HomeMy WebLinkAbout2870 RANCHO RIO CHICO; ; CBR2019-2733; PermitBuilding Permit Finaled
Print Date: 04/06/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2870 Rancho Rio Chico
BLDG-Residential
2226102000
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#;
Construction Type
Bathrooms:
Orig. Plan Check #:
Plan Check#:
Description: SIEJA: REPLACE 50 GAL WATER HEATER LIKE FOR LIKE
FEE
WATER HEATER PERMIT
Total Fees: $98.00
Owner:
COOWNER SIEJA TODD A AND DIANA J
2870 Rancho Rio Chico
CARLSBAD, CA 92009
Total Payments To Date: $98.00
(city of
Carlsbad
Permit No: CBR2019-2733
Status: Closed -Finaled
Applied: 09/30/2019
Issued: 09/30/2019
PermitFinal
Close Out:
Inspector: TAlva
Final
Inspection: 04/06/2020
Contractor:
AFFORDABLE WATER HEATERS AND PLUM BIN
INC
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
Balance Due:
AMOUNT
$98.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as 11fees/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.
Buildin Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1
-·----·•----•· ·--------------------
(Cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ("\>~] 019 -1_··:r;0
Est. Value
PC Deposit --------
Date __ q,._,_;_.3""'a"--v-'-I 1--
.fl( Job Address j'°2~__L\::!._.l::Jfil~DD_..J:;ii:LJ:J'.}.iCQ_ __ : APN: ________ _
CT/ProJect#: _________ Lot #:, ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
f BRIEF DESCRIPTION OF WORK: J.:i......it...1-!J....I.J.._j__.1.L~..J.~J.L;!L.!..:l--..l<l.l:..t4:r:..>-.t::...-LU:..Ol..2:::.i:..L...---
S m s-
0 Addition/New: _____ ,Living SF, ___ Deck SF, ___ Patio SF, ___ G,arage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? _
0 Remodel: ____ SF of affected area Is the area a conversion or change of use 7 Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
O Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ----------------------------------"8-Plumbing/Mechanical/Electrical Only: ---'W-"-.:.0c..+_-e-"-'-t:--'h_,_t.....,a._+.L...l,e_1::::'---;,--'-'e-+t?-'/-'<3..._.f_f....,_na....,_ ... e~n ......... +:,.__ I
l'i9..other: Y c;J I u Cl± I v O : 1"DQt)D ---
PROPERTY OWNER ,t° .
Name:Dl~~d.
q~dress{2-p]O ifai..ihp fLlQ Cb IC D
Clty:jlj(Yi~~:a,__state:Cfl Zlp:9!35"F) City: CCiy/ fie 0 J.. State:C,"t Zlp:']2.CO']
Pho~e: ~:½-~:5 -'i°:f> Phone: 7 lo D :\6pp-fuB '2-L-
Emad: ~'IS ®i'lQb:a.f',COm Email: ________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: ________________ Name: l/-ffcv:d [,J k,, Wa+e.v tie ater:J'
Address: Address: 2z: A s,r G on s+e JI t>.t[ D C1 ft d --# u '1 ,J-
Clty: _______ State: ___ .Zlp: ____ City: \(a fen ci& State: C,1" Zip: q l.lSS
Phone: Phone: 8"'S .5:.. -2._ 4_,, -q C;_'-f rt'
Email: Email: Pe;; id G a WI--. a e' ('..'.om ;
Architect State License: State License: LI 2,,73 L, & Bus. License:,$ { OS I Z.I 1 2. 7 /
(Sec, 7031,S 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 ftle 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
e)lemptlon. Any vlolatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars {$S00}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bullding@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury 2£lt of the following declarations:
0 1 have and wm melntaln 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 wll maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this perm tis Issued.
My workers' compensation Insurance carrier and policy number are: Insurance Company Name: C . evr
Polley No, ,5 D "I 2-'f 9 7 fl 3 Expiration Date: I • I • Z, D
□ 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 be come
subject to the workers' compensation Laws of Clllfornia, WARNING: Failure to secure workers compensation covarqe le unlawful, and ahall subject an employer to
crlmln1I pen1ltle1 and cMI fines up to $100,000.00, In addltlon the to the cost of compensation, damages as provided for In Section 3706 of the Llbor Coda.
Interest and -mey's leu. ~ll~I
CONTRACTOR SIGNATURE: ---------'-'-11-11--11-I-LJ➔.-------'v( AGENT DATE:C\ / 1J) (1CJ\ "'<· ' 7
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I om exempt from Controctar's License Law far the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation,. wlll 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 SOch Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold wtthin
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 excluslvelv contracting wtth 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) llcensed
pursuant to the Contractor's license Law).
□ I am exempt under Sectlon-,----,----·Business and Professions code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed propertv 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 foflowlna person (firm) to provide the proposed construction (Include name address/ 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/ address/ phone/
comractors' llcense number}:
5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work Indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: _________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there Is a construction lending agency for the performance of the work this permit ls Issued (Sec. 3097 (i) Clvll Code), Lender's Name: ____________________ Lender's Address: ___________________ _
ONLY COMPLETE THE FOLl,QWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials l'ellistration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes CJ No
Is the applicant or future bullding occupant required to obtain a permit from the air pollutlon control district or air quallty 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 VES,.A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRla.
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 Carisbad to enter upon the above mentioned property fol' lnspectfon purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE C11Y OF CAALSl!AD AGAINST ALL UASIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CONSEQUENCE OF
THE GRANTING Of THIS PERMIT DSHA: An OSHA pen'nit is required for excavatk>ns over Sff deep and demoUtion or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the Buildlns Official under the provisions of this Code shall expire by limitation and become nulf and vofd If the buYdlng or work authorized
by such pennlt IS not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time
after the work Is commenced for a period of 180 days (section 10614 J'(lform BuUdlng Code). ~ __ /
f( APPLICANT SIGNATURE: l\t f \ DATE: q )VUf i4
V
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06118
Building Permit Inspection History Finaled
{city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2019-2733)
Permit Type: BLDG-Residential
Work Class: P/M/E
Status: Closed -Finaled
Scheduled Actual Inspection Type
Date Start Date
10/10/2019 10/10/2019 BLDG-25 Wator
HeaterNents
BLDG-Final Inspection
04/0612020 BLDG-25 Wator
HeaterNents
Checklist Item
Application Date: 09/30/2019 Owner: COOWNER SIEJA TODD A AND DIANA.
Issue Date: 09/30/2019 Subdivision: CARLSBAD TCT#93-01 RANCHO
CARRILLO VILLAGE J
Expiration Date: 04/07/2020 Address: 2870 RANCHO RIO CHICO
CARLSBAD, CA 92009-3004 IVR Number: 22121
Inspection No. Inspection Primary Inspector Relnspection Inspection
Status
107230-2019 Cancelled Tony Alvarado Reinspection Incomplete
107229-2019 Cancelled Tony Alvarado Reinspection Incomplete
124073-2020 Scheduled Tony Alvarado Incomplete
COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Final Inspection 124072-2020 Passed Tony Alvarado Complete
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
Monday, April 6, 2020 Page 1 of 1