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Home My WebLink About1717 Catalpa Rd; ; CBR2018-1369; Permit{City of Carlsbad Residential Permit Print Date: 08/14/2018 Permit No: CBR2018-1369 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1717 Catalpa Rd BLDG-Residential 2155121100 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 06/08/2018 06/08/2018 Plan Check#: Final Inspection: 8/14/2018 12:09:59PM Project Title: Description: GOETSCHEL: REPLACE FURNACE Owner: Contractor: TRUST GOETSCH EL FAMILY TRUST 06-30-97 7732 Bolo Pl ACTION AIR CONDITIONING HEATING AND SOLAR CARLSBAD, CA 92009 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 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 fol!ow 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 $170.00 ; { Cicyof Building Permit Application _Plan Check No. CfAZD IO -I OU q - 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 78CMI02,271.9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.carls~gQQa.gov lJJ I 'o /10 ---- Date JOB ADDRESS \1\1 cP.~o-. l 0:,-. QJ, SUITE#/SPACE#/UNIT# APN --- CT/PROJECT# I LOT# 1 I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME J'ONSTR TYPE I occ GROUP- DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) \2~o\c,.r I<. .('-1, ,re.. c.e. I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS YESO #~ NOD YES O NOD YES D NOD APPLICANT NAME (Primary Contact) \-'\~le,-~ '6\ W''l<>""\ PROPERTY OWNER NAME t-'b.\l'"L r ""o~s+c.\.-.~\ ADDRESS ADDRESS L. -- 3,7.'2.':, Lo. ~'(0--\ft . °\F'l I's n t.., (_,-h"-1\ R&. CITY 1 V STATE ZIP CITY G,. ~ STATE ZIP CJ zo ,o k la..9(\,,Jce. c.." C\1 ~ .. :l-,. I,; CA PHONE 't7k I FAX . PHONE -· I FAX .. ~ 1, \q; .. 73c, -7 1\,,0-7'0'-l , ~ ii 7, EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME P-<..\.;"" ~IC ----. .. -.. ADDRESS ADDRESS 27 ":JJ 'S. 'So"~~ ~Cl. ~-J <. CITY STATE ZIP CITY-STATE ZIP -s~ ... \J\"..r t:., O'!', Cr,. CJ) 2.0/A PHONE - I FAX I': -~ PHONE --· -tb6·Jl7-Y•S?- EMAIL EMAIL . --! STATE LIC. # STATE UC.# ---· lcc~ic.'I~ ICITYtUto'S<t (')'t00 ')U:,""60S (Sec. 7031.5 Business and Professions Code: Any Crty 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 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of 01vis1on 3 of the Business and Professions Code} or tllat 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 applicant to a c1vtl penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D )'flave and will maintain a certificale 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' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensati in ranee carrier and policy number are: Insurance Co. :::ti'~.> , C.-(.) ~ ~ \ .1 e:S~ Policy No. \A<;C,1502.'iS" l.f ~ "SD':( Expiration Date '-'"cfa"-f-'-'------- This section need not be completed if the permit is for dne·hundred dollars ($100) or less. D 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 criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensati d a s as provided for in Section 3706 of lhe Labor code, interest and attorney's feey ~ CONTRACTOR SIGNATUR l'ifAGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: CJ 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). D L 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). O 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. D Yes O 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, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ,A$ PROPERTY OWNER SIGNATURE OAGENT DATE "I""' ""'~' ): 0 M P L I! T E TH I S S E C T I O N F O R N O N - R E-S I D E N T I A lo;-B U I L D I N G P E R M I TS O N l. Y 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? 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 feet 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 appllcation and state that the above information is correct and that the Information on the plans is acx:urate. I agree to oomply with all City ordinances and State laws relating to building construction. I hereby aulholize 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 LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID crrr IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: MOSHA permit is required for excavations over 5'0' deep and demolition or construction of strucb.Jres over 3 stories in height. 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 authOfized by such permit is not commenced within 180 days from the date of such permit or if the b ing orlNOrk authorized by such permit is suspended or abandoned at any time after the work is commenced for ape of 180 days (Section 106.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE PERMIT INSPECTION HISTORY REPORT (CBR2018-1369) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 06/08/2018 Owner: Issue Date: 06/08/2018 Subdivision: Expiration Date: 12/05/2018 Address: IVR Number: 11850 Inspection No. Inspection Status Primary Inspector 08/1412018 08/14/2018 BLDG-43 Air Cond./Furnace Set 066826-2018 Passed Chris Renfro August 14, 2018 BLOG-Final Inspection Checklist Item BLDG-Building Deficiency 066827-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Chris Renfro COMMENTS TRUST GOETSCHEL FAMILY TRUST 06-30-97 CARLSBAD TCT#72-34 UNIT#03 1717 Catalpa Rd Carlsbad, CA 92011-5107 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Incomplete Complete Page 1 of 1