HomeMy WebLinkAbout2845 RANCHO RIO CHICO; ; CBR2017-1494; PermitPrint Date: 07/14/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2845 Rancho Rio Chico
BLDG-Residential
2226122000
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: BUTLER: INSTALL WATER HEATER TANK
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $98.00
Owner:
TRUST BUTLER FAMIL YTRUST 11-24-15
2845 Rancho Rio Chico
CARLSBAD, CA 92009
858-232-8402
Total Payments To Date: $98.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
ANDERSON PHA
1830 John Towers Ave
El Cajon, CA 92020-1134
800-830-1102
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: CBR2017-1494
Closed -Finaled
07/05/2017
07/05/2017
$0.00
$98.00
ht-1-0LL~W!NG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
. ~ Building Permit Application Plan Check No. (' 112,i< ::)f',f '7-I J..f ft/ «• .. ril~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date ?-<;-Jl'-r_ lswPPP www.carlsbadca.gov
JOB ADDRESS SUITEf/SPACEf/UNIT* IAPN 2845 Rancho Rio Chico, Carlsbad 92009 . . .
CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
INSTALL WATER HEATER TANK
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES[Jtt "'° YESO•o □ v,so•o□
APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME PAUL BUTLER Pm ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 2845 Rancho Rio Chico, Carlsbad 92009
CITY STATE ZIP CITY STATE ZIP
San DieAO CA 92123 CARLSBAD CA
PHONE IFAX PHONE lFAX 888-991-4377 8582328402
EMAIL EMAIL
JERMAINE~WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ANDERSON PHA
ADDRESS ADDRESS 1830 JOHN TOWERS AVE
CITY STATE ZIP CITY STATE ZIP
EL CAJON CA 92020
PHONE l'AX PHONE
8008301102 I FAX
EMAIL EMAIL THERESA(ii)_.ANDERSONPHA.COM
TSTATE LIC. # STATE LIC.# l0C20/C36 ICITYBUS uc.1074400 876156
(Sec: 7031.5 Business ~nd Professions Code: Any Crty or ~un~ which requires a permit to.construct, alter, improve, qemohsh or repair an~ structure. p_nor t9 its issuance, also requires the applicant for such permit to file a s1Med statement that he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending wtth Section 7000 of Dw1s10n 3 of the Business and Professions Code) or O,at he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a
civil penalty of not more than five hundred dollars {$500)).
WORl<ERS' COMPENSATION
Workers' Compensation Declaration: I heraby affltm under penalty of perjury one oftne fol/omng declarations: D 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 perfonnance of the work for which this pennit is Issued.
[Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the work for whieh this pennlt Is issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. ACE AMERICAN INSURANCE Policy No. WLRC48578238 Expiration Date 3/2J2018
~sectiOn need not be completed if the pennlt Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the WOl'1l for which this pennlt is Issued, I Shall not employ any person in any manner so as to become subjeel to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation ge is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for I Ion 3706 of the Labor code, Interest and attorney's fees.
,/j$ CONTRACTOR SIGNATURE
I hereby affltm that I am exempt from Contractor's Ucense Law for Iha 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 to an owner of property who builds or Improves thereon, and who does such work hlmsell or through his own employees, provided that such improvements are not Intended or offered for
sale. If, OOM3ver, the building or Improvement is sold within one year of completion, the owner•buik1er 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 constnx:t 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 uoder Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provkle the major labor and materials for constru::tlon of the proposed property Improvement. 0Yes 0No
2. I (have t have not) sgned an application for a building pennlt for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed constructioll (lncllXle name address I phone I contractors' license number):
4. I plan to provide portions of the WOl'1l, but l have hired the following person to coordinate, supervise and provide the major work {Include name I address I phOne I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name I address I phone I type of work):
JES PROPERTY OWNER SIGNATURE □AGENT DATE
' ' ,. OJll,J!!.£TI! THI$ SE'CTION FOR NON,R£Sll>£NTIAl-8UILl>ING Pl!RMITS ONLY
lk ~
Is the app11eant or future blilding occupant required to submit a business plan, acutely hazardous materials regiStratlon form or risk mmagement ard prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account AJ::.t? □ Yes O No
Is the applieant or future building occupant required to obtain a permit from the air pollutkln control distriet or air quality management district? □ Yes □ No
Is the facillty to be constructed within 1,000 feet of the outer bounda-y of a schOOI 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the appUcation and state that the abow infoonatlon Is correct and that the Information on the plans Is accurate. I agree to comptywllh all~ ordinances and State laws ffllatlng ID building construction.
I hereby authorize representative of the City of CMSba:I b enter u~ lhe al:ow mentbra:l property fi:lr ins~ purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD
AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT.
OSHA: AA OSHA pemik is required for excavatioos over 5'0' deep and derrditioo or construcoon of slructures owr 3 stories fl heghl
EXPIRATION: Every pemilt issued by the Buik1irg Olfdal undef the provisbns of Cede shall expire by linitalbn and become nul clld voi:l W the bulkllrg cr'lo'OOI aulhorm::I by such perm( is not conmence:l withi'l
180 days from the dae otsoch pel'mt or Wthe b(gjirg or WOO. oothorized by penllil is suspended or aba'ldonOO at any tine after the work is canmerced bra perb:I of 180 days (Secoon .4.4 lklibm Bulklilg Cede).
,..S APPLICANT'S SIGNATURE DATE
. PERMIT INSPECTION HISTORY REPORT (CBR2017-1494)
Pcrn1it•Typc:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
PIMIE
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 07/05/2017
Issue Date: 0710512017
Expiration Date: 01110/2018
IVR Number: 4784
Inspection No. Inspection Status
07114/2017 07/14/2017 BLOG-25 Water
HeaterNents
028763-2017 Passed
July 14, 2017
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
028762-2017
Checklist Item
BLDG-Plumbing Final
COMMENTS
Passed
COMMENTS
Owner: TRUST BUTLER FAMILY TRUST
11-24-15
Subdivision: CARLSBAD TCT#93-01 RANCHO
CARRILLO VILLAGE J
Address: 2845 Rancho Rio Chico
Carlsbad. CA 92009-3003
Primary Inspector Reinspection Complete
Chrls Renfro Complete
Passed
Yes
Chris Renfro Complete
Passed
Yes
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