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HomeMy WebLinkAbout1211 Chestnut Ave; ; CBR2018-1078; Permit, ( Cicyof Building Permit Application Plan Check No.~J&°-1 1'"'1~ d 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value Carlsbad Ph: 780-602-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.{;;grlsbadca.gov Date ~--~-1& JOBADDR~ (!__ h_~ ~N 11'..i., b.J L.. SUITE#/SPACE#/UNIT# IAPN I l\ --- CT/PROJECT# I LOT# 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 A~ Area(s) $<t..fl... V ,' c.<. PA-N\.a..11 _ ..D "'i:, u '1....~-= lA--c-6-lc:..a-,'e:.... -'S. o t'. ,_ E . <J \,) . & 0 -\-A<A ,e... u EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) l·FIREPLACE · 1 AIR CONDITIONING I FIRE SPRINKLERS YES □# __ NOD YES □ NO □ YES □ NO □ 1/i'c..+011...... ~t~~-en. APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME ----ADDRESS ADDREf'.:l 1 1 r ~, c:: s--4-AJ.., -1-l+J A. CITY STATE ZIP CITY , 0.. \ ~ 'II.) ~ °" STATE (14_ ZIP q cz._ Of) 8- PHONE I FAX PHONE I FAX EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME (V\-/', (I.. 1, "" C.o l'JSi-12..vc~ ,o K.J & ADDRESS ADDRESS -:;-,,,o E\1~$0120 p._..9 ~1---,u .. \C• CITY STATE ZIP CITY RA--1-J cl ,· l"' STATE C"'---. ZIP '?" 2.-ti' G, PHONE IFAX PHONE~ ~ O <'f'~IFAX "70•Sl·•ZJ --EMAIL EMAIL All\_~ J.J "-.4/tS ~ .0-S bee;,(, b..c_l, IVe--J:- I STATE LIC. # STATE UC.# r I IA ":?. , "' ~,,' I e I CITYr"u_'11 n .. , " n (Sec, 7031.5 Business and P_rofess1ons Code. Any City or Coun_ty 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 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 is exemQt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 afflrm under penalty of perjury one of the following declarations: □ __!.!liUle and will maintain a certificate of consent to self-insure for wo_rkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this_ permit is issued. eJ'"1 have and will maintain workers· compensation, as r~Kd by Section 3700 of the Labor Code, for the performance of the work for which thJ5;1W,1it is issued. My workers' compe~10 insurance arr' number are: Insurance Co. A/:61.(2..a, A /) d/._ Policy No. ,1/ ltKlC SJ '1'1...._? 71 Expiration Date _T..,,__.._,,+-+'"----- This section need not be completed if the permit is for one hundred dollars ($100) or less, □ 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 worker ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in vided for in Section 3706 of the Labor code, interest and attorney's fees. I hereby afflrm that I am exempt from Contractor'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 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 lo an owner of property who builds or improves thereon, and contracts for such projects with 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. □ Yes □ No 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 I 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/ 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 I address/ phone/ type of work): ,K! PROPERTY OWNER SIGNATURE □AGENT DATE J'OMPLETE THIS SECTION FOR NON-RESIDENTIAi. BUii.DiNG 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 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? O 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. CONSTRUCTION I.ENDING AGENCY I hereby affirm that there 1s a construction lending agency for the petformance of the work this permit 1s issued (Sec 3097 {1) C1v1I Code} Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnation isconectand that the lnfonnation on the plans isacx:urate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aufuO!ize representative of fue Ci~ of Carlsbad ID enrer upon fue above mentioned property for inspecloo purposes. I ALSO AGREE TO SAVE, INDEf,f>llfY 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 pennlt is required foc excavations '0' deep and demolition or construction of structures over 3 stories in height. EXPIAATION: Every permit issued by the Buildi · I under the provisions of this Code shall expire by limitaoon and become null and void if the building or work authorized by such pennit is not commenced within 180 days from the date of sudl pennit or if the work authorized by sudl permit is suspended or abandoned at any time after the oor1<. is commenced for a pericxl of 180 days (Section 106.4.4 Uniform Buik:ling Code) . .J#5 APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2018-1078) Permit Type: BLDG-Residential Application Date: 05/03/2018 Owner: TRUST FISCHER VICTOR H TRUST Work Class: P/M/E Issue Date: 05/03/2018 Subdivision: THUM LANDS Status: Issued -Active Expiration Date: 10/31/2018 Address: 1211 Chestnut Ave Carlsbad, CA 92008 IVR Number: 11121 Scheduled Actual lnsflectlon No. Date Start Date Inspection Type Inspection Status Primary Inspector Reinspectlon Complete 06/0412018 06/04/2018 BLDG-34 Rough 067109-2018 Passed Chris Renfro Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes June 26, 2019 Page 1 of 1 August 14, 2018 Owner/Tenant 1211 CHESTNUT AVE Carlsbad CA 92008-2514 (City of Carlsbad PERMIT NUMBER: CBR2018-1078 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: BLDG-Residential, P/M/E ISSUE DATE: 0S/03/2018 ADDRESS: 1211 CHESTNUT AVE Our records indicate that your building permit will expire by limitation of time on 10/31/2018. 18.04.030 Section 105.5 amended -Expiration: Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this l~tter to us. D Project abandoned. A new permit will be obtained prior to commencing work. D Permit 180 day extension request, with written explanation including phone number and email address. Request will not be considered without explanation D Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Division at 760-602-2700. Community & Economic Development Building Division I 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov