Loading...
HomeMy WebLinkAbout1367 SPARROW RD; ; CBR2021-2046; PermitBuilding Permit Finaled Print Date: 07/15/2021 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1367 SPARROW RD, BLDG-Residential 2156402600 $0.00 Residential Permit CARLSBAD, CA 92011-3959 Work Class: P/M/E Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: GAS LINES FOR BBQ & FIREPLACE (LESS THAN 6') FEE Property Owner: BOJCIC NIKOLA AND JAMIE 1367 SPARROW RD CARLSBAD, CA 92011 PLUMBING, MECHANICAL & ELECTRICAL PERMITS Total Fees: $175.00 Total Payments To Date: $175.00 (City of Carlsbad Permit No: CBR2021-2046 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Balance Due: Closed -Finaled 07/12/2021 07/14/2021 TKers 07/15/2021 AMOUNT $175.00 $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 C_cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Est. Value PC Deposit Date 7-\2-2.1 Job Address l!J'.;f 'f:R"WoJI ~1~0\f1~l\ Suite: __ ~APN:. _______ _ CT/Project #: _________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers: QvEsQ NO Air Conditioning:Q YES ONO BRIEF DESCRIPTION OF WORK: Electrical Panel Upgrade: QvEsO NO 0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Ov ON, if yes how many? __ _____ SF of affected area Is the area a conversion or change of use ? Ov ~ 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ OSolar: ___ KW, ___ Modules, Mounted:ORoof OGround, Tilt: 0 vO N, RMA: Ov ON, Battery:Ov ON, Panel Upgrade: Ov ON D Reroof: __________________________________ _ r8I Plumbing/Mechanical/Electrical 0 Only: Other: This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below wiJI be the main point of contact throughout the permit process. PROPERTY OWNE~ Name: U \~ Q.tC, Address: &f I\~ 'fO · City: Q/\ Q:;AO State: el\ Zip: 42..0\\ Phone: ~i:R,ro--2,'5¼ ~ Email: /.JI ~OU\. \l:Af-lC@'fA.Ha:>.cd'f PRIMARY APPLICANT/ AUTHORIZED AGENT Name: __________________ _ Address: _________________ _ City:, _________ State:. __ ~Zip: ____ _ Phone: _________________ _ Email: __________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: ________________ _ Name: __________________ _ Address: _______________ _ Address: _________________ _ City: _______ State: ___ .Zip: ___ _ City: _______ State: ___ Zip: _____ _ Phone: _______________ _ Phone: _________________ _ Email:. ________________ _ Email: __________________ _ Architect State License: __________ _ CA State License#: ____ _ Class: City Business License# (Required): ________ _ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: D1 have and will 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. Policy No .. ________________________________________ _ 01 have and will maintain worker's 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 Company Name: _____________________ _ Policy No. _____________________________ Expiration Date: _______________ _ 0 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 workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. 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 (i) Civil Code). lender's Name:. _____________________ ,Lender's Address: ____________________ _ CONTRACTOR PRINT: _________ SIGN: _________ DATE: (OPTION B): OWNER-BUILDER DECLARATION: I IJereby affirm that I am exempt from Contractor's License Law for the following reason: 01, 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 himself or th.rough his own employees, provide:d that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within Q 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). DI, as owner of the property, am exclusively 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). D1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: Downer Builder acknowledgement and verification form" has been filled out, signed and attached to this application. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 af the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfa.ca.gov/calaw.html. r;j.._OWNER PRINT: IJ\~ Q:p....\CJ.C.. ~--c-- S I G N: __::~~=:._ ___ DATE: 1-q-ti APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. 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 Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. ~PLICANT PRINT: .... W_\~---~-~ ....... _e.. ___ SIG~ DATE: -={~1-2(_ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bui!ding@carlsbadca.gov 2 REV. 08120 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2021-2046) Permit Type: Work Class: Status: Scheduled Date 07/15/2021 BLDG-Residential Application Date: 07/12/2021 P/M/E Issue Date: 07/14/2021 Closed -Finaled Expiration Date: 07/14/2022 IVR Number: 34528 Actual Inspection Type Inspection No. Inspection Start Date Status BLDG-23 161969-2021 Scheduled Gas/Test/Repairs Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Final Inspection 161970-2021 Passed Checklist Item COMMENTS BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Not ready for final inspection Thursday, July 15, 2021 Owner: COOWNER BOJCIC NIKOLA AND JAMIE Subdivision: CARLSBAD TCT#90-15 UNIT#2 Address: 1367 SPARROW RD CARLSBAD, CA 92011-3959 Primary Inspector Tim Kersch Tim Kersch Reinspection Passed No Passed No No No No No Inspection Incomplete Complete Page 1 of 1