HomeMy WebLinkAbout151 TAMARACK AVE; ; CBR2016-0359; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/15/2016 Residential Permit
www .carlsbadca.gov
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
151 Tamarack Ave
BLDG-Residential
2060111800
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: SOLIS: REPLACE WALL HEATER IN LIVING ROOM
Applicant: Owner:
R & CHEATING & AIR INC TANIA SOUS
TOM COX 141 Tamarack Ave
CARLSBAD, CA 92008
760-484-2116
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date:
P/M/E
$166.00
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 ff 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.
Permit No: CBR2016-0359
Closed -Finaled
12/14/2016
12/14/2016
$0.00
$166.00
·frnE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
(city of Building Permit Application Plan Check No.j;J.3&9Q//11 -035<]
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date tA. 114 / lln lswPPP
JOBADDR~ . SUITE#/SPACE#/UNITI' l'PN 15 / 111,u,1,,-.,c i:. /)V£ ---
CT/PROJECT-,---I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ GPOUP ~
DESCRIPTION OF WORK: Include Square Fei:t of Affected Area(s) , ~ r .,.,,.( a. { e Me ,u I-1-fe"' +.-, .
WAU. ......
EXISTING USE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YESO NoO vESONoO vesONoO
APPLICANT NAME .----(e";L PROPERTY OWNER s~ I, i Primary Contact /OM 7,3 ,.,,,, -~ ADDRESS ADDRESS
2.'"\<}:sS-::: ;3., '"f+ f' [({. C-f-1s-1 /AM'4rqc£ ,A 1/-c ·~ CITY STATE ZIP CITY STATE ZIP
RAMrJn/A CA-"i1-tJ ft_ j Ct,,.. 1,/2~, cl [,• ~c7L1<r'
PHONE IFAX PHONE IFAX 1Cif 'IY'I-Z-tll Jt•(J 'l?o 2"/2 ,-
EMAIL EMAIL
·fl),i,1 ;;; ,JJr·rh ~;i,,,,/lv 11,· r eirvl
DESIGN ~F~SIONA fie -I <.t l. 1-1. • u: ~ "'tr _r,,, C. CONTRACTOR B:US. NAMt-k, ~ r /2££ " ,,.,,5' / ,4,,, ... :r,._,,r
ADDRESS ./ . T ADDRESS . , / 2:3c, ~s-1~0"f-<S~Q (_ 2 J'i 1 >-c3t,,.,XS-$'>q ~c_. ~---.---
CITY STATE ZIP CITY STATE ZIP -t11,,,, ,.,,,, CA j' l' di; J da hA. ~ l;t __ ~_'t_Z_ o 1,, ;-__
IAX PHONE PHONE j FAX
7 ~ t) · '-IJ..<i__:-_ 2 t I(., _ ,J.::_o -if'~ .i. // h . --EMAIL I < "' (} ,,; ,,,.·7 I, '-(:tt ,-,ty 4l' tr-1,M {) 1111nl. ,;e1 ,vl-,,t h.. ~ -------1'4~u7~e?K STATE LIC.# I CLASS 'f1-7 /t! J" c..-z_., I CITY BUS. LIC.#
-Q .. ,-11 .,.l -
(Sec. 7031.5 Business and Professions Code: Any City or Coun_tY which requires a permit to construct, alter, improve. demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_mIt to file a srgned statement that he is licensed pursuant to the provIsIons of the Contractor's License Law [Chapter 9, commending with Section 7000 of DIvrsIon 3 of the B_usmess and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any vI0IatIon 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)).
""' stJ1 """ "°' ~ "1 1" iJ' 1 1 ' t WoRKERS'sCOMPENSATION '\ Y f ' ~ !:\? 1 10 Rf :
:;;;;a "" 0liK AA\. dill "'" " Ac ~ ""'~ ~ " "" -_ -
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 0 r have and will maintain work.ers' compe,nsatioy, as ri;quired by Sectio. ' .. ;700 of the Labor Code, for the _performance of the work for which _this pe.rmit is issued. My workers' compens~tion insurance carr'Ier and po1'1cy
number are·. Insurance Co._M_; L~_M.f._!!G! ~ ¼_. ---Policy No. "'w too 27 2.Rr' Exp1rat1on Date _3_i~_Z_ _ -
PJ_i§,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' Compensa\'ion Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pena!Ues and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section :}06 of ~he labor code, interest and attorney's fees.
kf CONTRACTOR SIGNATURE ~ ,1. L--fY □AGENT DATE /:2 -/'j'-/6
I hereby affinn 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 tne 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 bu'ilds 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 lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) l'1censed pursuant to the Contractor's License Law)
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 ONo
2. I (have I have not) signed an application for a building pennitfor the proposed work
3. I have contracted with the following person (firm) to provide the proposed construcl'Ion (include name address/ phone I 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/ phone I contractors' license number)
5. I will provide some of the work, but I have contracted (hired) the fallowing persons to provide the work indicated (include name/ address/ phone I type of work)·
----~---------
JtS PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business ~fan, acutely hazardous materials reg·1stralion lorm or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tarmer Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control d'Istricl or air quality management district? D Yes D No
Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code)
I certify that I have read the application and state that the above infonnation is correct and that the information on the plans is accurate. I agree to comply 'Mth all City ordinances and Slate /aw.; relating to building construction.
I hereby authorize representative of the City of Ca1sba:J to enter u~n !he atx:Jve mentioned properly for insi:;ecUon pu(jX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: Ar7 OSHA permit is requred for excavations over 50 deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit issued by the Building Official under !he provisions of this Code shall expire by limitation and teoome null and void ~ the building or oork authorized by sudl permit is not commenced 'Mthin
180 days from the date of sudl permit or if the building oroork authorized by sudl permit is suspended or abandoned at any lime after the oork ls commenced for a period of 180 days {2ookm 106.4.4 Uniform Building Code)
-~ APPUCANrs SIGNATURE ~ __ /1~ -~-_ _ _ _ . oAT'_ !_z _-_1_,j ..-. J.i,, __
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
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
D PICK UP: □ CONTACT (Listed above) :::i OCCUPANT (listed above)
n CONTRACTOR (On Pg. 1)
0 MAIL TO: o CONTACT (listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
D MAIL/ FAX TO OTHER:----------------~
AS APPLICANT'S SIGNATURE
o ASSOCIATEDCB#--------------
u NO CHANGE IN USE/ NO CONSTRUCTION
□ CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
~ ~ ~~ ' ~
" " PERMIT INSPECTION HISTORY REPORT (CBR2016-0359)
Permit Type: BLDG-Residential Application Date: 12/14/2016 Owner:
Work Class: P/M/E Issue Date: 12/14/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 06/12/2017 Address:
IVR Number: 813
Actual Scheduled
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
12/15/2016 12/15/2016
December 15, 2016
BLDG-43 Air
Cond./Furnace Set
005667 -2016
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
005668-2016
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul York
COMMENTS
Passed Paul York
COMMENTS
TANIA SOLIS
151 Tamarack Ave
Carlsbad, CA 92008-4060
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
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