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Home My WebLink About2703 VIA JUANITA; ; CBR2017-1187; PermitPrint Date: 06/05/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: N Dwelling Units: Bedrooms: Project Title: Description: 2703 Via Juanita BLDG-Residential 1673102500 $0.00 LYNCH: SEWER REPAIR City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check 11: Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-1187 Closed -Finaled 06/02/2017 06/02/2017 JEFFRY LYNCH IRA INDEPENDENT PLUMBING AND DRAIN INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Po Box 1305 7 4 CARLSBAD, CA 92013 Total Payments To Date: $166.00 2513 Via Esparto Carlsbad, CA 92010-1340 619-920-8858 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. $166.00 $0.00 l'HE FOLL@WING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD C_Cityof Carlsbad JOB ADDRESS VJA 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# Plan Check No. Est. Value Plan Ck. Deposit Date -2 APN CT/PROJECT H LOTH PHASE# H OF UNITS H BEDROOMS H BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) t;0v~rz. ~A\ rz._ 201-r-n 7 CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING NO□ YES □No □ FIRE SPRINKLERS YES□No□ APPLICANT NAME ~ t....A I A \ lC Pr/mar Contact tA....-:> ,-, /'J PROPERTY OWNER ADDRESS 2A -,/5 K \<.. c..,rLc.~ ADDRESS CITY z'l:;2-D/ C:> CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME/ ,JV£ ,(J Ji,.Jt) ti\.)\ ADDRESS ADDRESS 2-1, s M (LJ< CITY STATE ZIP s~A z1P 92.D/ D PHONE FAX EMAIL 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 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 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 ($5001). Workers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: bJ ~ 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. lJd'I have and will maintain workers' colJ)llfns lion, a reQuired bv Section 3700 of the L~bor Code, for the performance of the wor for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. NO I~ \ 6 Policy No. W Expiration Date _________ _ J:.!!i§, section need not be completed ~ the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar$ (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the L or code, interest and attorney's fees. bl I Ir-ft5 CONTRACTOR SIGNATURE L---.--~ □AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my empklyees with wages as their sole compensation, will do the work and the slructure 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. 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 of the proposed property improvement. O Yes 0No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the folklwing person (firm) lo provide the proposed construction (include name address / 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 / 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/ phone I type of work): ft5 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or futui\ 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-Tann~r 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 dislrict? D 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. Sec. 3097 (i) Civil Code). Lende~s Address I certify that I have read the application and state that the above infonnation 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 authonze representative of the City of Cartsbad 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: AA OSHA permtt is required for excavations <Ner 5'0' deep and demolition or construction of structures <Ner 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ff the building or won< autholized by such permit is not coomenced v,ithin 180 days from the date of such permit or ff • ~ -=ed ::ch permtt is ~or abandoned at any time after the wor11DisATcomE menced; a:riod :80 days/(s: 106.4.4 Unfform Building Code). ,,N$ APPLICANT'S SIGNATURE 0,--~ ~ U lo <..J ,-- 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 buildinq@carlsbadca.gov or Mail the completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#------------ o CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE / NO CONSTRUCTION □MAIL/FAX TO OTHER: _________________ _ □ CHANGE OF USE / NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Permit Type· BLDG-Residential Application Date: 06/02/2017 Owner: JEFFRY LYNCH IRA Work Class: P/M/E Issue Date: 06/02/2017 Subdivision: CARLSBAD TCT#72-21 UNIT#01 Status: Closed -Finaled Expiration Date: 12/04/2017 Address: 2703 Via Juanita Carlsbad, CA 92010-8351 IVR Number: 4102 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 06/05/2017 BLDG-Final 025463-2017 Passed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final Yes BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 06/05/2017 06105/2017 BLDG-22 026303-2017 Passed Paul Burnette Complete Sewer/Water Service Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes June OS, 2017 Page 1 of 1