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Home My WebLink About2736 Palmetto Dr; ; CBR2017-2834; Permit(City of Carlsbad Residential Permit Print Date: 05/23/2018 Permit No: CBR2017-2834 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2736 Palmetto Dr BLDG-Residential 2131802000 $0.00 Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Description: POTWARDOWSKI: REPlACE EXISTING WATER HEATER, SAME SIZE AND LOC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Owner: TRUST POlWARDOWSKI FAMILY TRUST 2736 Palmetto Dr CARLSBAD, CA 92009 760-918-D838 Total Payments To Date: $98.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: ALL STAR WATER HEATERS 30300 Puerto Vallarta Way Menifee, CA 92584-9256 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, 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 i;!S to which the statute of limitation has previously otherwise expired. Closed -Finaled 11/28/2017 11/28/2017 TFraz 5/23/2018 2:27:46PM $98.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 920D8-7314 I 760-6D2-2700 I 76D-602-8560 f I www.carlsbadca.gov ·~ «?. ~ CITY O F Building Permit Application I 1635 Faraday ft.ve., Carlsbad, CA 92008 Plan Check No.{ ~dl)/'";_~dr.3.i/ Est. Value 760-602-2717 I 2718 / 2719 CARLSBAD JOB AODRE$S 273~ Palmetto Dr. Fax :760-602-8558 www,.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Ck. Deposit . Date 11-c?? _ l 1"" l~WPPP J ,-- iCTJi>fib1~:: • I cor • j iiHAS·n I • oF UNITS 1·iieirn«oo1I1r·--· ·,ni'ATflR00Ms7°"ffiiiAii1rsu'"sTNe·ssiiiJifJE' 1 ~i;1occ:cffi0llp·- oEScRrPT10N OF WORK: lnctu!fe Square Feet of A"'f1.;;e;;c:..te;;;!f;-A;..,;;;e-;;:a("'sJf----'-------1------...L---------------..L----L----1 Replace existing 1water heater. Same size and location. EXISTING USE I PROPOSED USE I GARAGE (Sf ) PATIOS (SF) j OECKS (SF) FIREPLACE YESO l AIR CONDITIONING I FIRE SPRINKLERS NcQ YES □No□ YES□No□ CONTACT NAME (If Different Fom Applicant) APPLICANT NAME Sierra Sprague I-A'"'D'"'D"'R'°"ES=s-----------------------------··-1-;Ac;:D:-;;D:-;;R,;,E,;,SS;;-----------------------------l 1-=-:-----------==------=,-------l--,,-,-------~3~03!!.!0~_.!!o_Puerto VaUarta,___ ___ -----r CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE PHONE 951-301-0067 -----------'-·-·-· ---··-· ··--···-•·•·--·-------l EMAIL EMAIL PROPERTY OWNER NAME • CONTRACTOR BUS. NAME t-:==:-::---------M_ic_h_e_ll_e _P_o_tw_a_rd_o_w_s_k_1 ---+--,--------~A:!!l~I S.tar.W.~Ll::le . .:rt.e.-'X-rs ___ -1 ADDRESS ADDRESS 30300 Puerto Vallarta ---------· -. Same as iob • .. nn .. •-• CITY . STATE ZIP CITY STATE ----··-,-· .. ·---- CfilJS.b.a.d G 92009 Menifee PHONE PHONE 951 -301-0067 ,_,_ ______ l-==-=-----'-'-:..:.!..!=e..__----=-,.,,-__.cc_A _ _,__ __ I FAX 760-918-0838 I FAX t--;E°"'M7A:--:IL:--------------_..J'---------------l-:E-:-cM:-::Ac:-IL ____________ .,_ ________ --------1 ARCWDESIGNER NAME & ADDRESS -. ---·-r STATE LIC. ,---· -STATELIC.# -8-12_8_9_4 _____ r _LA_S_C_3_6_~1c=ilY~BU=s~L=,c-c--# -....... . (Sec. 7031.5 Business and Professions Code: Any City or County which requires a P,ermlt 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 t/1at he is licensed pursuant to lhe 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 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 ($500)). · Workers' Compensation Declaration: I hereby affirm un!fer penally of peryury one of the fo/lo_'wing declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensallon as provided by Section 3700 of the Labor Code, for lhe performance of the wol1< for which this permit is issued. 0 I have and will maintain workers' compensation, as required bv Seclion 3700 of the Labor Code, for the pertormance of the work for which lhis pennlt is issued My workers' compensation insurance carrier and poliey nurroer aro: Insurance co St!QlloioU$ fns Servioo" Policy NU. 071lS600-f ExplllKIOn Date os!o 112010 ~section need not be completed if the permil is for one hundred dollars ($100) or less. LJ Certificate of Exemplion: I certify that in the pertormance of lhe work for which this perf11it is issued, I shall not employ any person in any manner so as to become subjecl to lhe 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 lhousand dollars (&100,000), in addllion to the cost of compensation, damages as prov ed for In Scclion 3706 of the dbor code, interest and attorney's fees. / / ,f6 CONTRACTOR SIGNATURE □AGENT DATE // /d<t/ / 7 --------.,j ~ -... -.... s• t J ...... ~ '. ,, .~\· ... '.