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HomeMy WebLinkAbout2687 Garfield St; ; CBR2020-0733; PermitBuilding Permit Finaled Residential Permit Print Date: 04/02/2020 Job Address: Permit Type: 2687 Garfield St BLDG-Residential 2031412702 $0.00 Work Class: P/M/E Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: WAILES: GAS LINE REPAIR FEE Lot#: Reference#: Construction Type Bathrooms: Orig. Plan Check#: Plan Check#: Owner: 2687 GARFIELD ST LLC 2687 Garfield St CARLSBAD, CA 92008 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 (city of Carlsbad Permit No: CBR2020-0733 Status: Applied: Closed -Finaled 04/02/2020 Issued: 04/02/2020 PermitFinal Close Out: Inspector: Final Inspection: 04/02/2020 AMOUNT $175.00 Balance Due: $0.00 Please take NOTICE that approval of your project includes the 11lmposition11 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. Buildin Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check CAf',..;n:Jc -(Jf 35. Est. Value PC Deposit -------- Date Job Address fa., {,.I.L $(w.:t:, lNl!,~"4-Suite: ___ APN: _______ _ CT/Project#: _______________ Lot#: __ _ Fire Sprinklers: OYES ONO Air Conditioning: 0 YES Q NO Electrical Panel Upgrade: 0 YES Q NO BRIEF DESCRIPTION OF WORK: 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? __ · □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? ___________ _ □Solar: ___ KW, __ Modules, Mounted:ORoofOGround, Tilt:O YON, RMA:OY0N, Batterv:OY ON, Panel Upgrade: Ov ON 0 Reroof: _____________________________ _ APPLICANT (PRIMARY CONTACT) Name: 11,t")\f.. wo.,IU', Address: 21.£1 fut{ (-. .,\.,l 6,\-N<-f City: Cuh4o..J. State: c A Zip: PROPERTY OWNER Name: 'S<,ey,.a:.. wo:.l .... Address: _?.._?,__2._q,.__..,Q"''"''""....._""'----'S"'-"l,,-..:t:c.:::d--.:..__ ______ _ City: C ...,1.,~oA. state: Ut Zip: '12ocf·t:: Phone: $5i•.2'1J·o"7?D Phone: $S'Jl·l'f,3-017O Email: t<.n,<-t.."$tpt..,.:.\. cu":::: Email: 1''-:K<-1'$-!®~w.e·,l ,,®":-: DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: ________________ Name: _________________ _ Address: Address: _________________ _ City: _______ State: _ __.Zip: ____ City: _______ State: _ __.Zip: _____ _ Phone: ______________ _ Phone: _________________ _ Email: _______________ _ Email: __________________ _ Architect State License: __________ _ State License: _____ Bus. License: _____ _ (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnQr to its issuance, also requires the applicant for such permit to file a signed statement that he/she is lk:ensed 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 703LS by any applicant for a permit subjects the applicant to a cMI 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 6-1 Page 1 of2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION· □I h:i°rby affirm under l)l!nalty af perjury~ of the fol/awing de~lorations: hive and will maintain a certificate of consent to self•insure for workers' compensation provided by Sectio 3700 of•• work which this permit Is Issued. n me Labor Cod<!, for the perlormona of the 01 have and wlU maintain worker's compensation, as required by Section 3700of the Labor Code, for the perfo of h My workers' compensation Insurance carrier and policy number are: Insurance COmpany Name: rmance t e work for whkh this permit it I.Nued. Polley No. ____________ Expiration Date: ------- □ Certificate of Exemption: I certify that In the performance of the work for which this rmit is Issued I shal subject to the workers' compensation Laws of California. WARNING: F•llure to secure .:rkers com~.,! not employ any person In any manner so as to be come crlmlnal penalties and clvU fines up to $100,000.00, In addition the to ttHI cost of compenutl d ~ II unlawful, and shall Jubied an employar to Interest and attorney's fees. on. •maces• .,.., ...... ed for In Section 3706 of the la,or Code, CONTRACTOR SIGNATURE: ________________ □AGENT DATE: ------ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Low 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. ~=:iness and Professions Code: The ~ntractor's Uce.nse Law does not apply to an owner of property who builds or improves thereon, and who does such work 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 vear of completion, the owner-builder will ha11e the burden of proving that he did not build or improve for the purpose of sale). (EI, 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 tor such projectS with contractor(s) licensed pursuant to the Contractor's License Law). 0 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. QvES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contra~ed wit~ 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 {indude name/ address/ phone/ 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/ address/ phone/ type of work): OWNER SIGNATURE: ___ /C.ciq.,,..:::::_,.1:./2!;1,:· ::.c~:=:..:~""-:::::....------□AGENT DATE: <;/tlu:ry) 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 fonn or risk management and prevention program under Sections 25505, 25533 or 25S34 of the Presley-Tanner Hazardous Substance Account Act? 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 1,000feet 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 APPllCANT HAS MET OR lS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the appUcation and state that the above information is correct and that the information on the plans ts accurate. I agree to comply with all City ordinances and State laws relating to building construction. I herebv authorl.Ze representative of the Qty of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMlfSS THE CITY OF CARISBAD AGAINST All UAB1UTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Alf'/ WAY ACCRUE AGAJNST SAIDCITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMO'".OSHA: An OSHA permit iS required for e>1cavatktns over S'CY deep and demolition or construction of structures 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 authorized by such permit is not commenced within 180 days from the date of such permit or if the building orwortc authorized by such permit is suspended or abandoned at '¥IV time after the work is commenced for a period of 180 days (Section 106.4,4 Uniform Building Code). APPLICANT SIGNATURE: ;f'J t),.,,,:..,/ ,_-, DATE: >,.~,.[ 1-, J, o 20 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2012 Email: Building@carlsbadca.gov Rev. 06/18 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for { CBR2O2O-O733) Permit Type: BLDG-Residential Application Date: 04/02/2020 Owner: 2687 GARFIELD ST LLC Work Class: P/M/E Issue Date: 04/02/2020 Subdivision: PARCEL MAP NO 12124 Status: Closed -Finaled Expiration Date: 09/29/2020 Address: 2687 GARFIELD ST IVR Number: 25710 CARLSBAD, CA 92008-2217 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 04/02/2020 04/02/2020 BLDG-23 124062-2020 Passed Tony Alvarado Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/03/2020 04/02/2020 BLDG-Final Inspection 124055-2020 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes Thursday, April 2, 2020 Page 1 of 1