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HomeMy WebLinkAbout1230 Esmat Way; ; CBR2017-1252; PermitPrint Date: 12/05/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1230 Esmat Way BLDG-Residential 1563512200 $0.00 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#: Description: HUFFMAN: RUN GAS AND ELECTRIAL LINE FOR BBQ PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: TRUST HUFFMAN TRUST 1230 Esmat Way Carlsbad, CA 92008-1054 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: 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. Permit No: CBR2017-1252 Closed -Finaled 06/09/2017 06/09/2017 A Krog $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING ( City of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# 0 BUILDING O FIRE Plan Check No. Est. Value CT/PROJECT# # OF UNrTS # BEDROOMS H BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) l'>~ !> ~ f/et / 1 'N--h, BBQ EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME STATE ZIP C 12-/Zb FAX DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # PATIOS (SF) DECKS (SF) PROPERTY OWNER EMAIL CONTRACTOR BUS. NAME PHONE !Si· t.\8.s-So~o STATE LIC.# ft 5b FIREPLACE YES0 tt AIR CONDITIONING NOD YEs 0 No 0 FAX STATE ( A- FAX ZIP Gfzoo ZIP 20lb FIRE SPRINKLERS YES0 NoD (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 provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applfcant to a civil penalty of not more than five hundred dollars [$500)). Workers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: D 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 will maintain workers' compens !ion, as r uired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insur ce carrier and policy number are: Insurance Co. ' fAA! > ~11'5 Policy No. 6 A/I.,( Wt.o/l.3tJ '5/ Expiration Dale I g This section need not be completed if lhe perm ii is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certtty 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 lo the Workers' Compensation Laws of California. WARNING: Failure to secure worilers' compensation coverage 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 rovided for in Section 3706 of the Labor code, Interest and attorney's fees. _2f CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 Contracto(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 thal 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 Contraclor'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 Contractors license Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. D Y es 0 No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have oontracled with the following person (firm) to provide the proposed construction (include name address I 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 I phone I contraclors' 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 I phone I type of work): .2f PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registralion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acl? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the abolle information ls 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 the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heighl EXPIRATION: Evel)' 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 ~thin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106.4.4 Uniform Building Code). _N5 APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CfRllflCATl" 0 F OCCUPANCY ( C o 111 rn c t !: 1 (~ I Pro1ccts o ,, 1 i, I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm 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 ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LJC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: o CHANGE OF USE / NO CONSTRUCTION _g APPLICANT'S SIGNATURE DATE Permit Typo: BLDG-Residential Application Date: 06/09/2017 Owner: Work Class: P/M/E Issue Date: 06/09/2017 Subdivision: Status: Closed -Finaled Expiration Date: 06/04/2018 Address: IVR Number: 4256 Actual Scheduled Date Start Date Inspection Type Inspection No. 06/15/2017 06/15/2017 12/0512017 12/0512017 December 05, 2017 BLDG-21 Underground/Underf loor Plumbing 026270-2017 Checklist Item BLDG-Building Deficiency BLDG-23 Gas/TesURepalrs 026424-2017 Checklist Item BLDG-Building Deficiency BLOG-31 Underground/Condu it. Wiring 026271-2017 Checklist Item BLDG-Building Deficiency BLDG-84 Rough Combo(14,24,34,44) 042345-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency BLDG-24 Rough-Topout BLDG-34 Rough Electrical 042482-2017 Checklist Item BLDG-Plumbing Final BLDG-Electrical Final Inspection Status Primary Inspector Passed Andy Krogh COMMENTS As built, buried Passed Andy Krogh COMMENTS Pot holed, partially covered, pressure test ok Passed Andy Krogh COMMENTS Pot holed I partially covered Passed Andy Krogh COMMENTS Wrong code final required Passed Andy Krogh COMMENTS TRUST HUFFMAN TRUST 1230 Esmat Way Carlsbad, CA 92008-1054 Re inspection Complete Complete Passed Yes Complete Passed Yes Complete Passed Yes Complete Passed Yes Yes Yes Complete Passed Yes Yes Page 1 of 1 ' ' I I I. .I ! ' ,, DATE ·;;,. 2.?). ilq- REVISED __ _ I ii I, n' f---, --·--··----------------,-! ---, . l I ;· -· ..... --__ ,--, L_ {... , .. /--~ .. ) .. ---1 i . . -( .. y. ( J"' ""i '} .> ....... : ' .~ . ,c.J(.·~,. ,_:; ,{ I ; ·• -' -L, 1 1 ,, ... ~i--o/'l 11 PE ~s (o,.. 5~ /¥" El«+rrra./ 1.0 ,41-'1 f fo V 8£4 II'" . .. . . . 1~ __ ?70t.J: -·"' _,,,_.,.. ·.[._H_U_F_F_~-2~-ES~-/\T~_,\VE_/~--~~,D_E_N_C_E_ -CARLS0/10, CA 92009 CONTRACTOR LANDSCAPE ARTISTRY 5631 PALMER W/\Y, SUITE C CAnlSIIAO, CA 92010 I . -~~-~··· _.,..-.., ·-.... · 1 ~ ..... . rt\:h 1,t, · I ·1 \. ,r:_J:r . . :• ,•, ·.: j L..:. __ I _·1 i ._ -