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Home My WebLink About1030 Iris Ct; ; CBR2017-0769; Permit\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 04/21/2017 Residential Permit Permit No: CBR2017-0769 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1030 Iris Ct BLDG-Residential 2144021200 $0.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: CHILLAR: WATER HEATER REPLACEMENT, SAME LOC Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Fi naled 04/13/2017 04/13/2017 COOWNER CHILLAR RAM T AND KATHRYN M AFFORDABLE WATER HEATERS AND PLUMBING INC 760-845-7261 PLUMBING, ELECTRICAL, AND MECHANICAL 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. 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. $0.00 $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMATIAPC0 I {"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 ~~'3:-0]k'? Est. Value Plan Ck. Deposit Date 4-J ?.-/':I-lswPPP I JOB ADDRESS SUITE#/SPACEI/UNIT# IAPN I () ?i O \ r· \ S I'± CT/PROJECT n I LOT n PHAS·~,~,~--~1•~0~,~u~N,~,,~1-•-BE-o~,~oo~M~s~--h,~,~A,-H~,~00-MS--"lTENANT aus1NESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Re.-v1 °' c e so I coNSTR. rve, I°cc caoue 1 I ~0.\\0n EXISTING USE I PROPOSED USE l GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE YES0, I, AIR CONDITIONING I FIRE SPRINKLERS ! NOD YES0No01 YESONoO: APPLICANT NAME A '-\ h n PROPERTY owNER NAME R O ,__,,..,. c h 1 11 CL , ,._,.,,ca,...,·-,s Y \ _ f _\ 9 f'-0_ \_,/'/--I' v ADDRESS f -ADDRESS 1-'i 7--, S'l C ll D £.::\: e I\°' \ on 8-d cw\ pC\j"_ -~-----___LD'--':>,,__,,0'-----------'--1'---Y_L_·, •,,,__.s-__:::C___c_-t ______ ~ CITY STATE ZIP CITY STATE ZIP I \[ °' \ s= I"'\ C \ 0--(' A C\ \; 5 5 Cci r ~le~, b~ci~cl~-.--CC~A~_~q---=2'--"o'----'1~1-- PHON'r _, l,FAX . \ eHONE I FAX I EMAIL ~,z <: s 1 2, A 0 -q D '?' 7 11.1 o I o 1 1 / sci -q s s Li'. r.k\B--o) <t 1 s -u,---Le-<--1-I _L_. ____________ 1 Pen·-n1+-0 G)owho.o .corYI 1 CONTRACTOR ..... NAME A ff O v °' °' 'o \ e \l\l °' ->r z 'C \-\ e Ii-\-_ ADDRESS . j DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP '2 i 2i S Z CDn '-'t e I\ cit I Q (l I< d. .:j:lc\J 0 R i CITY \( ) • STATE ~ A--ZIP n I 7 ,,--<_ I 01 tnc1Cl 1_,;, -, o-::o-, "P~H=o~N~,-------------~ l'AX=---~~~~~------+.,~H~O~N='-~~~~-~~---'--~--TI.F~AX~~~---'--~-~---'--=~----· ··1 , =~------~--------------wo:~:~~SLL. I.,._,_ ~---'---"-t\S_-_'1~(0~[~1-----1/_,_, '"~', o_\4j ~2~S,,,__'l---"----"'1-'---'S:"'--"-S __ LP,"-----, °EMAIL M~1~U:Jc.0<' t S n) ~ L,AJ h a ? . e, o rn ! f-----------------.. l,~,A~TE~L=1c.~,-------l=STATELIC.# \ 017 '2. l/J ~ ' le~,., I n r;_s~s~c;_ I \ : (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any_ structure, pnor to 1ts issuance, also requtres the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that he is exemot therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more tllan five hundred dollars {$500)). WORl<ERS" COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of pequryone of the following declarations: Q have and will maintain a certificate of consent to &elf-insure fm workers' compensabon as provided by Section 3700 of !tie labor Code, for the performance of the work for which this permit is issued ~ J have and will maintain workers' com&:1ensation, as required bv Section 3700 of the labor Code, for the performance o~the work for which this permit is issued. My workers' compensation insurance ~er and policy number are lnsorance eo IDS l I I'.: Oi a Ce Qi . I)~ fu e \[\\ e 81Policy No fi v ?. 2 J\ "'I 1 D D E,piration Dale l . \ . I 'b. --- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit Is issued. l~hall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crimtnal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages a provided for In Section 3706 of the Labor code, interest and attorney's fees. NS CON~CTOR SIGNATURE g:(GENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their SOie 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 himseH 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 wil! have the burden of proving that he did not build or improve for the purpose of sale) \, as owner of the property, am exclusively contrac!Jng 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 'MIO builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to !tie 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. Ores 0No 2. I (have/ have not) signed an applicaUon 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 I phone I contractors' license number): ' 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide !tie major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contTacted (hired) the following persons to provide the work indicated {include name I address/ phone/ type of work): I .JiS PROPERTY OWNER SIGNATURE □AGENT DATE I _J COMPLETE THIS SECTION FOR NON-R!:SIDENTIAL BUILDING PERMITS ONLY Is the a~icanl ex-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 poiuOon controJ disUict or air quaflty management distr'ci? D Yes D No fs the facility to be constrocted 'Mlllin 1,000 feet of the ooter boundary of a schOol site? O Yes O 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I ced:ifythat I have read the application and slate that the abcwe information Is coned:ancl that the infonnation on the plans is accurate. I agree to comply Mth all CHy orcinances and Stae laws relating to bt.ildlngconstrud:ion. I hereby authorize rep-esentativeof the City of Carlsbad benter upon the above mentioned property fix rlspectioo purp:>SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 0: CARLSBAD AGAINST All LL-\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C~SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: All OSHA permit Is requied br excavations over 5'0' deep and demol~OO or construction of structures over 3 stories in heght. EXPIRA TJON: Every pennit iswe:l by the Building Olfcial under the provisbns of this C.o::le shall expire by ffmitation and become nul and YOO if the building or '1"1:'.lri< authorired by such permit is not ccmmence:I within 180d~ mn the dail of such perm~ oriflhe blilding orw:irk authorizej by such permrt is suspended or abandoned at any time after the 'Wrl<. is commence:J iJr a peri:>d of 180days (Section 106.4.4 Uniform Building Code). ,N5 APPLICANT'S SIGNATURE ( DATE + \0 \1 ' _ ,, ' _ PERMIT INSPECTION HISTORY REPORT (CBR2017-0769) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 04/13/2017 Owner: Issue Date-: 04/13/2017 Subdivision: Ex.piration Date: 10/18/2017 Address: IVR Number: 3103 Inspection No. Inspection Status Primary Inspector 04/21/2017 04/21/2017 BLDG-25 Water HeaterNents 020805-2017 Passed Peter Dreibelbis April 21, 2017 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 020804-2017 Checklist Item BLDG-Plumbing Final COMMENTS Passed Peter Drelbelbls COMMENTS COOWNER CHILLAR RAM T AND KATHRYN M CARLSBAD TCT#73-39 UNIT#03 1030 Iris Ct Ca~sbad, CA 92011-4823 Relnspection Complete Complete Passed Yes Complete Passed Yes Page 1 of 1