HomeMy WebLinkAbout2804 La Duela Ln; ; CBR2017-0515; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 03/22/2017 Residential Permit Permit No: CBR2017-0515
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2804 la Duela Ln
BLDG-Residential
2551010100
$0.00
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
40 GALLON WATER HEATER -SAME LOCATION
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Closed -Finaled
03/13/2017
03/13/2017
COOWNER HWANG
28358 Constellation Rd, 698
CARLSBAD, CA 91355
AFFORDABLE WATER HEATERS AND
PLUMBING INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
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 lT 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
$98.00
)'4E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
Ccityof
Carlsbad
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNrrf
□BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
Plan Check No. C '> t1._Z..l>I 1 -OSI,:;
Est. Value
Plan Ck. Deposit
Date"':. I> 17 SWPPP
APN
OCC. GROUP-··1
' -~+---'------'-----'--------------~---~------i DESCRIPTION OF WORK: lnelude Square Feet of Affected AIM(s) 1
TENANT BUSINESS NAME CONSTR. TYPE
Re,?\ 0, C f'., ~Q\\Q'r\
AIR CONDITIONING FIRE SPRINKLERS EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES0, No[J YES □No□ YES□No□:
APPLICANT NAME
Prtn-ryC9n~.
ADDRESS q,
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
Co YY1
. ZIP
FAX
STATE UC.#
PROPERTY OWNER NAME
ADDRESS
2
CITY STATE
C
FAX
ADDRESS
13; 2, S Z _C1>n ~:te_ L\ ci-t Io r1.
CITY \( ' STATE .A.-
(1 enc10-C11
(cl. #l.P l'.16"
ZIP '112,<;')
(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 ts licensed pursuant to the prov1s1ons of the Contractor's License Law (Chapter 9, commending with Section 7000 of D1vis1on 3 of the Business and Professions Code} or that he Is exemP.t 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
cMI pena11¥ of not more than five hundred dollars {$500)).
WORKERS COMPENSATION
Woriun' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Di have and will maintain a certificate of consent IO self-insure fol" workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued.
[S3 I nave and will maintain workers' compensation, as reciuired bv Sectioo 3700 of the Labor Code, for the pertorm.ance of'"' the work for which this permit is iSsued. My WOfkers' compensation insurance~. ·er aod ~I icy
oumbe, .,., lnwrance ea I 'OS 1 1 'Ca a c e, Qi , t) .\-fu e \,\\ e S:teolicy No fi v ?:i 2 !l "'l 7 D D E,p;raoon Dale I • I · I ~ ---
This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, !-.!hall not employ any peraon in any manner so as to beoome subject to the Workers' Compensation Laws of
Caifornia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltlu and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compec,satlon, damages a provided for in Section 3706 of the labor code, interest and attorney's fees.
,1$ CONTRACTOR SIGNATURE g{GENT
I hereby affl,m that I am exempt from Contractor's l...icense Law for the following reason:
□
□
□
1, 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 Controctor's
License Law ooes not apply to an owner of property who builds or improves thereon, and who does such worl!; himself or through his own employees, provided that such improvements are not intended or offered for
sale. lf, however, the Wilding or improvement Is sold within one year of oompletion, the owner-builder wil have the burden of proving that he did not build or improve for the purpo$8 of sale).
1, as owner of lhe property, am exclusively contracting 'Mlh licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's U::ense Law does not apply to an owner of
property who OOlkis or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's lieense Law).
I am exempt under Sectkln ____ B,usiness and Professions Code for this reason:
1. I peroonatly plan to provide the major labor and materialS for construction of the proposed property improvement. OYes ONo
2. I (have/ have not) S'Jned an applk:alion for a building pennit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plil\ to provide ~rtions of the worl!;, OOt I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ COfltractors' license number)·
5. I will provide some of the work, OOt 1 have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of worl!;):
25 PROPERTY OWNER SIGNATURE □AGENT DATE
'
Is the appllcant a future bulldlng occupant required ID submit a business plan, acutely hazardous materials registration form or risk mrr1agement and prevention program under Sections 25505, 25533 or 25534 Of the
Presley-Tanner Haz.rdous Substance Account Act? D Yes D No
Is the applicant orfu!IJ'8 building occupant required to obtain a permit from the air pollution control district or air quallty management district? □ Yes □ No
Is the fa::ility to be conslructed 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 SERV\CES AND THE AIR POLWTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I oorttrythatl have read the applcallon and slalethattheaoo,,e infonnation is correct and that the Information on the plans is accurate. I agieeto comptyv.4th all Chy Oltlnances and Stale laws relating to builclngconstruction.
I -aulhorize n,presentati-.. oflhe Cil'/of Carlsbad lo enter upon~• abo"8 mentioned properly lbr ospec1bl purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD 1 AGAINST All LWJIUTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT I
OSHA: AA OSHA permit is required tx" excavations CM3r 5'0' deep and demolioon or oonstruction of structures over 3 stores rl he!ghl i
EXPIRATION: Every pennlt iSsued by the Buikllng Ol'lldal under lhe provisbns of this Cede shall expire by limitalbn and become nuH and void It the buikling or VoOfk all11'loozed by su::h permit is not a:mmenced withil
180days from lhedai>ofsuch pomlor llhebul1'1Q orm aulh<>ized by such poml • .,,pended or abandoned at any time al\erltie m • oommenced lbr a period of 180 days (Section 106.44 Unifi:Jlm BuoJilg Code) I
..@S' APPLICANT'S SIGNATURE DATE J 8' / "J . __j
,. PERMIT INSPECTION HISTORY REPORT (CBR2017-0515)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 03/13/2017 Owner:
Issue Dato: 03/13/2017 Subdivision:
Expiration Date: 09/18/2017 Address:
IVR Number: 2489
Inspection No. Inspection Status Primary Inspector
03/22/2017 03122/2017 BLDG-25 Water
HeaterNents
017255-2017 Passed Paul York
March 22, 2017
BLDG-Flnal
Inspection
Checklist Item
BLOG-Building Deficiency
017256-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Paul York
COMMENTS
COOIMIER HWANG
2804 La Duela Ln
Carlsbad, CA 92009-9223
Reinspection
Passed
No
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
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