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Home My WebLink About2771 SOUTHAMPTON RD; ; CBR2016-0019; PermitPrint Date: 12/30/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2771 Southampton Rd BLDG-Residential 2081402300 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: COREY: REPLACE WATER HEATER/ INSTALLED IN 2010 WITH PERMIT/ NEVER INSPECTED PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Owner: CHRISTOPHER O COREY 2771 Southampton Rd CARLSBAD, CA 92010 Total Payments To Date: $98,00 Status: Applied: Issued: Finaled: Inspector: 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. FINAl~ APPRC»VAL DATE~0t6_CL1:ARANCE ____ _ SIGNATURE __ _) /..,;elf Permit No: CBR2016-0019 Issued -Active 11/08/2016 11/08/2016 JWest $0.00 $98.00 " . " THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD { City of Building Permit Application Plan Check No. 2-.,C) I lo -OC) l C\ 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 I\ /?; / H A lswPPP www.carlsbadca.gov JOBADDRES.;t-/2-,:,,4/> SUITE#/SPACE#/UNITI l'PN " ;I. '+I .Jt?' V f7/ 1Ju1P l ,::,,v --- CT/PROJECT# I LOT# PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR TYPE I occ. GROUP ~Esc;;;,o;;;;_= lnii;;;;:;2 Affe;; itaS 1Zc:-1:,u1-cBJ 1d' 2P/O v /II M~ 1~1« 1 r · -,) 1-bl(.lc-J/~ /~I/ d'/Js Alo r ,,ct,,.,; AL/ "Tt!/J ./i,t./(J lfrfs .SrA/CE-~;<?1~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF} FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YES[), NoCJ YES □No □ YES□No□ APPLICANT NAME ' r::_oPERT"/!;i/'t2.I y,vPtfE-L. &tU'/ Primary Contact ADDRESS ADDR'JJ.S r 't/ S'PtJ'J71-A-1At l>Ttt>~ ;'2.,o,(}/) CITY STATE ZIP CITY t!.rhU-513 At, ST't! Ir ZIPf. l..,tJ /0 PHONE I FAX '2fl:J9. £/1.,/., • 'If-II-IFAX EMAIL EMAIL CflCoiUt/ ~ /,44 S,./, ~It£../ DESIGN PR0FESSI0NA CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX -- PHONE JFAX --EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS LIC.# (Sec, 7031.5 Business and P_rofessIons Code. Any City or Coun_ty which requires a permit to. construct, alter, improve, demolish or repair any structure, pnor to its issuance, also reciuIres the applicant for such permit to file a sI_gned 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 B_usmess and Professions Code} or that he 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 cIvII penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury 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' compensation 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; Failure 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 . .J!5 CONTRACTOR SIGNATURE □AGENT DATE -, OWNER-BUILDER DECLARATION ""----- I hereby affirm that I am exempt from Contracfor's License Law for the following reason: D 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 icense 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 ale, 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) 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) D 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. OYes 0No 2. I (have I 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 I 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 I address I phone I contractors' license number): .85 PROPERTY OWNER SIGNATURE □AGENT DATE ,.. er"'~-~ ,, =, = ~ "'"~ c '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 Act? □ 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? □ Yes □ No Is the facility lo 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. I certify that I have read the application and state that the above information is conect and that the information on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building construction. I hereby authorize representative of the CityofCarisbad to enter upon the above mentioned pro~rty for insp3Clion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA ~rmrt is required for excavations over 5'0' deep and demolition or 001struction of structures over 3 stories in height EXPIRATION: Every ~rmit issued by the Building ial under the provisions of this Code shall expire by limitaOOn and beO'.lme null and vod ff the building oroork authorized by sudl permit is not commenced v.ithin 100 day.; Imm ~e dale of such permit or 1f ~e ~r"'.'_~ ;2l:'1 byzz;;udl permn IS s nded or abandoned at any time after ltle v.ork IS rommenced~r a penod f 100 d7 (Sec!on 100 4 4 Urnfunn Building Code) ..@S"APPL!CANT'SSIGNATURE /~~:J DATE //, ~ ~ ~ -' 7,'-C~-------~ 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 su57:.1c. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. i) CJ ASSOCIATED CB#'-------------□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: _______________ _ □ CHANGE OF USE/ NO CONSTRUCTION ,A5 APPLICANT'S SIGNATURE DATE ''\, ~ , »~ 4 , ~ ~I '" ' ,, ',' , J '< ' , . PERMIT INSPECTION HISTORY REPORT (CBR2016-0019) 0 , ' ' -' ' " Permit Type: BLDG-Residential Application Date: 11/08/2016 Owner: CHRISTOPHER COREY Work Class: P/M/E Issue Date: 11108/2016 Subdivision: Status: Closed -Finaled Expiration Date: 05/08/2017 Address: 2771 Southampton Rd Carlsbad, CA 92010-2883 IVR Number: 89 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 11/09/2016 11,09/2016 BLDG-25 Water 000400-2016 Passed Jonathan West Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 12/30/2016 12/30/2016 BLDG-Final 007985-2016 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes December 30, 2016 Page 1 of 1