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HomeMy WebLinkAbout2619 VIA ECO; ; CBR2021-0014; PermitPrint Date: 01/20/2021 Permit No: CBR2021-0014 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2619 VIA ECO, CARLSBAD, CA 92010-8348 BLDG-Residential 1673003900 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 01/04/2021 01/04/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled CRenf Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:SEWER REPAIR (NO WORK IN ROW) (E-REVIEW) Final Inspection:01/20/2021 Bedrooms:Construction Type: Property Owner: SUBITZKY FAMILY TRUST 12-09-03 2619 VIA ECO CARLSBAD, CA 92010 Contractor: TM BENNETT PLUMBING AND DRAIN INC PO BOX 4417 CARLSBAD, CA 92018-4417 (760) 458-1824 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-0014 1/4/21 C(Cicyof arlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check -------- Est. Value PC Deposit Date Job Addres5 2619 Via Eco ~ -----.:::.:.:::..._________ APN: _______ _ CT/Pro· Suite:. ___ _ Ject #: -. . 1986 F Lot #: ____ Vear Built.~~~------- ire Sprinklers: 0vEs0 . d . Q vEs® NO BRIEF DE NO Air Conditioning:Q YES 0 NO Electrical Panel Upgra e. -SCRIPTION OF WORK: Sewer repair via a liner fro . . m an existing clean out 0 Addition/New: . . p f SF Garage SF __ _ Is this to creat ----~Living SF, ____ Deck SF, ____ a 10 ,____ ? e an Accessory Dwelling Unit? Q v O N New Fireplace? QY O N, if yes how many. --- ORemodel: f ? Q v O N _____ SF of affected area Is the area a conversion or change O use · 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ osolar:. ___ KW, ___ Modules, Mounted: 0Roof 0Ground, Tilt: 0 vO N, RMA: Ov ON, Battery: Ov ON, Panel Upgrade: Ov ON 0 Re roof: _______________________________ _ liJ Plumbing/Mechanical/Electrical D Only: Other: Plumbing 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 will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name:: __________________ Name: ____________________ _ Address: Address: ___________________ _ City:: ________ State:. ___ Zip: ____ City: __________ State: ___ Zip: _____ _ Phone: Phone:-------------------Email: Email: __________________ _ DESIGN PROFESSIONAL Name: APPLICANT 0 Address:: _______________ _ State: __ _.Zip: ___ _ City:· ______ _ Phone:: ______________ _ Email:: ______________ _ Architect State License: CONTRACTOR OF RECORD Name: T.M. Bennett Plumbing & Drain Inc. Address: PO BOX 4417 APPLICANT Ill City: Carlsbad Phone:7604581824 State:_C_A __ Zip: 92018 Email: chaneltmbp@gmail.com state License/cf ass: 985357 Bus. license: BLRE1238781 C rlsbad, CA 92008 635 Faraday Ave a Ph: 760-602-2719 Fax: 760-602-8558 NTIFY WHO WILL PERFORM TH ,oe E WORK B ELOW" (OPTION A): LICENSED CONTBAcroR D y COMPLETING (OPTION A) OR (OPTION B) B . I hereby affirm un!er penalty of Perjury th ECLARATION: . 5 tion 7000) of Division 3 ,fthe Business an Prof essions C at I am lie encing with ec .F h fi o II wing declarations: Ode, and rny Ii e~s~d under provisions of Chapter 9 ( comm natty of perjury one 0 , t e 0 0 cense 15 m fuJJ force and effect. I also affirm under pe 0 1 have and will maintain a cert·fi f th h . . . I icate of h performance o e work which t is permit is issued P . consent to If . L bor code, fort e · ohcy N se -insure f • 3700 of the a . o. or workers' compensation provided by Section lii11 have and will m aintain w k • · d l.!!.I , or ers h. errnit 1s issue • My workers compensation in compensation as f the work for which t is p Policy No. FLAQQ7 56;t0ra3nce carrier and doli/equired by Section 3700 of the Labor code, foo1r~t;h1e;p~erf;~;r~m~~~~~~~~ao~l~ty~i:=========================== • Y number are: Insurance Company Name· ~alls Lake Fire & D . . 11120121 Certificate of Exempt· ______________ Expiration Date. -. ion: 1 c rt·fy s to become subJect to t he workers' com e I that in the perfor an person in anY manner so a lo er to criminal penalties and .. pensation Laws of Cart ~ance of the work for which this permit is issued, I shall not employ ~awful and shall subject an emP y interest and attorney' c;vi1 fines up to $100 000 ~;r_n1a. WARNING: Failure to secure workers compensation cove~age ~ u~ Section 3706 of the Labor Code, CONST s ees. ' · ' '"addition the to the cost of compensation, damages as provided or'" RUCTION LENDING A I hereby affirm that th . GENCY, IF ANY· ere is a canst . • d ) Lender's Name: ruction lendin a . . . . 