HomeMy WebLinkAbout2861 SEGOVIA WAY; ; CBR2020-0347; PermitBuilding Permit Finaled
Residential Permit
Print Date: 01/25/2021
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2861 SEGOVIA WAY, CARLSBAD, CA 92009-8243
BLDG-Residential Work Class:
2552804400 Track#:
$0.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Description: OSBURN: REPLACE WATER HEATER, LIKE FOR LIKE
FEE
WATER HEATER PERMIT
Property Owner:
OSBURN FAMILY
2861 SEGOVIA WAY
CARLSBAD, CA 92009
P/M/E
Total Fees: $98.00 Total Payments To Date: $98.00
(City of
Carlsbad
Permit No: CBR2020-0347
Status:
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Contractor:
Closed -Finaled
02/12/2020
02/12/2020
CRenf
01/25/2021
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584-9256
(800) 727-0977
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 "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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
(cicyof
Carlsbad
Job Address [286fSegovfaWaf ....
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
I
Plan Checkc&olQdd-0 3l/r 7
Est. Value
PC Deposit --~-~----
Date c2/J~e2<3
. ... ]Suite: ____ APN: ________ _
CT /Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: [Repface existing water heater. Same size arioTocafion.
0 Addition/New: _____ ,Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ------------
D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ------------------------------------□ Plumbing/Mechanical/Electrical Only: _______________________ _
D Other: -------------------------------------
APPLICANT (PRIMARY)
Name: [sfe"rra· Sprague
Address:®300 euecta VaOarta Wav
Citv:rtiilenifee lstate:lcA ·1z1p:l92584
PROPERTY OWNER ·7 Name: [arriO"'si-bu_r_n __ ·
, J Address:!2s½1 Segovia Way : ','
:J Citv: ~tlifat~r·. . ... StatefcA __ ,I Zip: [92Cf09 ... i
Phone: 1951-301-0067 ] Phone: [760-436-2777
Email: la1istar.sierra@gmaif .com j Email: __________________ _
DESIGN PROFESSIONAL CONTRACTOR BUSINESS
Name: ________________ Name: IAII Star Water Heaters . · ·
Address:_______________ Address: ®300 PuertQ Vaflarta Way ...... · ·.. l ! ~:~e: State: __ .Zip: ____ ~~~;f~~e-~01~Bb~7,1state:[S;A:1!1.e:Ji2584 .. J'
Email:________________ Email:lallstar.sierra@g_mail.<;Qm ...... _ ....• ,.
Architect State License:___________ State Ucense:'812894 ~,S~censeJ--=-::--... -...
(Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or rep~ J,~~J/;/,J ~ts
Issuance, also requires the appllcant for such permit to file a signed statement that he/she is licensed pursuant to the provfsions of the Contractor's License Law
{Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codet or that he/she is exempt therefrom, and the basis for the alleged
exemption, Any violatlon of Section 7031.S by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury !2!!£ of the following declarations:
□ I have and wlll maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is Issued.
0 I have and will maintain worker's compensation, as required by Section 3700 of.the Labo .. r Code, fo~.e Performance ot.~taLYlhl.ciJ..thls.Ju::cmltiS..ls.$µ,~l:L .. ,
My workers' c:::neosati~J:.Wier aod nnliGY number are: lnsuranq__Co!!'!@,nl!i'.m!,me:BE fns Coro l
Policy No. !E.Y,B020~ _ l Expiration Date: ii:W~J.1.10 ______ _,(J
□ 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 California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to,
criminal penalties and civll fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labo ode,
Interest and attorney's fees..#~•
CONTRACTOR SIGNATURE:,_~..::=...-4~,::;,;=-c....;.;;£-.----------□AGENT DATE: -~tl../...£::...1.<:.._
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License law /or the following reason:
□ I, as owner of the property or my employees wlth 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 aiaply to an owner of property who builds or Improves thereon, and who does such work i
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 bulld or Improve for the purpose of sate).
□ I, as owner of the property, am excluslvely contractlns 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 Sectlon, ________ euslness 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/ have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following 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/
contractors' 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 is issued (Sec. 3097 ll) Civll Code). Lender's Name: _____________________ Lender's Address: ____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the appllcant or future building occupant required to submit a buslne~ plan, acutely hazardous materials registratlon 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 appllcant 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 O 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,
APPLICANT CERTIFICATION:
I certify that 1 have read the application and state that.the above information is correct and that the Information on the plans ls accurate. I agree to comply with all
City ordinances and State laws relating to building corlstructlon.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE OTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN Af,,N WAY ACCRUE AGAINST SA1D OTY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: AA OSHA permit Is required for excavations over S'O' deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the Building Official under the provlSlons of this Code shall expire by limitation and become null and void if the building or work authorized
by such pemttt lS not cornmeoced Within 180 days from the d~ of such permit or lf the bulldlna Of work authorized by such permit Is SU$p;f!(tded or abandoned at any time
after the work is commenced for a pen~d of 180 d (Sec!ion 106 4 4 Uniform Building Code). / !.
APPLICANT SIGNATURE: . DATE: ;;;? /I; t;2:.d_
1635 Faraday Ave Carlsb:~ Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 2 o/2 Rev. 06/18
Building Permit Inspection History Finaled
( City of
Carlsbad
Pern~it Type:
Work Class.
Status·
Scheduled
Date
01/2512021
BLDG-Residential Application Date:
P/M/E Issue Date:
Closed -Finaled Expiration Date:
IVR Number:
Actual Inspection Type
Start Date
Inspection No.
01/25/2021 BLOG-25 Water
Heater/Vents
149056-2021
Checklist !tern COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection
Checklist Item
149055-2021
COMMENTS
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Monday, January 25, 2021
02/12/2020 Owner: TRUST OSBURN FAMILY
02/12/2020 Subdivision: CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
07/26/2021 Address: 2861 SEGOVIA WAY
24794 CARLSBAD, CA 92009-8243
Inspection Primary Inspector Reinspection Inspection
Status
Chris Renfro
Passed Chris Renfro
Passod
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
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