRINKLERS
NODJ vES0No0 vESONoO
STATh ZIP L-{?...Cc:q
PHONE IFAX
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
PHONE
C---------··-------EMAIL
I STATE LIC. II
PRQPERTY OWNER
,..,_, ~ s:A-A --M "'-
~ STA~
PHONE
EMAIL
CQJ>qRACTOR BUS. NAMF,, . ' l J I
( J'-A ... At.-\ i-,, l'-\..£<::k-\-A1v I CAt..... V-({...O~, . LI c_
ADDR~.......,
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CITY STATE ZIP eL cA -;-o,-, CA-qcaz_o
----+-PG-0N-,ti--c;4°i-?'1s~ l'G19-~1w9-2sc~---------
EMAIL
(Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to_ c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a si~ned statement that he rs licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of D1vis1on 3 of the Business and Professions Code} or that he 1s 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 penally of perjury one of the following declarations:
D1 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
"0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wor~Lhich this permit is issued. My workers' compensation tnsu nc rner and policy
numberare:lnsuranceCo. $Cf "F:'. ___ Policy No. q2/I 4 ExpiratronDate O I __
This sectkln need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify t tin 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 sec 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 ma es as provided for in Section 3706 of the Labor code, interest and attorney's fees.
kf CONTRACTOR SIGNA,fflift""~-.L--.,:;;,-~
I hereby affirm fhat I am exempt from Contractor's License Law for the following reason:
D
D
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 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)
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. 0Yes 0No
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 I have hired the following person to coordinate, 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}:
JiS PROPERTY OWNER SIGNATURE 0AGENT DATE
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? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 application and state that the above infonnation 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 !he City of Carlsbad to enter upon !he above mentioned property for inspection purposes. I ALSO 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 pemilt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in hei;;lhl
EXPIRATION: Every pennit issued by the i ing Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pemiit is not commenced within
180 days from !he date of such permit or if e uikting or WOO( authorized by such permit is suspended or abandoned at any time after !he work is commenced for a lriod of 180 days (Section 106.4.4 Uniform Building Code).
AS APPLICANT'S SIGNAT DATE 2,\ 1_ 8 c·
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.
CONTACT NAME
ADDRESS
CITY STATE
PHONE FAX
EMAIL
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
ZIP
D MAIL/ FAX TO OTHER:-----------------
A$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
o ASSOCIATED CB#•------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
!, '"
, , • 1_ PERMIT INSPECTION HISTORY REPORT (CBR2018-0255l -
Permit Type: BLDG-Residential Application Date: 02/01/2018 Owner: BRENDA ADAMS
Work Class: P/M/E Issue Date: 02/01/2018 Subdivision: CARLSBAD TCT#73-29
Status: Closed -Finaled Expiration Date: 08/27/2018 Address: 2608 Colibri Ln
IVR Number: 9237
Carlsbad, CA 92009-4303
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
02/27/2018 02/27/2018 BLDG-43 Air 049955-2018 Passed Andy Krogh Complete
Cond./Furnace Set
BLDG-Final 049956-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
BLDG-Electrical Final Yes
February 27, 2018 Page 1 of 1