HomeMy WebLinkAbout2778 Carlsbad Blvd; 206; CBR2018-1453; Permit( City of
Carlsbad
Residential Permit
Print Date: 06/28/2018 Permit No: CBR2018-1453
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2778 Carlsbad Blvd, 206
BLDG-Residential
2031722504
$0.00
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
WEBBER: NEW SOA 240V CIRCUIT TO SERVICE NEMA 14-50 OUTLET
Owner:
CRAIG WEBBER
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
NEW LEAF ELECTRIC INC
Closed -Finaled
06/19/2018
06/19/2018
TFraz
2778 Carlsbad Blvd, 206
CARLSBAD, CA 92008 3960 W Point Loma Blvd, Ste H234
San Diego, CA 92110-5643
760-578-9834
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00 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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$170.00
~~~LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING D BUILDING D FIRE D HEALTH D HAZMA T/APCD I
· (cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Est. Value
Plan Ck. Deposit
Date h, -/Cf-If<
JOB ADDRESS z. l l '6 Cftl/}/;,t)d (J.};,.J t ~
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP
DESCRIPTION OF WORK: Include Square Feet f}AffecJ"ed Are,a(s) 1 /U~ So>fl ?}fd v cM'cv1+ ~ ,at·cl
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, NOD vEsONoD vesONoO
APPLICANT NAME (s((.i.rA (o(Y PROPERTY OWNER (,f. IIV'R/J:i• r-Primary Contact
4 .. ,.
ADDRESS ~'}(q \ tJ )rel rJ -fr l 3y ADORES~ 7 7<( ('~,{ k ~o.J (3/1/J, t,V>t W, (d,,t.\--Lor,..<1
CITY 511 · P-'cro
STATE ZIP9'· CITY~r~w s'e,'J-ZIP
(,A--z., /I ~ 1,o-c,0$5"
PHONE 7co s --J<r 1'l.)'fJ I FAX PHONESo.3. ,r i J'l 7 7 FAX
EMAIL &a_d~ ,11,,g,J) /-eo.t -e, /e(Jf. C. COM
EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME A M I f _ 1::::.-J 1.,. ' 1 /_.,r.M, toit.-Y _ 1-e(, H ' l I () r , 'A~D~D~R~E~S~S~--------------------·-----------tcA~D~D~R~ES~S~--,.---~~~'-'.,-"",C.C~~~._,,,'-'-'~~~-'-'.L,.._ ______ _
---1-___ J_7 .CO_vl ( o, n-r lolWI ts I iA )-t ll-2..j 'f
CITY STATE ZIP c,rv , _ n , srATE 0,ziP 1
~P~H~O~N~E--·------------1 F-AX-
~MA-~IL--------------~--
_ __,__.>()_c_"""~'-'-"'Y=o GJ.--__ ill_,___ --
PHoNJ (;o _s 7fi 'YI 34 I FAX ---
EMAIL fl~ _I , l'.J\~U 'al (\-e,,I )-eA-f' d fJ.(..,fr., r . (_uft,
~-------ISTATELIC.# ------'STATELIC# \ 03 lf&.S 2> ''(_' · 10 ['c'r~TYCC~ /~~-~~~~ICIIA~.-~-C-w-·i ek ~1'1
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under {)flna"y 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 permit is issued. iS({ have aod will maiotaio workera' \Ompeosatioo. as reouired-bv_ Section 3790 of the Labor Code, for the performance of the work or ~hi h this permit is iss~d. My workers' compensation insuran e carrier and policy
number are: Insurance Co. ~ ~±('. Co/Ytf£ns'g,_ ho.I\ Jl'\S lJ[D.f\.~olicy No. ~ S I -1,0 / lJ Expiration Date ...:l'l/-~J~'-1--1-----
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 dollara (&100,000), in
addition to the cost of compensation, dam~ · ed f Section 3706 of the Labor code, interest and attorney's fees.
/Ef CONTRACTOR SIGNATURE ~ •
I hereby affirm that I am exempt from Contractor's Lirense Law for the following reason:
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 himself 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 arid 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. 0Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed work
3. I have contracted with the following persori (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 persoris to provide the work indicated {include name I address I phone I type of work):
/Ef 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·T anner 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? 0 Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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.
I certify that I hcM! read the application and state that the above Information is oorrect and that the information on the plans is accurate. I agree to oomplywlth 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: An OSHA pem1it is required for excavations over 5'0' deep and demclition oroonstruction of structures over 3 stories in height.
EXPIRATION: Every pem1it issued by the Building Official under the proviskms of this Cooe shall expire by limitation and become null and void if the building orwor1< authorized by such pennit is not commenced within
180 days from the date of such permit Of if the b · authorized by such pem,it is suspended or abandoned at any time after the work is commenced for ape · of 1 days (Section 106.4.4 Uniform Building Code),
AS APPLICANT'S SIGNATURE DATE ,i
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
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
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
0 MAIL TO: D CONTACT (listed above) o OCCUPANT (listed above)
o CONTRACTOR (On Pg. 1)
D MAIL/ FAX TO OTHER:-----------------
,15 APPLICANT'S SIGNATURE
o ASSOCIATED CB#------------
o NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
~v. 1 "' .; •• PERMI.T INS.PECTION HISTOR'li Rl;;PORT (CBR2018-1453)
wA ,~ , 'fY w a
Permit Type: BLDG-Residential Application Date: 0611912018 Owner: CRAIG WEBBER
Work Class: PIMIE Issue Date: 06/19/2018 Subdivision: CARLSBAD TCT#01-10 VILLAGE
Status: Closed -Finaled Expiration Date: 1212612018
Scheduled
Date
Actual
Start Date
06128/2018 06/28/2018
June 28, 2018
IVR Number: 12006
Inspection Type · Inspection No. Inspection Status
-------------
BLDG-34 Rough
Electrical
062459-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
Checklist Item
BLDG-Building Deficiency
062460-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed
COMMENTS
Nobody home
Passed at 1 :30 PM
COMMENTS
Nobody home
Passed at 1 :30 PM
Failed
COMMENTS
Nobody home
BY THE SEA
Address: 2778 Carlsbad Blvd. 206
Carlsbad. CA 92008-2269
Primary Inspector Re inspection Complete
--.. ·-·------·-
Tim Frazee Complete
PasSed
Yes
Passed
Yes
Tim Frazee Reinspection Complete
Passed
No
No
No
No
No
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