HomeMy WebLinkAbout2674 Leighton Cir; ; CBR2019-2254; Permit(city of
Carlsbad
Residential Permit
Print Date: 09/23/2019 Permit No: CBR2019-2254
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2674 Leighton Cir
BLDG-Residential
2131900516
$0.00
Work Class:
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check #:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
08/21/2019
08/21/2019
Plan Check#:
Final
Inspection: 9/23/2019 11:34 23AM
Project Title:
Description: FINN: REPLACE EXISTING WATER HEATER. SAME SIZE AND LOCATION.
Owner: Contractor:
OWNER TANTOD BIND! S
2678 Leighton
CARLSBAD 92009
ALL STAR WATER HEATERS INC
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
30300 Puerto Vallarta Way
Menifee, CA 92584-9255
800-727-0977
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, wning, 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
163S Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
(Cityof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check _c __ B;_R _____ :;e_~_. _., --
Est. Value
PC Deposit---------
'3>-Z\-tC1 Date-------1--+---
Job Address [i6o/4lefgFifon-Cfr.-·--~·.,~·-·--'""'"----·•-~.. !suite: ____ APN: _________ _
CT /Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: fReplace·ex1sting water h_!.?t~r. S~.me size ~d location. -·---·=·· -· ___ _
0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? _
D Remodel: SF of affected area ----Is the area a conversion or change of use ? Yes / No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: -----------------------------------11( Plumbing/Mechanical/Electrical Only: _______________________ _
D Other: ------------------------------------
APPLICANT (PRIMARY} PROPERTY OWNER. -~~-· _ .. ···-·-····-····.····· .. ·-····•· .... Name:f~erra Serague ········-... ·--···--···---~-----.. ·-·7 Name: frank Finn ......... ·-..... ,.
Address:BfilQO_Pygrtn Vaf,Iaija@iv-----·-~ _:_:~-:J Address: [~:67!(eig~!,?~ ¢ir. :: · ··•: ''.]
City: IMgrufee-I State fa;:] Zip: [9,2sM:: I City: tr~.rlsfiaa•--••<O ~~·-~::.-~:.:.·.::~-1 StateLtA"""·: Zip: r92009 •....
Phone: r§~T::30T::0067-. ,,,. ...... ,.j Phone: _il6_2 .... 0:: ... 4-_7,...3-_7_,o6 ... 2 ___ ....._ _______ _
Email:@fsfar.sferra@i]"rriai(.com ·· 1 Email: __________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: ________________ _ Name: [Afrsfar Water.Heaters
Address: _______________ _ Address~ j3030<fF1yerioVaflartaWai , ,, · .. '.·····
City: _______ state: ___ Zip: ___ _
Phone: _______________ _ :~:r-~;•~ •. ~~~~:~]:~~~.·.:·:~:·P: . .!.~2.!····-·:.·:•····_ .. ··· ·:
Email: ________________ _
Architect State License: __________ _
Email:i~Il~t~~r~rita4[p~.~'~QJTl .... ·,,, .r----·-~-·-• -::~~:::~•=•~{ ·
State Llcense,i.;:;;. . _ ,Bus. L1cense.l,_,.,.,,. -------, ....... ,..
(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/she 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 that he/she 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 !lot more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORICERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury~ of the following declarations:
□ I have and Will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
"'I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, f°F tba ll~tmanc.i:.nllhl:.~iuc.k.Joc.wbil;b,tlllul~mtl.i$..iilued......,
My workers;.c.amne.tlSatlooJnsw:anr.f'_r.,ur.J~ number are; lnsura!1!:~.com.e.!!l.!!•me: !~& Ins Coro'" . , I l
Policy No.(EQB0202858 1 Expiration Date: fB/10 * ,
□ Certificate of Exemption: I certify that in the performance of the work for which thls permit is issued, I shall not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation cover11e Is unlawful, and shall iub)ed an employer to
criminal penilllties and civil fines up to $100,000.00, in addition the to the cost of compensation, dama1es as provided for in Section 3706 of the LabQr Code,
interest and attorney's fees. / ./
CONTRACTOR SIGNATURE~ □AGENT DATE: JiYµ/;~
( OPTION 8 ): OWNER-BUILDER DECLARATION:
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 Ucense 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 bullding 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 propertv, 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 eontractor(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. □ Yes □ No
2. I (have/ 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/ phone/ 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/ address/ phone/
contractors' license number):
S. I wlll provide some of the work, but! have contracted (hired) the following persons to provide the work Indicated (include name/ address/ phone / tvpe of work):
OWNER SIGNATURE: □AGENT ------------------------DATE: _____ _
CONSTRUCTION. LENDING AGENCY, IF ANY:
I hereby affirm that there Is a construction lending agency for the performance of the work this permit is issued !Sec. 3097 (ii CIVIi Code).
Lender's Name: ___________________ Lender's Address: __________________ _
ONLY COMPLETE THE FOLLOWING SECTION FQR NON-RESIDENTIAL BUIJ.OING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials reglstration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner H11zardous 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 out!!r bound;,ry of a school site7 □ Yl!S □ 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.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above infomaation Is correct and that the Information on the plans is accurate. I 21gree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP
HARMLESS THE CIT\' OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cm-IN CONSEQUENCE OF
THE GRANTING OF Tl-I IS PERMIT .OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or constructlon of structures over 3 stories in height.
EXPIRATION; Every permit l5sued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or worl< authorized
by such permit is not commenced within 180 days from the date of suet, permit or If the building or work authDfiZed bv such permit Is suspended or ilbandoned at 21ny time
after the work is commenced for a period of 180 davs IS 06,U Uniform BuUdinf! Code). / /
APPLICANT SIGNATURE: .JlfZ.!l=.-4ii[l!!!'.llii.,_:::::... ____________ OATE: ¢1/d ,
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
EmaU: 8uilding@carlsbadca.gov
Rev. 06/18
. ·-... -·~------·-.... -----·-~ ·-·---~-.----..--•·-·•
PERMIT INSPECTION HISTORY REPORT (CBR2019-2254)
Permit Type: BLDG-Residential Application Date: 08/2112019 Owner: OWNER TANTOD BINDI S
Work Class: P/M/E Issue Date: 08/2112019 Subdivision: CARLSBAD TCT#03-03 BRESSI
RANCH
Status: Closed -Finaled Expiration Date: 03/23/2020 Address: 2674 Leighton Cir
Carlsbad, CA 92009-3053
IVR Number: 21200
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Re Inspection Complete Date Start Date
09/2312019 09/23/2019 BLDG-26 Water 104965-2019 Passed Tony Alvarado Complete
HeaterNenta
BLDG.final 104964-2019 Paaaed Tony Alvarado Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
September 23, 2019 Page 1 of1