HomeMy WebLinkAbout1748 SKIMMER CT; ; CBR2017-1079; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 06/08/2017 Residential Permit Permit No: CBR2017-1079
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1748 Skimmer Ct
BLDG-Residential
2159212800
$0.00
www .carlsbadca.gov
Work Class;
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
P/M/E
COBB: WATER HEATER REPLACEMENT, SAME LOC
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Closed -Finaled
05/22/2017
05/22/2017
TRU5TC08B FAMILYTRU5T
1748 Simmer Ct
AFFORDABLE WATER HEATERS AND
PLUMBING INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $98.00
CARLSBAD, CA 92011
760-613-7339
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. 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.
$0.00
$98.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING Q ENGINEERING
-CCicyof
Carlsbad
JOB ADDRESS
7
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEI/SPACEI/UNITf
□BUILDING □FIRE Q HEALTH
Plan Check No. C/:JR-~I
Est. Value
·Plan Ck. Deposit
CT/PROJECT# # BEDROOMS It BATHROOMS CONSTR. TYPE DCC. GROUP
EXISTING USE
APPLICANT NAME
~rlNlry COnta.<;1_
so
PROPOSED USE
~O,\\O'r\
\ I) C 0. + \ i) Y'\
GARAGE (SF) PATIOS (SF) DECKS (SF)
PROPERTY OWNER NAME
Garo.
FIREPLACE
YES[)i
.0 e'ob I e, __
e
IR CONDITIONING
YES0 No0
FIRE SPRINKLERS YES□No□!
I
1-=~ ......... -""--'"'--''---'---'--'"-'--'---=-----'-=.c'-'---=:'::--_,,_-L.:....,.CL_-='----'..._--'--''----+.::=-:----'-'--.l.....l..'---'-L...:...J...!.......:.---'--=='-=±--'-........ ---""'---J---------_j CllY
CllY STATE ZIP
PHONE FAX
EMAIL
STATE LIC. #
(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 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 !hat 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 civil penalty of not more than five hundred dollars [$500) ).
W O R K E R S . C O M P E N S A TI O N ~ • . . . -• • :_, _--/?
. . .
Workers' Compensation Declaration: / hereby affirm unde, penalty of PerJUry one of the fotlow,ng declarations: U have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 ol the Labor Code, tor the performance of the work tor which this permit is issued. DJ I have and will maintain worl<ers' compensation. as required by Seclion 3700 ol the Labor Code, for the pertormance of the work for which this permit is issued. My workers' compensation insurance ~rand policy
number are: Insurance Co. I D S \ ~ Y an C e, Qi . ti f-fu e \t,I e S:tPolicy No. '5 v {) 2 .L\ OJ J D Q Expiration Date \ , \ -\ ~---
):ll§, section r.eed not be completed~ the perm~ is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I certify that in the petformance of the work for which this permit is issued, l~hall nol employ any person in any manner so as to become subject to the Woncers' 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, damages a provided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE i11111111 a e n t-. g{GENT
I hereby affirm that I am exe,npf from Contractor's License I.aw for the IOI/owing reason:
□
□
□
I, as owner ol 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 Contractors
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ 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).
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 ol the proposed property improvement. O 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 / phone I contractors' license numbe1):
4. I plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide the majo, work (include 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):
~ PROPERTY OWNER SIGNATURE []AGENT DATE
Is lhe applicant ~futlJ'e bt.ilding OCC1Jpant required ID submit a business ploo, acutely hazacdous materials registration form or risk mooagement and preventiOo program under Sectioos 25505. 25533 01' 25534 of lhe
Presley-Tanner Hazacdous Substance Account Act? □ Yes □ No
Is lhe applicant 01' future building occupant required 10 obtain a permit from the air pollution control disulc1 or air quality management dlstriet? □ Yes □ No
Is lhe facility to be constructed within 1,000 leet of lhe outer boundacy of a schOol site? □ 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 tS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
C O N S T R U C T I O N L E N D I N G A G E N CY
APPLICANT CERTIFICATION
I certify that I haw read the application and Slilte that the alx:Ne infoonatlon is corrnctand that the lnfonnation on the plans is aa;urate. I agree to oomply with all Ctty ooinances and Slate laws relating to bt.ilding consmJttion.
I hereby aulhorize represen1ative of lhe Cltyof Carlsbad ID enter upon lhe above mentioned property br inspecoon purp:)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf' CARLSBAD
AG<\INST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG<\INST SAID CITY IN COOSEClUENCE Cf' THE GRANTING Cf' THIS PERMIT.
OSHA: An OSHA pe,rnl is requied br 8)(C3V3tions Ol/fJf 5'0' deep and demolron or construcoon of sb'uctl.feS Ol/fJf 3 slor'es in height.
EXPIRA TIOO: Eve,y pennit issued by lhe Qiikling Ofkial undef Ille plO'lisols of this Code shall expire by fmitaoon and beoome nul and -.oo if the buikling 01' v.oik authorized by soch permit is not oommenoed v.i1hin
180days from thedaeof soch pennitorif the buikling Ol'm authorized by soch penn~ is suspended orabandoood at any time after lhe mis commenced bra perod of 180days (Secoon 100.4.4 Unibm Buikling Code).
,6 APPLICANT'S SIGNATURE DATE _!: \ 1 11 ' '------------'--'-":........:'-"=--'-_::_-1-____________________ +--+-------------~I
' ' ' ' ' ,, ) ;''> "¥;<: ' ' ,,, ~
. . ' PERtT INSPECTION 1:ilSTOftY REPORT (CBR2017-1079)
Penni\ Tyf)u:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 05/22/2017
Issue Date: 05/22/2017
Expiration Date: 12/05/2017
IVR Number: 3859
Inspection No. Inspection Status
06/08/2017 06/08/2017 BLDG.25 Water
HeaterNents
025612·2017 Passed
June 08, 2017
BLDG•Final
Inspection
Checklist Item
BLDG-Building Deficiency
025611·2017
Checklist ltom
BLDG-Building Deficiency
BLDG·Plumbing Final
BLDG·Mechanical Final
BLDG·Slructural Final
BLDG·Electrical Final
COMMENTS
Passed
COMMENTS
Owner: TRUST COBB FAMILY TRUST
Subdivision: CARLSBAD TCT#97-15 LOHF
PROPERTY
Address: 1748 Skimmer Ct
Carlsbad, CA 92011-3609
Primary Inspector Re inspection Complete
Paul York Complete
Passed
No
Paul York Complete
Passed
Yes
Yes
Yes
Yes
Yes
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