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Home My WebLink About2075 Playa Rd; ; CBR2019-1674; Permit(City of Carlsbad Print Date: 08/01/2019 Job Address: 2075 Playa Rd Permit Type: BLDG-Residential Parcel No: 2151402400 Valuation: $0.00 Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: KURLAN: REPAIR GAS LINE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Residential Permit Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: Owner: MATTKURLAN 2075 Playa Rd CARLSBAD, CA 92009 Total Payments To Date: P/M/E $175.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: 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. Permit No: CBR2019-1674 Closed -Finaled 06/27/2019 06/27/2019 8/1/2019 10:39:38AM $175.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov · Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit --------- Date _....,,.{o4/.....,d....,.]./-J//'-1'--_ JobAddress 2-0J.S-fl{t>.yP, Suite: ____ APN: __________ _ CT/Project #: __________ Lot#:, ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DESCRIPTION OF WORK: __ lu _ _,_17_«_1_.,,._"_,.;..,,_.'l't_)_..,11-1>._..t_l_,_N __ ( l_4_)_<-_________ _ 0 Addition/New: _____ ,Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: _____ SF of affected area Is the area a conversion or change of use ? Yes/ No 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: __________________________________ _ PROPERTY OWNER Name: f"\ <Jfr-JC111 YiA ...__ APPLICANT (PRIMARY CONTACT} Name: MA'ir )'-;;;111v?A..., Address: z.1 JS fJ )t1.y .1, iiJ City: ~,.-ls1.,.A State:U Zip: Address: c..-«1 1 S f" 1 A YA ;e. JI. .\iJJQ~ City: tJy}rJ..>.e( State:Ut Zip:~ z.10~ Phone: ;bl)-1\ /J -~ '1'3~ Email:Ae/Ct t br-d,,1"-~ Cd:,., ,,_,_4--• DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: _______ State:. ___ Zip: ___ _ Phone: _________________ _ Email: _________________ _ Architect State License: ___________ _ Phone: __,_7.,._h0~·-1'-r'l-.'-t1_-..:..4..,_i/-=~:.,...q'-------,-...----- Email: --lfc...<1.:.;e;..:.'J:...;~..:.f_l,_,,._.l\.:.c)..c.n~~~r:,.(J_...;tj.__, i,,t_F _____ _ CONTRACTOR BUSINESS Name: ___________________ _ Address: __________________ _ City: _______ State:, __ ~Zip: ______ _ Phone: __________________ _ Email: ___________________ _ State License: ______ Bus. License: ______ _ (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/she 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 " ( OPTION A): WORKERS'COMPENSATION DECLARATION: .. I hearby affirm under penalty of perjury one of the Jo/lowing declarations: □ I have and will maintain a certificate of consent to self~insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. □ I have and will maintain worker's 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 Company Name: ______________________ _ Polley No. ______________ Expiration Date: _________ _ □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: __________________ □AGENT DATE: _____ _ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the Jo/lowing reason: □ r, 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). )s!/(as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 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. □ Yes □ No 2. I (have/ 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 constru mclude name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the llow· dinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted OWNER SIGNATURE: persons to provide the work indicated (include name/ address/ phone/ type of work): □AGENT DATE: ; Ju? 2n CONSTRUCTION LENDING AGENCY, IF ANY: 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: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, APPLICANT CERTIFICATION: 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 Al50AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over S'O' ep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisio by such permit is not commenced within 180 days from the date after the work is commenced for a period of 180 da (Sectio APPLICANT SIGNATURE: 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 DATE: _;,_)_i, I_,_~ Jc.....:,i_ Email: Building@carlsbadca.gov Rev. 06/18 ' t PERMIT INSPECTION HISTORY REPORT (CBR2019-1674) Permit Type: BLDG-Residential Application Date: 06/27/2019 Owner: Work Class: P/M/E Issue Date: 06/27/2019 Subdivision: Status: Closed -Finaled Expiration Date: 01/28/2020 Address: IVR Number: 20Q55 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 07/1712019 07/01/2019 08/01/2019 08/01/2019 August 01, 2019 BLDG-23 Gasfrest/Repalrs 096091-2019 BLDG-Final Inspection Checklist Item BLOG-Building Deficiency 096092-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-23 GaslTest/Repalrs 099389-2019 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 099437-2019 Checklist Item BLDG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final Failed Paul York COMMENTS Failed Paul York COMMENTS Passed Paul York COMMENTS Passed Paul York COMMENTS MATTKURLAN LA COST A VALLEY UNIT# 1 2075 Playa Rd Carlsbad, CA 92009-6723 Relnspectlon Reinspection Passed No Reinspection Passed No No No No No Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Complete Complete Page 1 of1