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HomeMy WebLinkAbout2820 Hope Ave; ; CBR2017-0351; PermitPrint Date: 02/23/2017 Job Address: Perm it Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2820 Hope Ave BLDG-Residential $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www .carlsbadca.gov Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: Description: HOPE ST CONDOS: GAS REPAIR TO RISER SUPPLY AT HOUSE Status: Applied: Issued: Finaled: Inspector: Co-Applicant: Permit No: CBR2017-0351 Closed -Finaled 02/22/2017 02/22/2017 MISSION COAST PLUMBING INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.DO 1820 Peacock Blvd Oceanside, CA 92056-3588 760-685-5475 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. $166.00 $0.00 T}IE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD (City of 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 Plan Check No.Q.6Q.Z017-0351 Est. Value Plan Ck. Deposit Date Z-U-SWPPP JOB ADDRESS Z'lf 20 l e A--1e_ SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENA T BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE GARAGE (SF} PATIOS (SF) FIREPLACE YES0, N<CJ APPLICANT NAME r-b Sn'· ·o~ I Y\ UJI} Pr/mar Contact r./e-~ Cl~ ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL ' DESIGN PROFESSIONA. ~l-. ADDRESS V..l-/-L 6:._ CITY STATE ZIP STAT~' ZIP Cf)_OS-p PHONE FAX FAX 7 r EMAIL STATE UC.# sre,E CLASS (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 is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 or Division 3 or 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 [$500)). Workers' Compensation Declaration: I hereby afflflTI under pena#y of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~have and will maintain wqrkj!fl\' compensation, as required by Section 3700 of the Labor Code, for the performan~ of the work for which lhis permtt is issued. My workers' compen5<!li°[ insu7;ce carrier and policy numberare:lnsuranceCo. We.$C.O :J:@i.A.ral\c.Q CoMfo/'~ PolicyNo. SWLl\lblU 1 ExpiralionDate b /7)7 J,!!§,section need not be completed~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation c verage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation i d for In ion 370 of the Labor code, interest and attorney's fees. ,.€5 CONTRACTOR SIGNATURE • 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 Conlractor's License Law does not apply to an owner of property who builds or improves !hereon, and who does such work himself or through his own employees, provided thal 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 and Professions Code: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors 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 construclion of the proposed property improvement O Yes O o 2. I (have f 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 construclion (include name address f phone f contractors' license number): 4. I plan lo 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): 5. I will provide some of the work, bul I have conlracted (hired) the following persons to provide the work indicated (include name f address / phone / type of work): ,.€5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required lo 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district 0< air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feel 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certifythatl have read the application and state that the above lnfonnation is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bulldlngconstructlon. I hereby authorize representative of the City of Cal1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES VVHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penm~ is required for excavations over 5'0' deep and demolition or construction of structures <Ner 3 stories in height EXPIRATION: Every penm~ issued by the Building Official under the provisions of this Code shall expi'e by imitation and become nuU and void ~ the building or WOik authorized by such permit is not commenced v.ithin 180 days from the date of such permit · the buiklilg or authoriz such ~ is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Buildilg Code). ,.N5 APPLICANT'S SIGNATURE DATE 2 2-"2--l • 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@cartsbadca.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. DELNERY OPTIONS □ PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □MAIL /FAX TO OTHER: ________________ _ ~ APPLICANT'S SIGNATURE o ASSOCIATED CB#·------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP •' '\~·~.;~/.:., ~ : ' . \ ' ' t/>;:,-:-1',, . -/~ · · PERMIT INSPECTION HISTORY REPORT (CBR2017-0351) ,, \ ; ~ " .,. ' "•· • • r "' , ~ Permit. Typo: Work Class: Status· Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 02/22/2017 Issue Date: 02/22/2017 Expiration Date: 08/22/2017 IVR Number: 2054 Inspection No. Inspection Status 02/23/2017 BLDG-23 Gas/Test/Repairs 014680-2017 Passed February 23, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 014681-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Bumette Paul Burnette 2820 Hope Ave Carlsbad, CA 92008 Re inspection Passed Yes Passed No No No No No Complete Complete Complete Page 1 of 1