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Home My WebLink About1776 VERDIN CT; ; CB141806; Permit07-28-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB141 806 Building Inspection Request Line (760) 602-2725 1776 VERDIN CT CBAD PME 2158800612 Lot#: CARNEY: TEMP POWER CONNECTION DUE TO FIRE DAMAGE 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/28/2014 JMA 07/28/2014 07/28/2014 RANCHO ELECTRIC INC. CARNEY FAMILY TRUST 06-14-06 27715 GREENWALD AVE PERRIS CA 92570-8978 951-657-9677 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1776 VERDIN CT CARLSBAD CA 92011 $0.00 $158.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: FINAL APPROVAL Date: -2. • dl.i-r -.J Clearance: ------- $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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/exacti n of whi h have r viousl b en iv n a NOTICE similar to this or as t which the statute of limi ati ns has reviousl otherwi x ired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMATIAPCD ~ «-'~" Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Check No. ~ CITY OF Est. Value CARLSBAD Plan Ck. Deposit www.carlsbadca.gov Date SUITEI/SPACEI/UNITI # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PATIOS (SF) APPLICANT NAME ZIP t'::;)Z-570 EMAIL EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAA EMAIL STATE UC.# STATE UC.# ClO SWPPP CONSTR. TYPE acc. ROUP AIR CONDITIONING YES □No □ CITY BUS. UC.# FIRE SPRINKLERS YES□No□ (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 (Cha'f.ter 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 alieged exemption. Any violation of Section 703 .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: □ 1)41ve'and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the perfonrance of the work for which this penrit is issued. ~ have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code. for lhe perfonrance of the work for which this permit is issued. My workers· compensation ·nsura carrier and policy number are: Insurance Co.~ ~d ,Jp Policy No. l ~ /:,a :3 Q Expiration Date ....L-l--'--1--""""'""'--'-~- 'jl!§,Section need not be completed if the permit is ,Jo: hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonrance of the work for which this penrit is issued, I shall not employ any person in any manner so as lo 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, dam d for In Section 3706 of the Labor code, Interest and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the fallowing reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and lhe slructure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contraclor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett or lhrough his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvemenl is sold within one year of completion, the owner-builder will have lhe buroen 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 lo construcl the projecl (Sec. 7044, Business and Professions Code: The Conlraclor's License Law does not apply lo an owner of property who builds or improves lhereon, and conlracls for such projecls with conlractor(s) licensed pursuanl lo the Conlractor's License Law). I am exempt under Seclion _____ Business and Professions Code for this reason: 1. I personally plan lo provide lhe major labor and malerials for construction ot lhe proposed property improvement □Yes 0 No 2. I (have / have not) signed an application for a building penrit for lhe proposed work, 3. I have contracted wilh the following person (finr) lo provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan 10 provide portions of the work, bul I have hired the following person to cooroinate, supervise and provide the major work (include name/ address I phone / contractors' license number): 5. I will provide some of lhe work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): 25 PROPERTY OWNER SIGNATURE □AGENT 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 Ac(I 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 ANO 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 that I have read the application and state that the above lnfonnation is correct and that the Information 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 Cily of Gar1sbad k> enter upJO the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ is requred for excavations over 5'0' deep and demolition or construction of structures over 3 stories n heght. EXPIRATION: Every permit issued by the Building Official under the provisons of this Code shall expire by lmitatio~nd become nuU and voe ff the building or \',QfK authorized by such permit is not oornmenced v..thin 180 days from the date of such permit or if the building orv.ork authorized by such permit is uspended or abandoned al any time afterthe\\0!1< is oommenced for a period of 180days (Section 100.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE 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. CERTIFICATE OF OCCUPANCY /Commercial Pro1ccts 0 n 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. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# CONTRACTOR (On Pg. 1.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OlliER: CHANGE OF USE/ NO CONSTRUCTION ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB141806 Type: PME Date Inspection Item 02/27/2015 39 Final Electrical 11/26/2014 17 Interior Lath/Drywall 11/14/2014 16 Insulation 11/07/2014 84 Rough Combo 07/29/2014 33 Service Change/Upgrade Friday, February 27, 2015 Inspector Act PD AP PD AP SP AP PD AP PD AP CARNEY: TEMP POWER CONNECTION DUE TO FIRE DAMAGE Comments Page 1 of 1