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Home My WebLink About2716 VIA JUANITA; ; CBR2017-3082; PermitPrint Date: 12/29/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2716 Via Juanita BLDG-Residential 1673101600 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: Description: BLOCK: REPLACE GAS LINE FROM GARAGE TO HOUSE Owner: Status: Applied: Issued: Fina led: Inspector: Contractor: Permit No: CBR2017-3082 Closed -Finaled 12/27/2017 12/27/2017 BILLIE M BLOCK TM BENNETT PLUMBING AND DRAIN INC PLUMBING, ELECTRICAL, AND MECHANICAL PERM IT Total Fees: $170.00 2716 Via Juanita CARLSBAD,CA 92010 951-310-5700 Total Payments To Date: $170.00 Po Box4417 Carlsbad, CA 92018-4417 760-458-1824 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 pl anning, 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. $170.00 $0.00 ,. ' ·(·cityof Carlsbad JOB ADDRESS ~' l CT/PROJECT H Building Permit Application 1635 Fa raday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date I SUITElt/SPACE#/UNITlt # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME OCC. GROUP PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS YES □ NO □ YES □ NO □ PROPERTY OWNER NAME ADDRESS CITY PHONE EMAIL STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair anl 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 that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). Workers· Compensation Declaration: / hereby affirm under penalty 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 Seclion 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0"1 have and will maintain workers' compensation, as flll1Uir.lld by Section 3700 of the Labor Code, for the performan~of the work for which this permit is issued. My workers' compen ation ins~an~ c rrier d policy f.,, rrumber are: Insurance Co. ·'f1uJ. SL~,/ -f_ \""b S f>\A"'C,R., Policy No. H fs ( ) 0 l S lR 1. -I ) D Expiration Date l This section need not be completed if lhe permit is for one hundred dollars ($100) or less. □ 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, damages as provided for · ection 3706 of the Labor ode, interest and attorney's fees. 2S CONTRACTOR SIGNATURE ~ENT DATE 0---- I hereby affirm Iha/ I am exempt from Conrractor'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 sate. If, however, the building or improvement is sold within one year of completion, lhe owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D t, 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). D I am exempt under Section _____ Business and Professions Code for this reason: 1. t personally plan to provide the major labor and materials for construction or the proposed property improvement. 0 Yes O No 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 construclion (include name address/ phone/ contractors' license number): 4. t 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/ address/ phone/ type of work): ,as PROPERTY OWNER SIGNATURE □AGENT DATE ,I Is the applicant or future building occupant required to submit a busi~ess 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 managemenl 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 PO LLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lenders Address I certify that I have read the application and state that the above lnfonmatlon Is correct and that the infonmatlon 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, 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 permit is required for excavations over 5'0' deep and demolition or construction of slructures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Official under the provisions of this Code shall expire by limitation and beoorne null and void I the building or work authorized by such penmit is not commenced within 180 days from the date of such penmit e building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonm Building Code). DATE Permit Type: BLOG-Residential Application Date: 12/27/2017 Work Class: P/M/E Issue Dale: 12/27/2017 Status. Closed -Finaled Expiration Date: 06/27/2018 Scheduled Actual Date Start Date 1 2129/2017 1212912017 December 29, 2017 IVR Number: 8568 Inspection Type Inspection No. BLDG-23 Gas/Test/Repairs 044684-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 044685-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro BILLIE BLOCK CARLSBAD TCT#72-21 UNIT#01 2716 Via Juanita Carlsbad, CA 92010-8350 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1