HomeMy WebLinkAbout2660 Wadsworth St; ; CBR2017-1424; PermitPrint Date: 09/15/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2660 Wadsworth St
BLDG-Residential
2081931700
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E Status:
Lot#: Applied:
Reference #: Issued:
Construction Type: Fina led:
Bathrooms: Inspector:
Orig. Plan Check#:
Plan Check#:
Description: ZAM MIT: GAS LINE FOR BBQ & FIRE PIT// ELECTRIC FOR BBQ// SEWER CONNECTION FOR SINK
Owner:
JOEZAMMIT
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
Contractor:
GREEN EXPRESSIONS LANDS
3912 Bedford Ave
Oceanside, CA 92056-3337
760-653-9967
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.
Permit No: CBR2017-1424
Closed -Finaled
06/26/2017
07/03/2017
JWest
$166.00
$0.00
EHE FO~LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0 BUILDING O FIRE 0 HEALTH D HAZMAT/APCD
{ City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
Plan Check No-Cf>R2Dl,-1424
Est. Value
email: building@carlsbadca.gov Plan Ck. Deposit
www.carlsbadca.gov Date -Z..U -\ 1
SUITE#/SPACE#/UNIT# APN ~ESGt¥Jd5
CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE OCC. GROUP
EXISTING USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS
NOD YES 0 No 0 YES O NoO
APPLICANT NAME ~OWN
Primary Contact
ADDRESS 2660 l
CITY STATE ZIP STATE ZIP
c_~ 6
FAX FAX
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. # STATE LIC.# qq
(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 the Business and Professions Code} or [hat he is exempt 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 {$5001).
Wor1ms' Compensation Declaration: I hereby affirm under penafty of perjury one of the following declarations: D 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 pe
~e and will maintain work~~loJ!!~~tion, as reQuirp<I by Section 3700 of the Labor Code, for the .perfor"'T~ the wo~o~:j~'ii'l_SS~Y workers' compe ·
number are: Insurance Co. l_! (/'( l.., ~ \ f\.--4:) Policy No.\4-[ W L :1:_~~f2.Q V Expiration Date~--~---------
This section need not be completed if the permit is for on hundred dollars 0) or less. 0 Certificate of Exemption: I certify that in the pert nee of the w k I 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 mpe · ver ge Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hund d thouga dollars (&100,000), in
he Labor code, interest and attorney's fees. b, b / 1--
I hereby affirm that I am exempt from Co
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 himse~ 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. 0 Yes 0 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 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):
_g 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? 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? O Yes O No
Is the facility to be constructed within 1,000 feet 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.
Lender's Address
I certify that I have read the application and state that the above information 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 consbuction.
I hereby authorize representative of the City of Carlsbad to enter u e 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 EXPENS 'NHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excava · <Ner 5'0' deep d demolition or construction of structures <Ner 3 stories in height
EXPIRATION: Every permit issued by the Buildi Official under provisions of this Code shall expire by limitation and become nun and void rr the building or wor1< a · ed by such permit is not commenced within
180 days from the date of such permit or rrthe bu ing orwor1< a · ed by such permit is suspended or abandoned at any time after the wor1< is convnenced for ape· of 180 d (Section 106.4.4 Uniform Building Code).
_,g APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
.:_ :.. r;: -; , ,-J C ~ ... -,-:._: :, :-: C· C C U P .,. ; J C \' ( C o rn 01 ...:-, c • n I ProJ ..... "C . ' '·· ,, j
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 I FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#
0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION
D MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION
A$ APPLICANT'S SIGNATURE DATE
, . . .. ~ '....
_ 1 PERMIT INSPECTION HISTORY REPORT (CBR2017-1424)
Permit Type: BLDG-Residential Application Date: 06/26/2017 Owner:
Work Class: P/M/E Issue Date: 07/03/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 01/01/2018 Address:
IVR Number: 4623
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
07105/2017 07105/2017
09/15/2017 09/1512017
September 15, 2017
BLDG-21
Underground/Underf
loor Plumbing
027871-2017
Checklist Item
BLDG-Building Deficiency
BLDG-31
Underground/Condu
It-Wiring
027872-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
034880-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Jonathan West
COMMENTS
Passed Jonathan West
COMMENTS
Passed Chris Renfro
COMMENTS
JOE ZAMMIT
2660 Wadsworth St
Carlsbad, CA 92010-5603
Reinspection
Passed
Yes
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
Complete
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