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Home My WebLink About2507 VIA ROJO; ; CBR2018-3230; Permit(city of Carlsbad Residential Permit Print Date: 11/19/2018 Permit No: CBR2018-3230 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2507 Via Rojo BLDG-Residential 1674110800 $0.00 Work Class: Lot ti: Reference #: Construction Type: Bathrooms: Orig. Plan Check ti: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 11/19/2018 11/19/2018 Plan Check ti: Final Inspection: 11/19/2018 3:32:llPM Project Title: Description: SHABBIR: REPLACE GAS LINE (NO WORK IN ROW) Owner: Contractor: TRUST !SMAIL SHABBIR LIVING TRUST 09-12-12 HANNA PLUMBING AND SUPPLY INC PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 1383 Andorra Ct CARLSBAD, CA 92081 Total Payments To Date: $175.00 643 S Santa Fe Ave Vista, CA 92083-5938 760-726-2002 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 1635 Faraday Avenue, Carlsbad, CA 92008-7314 \ 760-602-2700 \ 760-602-8560 f \ www.carlsbadca.gov $175.00 .,..._ ,, .----------------------------------------------------------, THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE _(?Cicyof Carlsbad JOB ADDRESS CT/PR JE # Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@~rlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITf Plan Check No. Date APN # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) r-eptauct EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME PROPERTY OWNER ADDRESS CITY FAX EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # CW>S D V CONSTR. lYPE OCC. GROUP FIRE SPRINKLERS YESONO□ ZIP CfUJ~l ZIP (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 lssuan e, a re ulres 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 exem1>t 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 clvll penalty of not more than five hundred dollars ($500)). WORKERS ' COMPENSATION , WOl1<ers' Compensation Declaration: I hereby affirm under penalty of petj,xy 0118 of the following decJarations: • 0 I Jlave and will maintain a certificate of consent to self-Insure for wol1<ers' compensation as provided by Section 3700 of 1he Labor Code, for the performance of 1he wol1< for which this permit Is Issued. ~have and will maintain workers' compensation, as reQUired ~ ~ 3700 of the Labor Code. for the performance of the wol1< for which this~~-My wol1<ers' compensa~ lnsulnce/j,lllier and polq number are: Insurance Co. \\l)?VYA ~Cl W Ot ±YlR WeJ\: Policy No. WS Q 5D31.-3 ~ Expiration Dale __;,ll-1--JCC~~-1-Jl._:l....__ __ Jh§,section need not be completed Wthe permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the wortc for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the W011<ers' Compensation Laws of CalWornia. WARNING: Failure to secure wori<ets' compensation coverage Is unlawful, and shall subject an employer to crfmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost 'of compensation, s provided i Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I heleby affirm that I am exempt from Cootradof's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do 1he "M>l1< 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 wol1< himse~ or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or inprovement Is sold within one yea< of completion, 1he owner-builder will have the burden of proving that he did not build or Improve for 1he purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct 1he project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projecis 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 Oves 0 No 2. I (have / have not) signed an application for a building permit for the proposed wol1<. 3. I have contracted with the following person (firm) to provide 1he proposed construction 0nclude name address/ phone/ contractors' license number): 4. I plan to provide portions of the "M>rk, but I have hired the following person to coordinate, supervise and provide 1he major wol1< [Include name I address I phone / contractors' license number): 5. I will provide some of the "M>rk, but I have contracted (hired) 1he following persons to provide the wol1< indicated (include name / address I phone / type of wol1<): ~ PROPERTY OWNER StGNATURE □AGENT DATE Is lhe applicant or future building occupant required to submit a business pla~ly hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner lt.lzardous Substance Account Act? Yes ~ .r----.. Is the 81)j)iicant or future blilding occupant required to obtain a permit from the air pollution control district or air ~nagement district? Yes J:!!t::>) Is the facility to be constructed within 1,000 feet of the outer boundary of a school sije? Yes ~ IF AAY 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 certify that I have read the application and S1iltethatthe a bow lnfoonation lsconectand that the lnfomlation on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize rei:xesentative of the City of Carlsboo kl enter upon the a!xlve mentioned property tir nsiroion i:,.irposes. I ALSO AGREE TO SA VE, INDEMNIFY mo KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LI.ABILITIES, JUDGMENTS, COSTS #JD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perml is requi'ed tir excavations over SCJ deep and demolioon °' =trudion of slrudures over 3 sl:>ries il height EXPIRATION: E'lery permft issued 17/ the lliJing Offcial uncle,-the pro,.;si'.)ns of lhis COOe shall expire 17/ Imitation and berome nun and \/00 l the buikling 0( \\00( aulhori2ed 17/ sud1 penm is not cxxnmenced l'.ithin 100days tom the date of sud1 penn~°'~the • O(v.Of1<a • i,,,, ft is suspended°'abandoned at anytime afklf the v.Of1< is cornmenoodb' a per'od of 100 days (&lctoo 100.4.4 UnOOO'Tl Building Gooe) . ...@S" APPLICANT'S SIGNATURE DATE \ \ l q l l ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. C [ f: 1 I f i C ,-. T E 0 F 0 C C t: P /. : ' C Y fCor:ir.1crc1al PrOJCCtS 0 n I y) Fax {760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, 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 OCCUPANrs BUS. LIC. No. DELNERYOPT10NS PICK UP: CONTACT (Listed above) OCCUPANT (Usted above) CONTRACTOR (On Pg. 1) ASSOCIATED CBI MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) 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 INSPECTION HISTORY REPORT (CBR2018-3230) . Permit Type: BLDG-Residential Application Date: 11/19/2018 Owner: Work Class: P/M/E Issue Date: 11/19/2018 Subdivision: Status Closed -Finaled Expiration Date: 05/20/2019 Address: IVR Number: 15556 Actual Scheduled Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 11/19/2018 11/19/2018 November 19, 2018 BLOG-23 Gas/Teat/Repairs 076649-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 076648-2018 Checklist Item BLOG-Building Deficiency BLDG-Plumbing Final BLDG-Structural Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS TRUST !SMAIL SHABBIR LIVING TRUST 09-12-12 CARLSBAD TCT#74-25 UNIT#02 2507 Via Rojo Carlsbad, CA 92010-1376 Re inspection Passed Yes Passed Yes Yes Yes Complete Complete Complete Page 1 of 1