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HomeMy WebLinkAbout1632 Corte Orchidia; ; CBR2017-1555; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 08/04/2017 Residential Permit Permit No: CBR2017-1555 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1632 Corte Orchidia BLDG-Residential 2159500800 $0.00 BAKER: INSTALL 2 NEW AC UNITS Owner: www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Fina led: Inspector: Contractor: Closed -Finaled 07/12/2017 07/12/2017 EDWARD W BAKER 1632 Corte Orchidia CARLSBAD, CA 92011 ACTION AIR CONDITIONING HEATING AND SOLAR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 2750 S Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 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 $166.00 ~ THE FOLLOW!NG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH D HAZMAT/APCD {cityof Building Permit Application Plan Check No™1Qfl--1 S~S 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.carlsbadca.gov Date ,7 / 2-/ I I JOB ADDRESS 0 .re."'-; J 0,., SUITE#/SPACE#/UNIT# IAPN ---I /A\?,2--Cu<'+~ CT/PROJECT# I LOT# I PHASE# I # OF UNllS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME r ONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~JG -:CV\ "5 \ °' \ \ (')_) f'JctvJ Un~s ~ l'-Jo V\(LV ej(. t.t<l'Ct1-..\ El:(ISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO NoO vEs O No O vESO NoD APPLICANT NAME PROPERTY OWNER Cd ~~&' Primary Contact :r (; ,~c ADDRESS 3 ,·) .. :~.s ~o..~o--Oc ~2-V:3 ADDRESS C.o<*t. 0.fth:J.:.-,_ Lo--(l-,32 CITY w ~ ~-\-\t,..\q_ STATE u ZIP <-}r'3b2.. CITY Cu-~ STATE ZIP i211/ \c;.b CA PHONE ~l"S"'-135 -l"r16 I FAX PHONE , '=,0 -Lp50 -3 3q I \FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME A L-HZ>I/\. f\ l c ADDRESS ADDRESS '}...150 <;. 45 04'---r (1-~Q. e-.."\t-Q.. CITY STATE ZIP CITY :s: \.Ai.cc~ STATE ZIP IAJ\.. CA 12-0b1 PHONE rAX PHONE ibO ~ 711~"'1('5'2.. IFAX EMAIL EMAIL I STATE LIC. # STATE UC.# 5(fi<t05 lcc~kli~ ICITYBL.H~\roo (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 that he is exempt 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 {$500)). ompensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compenseon, as reQuired by Section 3700 of the L~~e, for the performance of the work for which t')i§ permit is issued. My workers' compensation sur n carrier and policy numberare:lnsuranceeo.<""1""11t.,-'$ t) o+ +\.-.:f \,.;Q,,~ PolicyNo. l,J:5J),OZ'b'-(l,J ExpirationDate I J 11 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 pe ormance 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' co en tion 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, Id for In Section 3706 of the Labor code, Interest and attorney's fees. / .f!S CONTRACTOR SIGNATURE @AGENT I hereby affirm that I am exempt from Contractors 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 nol 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 himse~ 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). D D D I, as owner of the property, am exclusively contracting with licensed contraclors 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. O ves 0 No 2. I (have I 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 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 contractors' license number): 5. I will provide some of the work, bul I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): .f!S PROPERTY OWNER SIGNATURE 0AGENT DATE • 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? a Yes a No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes a No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a 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. 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 Stlte laws relating to building construction. I hereby aulhcxize 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 PERMfT. OSHA: An OSHA permit is required for excavations CNer 5'0' deep and demolition or construction of structures CNer 3 stories in height. EXPIRATION: Every permit issued by the Building Official er the · · of this Code shall expire by Imitation and become nun and void if the building or wcrt authcxized by such permit is not coomeoced withn 180 days from the date of such permit or if the b ild' llY such permit is suspended or abandoned at anytime afterthewcrt is coomeoced for period 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE 1, \ J I "I • 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 fomn 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 Carlsbad STATE CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) a MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER:---------------- A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#'------------ o NO CHANGE IN USE / NO CONSTRUCTION o CHANGE OF USE / NO CONSTRUCTION DATE ZIP Pormit Type Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 07/12/2017 Owner: lssuo Date: 07/12/2017 Subdivision: Expiration Date: 01/31/2018 Address: IVR Number: 4947 Inspection No. Inspection Status Primary Inspector 08/04/2017 08/04/2017 BLDG-43 Air Cond./Fumace Set 030657 -2017 Passed Chris Renfro August 04, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 030658-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Chris Renfro COMMENTS EDWARD BAKER CARLSBAD TCT#98-17 HADLEY PROPERTY 1632 Corte Orchidia Carlsbad, CA 92011-4063 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1