HomeMy WebLinkAbout1916 HIGH RIDGE AVE; ; CBR2021-2972; PermitPrint Date: 09/26/2022 Permit No: CBR2021-2972
Building Permit Finaled
Residential Permit
Job Address:
Permit Type:
Parcel #:
Valuation:
Occupancy Group:
1916 HIGH RIDGE AVE, CARLSBAD, CA 92008-3762
BLDG-Residential
2073850400
$0.00
Work Class:
Lot #:
Project #:
P/M/E
Status:
Applied:
Issued:
09/28/2021
09/28/2021
Finaled Close Out:10/06/2021
#of Dwelling Units:
Track #:
Plan #:
Closed - Finaled
Plan Check #:
Orig. Plan Check #:Bathrooms:
Final Inspection:10/05/2021Bedrooms:Construction Type:
Occupant Load:
Code Edition:
Sprinkled:
INSPECTOR:Alvarado, Tony
CROUCH: REPLACE 50 GAL WATER HEATER (E-REVIEW)Description:
Project Title:
Property Owner: CROUCH FAMILY TRUST 12-03-09
1916 HIGH RIDGE AVE
CARLSBAD, CA 92008
Contractor: AWHAP ACQUISITION CORP
28358 CONSTELLATION RD, # 698
VALENCIA, CA 91355-5044
(888) 611-4328
AMOUNTFEE
WATER HEATER PERMIT $108.00
Total Fees:$108.00 Total Payments To Date:$108.00 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 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov
Building Division Page 1 of 1
{"Cityof
Carlsbad
CBR2021-2972
9/28/21
¥ . RESIDENTIAL
(_ Cifyof BUILDING PERMIT Plan Check
Est. Value CarlsDad APPLICATION PC Deposit
B-1 9RYQ \ Date
Job Address 1916 HIGH RIDGE AVE Unit: APN:
CT /Project #: Lot#: Year Built:
Fire Sprinklers:QvE()No Air Conditioning:Q YESQ No Electrical Panel UpgradeQ YESQNo
BRIEF DESCRIPTION OF WORK: REPLACE 50 GALLON WATER HEATER SAME LOCATION/ GARAGE
0 New SF :. _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? QvQN New Fireplace? QvQN, if yes how many? __ _
D Remodel: SF of affected area -----Is the area a conversion or change of use? O v ON
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
0 Solar: ___ KW, ___ Modules, MountedOoofOround, Tilt:0 v0 N, RMA:Q vQ N,
Battery: O v 0-.J, Panel Upgrade: 0 v (:N
D Re roof: __________________________________ _
Ii] Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT
Name: SHANNON YATES
Address: 28358 CONSTELLATION RD #698
City: VALENCIA
Phone: 888-611-4328
State:_c_A __ .Zip; 91355
PROPERTY OWNER
Name: LILL y CROUCH
Address: 1916 HIGH RIDGE AVE
City: CARLSBAD
Phone: 760-717-8354
State: CA Zip:_s_2o_o_a __ _
Email: PERMITS@AWHAP.COM Email: LILL YGOLF@SBCGLOBAL.NET
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Business Name: AFFORDABLE WATER HEATERS -----------------Address: Address: SAME AS APPLICANT
City: _______ state:. ___ Zip: _____ City: _______ .State:. ___ .Zip:. ______ _
Phone: Phone: __________________ _
Email: Email: ___________________ _
Architect State License: CSLB License #:_1_06_6_5_84 _____ Class:._C_3_6 _____ _
Carlsbad Business License # (Required):_1_21_1_2_?1 ____ _
APPLICANT CERTIFICATION: I certify that I have read the application and st that the above information is correct and that the
information on the plans is accurate. I agree to comply with all City ordin nc sand State laws relating to building
construction.
NAME (PRINT): SHANNON YATES SIGN:_'---_"'-.:._=-....;;.~:_-_-_:;::;:::_::oATE: 8/25/2021
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
xxxxxxxxxxxxxxxTHIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITH ER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection700
0
)
o
f
D
i
v
i
s
i
o
n
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 {CHOOSE ONE}:
Q1 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. PolicyNo. _____________________________________
_ -OR-
~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. ~Y workers' compensation insurance carrier and policy number are: Insurance Company Name: _L_IB_E_R1Y_M_u_r_u_AL _______________ _ Policy No. wc22s12s2a12010 Expiration Date: _1_112_3_12_0_21 ____________ _ -OR-O 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) Civil Code). Lender's Name: ____________________ Lender'sAddress: ___________________ _
CONTRACTOR CERTIFICATION: I certify that I have read the application and stat that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinan sand State laws relating to building construction.
