HomeMy WebLinkAbout1175 STRATFORD LN; ; CBR2020-0056; Permit•
Print Date: 02/21/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
ProjectTitle:
1175 Stratford Ln
BLDG-Residential
1561643000
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construttion Type:
Bathrooms:
Orig. Plan Check#:
Plan Check #:
Description: GRANT: REPLACE SHOWER, LIKE FOR LIKE
Owner:
TRUST GRANT DYLAN PAND CAROLYNN S
FAMILY TRUST
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00
(city of
Carlsbad
Permit No: CBR2020-0056
Status:
Applied:
Issued:
Closed -Finaled
01/07/2020
01/07/2020
Permit
Finaled:
Inspector: TAlva
Final
Inspection: 2/21/2020 l:46:24PM
Contractor:
TNT DESIGN AND BUILD INC
3141 Tiger Run Ct, Ste 107
Carlsbad, CA 92010-6706
760-538-3558
Balance Due: $0.00
$175.00
Please take NOTICE that approval of your project includes the "lmposition 11 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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
· Ccicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CJBRd-0,;2.C,-60S
Est. Value
PC Deposit ---------
Date J · 1-lffi ol0d:0
Job Address I I l ½ S-:\::ro\:t-focl lo. Suite: _____ APN: __________ _
CT/Project#: _________________ Lot#:. ___ _
Fire Sprinklers: yes/ no Air Conditioning: yes/ no Electrical Panel Upgrade: yes/ no
BRIEF DESCRIPTION OF WORK: _...,,S,..._._h .... ,_,_),.,.11 .. ;§)......,C_---'-b .... 1_,_....,,_s:'-'nC...U..c...,1,.,.i...,21=-.J.>.., ___ ,µA('1----'-J .... , ""'~--=-_,_fr_._.)"'C __ _
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
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ___________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other: __________________________________ _
APPLICANT (PRIMARY CONTACT) PROPERTY OWNER
Name: ~ 0-,\ ffi._~ d Name: D.1 I an~ C.cat::cJ.wmG;i j ..n,\,-
Addres;;\dj I 2Gcd-~ ,St--Address:Li1 i'.si-r;,;i-focol =h-
City: S:.D State: (0 Zip:9J-//'z City: (o,CISboa:l State:(a Zip: Qzor)f;
Phone: G_ 19-Uf(ti I· .~(a~. Phone: _____________ _
Email: .perm J:~ & perm JtllO Email: ___________________ _
/\1. oh uY'-com
~:::~_P_R_o_F_Es_s_io_N_A_L __________ ~~~:~ACT~OR B!Ut2!._NESD:c.s.i__q_C) ;;;J_ E!I,,i_; LJ
Address: _______________ Address: ~~ii:,; d' flbJOl
City: _______ State: __ .Zip: ____ City: ~ =d ~te: C/J Zip: q 2 0 I(.)
Phone: Phone: ___________________ _
Email:__________________ Email=--------------------
Architect State License:----------State License: / ?j I 23 7 c:rus. License: OO<...f'd Ct4 • I I -
(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<?t'P Ifs
issuance, also requires the applicant for such permit to file a signed statement that he/she 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/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil 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 of 2 Rev. 06/18
,
( OPTION A}: WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury one of the following declarations:
□ 1 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.
d.have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for •~~~nee of the work for which this permit is issued.
{J;y)orkers' ''l"il'~ns~o~nsurance carrier and policy number are: Insurance C}mpany Njme: ,__ ~"rI,11::1:"{:'. C ,-')~ ,
Polley No. '-1 !t:,::, u07 0 Expiration Date: '-I I '1, 7 / 2 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 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 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.
CONTRACTOR SIGNATURE:
( OPTION B ): OWNER-BUILDER DECLA
I hereby affirm that I am exempt from Contractor's License 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 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).
0 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. □ Yes O No
2. I (have/ 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/ 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' 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/ 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 (i) Civil Code).
Lender's Name: ______________________ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING 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 25S0S, 25533 or 2S534 of the Presley•Tanner Hazardous Substance Account Act? 0 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? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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.
APPLICANT CERTIFICATION:
t 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 CllY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENlS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations overS'O' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or wor uthorized by such permit is suspended or abandoned at anytime
after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
B-1
-602-2719 Fax: 760-602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
PERMIT INSPECTION HISTORY REPORT (CBR2020-0056)
Permit Type: BLDG-Residential Application Date: 01/07/2020 Owner:
Work Class: P/M/E Issue Date: 01/07/2020 Subdivision:
Status: Closed -Finaled Expiration Date: 08/05/2020 Address:
IVR Number: 24122
Scheduled
Date
Actual
Start Date Inspection Type Inspection No.
01/13/2020 01/13/2020
01/15/2020 01/15/2020
BLDG-24
Rough/Topout
BLDG-27 Shower
Pan/Tubs
BLDG-17 Interior
Lath/Drywall
BLDG-21
Underground/Unde
rtloor Plumbing
116343-2020
116342-2020
116581-2020
116582-2020
BLDG-84 Rough 116371-2020
Combo(14, 24, 34,44)
Checklist Item
BLDG-24 Rough-Topout
BLDG-34 Rough Electrical
BLDG-44
Rough-Ducts-Dampers
02/07/2020 02/07/2020 BLDG-24
Rough/Topout
118827-2020
02/21/2020 02/21/2020 BLDG-Final
Inspection
February 21, 2020
Checklist Item
BLDG-Building Deficiency
120035-2020
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Inspection Status Primary Inspector
Partial Pass Tony Alvarado
Passed Tony Alvarado
Passed Tony Alvarado
Passed Tony Alvarado
Passed Tony Alvarado
COMMENTS
Passed Tony Alvarado
COMMENTS
Passed Tony Alvarado
COMMENTS
TRUST GRANT DYLAN P AND
CAROLYNN S FAMILY TRUST
1175 Stratford Ln
Cartsbad, CA 92008-1523
Reinspection Complete
Reinspection Incomplete
Complete
Complete
Complete
Complete
Passed
Yes
Yes
Yes
Complete
Passed
No
Complete
Passed
Yes
Yes
Yes
Yes
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