HomeMy WebLinkAbout2757 ARLAND RD; ; CBR2016-0393; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/21/2016 Permit No: CBR2016-0393Residential Permit
www.carlsbadca.gov
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
2757 Arland Rd
BLDG-Residential
1561410300
$0.00
Work Class:
Lot #:
Reference #:
P/M/E Status:
Applied:
Issued:
12/19/2016
12/19/2016Construction Type:Finaled:
Closed - Finaled
Plan Check #:
Project Title:
Inspector:
Orig. Plan Check #:
Bathrooms:
Bedrooms:
# Dwelling Units:
Description:REMAS: GAS LINE REPAIR AT SIDE OF HOUSE
Owner:
TRUST REMAS TRACY M&VICKI N B TRS
2757 Arland Rd
CARLSBAD, CA 92008
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00
Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00
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.
FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: El PLANNING ID ENGINEERING n BUILDING n FIRE ri HEALTH I HAZMATIAPCD
C
Carlsbad
City of Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca
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EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE
YES D# NOM
AIR CONDITIONING
YES ENOJ
FIRE SPRINKLERS
YES NO
APPLICANT NAME k
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DESIGN PROFESSIONA ONTRACTOR BUS. NAME ccostoi P(
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(Sec. 7031.5 Business and Professions Code: Any City or County wh'ch requires a permit to const uct, 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 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 ($5001).
,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self•insure for workers' compensation as provided by Section 370001 the Labor Code, for the performance of the work for which this permit is issued.
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
Certificate of Exemption: I certify that in the performance of the work
California. WARNING: Failure to secure workers' compensation coverage
addition to the cost of compensation, damages as provided for in Section
..e CONTRACTOR SIGNATURE
($1OO) or less.
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
is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
3706 of the Labor code, interest and attorney's fees.
III AGENT DATE
I hereby affirm that/am exempt from Contractor's License Law for the following
I, as owner of the property or my employees with wages as their sole
License Law does not apply to an owner of property who builds or
sale. If, however, the building or improvement is sold within one year XI, as owner of the property, am exclusively contracting with licensed
• properly who builds or improves thereon, and contracts for such projects
Eli I am exempt under Section Business and Professions
reason:
compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
improves thereon, and who does such work himself or through his own employees, provided that such improvements am not intended or offered for
of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply loan owner of
with contractor(s) licensed pursuant to the Contractor's License Law).
Code for this reason:
1.1 personally plan to provide the major labor and materials for
2. I (have / have not) signed an application for a building permit
3.1 have contracted with the following person (firm) to provide
4.1 plan to provide portions of the r rk, ut I have hire) the following
5. I will provide some of the work, i r rue contr. -, (hired)
construction of the proposed property improvement. II Yes III No
for the proposed work.
the proposed construction (include name address / phone! contractors' license number):
person to coordinate, supervise and provide the major work (include name! address! phone! contractors' license number):
the following persons to provide the work indicated (include name! address! phone! type of work):
ePROPERTY OWNER SIGNATURE ,i01 t l
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M AGENT DATE I iV -0"-- / 9,-149
.S . 0 4d.i,sz.' 14, 2.., - (Ill 1S-°).'74.11::'*-11) •if. i 4i. - _ =f1 : , il (-t,W !-1-,,J.i.il,!-WIL ,..111-10M 1 *t. 1. t f..11;5,j9 Willi._ • .. .I,:, 1;.;.„1.-__".--.- :._.
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 0 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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.
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I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
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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 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 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: Ni OSHA pennit is required for excavations over 50' deep and demolition or construction of shuctures over 3 stories in height
EXPIRATION: Every permit issued by th Building OfficiO under the provisions of this Code shall expire by limitation and become null and void lithe buikling or work authorized by such permit is not commenced within
180 days from the date of such permit r i the buildi orAnork orized by such permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code).
„.
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AKAPPLICANT'S SIGNATURE (1) 1
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DATE / . / y,..,. IL,
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE
Fax (760)602-8560, Email buildingacarlsbadca.gov
OF OCCUPANCY (Commercial Projects
to City of Carlsbad, Building Division 1635
Only)
Faraday Avenue, Carlsbad, California 92008. or Mail the completed form
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
ZIP
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICK UP:
o CONTACT (Listed above) ii OCCUPANT (Listed above)
ci CONTRACTOR (On Pg. 1)
0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (on Pg. 1)
0 MAIL! FAX TO OTHER:
0 ASSOCIATED CB#
a NO CHANGE IN USE! NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
..APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2016-0393)
BLDG-Residential 12/19/2016Application Date:Permit Type:Owner:TRUST REMAS TRACY M&VICKI N
B TRS
Subdivision:P/M/E 12/19/2016Work Class:Issue Date:
2757 Arland Rd
Carlsbad, CA 92008-1502
Address:06/19/2017Expiration Date:Status:
IVR Number: 881
Closed - Finaled
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection CompleteActual
Start Date
12/20/2016 12/20/2016 BLDG-23
Gas/Test/Repairs
006450-2016 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
12/21/2016 12/21/2016 BLDG-Final
Inspection
006745-2016 Passed Peter Dreibelbis Complete
COMMENTS PassedChecklist Item
BLDG-Plumbing Final Yes
December 21, 2016 Page 1 of 1