HomeMy WebLinkAbout160 TAMARACK AVE; ; CBR2019-1764; Permit(city of
Carlsbad
Residential Permit
Print Date: 07/29/2019 Permit No: CBR2019-1764
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
160 Tamarack Ave
BLDG-Residential
2042530500
$0.00
Work Class: P/M/E
Lot#:
Reference#:
Construcf1on Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Fina/ed:
Inspector:
Closed -Finaled
07/09/2019
07/09/2019
Plan Check#:
Final
Inspection: 7/29/2019 S:55:46AM
Project Title:
Description: GOLDSTEIN: REPLACE EXISTING WATER HEATER. SAME SIZE AND LOCATION
Owner: Contractor:
GOLDSTEIN ALL STAR WATER HEATERS INC
WATER HEATER PERMIT
Total Fees: $98.00
MARINA GOLDSTEIN
160 Tamarack Ave
CARLSBAD,CA 92008
Total Payments To Date: $98.00
30300 Puerto Vallarta Way
Menifee, CA 92584-9256
800-727-0977
Balance Due:
Please take NOT/CE 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.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
( City of
c:arlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
8-1
Plan Check
Est. Value
PC D,•posit -----~---7 -q -/ Zj
D iite -'---'------'-----
Job Address foo Tamarack Ave Suite: _____ APN: __________ _
CT/Project#: __________ lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: Replace existing water ·heater. Same size an·d location.
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? _____________ _
D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ____________________________________ _
I I Plumbing/Mechanical/Electrical Only: _______________________ _
0 Other: _____________________________________ _
APPLICANT (PRIMARY)
Name:.Sierra Spr39ue ___ _
Address:U0.300 Puerto Vallarta Wav.
Citv: Menifee State:&i_;_Zip: ,925fl4
Phone: 951 301 0067
PROPERTY OWNER
Name: lv1ic.Eelle?,oldstdll
Address: 160 Tamarack Ave
City: ,Carlsbad State:'~Zip: '92008
Phone: 213-400-0808
Email: allstar.sierra@lqrnail.com : Email:
DESIGN PROFESSIONAL
Name: __________________ _
Address: _________________ _
City: ________ State: ___ Zip: ____ _
Phone: ________________ _
Email: _________________ _
Architect State License: ___________ _
--------------------
CONTRACTOR BUSiNESS
Name: .All Star Water Heaters
Address: 30300 Puerto Valldita Way
City: Menifee State:Q__Zip: ... '9'-'2""5 __ 8--'4 ___ _
Phone: _951··30f:0067
Email:,aiistar.sierra@qmail.com
State License:) ~1]~~~-.. -~ ·· · Bus. License: ______ -l
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to comtruct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law
{Chapter 9, commending with Section 7000 of 0·1v·1sion 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged
exemption. Any violc1tion 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))
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06118
( OPTION A): WORKERS'COMPENSATION DECLARATION_:
I hearby affirm under penalty of perjury QI1f_ of the following dec/aralians:
□ I have e1nd will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 oft/ie Labor Code, for ttie performance of the
work which this permit is issued.
0 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, forJh~J;Jt:dDrm<m~e_of the wrukfor wh'1ch t/;US,.o,ermit is 1ssu.ect
My workers;sJ.IDJnensatinnJn.\1Jr..aOr.P ur1l.PL11nd.n.o.U,v number are: lnsurap_ce C_o-mpany Name: -'~S~t~a~r~n~e~_~t-------------------+
Polley No.,BNUWCOJ 41227 · ExplraUon Date: :g' l 'l ~~~--------
□ Certificate of Exemption: t 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 be come
subject to the workers' compensation Laws of Californ·1a. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer tO
criminal penalties and cn1il fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for Jn Section 3706 of the Labor Code,
;ntm,t and attorney', fm~o/ / /
CONTRACTOR SIGNATURE: ,-"L----,,,/,,=-=;;,-------------UAGENT DATE: 7/f/{9
07
( OPTION B ): OWNER-BUILDER DECLARIIIION,
I hereby affirm 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 the structure 1s not intended or offered tor 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, t,owever, the bu'1lding or "improvement is sold withiri
one year of completion, the owner-bu'rlder w/11 have the burden of proving tliat he did not build or improve for tile purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profess'1ons Code: The
Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts tor such projects with contractor{s) licensed
pursuant to the Contractor's License Law).
DI am exempt under Section --------~-----Business and Professions Code for this reason:
l. I personally plan to provide the major tabor and materials for construction of<:he proposed property improvement D Yes D No
2. I (have/ 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/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person tc ca ordinate, supervise and provide the major work (include name/ address/ phone/
contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide tl1e work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT DATE: _____ _ ---------------------------
f;ONSTRUCTION LENDINCi)~Cim_cv, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work th'rs permit is issued (Sec. 3097 (i) Civil Code).
Lender'$ Name:_____ _____ ···-----'" Lender'$Addres$: ---------·--"'--
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Js 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 tr-le Presley-Tanner Hazardous Substance Account Act? 0 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? D Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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.
APPLICANT CERTIFICATION:
I certify that I have read the application and state thatthe 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 Cl"N 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: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nufl and void if the building or work authorized
by such permit is not commenced w1thi11180 days from the date of such permit or If the bu,/ding or work authotlled by such permit is mspe11ded or aban ned at any time
after the work i5 commenced for a period of 180 days (Sect n 106.4.4 Uniform Building code),
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
, ~. PERMIT INSPECTION HISTORY REPORT (CBR2019-1764)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 07/09/2019 Owner:
Issue Date: 07/09/2019 Subdivision:
Expiration Date: 01/06/2020 Address:
IVR Number: 20244
Inspection No. Inspection Status Primary Inspector
07/29/2019 07/29/2019 BLDG-25 Water
HeaterNents
098803-2019 Passed System Administrator
July 29, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
098804-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed System Administrator
COMMENTS
GOLDSTEIN
PALISADES
160 Tamarack Ave
Carlsbad, CA 92008-4059
Reinspection
Passed
No
Passed
No
No
No
No
No
Complete
Complete
Complete
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