HomeMy WebLinkAbout2613 Cabrillo Pl; ; CBR2019-1998; PermitCcityof
Carlsbad
Residential Permit
Print Date: 08/01/2019 Permit No: CBR2019-1998
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2613 Cabrillo Pl
BLDG-Residential
1552714107
$0.00
Work Class:
Lot#:
Reference #:
Construct ion Type:
Bathrooms:
Orig. Plan Check #:
P/M/E Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Fina I ed
07/30/2019
07/30/2019
Plan Check#:
Final
Inspection: 8/1/2019 1:52:47PM
Project Title:
Description: MESKEL: INSTALL FURNACE COIL CONDENSER
Owner: Contractor:
TRUST WELLER FAMILY TRUST 12-05-05
Po Sox 1950
CHAMPION AIR CONDITIONING ANO
HEATING
CARLSBAD 92018
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
120 N Pacific St, Ste A9
San Marcos, CA 92069-1223
760-736-4100
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
$175.00
«1 Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
760-602-2717 / 2718; 2719
Plan Check No. C5Q
~ CITY OF
CARLSBAD
JOB ADDRESS
2G.I
CT/PROJECT#
EXISTING USE
CONTACT NAME (If D,,,._t Fom App/leant)
ADDRESS
CITY
PHONE
EMAIL
PROPERTY OWNER NAME
PROPOSED USE
STATE
FAX
STATE
Fax: 760-602"8558
www.carlsbadca.gov
GARAGE (SF)
ZIP
L,~
FAX
STATE UC.#
Est. Value
Plan Ck. Deposit
SUITE#/SPACE#/UNI #
# BATHROOMS TENAN BUSINE NAME
PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
SWPP
CONSTR. TYf>E OCC. GROUP
AIR CONDITIONING ARE SPRINKLERS
YES □ NOD YES □ NOD
(Sec. 7031.5 Business and Professions Code: Arry City or County which requires a permit to constru<:t, alter, improve, demolish or repair any structure, prior to its issuance, alSo requires the applicant for such permit to file a signed statement ttiat he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the B1.1Siness and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Arry violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fll/a hundred dollars {$500H,
Workers' Ccmp,n1atlon Dtclll'lllon: I hereby aflimi under penally of peljury 0/'/t/ oflhll following dec/aralians;
□ I have and wt~ maintain I certiftcatl of c:onMlll to self.lnturt for workers' compensatioo as provided by Section 3700 of the Labor Code, fOf the performanoe of the wol1\ for which this penn It is issued.
0 I llave and w1H maintain work91$' compenlltlon, as required by Secllon 3700 of tile Labor Code, tor the poooonanoe of the work fQ' wtich this peMit is Issued. My workers' compensa~r~.l'\flC>l carrier and policy
numbe!' are: Insurance Co. ~......;:'( ✓ u 5,, ~ Paicy No. Owe ,P.., 57 Lj Ca 74 3 Expiration Date ----\ 2-a 2-0
This section naed not be completed ifttie pennlt is for ooe hundred dollars ($100) or less.
D CllflflCllle of E1empt10n: I cenify that In the performance of the work fa-wruch this permit is issued, I shall nol employ any person in air/ mannsr so as to become subject to the W<Xkers' Compensation Laws of
California. WARNING: Fallureto 1eC1Jrt workers' comptnlllllon coverage Is unlawful, and shall 1ubjecl an amployerto criminal penalll81 and clvll flnee up to one hundred thousand dohtt {&100,800), In
addition to the cost of compensation, damages as provided fOf In Sadlon 3706 of the Labor code, lnternt and attorney'• Jee,.
,#5 CONTRACTOR SIGNATURE □AGENT DATE
I hereby affl1171 thet I am exempt from Con/!8Clor's Ucense Law for the following reason:
Cl I, as owner of Ille PfO!>l!lfy r:,, my employees with wagas as their $Ole compensation, will do the work and the structure is not intended or offerl!d IOt' sale (Sec. 7044, Business and Professions Code: The CQntractors
License Law does not apply to an owner of property who buHds or Improves thereon. and who does such work himself or throll!lh his own employees, provided that such Improvements are not int811doo Of offered f()f
sae. If, however, the building a-improvement is sold within one year of completion, the owner-builder will have Ille burden of proving !hat he did not build or imprOYe for the purpose of sale).
Cl I, as owner of th& property, am exclusively contracting with licensed conl!ac1oll; to co11St<UC1 th& project (Sec. 7044, SIISiness and Professions Cade: The C-Ontractor's License law does not apply to en owner of
property who builds or Improve& thereoo, and contracts for such projects with contractOl'(s) licensed pursuant lo the Contractor's Licensa Law).
□ I am axempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of lhe proposed p<operty improvement □ Yes □ No
2. I (have I have not) signed an applicallon for a building permU for the proposed work.
3. I have contracted wtth lhe following person (ffrm) to provide Ille proposed C011Struction (Include name address I phone I contractorn' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide lhe major work (Include name I address I phone I oontractors' license number):
5. I wiU provide some of the work, but I heve contracted (hired) the following persons to provide the work indiQted (include name I address I phone I type of work):
A$ PROPERTY OWNER SIGNATURE CJAGENT DATE
Is the applicant or fulllre b!Jlldlng occupant required to submit a business plan, aoutely hazardous materials re!,istration form or risk management and prevention program under Sections 25505, 25533 « 25534 of the
Presie)'-Tanner Haiardous SubstallC8 Account Act? □ Yes □ No
Is the applicant« future building occupant required to obtain a pennit from Iha air pollution control district or air quality management district? □ Yes □ No
Is the facllity to be constructed v.tthin 1,000 feet of the Oilier boundary of a schochi1ll? □ 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.
I cet11ff thatl haYe read die appkatkm and Slate that the alxM lnbmatlon Is coll9Ctand lhatttle lnfonnatkln on the plans Is acwlllle. I agree to Cllfflply'lltth ml CJ1¥ ordinances and Stale lalw reldnglP buldlng COIISIIUl:1klll.
I hereby authorize rapresentatiYe of the Cify of Cl¥lsbild kl enter upon the above rrentioned property kN' i'lspec(i:ln purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AL1 LlABILffiES, JUDGMENTS, COSTS 00 EXPENSES WHICH MAY IN f>NY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem,lt is requi"ed for excavations Wf!I 5'0' deep and demolioon or oonstruction of Slrucll.res over 3 mries il height.
EXPIRATION: Ewrypermit l&aued by Iha BuidingOfficial LllderlheprnvisklnsoflhisCode shal expire by hilationand bermie nuland void lflhe buldrg orworkaulhoozed by such pi!llllit is notoommenced v.ilhi'l
180days from lhe dale of such penmor U,e blallng orv.orkaufuized by such pem,lt is suspended or abandoned at any line after#ie \\Qk is oommenood fora period of 180 days(Section 106.4.4 Urvfoon Buikli'lg Cooe).
~ APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2019-1998)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 07/30/2019 Owner:
Issue Date: 0713012019 Subdivision:
Expiration Date: 01126/2020 Address:
IVR Number: 20661
Inspection No. Inspection Status Primary Inspector
0810112019 08/01/2019 BLDG-43 Air
Cond,/Furnace Set
099399-2019 Paased Paul York
August 01, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
099400-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Paul York
COMMENTS
TRUST WELLER FAMILY TRUST
12-05-05
CARLSBAD TCT#91-01
2613 Cabrillo Pl
Carlsbad, CA 92008-1436
Relnspectlon
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
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