•:.,/I .................. I hereby affirm fhaf I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or ITT/ 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 !hereon, anJ who does such work himsefor 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 9wner-builder will have lhe burden of proving that he did nol build or improve for the purpose of sale) I, as owner of lhe property, am exclusively con~acting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlracto(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 lo 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 conslruclion of lhe pr_oposed property lmpmvemenl, 0 Yes []No 2. I (have I have no() signed an application for a building permit for the proposed worl<. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name address/ phone/ contractors' license number): 4.1 plan to provide portions of lhe work, bul I have hired the following person to coo~inale, supervise and provide the major work (include name / address I phone I contraclors' 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 I type of work): ,f6 PROPERTY OWNER SIGNATURE □AGENT DATE ,~ ~· Is the applicanl or future building occupant required to submit a businesss, acutely hazardous materials regislralion form or risk managemenl and prevention program under Sections 25505, 25533 or 25534 of lhe Presley• Tanner Hazardous Substance Account Act? D Yes LJNo Is lhe applicant or future building occupant required 10 obtain a permit from the air pollulion conlrol dislrict or a~alily management dislrict? O Yes D No Is /he facilily to be constructed wilhin 1,000 feel of the outer bollndary of a scliool site? O Yes LJNo 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 hereby affirm that there is a construction lending agency for the performance of the ivork this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certifythatl have read the application and state that the above information is correct and that the information on Ille plans is accurate. I agree 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 mentioooo propefty br inspecoon 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 permit is requred lo,-excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Blilding Official under the provis.ais of this Code sha! expire by /irritation and become nun and loid if the building or work authorized by such permit is not commenced \\ithin 100 days from the date of such permij or if tt'e building or work authorized by such permit is suspended or abandoned at any time after the work is oommenced for a peood of 180 days (Sectioo 106 4.4 Uniform Building Code). £5 APPLICANT'S SIGNATURE ~~...:;;..-v ,._,., DATE /J 'fl"' /1 PERMIT INSPECTION HISTORY REPORT (CBR2017-2834) Permit Type: BLDG-Residential Application Date: 11/2812017 Owner; Work Class: P/M/E Issue Date: 11/28/2017 Subdivision: Status: Closed -Finaled Expiration Date: 11/19/2018 Address: Scheduled Date 03/29/2018 Actual Start Date 03/29/2018 05/17/2018 05/17/2018 05/23/2018 05/23/2018 May 23, 2018 IVR Number: 7954 Inspection Type Inspection No. BLDG-25 Water HeaterNents 053115-2018 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 053244-2018 Checklist Item BLDG-Plumbing Final BLDG-25 Water HeaterNents 058162-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 058163-2018 Checklist Item BLDG-Plumbing Final BLDG-25 Water HeaterNents 058847-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 058846-2018 Checklist Item BLDG-Plumbing Final Inspection Status Primary Inspector Failed Tim Frazee COMMENTS Sediment trap is in the wrong location and too short Falled Tim Frazee COMMENTS Sediment trap is in the wrong location and too short Failed Tim Frazee COMMENTS Sediment trap is in the wrong location and too short Failed Tim Frazee COMMENTS Sediment trap is in the wrong location and too short Nobody responding to door or phone 5/16/2018 Nobody responding to door or phone 5/17/2018 Passed Tim Frazee COMMENTS Sediment trap is in the wrong location and too short Corrections made 5/23/2018 Passed Tim Frazee COMMENTS Sediment trap is in the wrong location and too short Nobody responding to door or phone 5/16/2018 Nobody responding to door or phone 5/17/2018 Corrections made 5/23/2018 TRUST POTWARDOWSKI FAMILY TRUST CARLSBAD TCT#02-14 BRESSI RANCH UNIT#06 2736 Palmetto Dr Carlsbad, CA 92009-3081 Reinspection Complete Relnspection Complete Passed No ReinspecUon Complete Passed No Reinspection Complete Passed No Relnspection Complete Passed No Complete Passed Yes Complete Passed Yes Page 1 of 1