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HomeMy WebLinkAbout1125 LARKSPUR LN; ; CBR2018-0411; Permit(city of Carlsbad Residential Permit Print Date: 05/22/2018 Permit No: CBR2018-0411 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1125 larkspur Ln BLDG-Residential 2054301300 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Repair Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 02/20/2018 02/20/2018 CRenf Plan Check#: Final Inspection: 5/22/2018 10:39:02AM Project Title: Description: HOOK: MINOR INTERIOR AND EXTERIOR FIRE REPAIR, PORCH AND DRYWALL MANUAL BUILDING PERMIT FEE Total Fees: $130.00 Owner: TRUST HOOK FAMILY TRUST 02-27-02 1125 Larkspur ln CARLBAD, CA 92D08 Total Payments To Date: $130.00 Contractor: R & M CONSTRUCTION INC 7959 Silverton Ave, 1001 SAN DIEGO, CA 92126 858-566-4950 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $130.00 • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD (city of Building Permit Application Plan Check No.{~6fl-. ~ l/ /, • 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.cartsbadca.gov Date ,,::J -~(')-I 'x' JOB ADDRIES., , ) / /, u SUITEI/SPACEI/UNIT# IAPN 2 -J "Ot !n.---- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Jt,<., A.Jc,t,,, / ~ 1--,,.__ I ~v,e.,x._/.~4-1} ~eJ'A->;,__ 1 D/1--y 1)-+JI r,~ 'f?c;, p flfcu<....,J \-- EXISTING us~ I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS Sh YES[} "'° YES □No □ YES □No□ APPLICANTNAME Re{, w / Primary Contact "-~~7 PROPERTY OWNER NAME/b/c -~,J ,iJ if · C , e, c.j.. !Jl.,v (!, AD79-s? ~,ti~ AJe... /=I /'<O ., ADORES, . /25 f...A.=liS Pt'""-· c1"'9,1 J ~ v,,,. STAC' /J,--. c:;; /Zl CITY~/ .. lA-J / /\':::.TE ZIP ' PHONE J IFAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME L J_ /,t,.,,,{ flt?-J< /.,. vlJ It) .J ADDRESS ,.,~,,;-., ~·t,,,~w A--ik lZ/E2 J CITY STATE ZIP CITY I~; °"t:?n, A ~ ZIP oz..1 z.G PHONE IFAX I~~-s6/t-~rsv FAX EMAIL _, ~ t ~ ci,LCt.,. f2> rJP<<Jo..J., -,,,_,J e ,c0. ,.J«.. I STATE UC.# STATE UC.# CLASS I CITY BUS. UC.# (Sec. 7031.5 Business and Professions 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 is licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commending with Section 7000 of D1vis1on 3 of the Business and Professions Code) or Oiat he is exempt 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 than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: B 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 which this permit is issued. I have and wlll maintain wojs,,rs/'fompen.sation, a✓quired bv Sectilon 3700 of lhefyr Code, for the perform,jf the work for which ttys ?rmit.~sued. My workers' compensat!_?n insuran~nier and policy aumbe,ara,lnsoranceCo r4 /,.J:, J,l't..c..-l.CA-~IJ-1 Policy No. t ~ro<;<£4b0 E,pirationDate_)J-C-_,/c_·-_,__/--'----- Jl)§.section need not be completed If the permit Is for one hundred dollars ($100) or less, LJ Certificate 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crlminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE □AGENT DATE /-rr-/'S OWNER~BUILDER DECLARATION 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 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 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 property 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. OYes ONo 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 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/ address/ phone I contractors' license 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 I phone I type of work): ,8$ PROPERTY OWNER SIGNATURE □AGENT DATE i ' c'o MP LET E TH IS SECTION FOR NON •RESIDENTIAL BU IL DI NG PE RM ITS ONLY Is the applica11t or future building occupant required to submit a business plan, acutely hazardous materials registraUon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou11t 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 ANO THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lendmg agency for the performance of the work this perrml Is issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION l certify that 1 have read the application and state that the abwe information is oorrectand that the infonnatlon on the plans Is accurate. I agt88 to comply with all City ordinances and S1ate lcMS relating ID building oonstructlon. I hereby authorize representafive of the City of Cansbad to enter upon the above menfioned property br inspection p..irp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CAALSMD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem11t is required for excavations over 5'0' deep and demdltKJll or oo,strudion of structures oyer 3 stories in height. EXPIRATION: Every permit issued bylhe Building Oflk:ial under the pmvisk:lns of this Code shall expire by limitaOOll and become null and vok:I ~ the lxJilding orv.ork authorized by such permit is noto:immenced within 100days from the date of sud1 permit or if the build' or authorized by sud, permit is suspended or abandoned at any time after the v.ork is o:immenced for a period of 180 days (SectKXl 100.4.4 Uniform Building Code). ..6$ APPLICANT'S SIGNATURE DATE '7-:Z_o-f"t, • 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. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,.65 APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CBR2018-0411) Permit Type: BLDG-Residential Application Date: 02/20/2018 Owner: TRUST HOOK FAMILY TRUST 02-27-02 Work Class: Repair Issue Date: 02/20/2018 Subdivision: WOODLAND HEIGHTS Status: Closed -Finaled Expiration Date: 09/26/2018 Address: 1125 Larkspur Ln Carlsbad, CA 92008-3405 IVR Number: 9633 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 03/05/2018 03/05/2018 BLDG-84 Rough 050605-2018 Passed Chris Renfro Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLOG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 03/14/2018 03/1412018 BLOG-16 Insulation 051634-2018 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/20/2018 03/20/2018 BLDG-17 Interior 052148-2018 Passed Chris Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/30/2018 03/30/2018 BLDG-18 Exterior 053243-2018 Passed Chris Renfro Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 05/22/2018 05122/2018 BLDG-Final 058743-2018 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes May 22, 2018 Page 1 of 1