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Home My WebLink About2625 VALEWOOD AVE; ; CBR2017-0631; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/09/2017 Residential Permit Permit No: CBR2017-0631 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: Description: 2625 Valewood Ave BLDG-Residential 1675115900 $0.00 www .carlsbadca.gov Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: LE: NEW A/C WITH ELECTRICAL, REPLACE FURNACE & DUCTING Owner: Status: Applied: Issued: Fina led: Inspector: Contractor: Closed -Finaled 03/30/2017 03/30/2017 TRUST LE TRUST 6824 19Th St, 205 ACTION AIR COND.& HEATING-S.D. UNIVERSITY PLACE, WA 98466 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 2750 S Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 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 $166.00 THE FOLLOWIN,G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ·c City of Building Permit Application Plan Check No.~f7-Olo:> I 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov Date ~-~0-\7 lswPPP www.carlsbadca.gov JOB ADDRESS J.~1-5 VtA\e.woo~ SUITEI/SPACEI/UNITf IAPN --- CT/PROJECT# ILOT # I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) w / t.f e. c-+,.,, eo.\ C ;.,. c:.un-t.Ja,.1 A.IC "i to"" ¥1--1,y\a.c.iz.. ~ \,l,l ,(\0,, C. e. q-o\c B\V l.f O .f.l• (h.t.C+~ri~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING IFIRE SPRINKLERS YESO No0 YEs0 No0 YESO NoO APPLICANT NAME Mtt(h ~ Jt,4vVtQin PROPERTY OWNER Re"' . o~°''t'\.°" L..,e Primary Contact l ADDRESS 3 f 2.2-t; k B«-ll°'" Qc a '],\o ADDRESS 2.(o 2 5 V ~\ e 0000 ciTY ~A(tdca ~TECA ZIP Q 13/t,'2-CITY (1,.t(~ b72A STAT'c.ll ZIPq 2(j (O PHON%(J'D-135-111to IFAX PH1~-~ro-,oqo I FAX EMAIL EMAIL DESIGN PROFESSIONA CONTRACTOR BUS. NAME Aci\ 01"\. A.IC ADDRESS ADORES~ l 'jO 1. '$0.,l\+~ ~e ~ve. CITY STATE ZIP CITY1: Yl1.rc. o-s STATEC.A ZIP tt 2,ott,q c:\t'\ PHONE IFAX PH~E(I O -12-7-~ f ? 'J,_ I FAX EMAIL EMAIL I STATE LIC. # STATELIC.# 5otrl{05 l cz;, /t.~b I CITY BUS. LIC #i.f J q ~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, plior to ,ts 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 that 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}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· ~ve 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 pennit is issued. lLT I have and will maintain workers' compensation, as required by Section 3700 of the Labo__'.. epcte, for lhe performance of lhe work for which thi~ JM:nTiijJs issued. My workers' compensation i1urance r rrie.Jfnd policy number are: Insurance Co. ~ vv'S. Co of +½<-'1,Je ::rt__ Policy No. W5 Q ';0'2-~ '1 <o .:> Expiration Date l Z.1,-... ~3~("--+-~ _I __ _ This section need nol be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit is issued, I sha'I not employ any person in any manner so as to become subject to lhe Workers' Compensation Laws of California. WARNING: Failure to secure workers' m sa coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in 1ded r in S ion 3706 of the Labor code, interest and attorney's fees.,/ IA<~--,-,; [ZfAGENT DATE '3 0 I' I hereby affinn 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 slructure is not intended or offered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or lhrough 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 conlracting with licensed conlractors to construct the projecl (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projecls with contractor(s) licensed pursuant to the Contractors 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 0 Yes 0 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 (finn) 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/ 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 I address I phone I type or work): Jt'S PROPERTY OWNER SIGNATURE DATE 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? □ 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, 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 I certify thatl 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 law.; relating to building construction, I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LI.ABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolttion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official u r the s of this Code shall expire by Imitation and berome null and vod ~ the building or v.orl<. authorized b't such permit is not commenced v.ithin 180days from the date of such permit or if the build. or '"P'_!.ll"'"~-1"'°" by such permit is suspended or abandoned at any time after the v.oi1<. is commen for ape· of 180days (Seciion 100.4.4 Uniform Building Code). /IS APPLICANT'S SIGNATURE DATE 7 3q ( / STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CErlTIFICAfE OF OCCUPANCY /Commcrc,al Pro1ect, On I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELMRY OPTIONS □PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE / NO CONSTRUCTION □ MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Porrnit Typo: BLDG-Residential Application Date: 03/3012017 Owner: TRUST LE TRUST Work Class: PIM/E Issue Date: 03/3012017 Subdivision: CARLSBAD TCT#84-35 UNIT#03 Status Closed -Finaled Expiration Date: 12/06/2017 Address: 2625 Valewood Ave Carlsbad, CA 92010-7925 JVR Number: 2827 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 06/09/2017 06/09/2017 BLDG-43 Air 025775-2017 Passed Jonathan West Complete Cond./Furnace Set BLDG-Final 025776-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Electrical Final Yes June 09, 2017 Page 1 of 1