HomeMy WebLinkAbout1761 Bruce Rd; ; CBR2019-0054; PermitCcityof
Carlsbad
Residential Permit
Print Date: 05/03/2019 Permit No: CBR2019-0054
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1761 Bruce Rd
BLDG-Residential
2073604100
$0.00
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
01/08/2019
01/08/2019
Plan Check#:
Final
Inspection: 5/3/2019 10:37:0lAM
Project Title:
Description: ILE5: REPLACE 50 GAL WATER HEATER -SAME; LOCATION -GARAGE
Owner: Contractor:
COOWNER ILES ZOLTAN AND THOMAS KERI AFFORDABLE WATER HEATERS AND
PLUMBING INC
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
28358 Constellation Rd, 698
Valencia, CA 91355-5044
661-259-7131
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
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
(Cifyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
bu\\ C~\sbad
Plan Check vB!Z.Z..01~ -po~
Est. Value
PC Deposit ----------
Date _r_-___ 6_-/_q ___ _
JobAddreu lJltt A ,,, I /1 l t74 t::}i?dJ J'J(UU IV· vr<Yb1d1 Sulte: ____ APN: ________ _
CT/Project#:, ________ Lot#:, ___ Fire Sprlnklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: f>e~\:nce. 'S'b <:}'ill\ 0)',J wateJL be.ate,2-:. SsU'oe
\oc:at):t>t-.:i: ~
0 Addition/New: _____ U.ving SF, ___ Deck SF, ___ Patio SF, ___ G,arage SF
ls this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? _
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
O Pool/Spa: ____ SF Additional Gas or Electrical Features? -----------
O Solar: ___ KW, __ Modules, Mounted: Roof/ Ground , TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ---------------------------
@ ~ m bl;, Mech an I ca 1/ EI e ct rl ca I on1y: B-e ?\:ace , .... 1a.:;\-e..& be cttedL
D Other: ---------------------------------
APPLICANT f PRIMARVI PROPERTY OWNER
Name: ' Dee Dee G-ur-ult: ----Name: ::Zo !.TAN .J::' i es
Address: 1'rY;?~ CoNSteliati ON W-frCo9'6Address: I, (fl <'2YMGe M
City: va.-\€NC.1:a, State: ce, Zip: 91?,S"'i City: 1";4-tlrlo&t State:&;: Zip: c"f;;>-@'t)
Phone: 'o?5-345-°I0L\i, Phone: (e/1 · l/1 J -q D I")
Emalh pw:rirt:S@-a¼)ha-p. COM Email: _____________ _
DESIGN PROFESSIONAL
Name: ________________ Name:
Address:_______________ Address:f-',J.;JUJ~l..,J,.,l,Cl,ji:1,.1,~~u·i..w:N~,:FJ,..,_,.~.lilL.u.'
City: ______ State: __ .Zlp: ____ City: I State:,~~•ZIP: C\1355
Phone: Phone: B'55-5'::i5-qpyB
Email: Email: fe&mit:'S@fiu>b,a.p. Cg"()
Architect State Ucense: State Ucense: (o'l;t;';;'i (p 8 Bus. License: \ :2-l ] 2-7 \
(Se<, 7031.5 llllslness and Professions Code: Anv City or County which roqulrn a permit to construe~ altar, Improve. demoUsh or repair any ,tructuro, prior to lb
Issuance, ai.o requires the applicant for such permit to file a slsnad statement that he/she 11 Ucensed pu,.uant to the provisions of the Contracto~s License Law
{Chapter 9, commendlll/l with Section 7000 of DMolon 3 of tho Bu1ln111 and PIOfasslons Cmiel or lhllt he/oho Is exempt therefrom, ond tho buls for thll ollqed
exemption, Any violation of Section 703L5 by any appUcant for a permit subJoct, the •ppll .. nt to • •Ml pcn1tty or not more than five hundred doUars {$5001),
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-SSSS Email: ByUding@carlsbadca.gov
..... .._A ..... B-1
( OPTION A): WQRKERS'CQMPENSATIQN DECLARATION:
I hearby a/firm under penalty of perjury lUUt of the fallowing dee/a rot Ions:
0 I hava and wlU molntoln a certlflcote of ""'1Hnt to self•lnsuro for workers' compensation provided by section 3700 of the Labor COde, for the performance of the
work whk:h this permtt Is Issued.
,II,' hove and wll maintain wortce(s compensetlon, as required by section 3700 of the Labor COde, for the performance of the wort< :lY)e which jst'. ls Issued. ~ workers' compensation lnsunnce c-arrlor and policy numbar are:lnsurence Ccmponv Name: :;;t;N$ • Cc of we
Poftc:y No. ·" P :3 al 44 10 '?J --&llplratlen Dito! I • 1 -.:i.o
0 Certificate of Exemption: I certify that In the performance of the work for which this pe,mtt Is lssuad, I shall not employ any person In 1ny manner so ■s to be come
subject 10 the workers' compensation Laws of Clllfomla. WARNING: Flllurt to --com_.uan -II unlawtut, Ind lltlll IUbjlct In ...... r to
crlmlnal pon1llll1 and civil flnu up to $iao.ooo,ao, In addition the to the _, of compensation, dame ... 11 .....,Idec! for In Stctlon 170I of the Llllar Code,
lnllrest 1nd attorney's ftes, ✓-
CONTRACTOR SIGNATURE: ·"= AGINT DATE: k/J / Is:
( OPTION B ): OWNER•BUILQER QFQ ASAIIQN;
I hereby affirm that I am exempt from Contractor's License Law far the fa/lowing reason:
0 I, as owner of the properly or my employees wtth wa119S as Iha~ sole compensation, will do the work end the structure Is not Intended or ofltred for sale (Ste.
