HomeMy WebLinkAbout1475 PINE AVE; ; CBR2021-0989; PermitPrint Date: 05/11/2021 Permit No: CBR2021-0989
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1475 PINE AVE, CARLSBAD, CA 92008-1943
BLDG-Residential
2050510300
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
04/09/2021
04/12/2021
Finaled Close Out:
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Inspector:Orig. Plan Check #:Bathrooms:
Final Inspection:05/11/2021
Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
REPLACE WATER HEATER (E-REVIEW)Description:
Project Title:
Contractor:
JOHN STEVENSON PLUMBING AND
MECHANICAL INC
2748 LOKER AVE WCARLSBAD, CA 92010-6603
(760) 918-0456
AMOUNTFEE
WATER HEATER PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 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
CBR2021-0989
4/9/21
{cityof
Carlsbad
RESIDENTIAL
BU ILDING PERMIT
APPLICATION
8-1
Plan Check ________ _
Est. Value
PC Deposit
Date
Job Address 1475 Pine Avenue Suite: _____ .APN: __________ _
CT/Project #: __________________ Lot #: ____ Year Built: _________ _
Fire Sprinklers: O vEs O NO Air Conditioning:Q YES O NO Electrical Panel Upgrade: Q vEsO NO
BRI EF DESCRIPTION OF WORK:
Remove current water heater and replace with new water heater.
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O v O N, if yes how many? __
□Remodel: SF of affected area -----Is the area a conversion or change of use? O v O N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
o solar: ___ KW, ___ Modules, Mounted:0 Roof 0 Ground, Tilt: 0 vO N, RMA: O v O N,
Battery:OY O N, Panel Upgrade: O v O N
D Reroof: -------------------------------------Ii] Plumbing/Mechanical/Electrical
0 Only: Other:
Remove current water heater and replace with new water heater.
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 APPLICANT O CONTRACTOR OF RECORD APPLICANT liJ
Name: ________________ _
Address:. ________________ _
City: ________ State: ___ Zip: ___ _
Phone: ________________ _
Email: _________________ _
Architect State License: __________ _
Name:John Stevenson Plumbing, Heating, & Air
Address:2748 Loker Avenue West
City: Carlsbad State: CA Zip:_9_20_1_1 ___ _
Phone: (760)-927-4143
Email:Patrick.mcgowan@johnstevensonplumbing.com
State License/class: 588895,C-2O,36 Bus. License: BLNR1208637
1635 Faraday Ave Carlsbad, CA 92008 Ph : 760-602-2719 Fax: 760-602-8558 Email: Buildlng@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:
DI 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. _______________________________________ _
Iii I 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: _A_m_Tr_u_st_N_ort_h_Am_e_ric_a_, l_nc_. ____________ _
Policy No.SNP1327529 Expiration Date: _2,_112_0_22 __________ _
D 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) Clvll Code).
Lender's Name: _____________________ Lender's Address: ____________________ _
CONTRACTOR PRINT:1'7(1,(k H( Golt..flW SIGN: (!IJl{(J~ DATE: 'tjr/zf
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
DI, as owner of the property or my employees with wages as their sole compensation, will do the work and the stntcture 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 sa le. 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).
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).
DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
D"owner 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. / understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http://www.leginfo.ca.gov/calaw;html.
OWNER PRINT: _________ _ SIGN: DATE: ------------------------
APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL
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
awner ar 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 LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE
AGAINST SAID CITY 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.
APPLICANT PRINT: Patrick McGowan SIGN: ~ C)t/'~, DATE:4/7/2021
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-SSSS
2 REV. 08/20
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-0989)
BLDG-Residential 04/09/2021Application Date:Permit Type:Owner:
P/M/E 04/12/2021Work Class:Issue Date:Subdivision:PATTERSONS ADD
11/08/2021Expiration Date:Status:
IVR Number: 32664
Closed - Finaled 1475 PINE AVE
CARLSBAD, CA 92008-1943
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
05/11/2021 05/11/2021 BLDG-25 Water
Heater/Vents
157007-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Final Inspection 157006-2021 Passed Chris Renfro Complete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Tuesday, May 11, 2021 Page 1 of 1
{cityof
Carlsbad