HomeMy WebLinkAbout2356 TERRAZA RIBERA; ; CBR2017-2215; PermitPrint Date: 10/03/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
2356 Terraza Ribera
BLDG-Residential
2155822100
$0.00
REPLACE A/C & FURNACE
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#:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Permit No: CBR2017-2215
Closed -Finaled
09/21/2017
09/21/2017
GLOBAL HEATJNG ANO AIR CONDITIONING
INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00 Total Payments To Date: $170.00
473 Vernon Way
El Cajon, CA 92020-1932
619-567-6691
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. 11 You have 90 days from the date this permit was issued to protest imposition of these
fees/exact'1ons. 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 exp·1red.
$0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING OBUILOING □FIRE □HEALTH OHAZMAT/APCO
, ( City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check Noe6R_2017-2Z.1'5
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACEf;/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME .
Prim /v PROPERTY OWNER NAME
ADD
DESIGN PROFESSIONAL
ADDRESS
CITY STATE ZIP
--~~--·--STATE LIC. # CITY BUS. LIC.#
(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_m1t to frle a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nd1ng with Section 7000 of D1v1s1on 3 of the
B_us1ness and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a perm rt subJects the applicant to a
c1v1I penalty of not more than five hundred dollars ($500)).
f"TT'?,, " --~ "-"" '7"" "' " 1 ~
'WO!CRKV.R:S' co~~P~.NSATlpN " ,, ,-Jh ·'-' ' '" " "
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 wh"1ch lhis perm·1t is issued.
~ve and will maintain wor!e,; compensation, a~/eY;ir~y .. Se,clion 3700 of the Labor Code, for the performance ofJhe work for which this permit is issued. My workers' com~ensation insurance carrier and.policy
number are: Insurance coLJ[CJ ___}(fjU._ Qx'#I_ / ~MJ ~ --Policy No, (8L Luc__~1--/;;,_lJ.E__ _ Expiration olt~-Z' / I ?I:
This section need not be completed 1f the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of work for which this permit ·1s 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' compe a · n c age 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 p ~,,-~·.,. ection 3706 of the Labor code, interest and attorney's fees.
fEf CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the fol/owing 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-bu'1lder 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 to an owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed 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. 0Yes 0No
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 lo coordinate, superv·1se and provide the major work ('include name/ address I phone/ contractors' license number)
5. I will provide some of the work, but I have contracted {hired) th allowing persons to provide the work indicated (include name/ address/ phone I type of work):
,N5 PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or futfjre building occupant required to submit a bus'1ness 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 appliccint 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
1 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
I EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
st,; s::C' =, -,,-"'''Sf! "':2'"' t "'" JIU -,n ~-'-"""'1'!0= "''0\=''t'"'l"""'"''-01'. "',= ' -~"--=~~ -r ' ~ "CONST,RUCTION Ll!'NDING ;tf'GEN,¢:Y , ,,,, ,, , , , , , , , -,
>.< o<k d,;, -~"''°""" -sa, ~= o/, = ="-,=-'= ,(; ~ ½H ~--' == d0-m-~~ ,_ , 0 ,
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's Address
<-"< ~ -~ ~ = ~ '""'" ~, """~ -' -"if'."' x , -"" , ~ " ~ ---'" ,_ ~ -' -"'ffer -
''Aee1.1CANT CJi1lT1FICATl'ON ' ,
faw, --,, ,c,,._ ¾= ~ Cd , Av-"" @0 ''°''' , L " ¾\0/, / -""' = w -C ,d,-, w
I certify th at 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 ordinances and State laws relating to building construction.
I hereby authorize representative of !he City of Cartsbad to enter upon the above mentioned property for inspectioo purposes./ 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: An OSHA pennit is required for exc.avations over 5'0' deep and demolllion or construction of structures over 3 stories in height.
EXPIRATION: Every pennil issued by lhe Building Official under the provisions oflhis Code shall expire by limilatioo and become null and void if !he building or work aulhorized by such pennit is not commenced within
180 days rrom ~e date of such pennit or rr ~~ wo~rized by such pennl s suspended or abaldoned at any time after~e wo~ is commenced for a period of 180 days (Section 1064.4 Unifonn Bui~irg Code)
A5APPUCANT'SSIG~ATURE----2'~~---------------~TE____!l_L-z.J__jL-:+_ ------__ J
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, Buildirg Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE
PHONE
EMAIL
DELIVERY OPTIONS
PICKUP:
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 ZIP
Carlsbad CA
OCCUPANT'S BUS. UC. No.
ASSOCIATED CB# ___________ _
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
Permit l'ypc:
Work Ciass:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 09/21/2017
Issue Date: 09/21/2017
Expiration Date: 04/02/2018
IVR Number: 6481
Inspection No. Inspection Status
10/03/2017 10/03/2017 BLDG-43 Air
Cond./Fumace Set
036553-2017 Passed
October 03, 2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
036554-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Chris Renfro
Chris Renfro
COOWNER TIPTON MARKE AND
DAWN L
CARLSBAD TCT#84-41
2356 Terraza Ribera
Carlsbad, CA 92009-6633
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
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