HomeMy WebLinkAbout2661 Garfield St; B; CBR2017-2102; Permit,. , I
Print Date: 09/11/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2661 Garfield St, B
BLDG-Residential
2031411600
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: FULLMER: GAS LEAK REPAIR UNITS B & C
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
TRUST FULLMER FAMILY TRUST 11-10-99
2838 Dentro De Lomas Rd
VISTA, CA 92084
760-945-7621
Total Payments To Date: $170.00
Status:
Applied:
Issued:
Finaled:
Inspector:
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: CBR2017-2102
Closed -Finaled
09/11/2017
09/11/2017
$0.00
$170.00
. ,._ ,
✓ ·rr Building Permit Application Plan Check No. Lb~[}DI i -/}IO i:J--
(._ Cicyof 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 78CMI02-2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov Plan Ck. Deposit
www.carl~badca.gov q -/ I -11 Date
JOB ADDRESS c;-pt! V/Et:J}
SUITE#/SPACE#/UNIT# IAPN Q I (' ---'2 & '7 I
CT/PROJECT# ILOT# I PHASE# l # OF UNITS I* BEDROOMS # BATHROOMS ll:.NANT BUSINESS NAME
1
coNSTR TYPE 1·occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
.G"f'rS LerrK.._
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) I FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS
YES •#~ NO • YES • NO • YES • NOD
APPLICANT NAME (l"rlm;.61':;,ntaj[V ;:::::-vL•tH&<. PROPERTY OWNER NAME Lui{£ I~/ ;:::· ~ {,LM.-fii<. / n1 {LI/).
ADDRESS be}J17to tJc u:>#~ ADDRESS L-011//J~ Z-'2/6'? 2. "z!?:,g-LJGV171-0 /Jc
CITY STATE er zo g tf CITY[,) l51fJ-STATE ZIP
U/s,f-J ci1.. C 1:1_ "'('2.D~Lf
PHONE Cf45' 7.6~ FAX PHONE q-45 762-( FAX
7(,-0 7/:..,/)
EMAIL t.MAIL
DESIGN PROFESSIONAL NAME CONTRACTOR 2...'f· NAME Wt ,1r iJo..vlfCD <Sc>-v
ADDRESS ADDRESS Po (30Y. 152I 6E_,g;i,~ ~,-tJ,,f
CITY STATE ZIP CITY STATE ZIP
CC€7J"-SitJb C/:) Cfzos-tf
PHONE FAX ~ PHONE FAX
7r;r-. ---'-/ e:.
EMAIL ~I\
--
(h;Jj "";S 7CO z ("2._ 2' "f 'ir"f I STATE LIC. # I CITY BUS. LIC.#
(Sec, 7031.5 Business and P_rofess1ons 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 s1i;!ned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of D1v1s1on 3 of the B_usiness and Professions Code} or fuat 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 Declaralion: I hereby afflrm under penalty of perjury one of the following declarations:
D I have and will mainlain a certificate of consenl 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.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. _______________ Expiration Date __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,A$ CONTRACTOR SIGNATURE •AGENT DATE
-0 Mi"N ER• 8 U IL DER DEC LARA TIO N "" ~ -' , ,
I hereby affirm that I am exempt from Contractor's License Law for the following 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
· nse 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
. 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).
, 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).
D 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. • Yes • 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/ 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/ address/ phone/ type of work):
.;a✓~~~)?~ ,N$ PROPERTY OWNER SIGNATURE •AGENT DATE ct /f( /11
, e,•,s,~ "' --,, + ,
, 0 MP LET E TH IS SECTION FOR NON· RESIDE N f I AL BU IL DJ,N:G PERMITS ONLY ; ; l 1/,
Is the applicant or future building occupant required lo 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? • 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? • Yes • No
Is the facility to be constructed within 1,000 feet of the outer boundary 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LE'NDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued {Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfonnation Is cxmect and that the lnfonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhOlize representative of lhe Cify of Carlsbad to enter upon Iha 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 pennil is required for excavations over 5'0' deep and demolition or construction of strucb.Jres over 3 stories in h8ght
EXPIRATION: Every pennil issued by the Building Official under the provisions of this Ccxle shall expire by fimitation and become null and void if the building oroork authorized by such pennil is not commenced 'Mlhin
180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifoon Building Ccxle).
AS APPLICANT'S s1GNAT~c.~a-/c' ~ , •ATE q 11 17
PERMIT INSPECTION HISTORY REPORT (CBR2017-2102)
Permit Type: BLDG-Residential Application Date: 0911112017 Owner: TRUST FULLMER FAMILY TRUST
11-10-99
Work Class: PIMIE Issue Date: 09111/2017 Subdivision: GRANVILLE PK #2
Status: Closed -Finaled Expiration Date: 03112/2018 Address: 2661 Garfield St, B
Carlsbad, CA 92008-2260
IVR Number: 6251
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
09/1112017 BLDG-Final 034440-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
09/1112017 09/11/2017 BLDG-23 034323-2017 Passed Andy Krogh Complete
Gas/Test/Repairs
September 11, 2017 Page 1 of1