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HomeMy WebLinkAbout146 Redwood Ave; C; CBR2017-0969; PermitPrint Date: 05/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 146 Redwood Ave, C BLDG-Residential 2072112900 $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: BALLARD: REPLACE AND REPAIR GAS LINE BEHIND STOVE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: RON BALLARD 4211 Beach Bluff Rd Carlsbad, CA 92008-3607 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: 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: CBR2017-0969 Closed -Finaled 05/08/2017 05/08/2017 $0.00 $166.00 -, □PLANNING □BUILDING 0HAZMAT/APCO FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 ENGINEERING □FIRE □HEALTH • PlanCheckNo.(AQ:Jnl7-00lo9 (city of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -, Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov , -- www.carlsbadca.gov Date KIRI/ I JOB~~R~.S --J -SUITE#/SPACE#/UNIT# I APN ' , i ,✓ ---. . , • ,, C17PROJECTlf I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP D117JLWORK~4jare7:e~~ ?/YC /.?tr#/~ J ,r,, r F t< C " IL/C, /2-~)) vt-,,-tJ& p 4VC C 4 ;1-c:-J ff/[/,£) -C1' 7,zc,09 EXISTING USE I PROPOSED ~E I GARAGE (SF) PATIOS (SF) I DECKS ($F) FIREPLACE 1 I AIR CONDITIONING j FIRE SPRINKLERS YESO NoCJ YES □No □ YES□No□ APPLICANT NAME PROPER~~E //r?J.L4~// Prtn ·-· Contal'!t ADDRESS ADDRESS/ L/ h £J ~o 14,,-a,/,) 4r~ ire' CITY STATE ZIP Cl~-1-A t,,. { /7/1/J STATE ZIP Cj)J)oB C,4 PHONE )FAX p~,b-7;:;z_9_ o/'rf>fO IFAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL !STATE LIC. # STATE UC.# I CLASS I CITY BUS. UC.# (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 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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: / hereby affirm under penalty of perjury one of the following declarations: 0 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 perbrmance of the work for which this permit is issued. D I have and will maintain workers' 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 Co----------------~-------Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not efl1)1oy any person in any manner so as to become 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 one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,15 CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 worl< himself or through his own employees, provided that such improvements are not intended or offered for ~sale. \f, 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). ~ as owner of the property, am exclusively contracting with lk:ensed 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. 0Yes 0No 2. t (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 I 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 worl< (include name I 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)' ,15 PROPERTY OWNER SIGNATURE □AGENT DATE I Is the applicant or tutJre 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-Tanr.er 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 tt,e facility to be constructed within 1,000 feet of ttle outer boundary of a school site? O 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. I certify that I have read the application and state that the above lnfomlation 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 represenlalive of the Cify of Carlsbad to enter upon the above men boned property for inspection pulJlOSOS. I ALSO AGREETO SAVE, INDEMNIFY ANO 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 PERMrT. OSHA: An OSHA pennit is required for excavations over 5'0' deep and demolition or construction of strucb.lres over 3 stories in height EXPJRA TION: Every permit issued by the Building Official under the provisions of this Cooe shall expire by lim1lati:xl and becoole nun and void if the building or WOik authorized by such permit is not commenced within 180 days from the date of such permit or if the building or WC1k authorized b sudl permit is ended or abandoned at any time after the 'NOfk is commenced for a perkxl of 180 days (Section 106.4 .4 Unifofm Building Cooe). DATE _5--8--!' '7 ~ ' ~' ' t · PERMIT INSPECTION HISTORY REPORT (CB.R2017-0969) .. °"' ,l < Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 05/08/2017 Issue Date: 05/08/2017 Expiration Date: 11/06/2017 lVR Number: 3575 Inspection No. Inspection Status 05/08/2017 05/08/2017 BLOG-23 Gas/Test/Repairs 022745-2017 Passed May 08, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency Checklist Item BLDG-Building Deficiency 022746-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Fina\ BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS COMMENTS Passed COMMENTS COMMENTS Owner: RON BALLARD Subdivision: CARLSBAD TCT#72-18 UNIT#02 Address: 146 Redwood Ave, C Carlsbad, CA 92008-4096 Primary Inspector Reinspection Complete Paul Burnette Complete Passed Yes Passed Yes Paul Burnette Complete Passed No Yes No No No Passed No Yes No No No Page 1 of 1