HomeMy WebLinkAbout2849 RANCHO RIO CHICO; ; CBR2017-2891; PermitPrint Date: 12/05/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2849 Rancho Rio Chico
BLDG-Residential
2226122100
$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: MEHRMAH: REPAIR EXISTING UNDERGROWNED GAS LINE (EXTERIOR TOWARDS BBQ).
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Permit No: CBR2017-2891
Closed -Finaled
12/04/2017
12/04/2017
MEHRMAH HODAEE
2849 Rancho Rio Chico
Carlsbad, CA 92009-3003
858-344-9901
INTEGRITY HOME IMPROVEMENTS INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
7343 Ronson Rd, D
San Diego, CA 92111-1404
858-751-0800
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.
$170.00
$0.00
THE _!OLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
Ccityof
Building Permit Application Plan Check No. { PO cj.()\, -;;l ~q \
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date \ ""' -L-1 _ 1 "'l lswPPP
JOB ADDRESS 2849 Rancho Rio Chico
SUJTEI/SPACEI/UNrTt
I"" 222 -612 -210 -0
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS f TENANT BUSINESS NAME ICONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Afrected Area(s)
t_ 'f--, ,;f,• 1,,_0 Underground gas repair (exterior toward BBQ) so that SDGE will restore gas service
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[), "'° v,s □No □ YES□No□
APPLICANT NAME Integrity Home Improvements PROPERTY OWNER NAME Mehrmah Hodaee Prtnaov contact
ADDRESS ADDRESS
7343 Ronson Road Ste. D 2849 Rancho Rio Chico
CITY STATE ZIP CITY STATE ZIP
San Dieqo CA 92111 Carlsbad CA 92009
PHONE IFAX PHONE IFAX 858-751-0800 858-278-5009 858-344-9901
EMAIL EMAIL~ ryan@ihi-inc.net
DESIGN PROFESSIONAL 'y.. CONTRACTOR ~S. NAME LJL.. ... ~✓ • , " ... rr-<?.. ~.-
ADDRESS ADDRESS . ....
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE I FAX
EMAIL EMAIL
STATE LIC.# I STATE LIC. #
Q 2..ltl--47 ICLASS J CITY BUS. LIC.#
""----~Ll~-o3-~
(Sec. 7031.5 Business and Professions Code. Any City or Coun_ty which requires a permit to construct, alter, improve, demohsh or repair any structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of DIvIsIon 3 of the Business and Professions Code} or that 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}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one oft/Je following declara~ons: D I have and will maintain a certificate of consent to self-insure for workers' compensation as pro~ded by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
[Z] I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labor Code, for the per1ormancr, of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. State Fund Insurance Policy No. 9052191-17 Expiration Date 10/1118
~section need not be completed if 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 not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure worke 'compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of com pens o\, damages asp ed for iR Section 3706 of the Labor code, Interest and attorney's fees,
.85 CONTRACTOR SIGNATURE \
I hereby affirm that I am exempt from Contractor's License Law for tile following reason:
□
□
□
I, as o'Mler 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 O'Ml 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 exdusively 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. OYes 0No
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/ phone I contractors' license number):
4. I plan to provKle portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address I phone/ 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/ type of work)
_I$ PROPERTY OWNER SIGNATURE □AGENT DATE
--,
COMPLETE THIS SECTION FOR NON•RESIOENTIAL BUILOING PERMITS ONLY
Is the applicant or future building occupant required to submit a business ~a11, 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.
CONSTRUCTION LENOING AGENCY
I hereby affirm that there 1s a consin.Jction lending agency for the perfonnance of the work this penrnt 1s 1ssuecl (Sec. 3097 (1) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the alxNe Information Is oonec:tand that the lnfunnatlon on the plans Is accurate. I agree to complywth all City oldlnances and State laws relating ID building construction.
I hereby aulhetize repesentative of the Qty of Carlsbad to enter up:m the above mentioned i:roperty hr inspection purix,ses. t ALSO AGREE TO SAVE., INOCMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SI\ID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavatiClls over 5'0' deep and demolition or construction of slruch.Jre.5 OVE!f 3 stories in height.
EXPIRATION: Every permit issued by the Bui Official under visWJns of this Oxle shall expire by ~mitation and OOCC1lle null and void ff the OOilding orv.ork authorized by sudi permit is not oommenced wthin
180 days from the date of such permit or if by ch permit-is sus~nded or abandoned at anytime after the v.urk IS commenced for a period of 180 days (Secoon 100.4.4 Unibrn Building Code).
A$ APPLICANT'S SIGNATURE DATE
Pormit Typo: BLDG-Residential Application Date: 12/04/2017 Owner: CO-OWNER MCCUNE SEAN AND
NANCY, MEHRMAH HODAEE
Work Class: P/M/E Issue Date: 12/04/2017 Subdivision: CARLSBAD TCT#93-01 RANCHO
CARRILLO VILLAGE J
Status: Closed • Finaled Expiration Date: 06/04/2018 Address: 2849 Rancho Rio Chico
Carlsbad, CA 92009-3003
IVR Number: 8115
Scheduled Actual Reinspection Complete
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
12/05/2017 12/05/2017 BLDG-23 042315-2017 Passed Andy Krogh Complete
Gas/Test/Repairs
BLDG-Final 042421-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLOG-Plumbing Final Yes
December 05, 2017 Page 1 of 1