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Home My WebLink About1204 STRATFORD LN; ; CBR2017-0370; PermitPrint Date: 04/25/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1204 Stratford Ln BLDG-Residential 1561644700 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Status: Lot#: Applied: Reference#: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: KROHN: INSTALL NEW HOOD VENT ABOVE OVEN/STOVE AREA IN KITCHEN// POSSIBLE CAPPING OF GAS LINE Applicant: DAVID KROHN 1204 Stratford Ln CARLSBAD, CA 92008 760-828-0596 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 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: CBR2017-0370 Closed -Finaled 02/23/2017 02/23/2017 $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD (city of Building Permit Application Plan Check No.(PJ2 ::) /\11-0~ 7 0 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov Date 1i /'j '),,, fl I ISWPPP. www.carlsbadca.gov JOB ADDRESS (J SUITEI/SPACEI/UNITI IAPN • 11 . .,,4 .,1 ,~, r,_ I 1A• --- CT/PROJECT#' LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS TTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) k, ~\.,,~ 1"('._"')o J._ \ ' ro.s.s, ~ l< clo.si".'.} <)~ ,7)> l1YIL / ,;,f..,1/;~ I) cv' h.,., J 0 ✓,f'( )~ .;.,___ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YES0, IAIR CONDITIONING I FIRE SPRINKLERS NO□ YES □No □ YES□No□ APPLICANT NAME _I), •vLl I<"'\. PROPERTY OWNER _s.,..,,.. Primary Contact ADDr1.~'/ Ci r::.,,J. L~~(. ADDRESS ,,~a 'I"" . cW ZIP CITY STATE ZIP '--',,..h b, l q'1.ooo p"" (0-111-0f'f. IFAX PHONE IFAX EMA~QI I.~ I I -ro...., EMAIL JP~ C. DESIGN PROFESSIONA CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL ISTATELIC.# STATE UC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to co11.struct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjuf'/ one of the following 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 performance 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' compensatkln insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date _________ _ ~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: Falture 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. JiS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the 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 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 build or improve for the purpose of sale). I, as owner of the property, am exclusively contracUng 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. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed wor11. 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 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (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/ address I phone/ type of work): fE5 PROPERTY OWNER SIGNATURE DATE ,_ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future 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-Tanner Hazardous Substance Account Acr? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O 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 LENDING AGENCY I hereby affirm that there 1s a construction tending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1vrl Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application alKI state that the above information is conect and that the Information on the plans is ac:curate. I agree to comply with all Chy ordinances alKI S1ate laws relating to building construction. I hereby authorize representative of the C,tyof Carlsbad to enter upon the above mentioned property br inspection pur]X)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSl?AD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSECIJENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA JX)nnlt is required for excavations over 5'0' deep and demolitKln or construction of structures over 3 stories in hel]ht. EXPIRATION: Every permit issued by the Buik:Jing Off'cial under the provisKlns of this Code shall expire by limitation and become null and void if the buikling or'M)r1(: authorized by such permit is noto:immenc:ed 'Mthin 180 days from the date of such permit or if the building oroor1(: authOOzed by such JX)rmit is suspended or abandoned at any time after the v.ori(: is CXlfllmenced for a period of 100 days (Sectbn 106.4.4 Uniform Buik:ling Code). ~ APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY Dl'llONS □ PICK UP: o CONTACT {Listed above) o OCCUPANT {Listed above) □ CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#-------------0 MAIL TO: □ CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL/ FAX TO OTHER: ________________ _ □ CHANGE OF USE/ NO CONSTRUCTION A! APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-0370) Permit Type: BLDG-Residential Application Date: 02/2312017 Owner; Work Class: P/MIE lssue Date: 0212312017 Subdivision: Status: Closed -Finaled Expiration Date; 1012312017 Address: 1204 Strattord Ln Carlsbad, CA 92008-1524 IVR Number: 2107 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 04/2512017 04/26/2017 BLDG-44 021010-2017 Passed Jonathan West Complete Rough/Ducts/Oampe "' Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 021189-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes April 26, 2017 Page 1 of1