3097 (i) Civil Co e · g gency for the performance of the work this pe ... rm:_1t~,s~1s=s~ue~d-(~S-ec_. __________ -=-~-~- CONTR Lender's Address:_ \ ACTOR PRINT: Clw.,v.J;. ~IGN: Q 9f) ✓ DATE: Kq / 1-i@::, (OPTION B): OWNER-BUILDER DEC I hereby affirm that I lARATION: □ am exempt from C t r, as owner of the property on ractor's License Law for the following reason: . d ffi d for sale (Sec. 7044 . or my empfoyees "th d h t cture is not mtende or o ere , Business and Professions Cod Th wi wages as their sole compensation, wm do the work an t es ru . th reon and who does such work himself or through his own emplo ee~s e C~ntractor's Lice_nse Law does not apply to an owner of property who builds or improv;~din e or i~provement is sold within one year of completion th y '. provided that such improvements are not intended or offered for sale. If, however, the b g ' e 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 a 1 • • d p ofessions Code· The C . ' m exc usively contracting with licensed contractors to construct the project (Sec. 7044, Business an r · ontractor'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). DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: []«Owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. 0 Owners "Authorized Agent Form" has been filled out, signed and attached to this application gMng the agent authority to obtain the permit on the owner's behalf. By my signature below 1 acknowledge that, except for my personal residence in whi~h I must have resi_ded ~o~ at least one year prior to completion of the . rovements covered by this permit, 1 cannot legally sell a structure that I have built as an owner-builder 1f 1t has not been constructed in its entirety by licensed ~:~tractors. I understand that a copy of the applicable /~w, Section 7044 of the Business and Professions Code, is available upon request when this application is wbmittetl or ot the Jo/Jowing Web site:http.//www.legmfo.co.gov/colow.html. OWNER PRINT: --------- SIGN: _________ DATE: -------- APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL b I w I certify that: / om the property owner or State of California Licensed Contractor or auth . d By my signature e ~ b, hol'f I certify that I have read the application and state that the above informatio . onze to act on the property or contractor s e 'J• • "' n ,s correct and that the in-F . owner . 1 gree to comply with all City ordmances and State laws relating to building const t· :.,ormat,on on the plans 15 accurate. a rue ,on. totive of the City of Carlsbad to enter upon the above mentioned property fo . . I hereby authorize repri;;MLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ~~~;ction purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP CONSEQUENCE OF THE GRANT!N~ OF THIS PERMIT. OSHA: An OSHA permit is re u/PENSES WHIC~ MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN . if structures over 3 stones m height. q ed for excavations over S'O' dee d l ·t·on or construction o Pan demo11 ~ NT PRINT: t Lrn, I br.,nn,e;t\; SIGN: Q APPLICA ~ --~--.a...-'-..:_ __ DATE: d Ave Carlsbad, CA 92008 1635 Fara ay Ph: 7~2-2719 Fax: 760-6()2_8558 2 REV. 08/20 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-0014) BLDG-Residential 01/04/2021Application Date:Permit Type:Owner:TRUST SUBITZKY FAMILY TRUST 12-09-03 P/M/E 01/04/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#72-21 UNIT#01 07/19/2021Expiration Date:Status: IVR Number: 30809 Closed - Finaled 2619 VIA ECO CARLSBAD, CA 92010-8348 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 01/20/2021 01/20/2021 BLDG-22 Sewer/Water Service 148654-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Virtual inspection completed on 1/20/2021 Yes BLDG-Final Inspection 148653-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No Wednesday, January 20, 2021 Page 1 of 1 {cityof Carlsbad