HomeMy WebLinkAbout2838 RANCHO PANCHO; ; CBR2018-0672; Permit{city of
Carlsbad
Print Date: 07/05/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2838 Rancho Pancho
BLDG-Residential
2225912200
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: LEE: GAS LINE TO FIREPIT AND BBQ// ELECTRIC TO HEATERS AND BBQ
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
TRUST LEE FAMILYTRUST
2118 Twain Ave
CARLSBAD, CA 920D8
Total Payments To Date: $170.00
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: CBR2018-0672
Closed• Finaled
03/19/2018
03/19/2018
TFraz
6/20/2018 3:23:19PM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
'(cicyof
Carlsbad
JOB ADDRESS
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
Ph: 760-602,2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date 'J/ /Cj / 'g
APN
# BATHROOMS TENANT BUSINESS NAME
ANQ
CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □# __ NO □ YES □ NOD YES □ NO □
APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP
PHONE FAX PH
EMAIL
DESIGN PROFESSIONAL NAME
ADDRESS
CITY STATE ZIP CITY
PHONE FAX
EMAIL
STATE UC.#
I have and will maintain a c consenl to self-insure for workers' compensation as provided by Section of the labor Code, for the performance of the work for which this permit is issued,
~ 1 have and will maintain workers' compe · e y Section 3700 of the Labor Code, for the performance
number are: Insurance Co Policy No. ---f-l,<.'7-J"''--'----''-"-P~~..J.,,,I,"---Expiration Date -1U'-f"-'l-l'--"'"""-'-'+--
This section need not be completed if the permit is for one hundred dollars ($100) r I~~~=,-== D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I sh~any person in any manner so as to become subject to the Workers' Compensation Laws of
Cali!~rnia. WARNING: Failure to_ secure wor s' com_pensa · _n co~age is unlawful, and shall ~ubject an emPioY~~es and civil fines up to one hundred thousand dollars (&100,000), in
add1t1on to the cost of compensation, dama as 1d r m Section 3706 of the Labor code, interest and attorney's fees. -=----._"""'
,,6$ CONTRACTOR SIGNATURE ~ ,.'I>~
OWNER-BUILD£!( DECLARATION
• "I • • • • I I 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 Contractor's
License Law does not apply lo 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 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 I 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 construction (include name address I phone/ 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/ contractors' license number)
5. I will provide some of the work, but I have contracted (hired} the following p ons to provide the work indicated (include name/ address I phone I type of work)·
□AGENT DATE I cf"
,
:OMl>LETE THIS 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? 0 Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollu~on 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? 0 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work this pem11t Is issued (Sec 3097 (1) CIvII Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
1 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 au~olize ,epresentative of the Cly of C"1sbad lo enter upon ~e above mentioned proper1y 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 pem1il. is requi'ed for excavations over 5'0' deep and demolilion or constructk>n of structures over 3 stories in height
EXPIRATION: Every pennit issued by the Building Official under the pra,.,is' of this Code shall expire by limitation and become null and vdd if the building or work authorized by such permit is not commenced 'Nithin
180 days from the date of such permit or if the buikli work a oriz ch permit is suspended or abandoned atc11y time after the work is convnenced for a riod of 1 0 days (Section 106.4.4 Uniform Building Code).
~ APPLICANT'S SIGNATURE DATE
· . PERMIT INSPECTION HISTORY REPORT (CBR2018-0672)
Permit Type: BLDG-Residential Application Date: 03/1912018 Owner:
Work Class: PIMIE Issue Date: 03/1912018 Subdivision:
Status: Closed -Finaled Expiration Date: 0912612018 Address:
IVR Number: 10206
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
03/30/2018 03/30/2018
07/20/2018 06/20/2018
July 05, 2018
BLOG-23
Gas/Test/Repairs
053420-2018
Checklist Item
BLDG-Building Deficiency
BLOG-34 Rough
Electrical
053295-2018
BLDG-Flnal
Inspection
Checklist Item
BLDG-Building Deficiency
063318-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Structural Final
BLDG-Electrical Final
?assed Tim Frazee
COMMENTS
Passed Tim Frazee
COMMENTS
Passed Tim Frazee
COMMENTS
TRUST LEE FAMILY TRUST
CARLSBAD TCT#93-04 RANCHO
CARRILLO VILLAGE Q PHASE 01
2838 Rancho Pancho
Carlsbad. CA 92009-3014
Reinspection Complete
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
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