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Home My WebLink About172 WALNUT AVE; ; CBR2020-1522; PermitPrint Date: 09/10/2020 Permit No: CBR2020-1522 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 172 WALNUT AVE, CARLSBAD, CA 92008-3193 BLDG-Residential 2041230704 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 07/09/2020 07/09/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled TKers Plan Check #: Project Title: Inspector:Orig. Plan Check #:Bathrooms: Description:SOUZA: INSTALL MINISPLIT (E-REVIEW) Final Inspection:09/10/2020 Bedrooms:Construction Type: Property Owner: SOUZA MICHAEL A AND DENISE J 172 WALNUT AVE CARLSBAD, CA 92008 Contractor: TIM BRENNAN HVAC SERVICE 3024 NEWSHIRE ST CARLSBAD, CA 92010-7031 (760) 583-8083 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$0.00 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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad {-CCityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check-------- Est. Value PC Deposit-------- Date 7/8/2020 Job Address 172 Walnut Ave Carlsbad CA 92008 Suite: ____ APN: __________ _ CT/Project#: __________________ Lot#: ___ _ Fire Sprinklers: 0 YES 0 NO Air Conditioning: 0 YES O NO Electrical Panel Upgrade: Q YES 0 NO BRIEF DESCRIPTION OF WORK: Install Mitsubishi mini split system 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? 0 YON New Fireplace? 0 YON, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? 0 Y ON 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ osolar: ___ KW, ___ Modules, Mounted:ORoofOGround , Tilt:O YON, RMA:OvON, Battery:OY ON, Panel Upgrade: Ov ON D Reroof: ---------------------------------- (2] Plumbing/Mechanical/Electrical Only: _ln_s_t_al _l _M_it _s_ub_i_sh_i_m_in _i -'sp'-l _it_s-=-ys_t_e _m _____________ _ D Other:---------------------------------- APPLICANT (PRIMARY CONTACT} PROPERTY OWNER Name: Josh Jacobs -Pacific Construction Name: Denise and Mike Souza Address: 2625 Sausalito Ave Address: 172 Walnut Ave City: Carlsbad Phone: 619 933-8822 Email: josh@pccbuilt.com State:CA Zip: 92010 City: Carlsbad Phone: 650 850-1806 State:._C_A __ Zip: 92008 DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: ________ State: ___ Zip: ___ _ Phone: ________________ _ Email: _________________ _ Architect State License: ___________ _ Email: ___________________ _ CONTRACTOR BUSINESS Name: Tim Brennan HVAC Service Address: 3024 Newshire St. City: Carlsbad State: CA Zip: _9 _20_1 _0 ___ _ Phone: 760 583-8083 Email: timbrennanhvac@yahoo.com State License:824793 Bus. License: ------- (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/she 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/she 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 civil penalty of not more than five hundred dollars ($500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 CBR2020-1522 BLRE1220246 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: 01 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. DI have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: _____________________ _ Policy No. _______________ Expiration Date: __________ _ 0 Certificate of Exemption: Lcertify 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 be come subject to the workers' compe~w alifornia. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, ·tion the e cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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). DI, 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). DI 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. Q YES Q 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/ 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/ contractors' license number): S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone / type of work): OWNER SIGNATURE: __________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ______________________ Lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING 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? I 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 AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: 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 State laws elating to building construction. I hereby authorize representative of the City rlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIAB JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF excavations over S'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of tn1 by such permit is not commenced within 180 days from the date of su=nPl',.....nr if the the work is commenced for a period of 180 days. CBC section 105.5. APPLICANT SIGNATURE: shall expire by limitation and become null and void if the building or work authorized or work authorized by such permit is suspended or abandoned at any time after 1635 Faraday Ave Carlsbad, CA 92008 B-1 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2020-1522) BLDG-Residential 07/09/2020Application Date:Permit Type:Owner:COOWNER SOUZA MICHAEL A AND DENISE J P/M/E 07/09/2020Work Class:Issue Date:Subdivision:PARCEL MAP NO 13244 03/09/2021Expiration Date:Status: IVR Number: 27349 Closed - Finaled 172 WALNUT AVE CARLSBAD, CA 92008-3193 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 09/10/2020 09/10/2020 BLDG-43 Air Cond./Furnace Set 137837-2020 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 137838-2020 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final No BLDG-Electrical Final Yes Thursday, September 10, 2020 Page 1 of 1 {cityof Carlsbad