7044, BUJlnen •nd Profesalons COde: The <:ontra<tor's License Law does not apply to an owner of ptaplrly Wllo bUllds or Improves thereon, and who does such wort<
hlmseW or throuah his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the buUdlng or Improvement II IOld wtthln
one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose ol sale).
0 I, as owner of the properly, am excluolvoly colllnlctlng wtth llcensed contractors to conSIIIICt the pro)eet ISec, 7044, Business and Professions COde: The
Contra<tofs Ucense Law does not apply to an owner of properly who builds or Improves thereon, and contracts ror such projects with contractotjs) llcenled
pursuant to the Contractor's License LawJ.
□ I am exempt under Section -,----,-,---,-Business and Professions Code for this reason:
1. I panonaHy pion to provide the major labor and m1te11als tor construction of thepropoled property Improvement. □ Yes CJ No
2. I lhave / have notl slanld an application for a bulldln1 permk for the proposed work.
3, I have contracted wtth the following person (flrmJ to provide tha proposed construction (Include name address/ phone/ ""'1tractors' license number):
4. I plan to provide portions of the work. but I hove hired the following p■rson to coordinate, superit,a and provide the major work I-nsme / addreA /phone/ contractors' license number):
S. I wlll provide some of the wortc. but I have contracted (hired) the following persons to provide the work lndlclted Oncludo name/ address/ phone/ typo of workJ:
OWNER SIGNATURE: _______________ __c,,-,lffNT DATE: ____ _
CONSTRUCTION LENDING AGENCV, IF ANY;
1 heraby affirm that there 1, • conotructlon lending agency for the performance of the work this permit II lnued ISec, 309711) Clvll COde),
Lande(1Neme:, _________________ Lande(,-.: ________________ _
ONLY CoMPLEIE THE FOLLOWING SECTION FOR NON--RESIDINT•AL BUILDING PERMITS ONLY:
Is the ■ppllcant or future buUdlns occupant required to submit a bu~ness pion, e-ly hazardous mote~els "'lllstratlon form or rlsle menapment and prevention
prosrem under 5ecllons ZSSOS, 25533 or 25S34 of the Presley-Tanner Hazardous substance Account Act? CJ Yes O No
Is the applicant or future bulldlna occ:upant required to obtain a permit from the air pollutlon control district or air quallty manqement: dlstrlet? 0 Yes O No
Is the facility to be constructed within 1,000 feet of the outer bounda,v of a school site? CJ V■s CJ No
IF ANY OF TH! ANSW1!IIS ARE YU, A FINAL IZlmFICATE o, OCQJPANCY MAY NOT 8E 15SUEP UNLESS lHI APPUCANT HAS MET OR 15 MEETING TH!
REQUIREMENTS OF lHI -ICE OP EMERGENCY SERVICES ANO 'IHI AIR POLLUTION CONTROi. D151RICT.
APPUCM[[ CERJJFfCATJON;
I certify that I h■ve read the applk:atlon end stste that the above Information Is correct and that the Information on the plans Is accurate. I esree to comply w~h all
City ordinances and State laws relatln1 to building construction.
I hereby outhorl .. repmenlltlve d the City of Carlsbad to --upon the above mentioned property tor lnlptCllon purposu. I ALSO AGREE TO SAVE, INDEMNIFY AND KEl!l'
HARMLESS THE OTY OF CARISBADAGAINST ALL IJA81UTIES, JUDGMENTS, COSlSAND EXl'ENSES WHICH MAY IN PNf WAY ACCRU1! AGAINSTSAID QTY IN CONS!OUl!NCE OF
THE GRANTING OFTHIS PERMIT.OSHA: An OSHA permk IS reqUlred tor """""'1!onsover 5'0' deep end demollllon or construction of struc:tum ...,, ll<Hfes In hef&ht.
EXPIRATION: Evwy pem,tt Issued by the BuUdlngOfllclel under the provl~on, of thb Code shall exp~ by Imitation and become nul and VOid tthe bulldlngor worklUlhOrlled
by such perm~ !Snot commenced within 180 days from the data of such pe,mkar Wthe bulldlngorwork authorlad by such permtt Is suspended or abandonad at eny time
:~:::::::::~of180daysl5ecllon106A,4U~~~ DATE: i/7 /j (
1635 Faraday Ave carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page Zof 2
Email: BulldlDSOPcarlsbadc;a.19v
Rev. 06118
PERMIT INSPECTION HISTORY REPORT (CBR2019-0054)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 01/08/2019
Issue Date: 01/08/2019
Expiration Date: 10/30/2019
IVR Number: 16379
Inspection No. Inspection Status
05/03/2019 05/03/2019 BLDG-25 Water
HeaterNents
090733-2019 Passed
May 03, 2019
BLDG-Flnal
Inspection
Checklist Item
BLDG-Building Deficiency
090734-2019
Checklist Item
BLOG-Building Deficiency
BLOG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed
COMMENTS
Owner: COOWNER ILES ZOLTAN AND
THOMAS KERI
Subdivision: CARLSBAD TCT#82-21
Address: 1761 Bruce Rd
Carlsbad, CA 92008-4259
Primary Inspector Reinspection Complete
Chris Renfro Complete
Passed
Yes
Chris Renfro Complete
Passed
Yes
Yes
Yes
Yes
Yes
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