NAME (PRINT): SHANNON YATES
Note: If the person signing above is an authorized agent for the contractor provide a letter of authoriz
-OR -(OPTION B}: OWNER-BUILDER DECLARATION:
letterhead.
I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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). -OR-O I. as owner of the property, am exclus;vely contract;ng w;th 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).
-OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
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 70440/ the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:Ilwww.leginfo.ca.gov/ ca/aw.html.
OWNER CERT/FICA TION: 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 ordinance. and State laws relating to building construction.
NAME (PRINT): SHANNON YATES SIGN: DATE: 9/24/2021
Note: If the person signing above is an authorized agent for the property owner I cl
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
Building Permit Inspection History Finaled
PERMIT INSPECTION HISTORY for (CBR2021-2972)
BLDG-Residential 09/28/2021Application Date:Permit Type:Owner:TRUST CROUCH FAMILY TRUST
12-03-09
P/M/E 09/28/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#76-15 UNIT#03
09/28/2023Expiration Date:Status:
IVR Number: 36185
Closed - Finaled 1916 HIGH RIDGE AVE
CARLSBAD, CA 92008-3762
Address:
Scheduled
Date
Inspection Type Inspection No. Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
10/05/2021 10/05/2021 BLDG-Final Inspection 167832-2021 Passed Tony Alvarado Complete
Tuesday, October 5, 2021 Page 1 of 3
{cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-2972)
BLDG-Residential 09/28/2021Application Date:Permit Type:Owner:TRUST CROUCH FAMILY TRUST
12-03-09
P/M/E 09/28/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#76-15 UNIT#03
09/28/2023Expiration Date:Status:
IVR Number: 36185
Closed - Finaled 1916 HIGH RIDGE AVE
CARLSBAD, CA 92008-3762
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
COMMENTS PassedChecklist Item
BLDG-Plumbing Final October 5, 2021:
1. Seismic anchoring straps, top and
bottom 1/3 of water heater –approved.
2. Water heater pan and drain line to
approve location in garage-approved.
3. Water heater protected with ballast.
4. Exhaust vent secured and fastened with
three metal screws-approved.
5. Sediment trap and flex line gas line to
water heater and approved.
6. Supply waterlines insulated and
approved.
7. TPR, temperature pressure relief valve
and Condensate line discharge at exterior
Approved height and location, verified and
approved.
8. Water heater expansion tank secured
and anchored correctly – approved.
Yes
BLDG-Mechanical Final October 5, 2021:
1. Seismic anchoring straps, top and
bottom 1/3 of water heater –approved.
2. Water heater pan and drain line to
approve location in garage-approved.
3. Water heater protected with ballast.
4. Exhaust vent secured and fastened with
three metal screws-approved.
5. Sediment trap and flex line gas line to
water heater and approved.
6. Supply waterlines insulated and
approved.
7. TPR, temperature pressure relief valve
and Condensate line discharge at exterior
Approved height and location, verified and
approved.
8. Water heater expansion tank secured
and anchored correctly – approved.
Yes
Tuesday, October 5, 2021 Page 2 of 3
PERMIT INSPECTION HISTORY for (CBR2021-2972)
BLDG-Residential 09/28/2021Application Date:Permit Type:Owner:TRUST CROUCH FAMILY TRUST
12-03-09
P/M/E 09/28/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#76-15 UNIT#03
09/28/2023Expiration Date:Status:
IVR Number: 36185
Closed - Finaled 1916 HIGH RIDGE AVE
CARLSBAD, CA 92008-3762
Address:
Scheduled
Date
Inspection Type Inspection No.Inspection
Status
Primary Inspector Reinspection InspectionActual
Start Date
BLDG-Structural Final October 5, 2021:
1. Seismic anchoring straps, top and
bottom 1/3 of water heater –approved.
2. Water heater pan and drain line to
approve location in garage-approved.
3. Water heater protected with ballast.
4. Exhaust vent secured and fastened with
three metal screws-approved.
5. Sediment trap and flex line gas line to
water heater and approved.
6. Supply waterlines insulated and
approved.
7. TPR, temperature pressure relief valve
and Condensate line discharge at exterior
Approved height and location, verified and
approved.
8. Water heater expansion tank secured
and anchored correctly – approved.
Yes
10/06/2021 BLDG-25 Water
Heater/Vents
167833-2021 Scheduled Tony Alvarado Incomplete
COMMENTS PassedChecklist Item
BLDG-Building Deficiency No
Tuesday, October 5, 2021 Page 3 of 3