HomeMy WebLinkAbout1735 TAMARACK AVE; ; CBR2017-1205; PermitPrint Date: 06/15/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1735 Tamarack Ave
BLDG-Residential
2072605200
$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: WARDRUP: SEWER REPAR@ PROPERTY DROP -NOT IN CITY RIGHT OF WAY
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
COOWNER WARDRUP & KHOSROSHAHIN
1735 Tamarack Ave
CARLSBAD, CA 92121
Total Payments To Date: $166.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
RESCUE ROOTER
965 Ridge Lake Blvd
Memphis, TN 38120-9401
858-457-6572
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.
Permit No: CBR2017-1205
Closed -Finaled
06/06/2017
06/06/2017
PBurn
$0.00
$166.00
rHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT,APCD
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave,
Ph 760-602-2719
Carlsbad, CA 92008
Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNITI'
Plan Ck. Deposit
Date SWPPP
2.-00 c...n_o.ck
CT/PROJECT# LOT# PHASE# # BfDROOMS # BATHROOMS TENANT BUSINESS NAME CONS TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
PATIOS (SF) DECKS (SF) Fl LACE AIR CONDITIONING
NO□ YES □No □
FIRE SPRINKLERS
YESO YES□No□
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ZIP
'2.DOi
FAX
EMAIL
CITY BUS. UC.# ARCH/DESIG/\JER NAME & ADDRESS STATE LIC. # \ "2. Oi lD '-I 0
(Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to. construct. alter. improve, demolish or repair any structure, prior to its issuance. also requires the applicant for such per_mIt to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor"s License Law [Chapter 9, commending with Sectron 7000 of D1v1s1on 3 of the
Business 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)).
~, . ~----
WOIIKEIIS' CCJMPIUUATION
Worken;' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
ave 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 !his permit is issued
ave and will maintain workerf com'::atioo .. as r quired bv S.ection 370.0 of the La. bo;.Code, lor the performance of the work for which this permit is issued My workers· compensation insuran
numberare:lnsuranceCo. ~~ '2,_ __ ____ __ ___ _ __ __ PolicyNo.'7(/J2,\5rff.fo'?-J\0\(;,~:Xp1rationDate-l.'UL\--l--\-L
This section need not be completed if the permit is for one hundred liars ($100) or less D Certificate of Exemption: I certffy that in the performance of the work for which this penrnt rs issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws o1
California WARNING: Failure to secura 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 compensati~ages as provided for in Secti 3706 the labor c de, int d attomey's fees .
.fi!5 CONTRACTOR SIGNATURE ~l~•'-,_,.°"c&'\
I hereby affirm thar I am exempt from Contracfor"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 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 dkl not build or improve for the purpose of sale).
I. as owner of the property, am exclusively contracting witti licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o1
property who builds or improves thereon, and contracts for such projects wrth contractor(s) licensed pursuant lo 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. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work
3. I have contracted with the lollowing 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)
5. I will provide some of the work, but I have contracted (hired) the !allowing persons to provide the work indicated {include name I address I phone I type of work)
~ PROPERTY OWNER SIGNATURE □AGENT DATE
,,.
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 to 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.
<'7"'= ~ ~c ' a ~ ~ ,-~ ~* ' ~ ' ~ ,,lt9J'!,.r•vcTtpN , ..... !', ,!Ulll,NCY --
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) C1v1I Code).
Lender's Name Lender's Address
' -· "' ~ ' ~
,l!U"f'LU:ANT CllaTIFICATION
1 certify that I have read the application and state that the above information iscorrectand that the infonnation on the plans is accurate. t agree to comply with all City ordinances and State lav.s relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upcm the above mentioned property for inspection purJX)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 crTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: M OSHA permit is required for ex.cavabons over 5'0' deep and demoHtlln or construction of structures o~ 3 stories in height
EXPIRATION: Every pemiit lSSued by the Building Official under the provisions of this Code shall ex.pire by limitation and berome null and void ff the buik:ling oroor'K authorized by such permit is not commenced v.ithin
180 days from the date of such permit or 1f the building oroor'K aultlonzed by such pem11t 1s suspended or abandoned at any time after the oor'K is commenced for a period ol 180 days (SeclkJn 106 4 4 Umform Bu1ld1ng Code)
~APPLICA>ff'SSIGNATU~~~~---DATE ~ \ Ldi=L
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
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELMRY OPTIONS
PICK UP:
MAIL TO:
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
ZIP
FAX
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER:----------------~
A$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. UC. No.
ASSOCIATED CB#----
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Permit Type: BLDG-Residential Application Date: 06/06/2017 Ownet: COOWNER WARDRUP &
KHOSROSHAHIN
Work Class: P/M/E Issue Date: 06/06/2017 Subdivision: CARLSBAD MANOR #1
Stdlus: Closed -Finaled Expiration Date: 12/06/2017 Address: 1735 Tamarack Ave
Carlsbad, CA 92008-3629
IVR Number: 4163
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
~--.. ···-··--· ··-~ -·-· -•--••••••-• ,H ••~•••
06/09/2017 06/09/2017 BLDG-22 026772-2017 Failed Paul Burnette Reinspection Complete
Sewer/Water Service
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
06/14/2017 06/14/2017 BLDG-Final 026181-2017 Cancelled Paul Burnette Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
06/15/2017 06/15/2017 BLDG-Final 026350-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLOG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
June 16, 2017 Page 1 of1