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HomeMy WebLinkAbout1015 Foxglove View; ; CBR2018-3205; Permit{'city of Carlsbad Residential Permit Print Date: 12/12/2018 Permit No: CBR2018-3205 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1015 Foxglove Vw BLDG-Residential 2144101700 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check #: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/16/2018 11/16/2018 Plan Check#: Final Inspection: 12/12/2018 10:22:55AM Project Title: Description: LOGAN: HOT WATER HEATER REPLACEMENT Owner: Contractor: SYDNEY LOGAN 1015 Foxglove Vw CARLSBAD,CA 92011 AFFORDABLE WATER HEATERS AND PLUMBING INC WATER HEATER PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-259-7131 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. tf 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 (cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 bu"i \di Cru...\sbad Plan Check CJ3~1'h-32-05 Est. Value PC Deposit -------- Date -------- Job Address IO IS-fsii,jl ave V: e,W Suite: ____ APN: _________ _ CT/Project#:, _________ lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DEscR1PT1ON oF woRK: -Bep\:ace ~o ga\, ol',) w:a-t:€.JL he-:a+e2---. S'c).X'Y} e lDC-at\!)I\:,: (?1r'¾ · 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? __ 0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------ 0 Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: -----------------------~ (!iu m ~Mech an I ca 1 /Electric a I Only: Re ?\:ace. I ,1,)a.,teR-h E' a,-\-e,(L • Other: ---------------------------- APPLICANT (PRIMARY) PROPERTY OWNER Name: :Z.SC(Z.,SQ ~ )J?.bi l\)QI Name: ..::S::..'/-i-=-D--'l-::;;..:;,o<;~a.,v1:..:..:..~---,------- Address: l'Q·'.':2?j3 CoNSW'@iioN pcl.#(p9'6Address: ,o,~ ;::;';t,,5/v\/!/; vi.e.w City: \/a-\€.NCxa State: CA Zlp:°11355 City:WIC~d State:H Zip: qc;)-pll Phone: 'pS5 -31.-\ 5-0J OL\ Pi Phone: _J,..c..1/""'D_-....... s .:.~7-'---~.!...:..Dl,_/"'-5 _______ _ Email: peJ:::lY)U:S@-awr-a.p. COM _ Email: _______________ _ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: _____ Name: A_££Qgci:sJ.ble._ w~ H.P.:aiP..!bS.. Address: ________________ Addres~is3¾TuNsteiiifoNP-r[-ik9'(J City: ______ State: __ .Zlp: ----City: \!a,leNC1:i\ State: CA Zip: 91355 Phone:______________ Phone: £,55-~':15-0tQYB Email:_____________ Email: f?(LyY)it::S@awbaJ?· C.D(YJ Architect State license:__________ State llcense:(o'.2-3:'? (gR Bus. license: 11-1 J 7-J \ (Sec. 7031,5 Business and Professfons 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 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 Division 3 of the Business and Professions Code} or that he/she 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 clvil 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 n---,.,,..,,.,. B-1 P~ni=i 1 nf? ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury QIN of the following dec:larations ml 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. JJ6-t,ave and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the~ork for which this permit Is Issued. My workers' cqmoensatlon Insurance carrier and policy number are: Insurance Com~::Name: \NS ~ CO Qt ±'o, €... (Jv € S\::: Policy No, ,? 0'3 '.2,'-\ 0\ :JO::Z Expiration Date: __.\_-_\,__--'-\ _':')..._ __ _ CTil::ertlflcate 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 be come 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 clvll flnes up to $100,000.00, In addition the to the cost of compensation, damages as provlzed f In Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: tvp}l AGENT DATE: / !/tz !ff> ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Cbntractor's License Law for the following reason: ml, 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 ottered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 wlll have the burden of proving that he did not build or Improve for the purpose of sate), IT11, 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 property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). EID 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. rn)yes [ID-,Jo 2.1 (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): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' llcense number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: ----------~GENT DATE: _____ _ CONSTRUqlON 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) Clvll Code). Lender's Name: _____________________ Lender's Address: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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 Preslev-Tanner Hazardous Substance Account Act? CIDtes filNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CIDtes fn.Jo Is the facilfty to be constructed within 1,000 feet of the outer boundary of a school site? (ID-(es (ID\Jo 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 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 bullding 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 Cll'I Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cll'/ IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT .OSHA: An OSHA permit Is required for excavations over 5'0' deep and demolltion 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 !Imitation and become null and void if the build Ing or work authorized by such permit Is not commenced within 180 days from the date of such permit or if the bulldlng or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: -------'--tq,__,_,_,t'-'A ________ DATE: --'-,!/'"f-7!+/_12~--,, ..... l .... 1~1- 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 -----------,.~---~·- PERMIT INSPECTION HISTORY REPORT (CBR2018-3205) Permit Type: BLDG-Residential Application Date: 11/16/2018 Owner: SYDNEY LOGAN Work Class: P/M/E Issue Date: 11/16/2018 Subdivision: CARLSBAD TCT#73-39 UNIT#03 Status: Closed -Finaled Expiration Date: 05/15/2019 Address: 1015 Foxglove Vw Carlsbad, CA 92011-4822 IVR Number: 15516 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 12/12/2018 BLDG-25 Water 078585-2018 Scheduled Paul Burnette Incomplete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 078584-2018 Passed Paul Burnette 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 December 12, 2018 Page 1 of 1 ---' INVOICE (00037792) BILLING CONTACT SYDNEY LOGAN 1015 Foxglove Vw Carlsbad, Ca 92011 INVOICE NUMBER 00037792 REFERENCE NUMBER CBR2018-3205 INVOICE DATE INVOICE DUE DATE 11/16/2018 11/16/2018 FEE NAME WATER HEATER PERMIT 1015 Foxglove Vw Carlsbad, CA 92011-4822 City of Carlsbad Ccity of 1635 Faraday Avenue C l b d Carlsbad, CA 92008-7314 ar S a INVOICE STATUS INVOICE DESCRIPTION Due NONE TOTAL $98.00 SUBTOTAL $98.00 TOTAL l.__ _____ $_9_s._oo__.l 11111111111111111 IIIII 11111 11111 111111111111111 IIIII IIIII IIII IIII Faraday Center 1 Faraday Cashiering Date Time: 11/16/2018 16:55:PM CARD NBR: **** **** **** 7947 TRANS TYPE: PURCHASE AMOUNT: $98.00 .~UTH#: 084426 PAYFILE/CUST: 1832001-1/69 SIGN: _________ _ **************Cl i~ V•'·!Fc CJi'Y************* November 16, 201811 :19 am City of Carlsbad Faraday Center Faraday Cashiering 001 1832001-1 11/16/2018 229 Fri, Nov 16, 2018 04:55 PM •cceipt Ref Nbr: R1832001-1/0069 : 1/ERG0V -ENERG0V ran Ref Nbr: 183200101 0069 0076 l rans/Rcpt#: 00037792 SET #: 00037792 Amount: Item Subtota 1 : Item Tota 1: ITEM(S) TOTAL: Credit Card (Auth# 084426) Total Received: Have a nice day! 1 @ $98,00 $98.00 $98,00 $98.00 $98,00 $98,00 **************CL·,· :'·',~ ~-noy************* Page 1 of 1