HomeMy WebLinkAbout1757 SKIMMER CT; ; CBR2017-0651; PermitPrint Date: 05/26/2017
Job Address:
Permit Type:
Paree\ No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1757 Skimmer Ct
BLDG-Residential
2159214300
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www .carlsbadca.gov
Work Class: P/M/E Status:
Lot#: Applied:
Reference#: Issued:
Construction Type: Finaled:
Bathrooms: Inspector:
Orig. Plan Check#:
Plan Check#:
Description: IADICICCO: INSTALL GAS LINE TO BBQ & FIRE PIT// INSTALL ELECTRICAL LINE TO HOT TUB AND BBQ
Applicant:
RODRIGUE2 LANDSCAPE INC
2076 Courage St
Vista, CA 92081-7023
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00
Owner:
TRUST IADICICCO FAMILY TRUST 09-11-15
1757 Skimmer Ct
CARLSBAD, CA 92011
Total Payments To Date: $166.00 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. lf 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.
Permit No: CBR2017-0651
Closed -Fina1ed
03/31/2017
03/31/2017
PYork
$0.00
$166.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
. (Cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
□BUILDING □FIRE
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
lv'-l0~ l o() J '-~ ~
L.-J l,~L-?-dO -J L.V'IC --hl-
[i,,S ~ <111/1? LL,,k -hi'\_
EXISTING USE PROPOSED USE GARAGE (SF)
APPLICANT NAME w Gr..£-'1_
---r-
CITY ZIP
2:)<)i l
FAX
c.-D fV\
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.#
PATIOS (SF) DECKS (SF)
PROPERTY OWNER
Cl
EMAIL
AIR CONDITIONING
No□ YES □No□
~ ll L(I n'\.8l C:'l
FAX
FIRE SPRINKLERS
YES □NO□
I I
(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 req\Jires the applicant for such per_mit to file a si2ned statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, comme_nd1ng with Sect1_on 7000 of Div1s1on 3 of the
B_usiness and Professions Code} or fuat he 1s exemP.t 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
c1v1I penalty of not more than five hundred dollars ($500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penally of perjury one of the following declarations:
D I have 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.
~ave 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' compensation insurance carrier and policy
numberare:lnsuranceCo. \::tA:il;:f""f=g ,l) )rJ 4'..t\ o,,{U<, ____ PolicyNo.J{n u.A;(.., :}£0 91 °t Expiration Date 07~ \~--I)
This section need not be completed if the permit is for one 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 compensation dama es as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
~ CONTRACT;R SIGNATURE
I hereby affirm that I am exempt from Contractor's 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 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. \f, 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).
I, 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).
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. OYes 0No
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 I 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 I address / phone I contractors' 1·cense 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):
9!, PROPERTY OWNER SIGNATURE □AGENT DATE
.::OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or futur~ building occupant required to submit a business plan, acutely hazardous materials registratiCll form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicai,t 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.
I certlfythatl have read the application and state that the above lnfonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEfv1NIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AflY WAY ACCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or coostruction of structures over 3 stories in height.
EXPIRATION: Every permit issued e Building Official under the provisions of this Cooe shall expire by limitation and become null and void if the building orWOIK authorized by such permit is not commenced v.ilhin
180 days from the date of such p if th~ bfildir wo au y such p · · suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Cooe).
AS APPLICANT'S SIGNATURE Mf--i DATE
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 form to City of Carlsbad, Bui~ing 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
D PICK UP: o CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
O MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR {On Pg. 1)
D MAIL/ FAX TO OTHER: ________________ _
,IS APPLICANT'S SIGNATURE
□ ASSOCIATED CB#•------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
1 , <'l i'"'t" ?i '+ t g f+ ~ 0. A \'Ji'. '
~" :: ·),1f ,!,!fl' ~.< fESRUIT INSPl;CTl,ON ~IS"l't'>RY"REPORT (~~ao1z.0651)
Permit Type: BLDG-Residential Application Date; 03/31/2017 Owner:
Work Chss: P/M/E Issue Date: 03/31/2017 Subdivision:
Status Closed -Finaled Expiration Dato: 10/10/2017 Address:
lVR Number: 2865
Actual Scheduled
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
04/11/2017 04/11/2017
05/26/2017 05/26/2017
BLDG-23
Gas/Test/Repairs
019547-2017
Checklist Item
BLDG-Building Deficiency
BLDG-31
Underground/Condu
it -Wiring
019548-2017
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
024528-2017
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Paul York
COMMENTS
Partial Pass Paul York
COMMENTS
Passed Jonathan West
COMMENTS
TRUST IADICICCO FAMILY TRUST
09-11-15
CARLSBAD TCT#99-13 STEINER
PROPERTY
1757 Skimmer Ct
Carlsbad, CA 92011-3609
Reinspection Complete
Complete
Passed
No
Reinspection Incomplete
Passed
No
Complete
Passed
Yes
Yes
Yes
Yes
Yes
May 26, 2017 Page 1 of 1