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Home My WebLink About2738 VICTORIA AVE; ; CBR2016-0327; PermitPrint Date: 12/13/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2738 Victoria Ave BLDG-Residential 1673911800 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Status: Lot#: Applied: Reference#: Issued: Construction Type: Fina led: Bathrooms: Inspector: Orig. Plan Check#: Plan Check #: Description: HAUGEN: GAS LINE FROM METER TO KITCHEN RANGE (CHANGE OUT ELECTRICRIC RANGE FOR GAS) PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: CO OWNER HAUGEN MARK S&JOAN NE E 2738 Victoria Ave CARLSBAD,CA 92010 Total Payments To Date: $166.00 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, void1 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. Permit No: CBR2016-0327 Closed -Finaled 12/09/2016 12/09/2016 $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Qi)~'lOllo-Oot, 7- ESt. Value Plan Ck. Deposit Date 12.-C\-l\.9 SWPPP CT/PROJECT# EXISTING USE GARAGE (SF) APPLICANT NAME CITY CITY STATE ZIP PHONE FAX EMAIL STATE UC.# SUITEt/SPACEt/UNITI APN # BATHR MS TENANT BUSINESS NAME PATIOS (SF) DECKS (SF) PROPERTY OWN ER ADDRESS STATE FAX CON TR. TYPE OCC. GROUP AIR CONDITIONING YES □No□ ZIP CITY BUS. LIC.# FIRE SPRINKLERS YESO N0O (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 ot Section 7031.5 by any applicant for a permit subjects the applicant to a c1vll penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarat,ons: D I have and will maintain a certificate of consent to self-insure fllf workers' compensation as provided by Section 3700 of lhe Labor Code, for lhe performance of lhe work for which lhis permit is issued 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for lhe performance of the work for which lhis permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ ]]!§, section need nol be completed ~ lhe permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhal in the performance of lhe rk for which this rmit is issued, I shall not employ any person in any manner so as to become subject lo lhe Workers' Compensation Laws of California. WARNING: Failure to secure workers' co pensati coverage I n ful, an shall sub' ct an employer lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to tho cost of compensation, damage ectlo,,;;tlQ&(ifllh I est and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Conlmctor's License Law for fhe following reason: □ □ □ I, as owner of lhe property or my employees with wages as lheir sole compensabon, IYIII do lhe work and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professk>ns Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or lhrough his own employees, provided lhat such improvements are not intended or offered for sale. If, however, lhe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving lhat he did not build or improve tor the purpose of sale). I, as owner of the property, am exciusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves lhereon, and contracts for such projects wilh contractor(s) licensed pursuant to the Contracto(s Ucense Law). I am exempt under Section _____ Business and Professions Code for lhis reason: 1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. O Yes 0 No 2 I (have/ have not) signed an application for a building permit for lhe proposed work. 3. I have contracted wllh lhe following person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number) 4. I plan to provide port,ons of the work, but I have hired the following person to coordinate, supervise and provide the major work (inciude name /address/ phone I 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): ~ PROPERTY OWNER SIGNATURE DATE Is the applicant or future blilding occupant required lo submit a business plan, acutely hazardous materials registration form°' risk management and prevention program under Sections 25505, 25533 °' 25534 of the Presley-Tanner Hazardous Substance Account Act? a Yes a No Is the appllcanl or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feel of the outer bouncary of a school site? a Yes a No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANTHAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. sued (Sec. 3097 (i) Civil Code). Lender's Address I certifythatl have read the application and state that the above infom1ation 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 authorize represenlative of the City of Garlsbad to enler upon the above rnenooned property iJr inspecoon purposes. I ALSO AGREE TO SAVE, INOEMNIFY AND KEEP HARMLESS THE CITY OF CARLSSIID AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pem1it is required for excavations over 5'0' deep and demolition or conslruction of structures over 3 stories in height. EXPIRATION: Every pem1it issued by the Buiding Offcial under the provisons of this Code shall expi'e by lvniation and beCXlme null and voo ~ the buikJing or \\Olk authorized by such pem1it is not cornrnenoed ...;thin 100days 6'om the date of such pem1itor if the buiklng or\\Olk authorized by such pem1it is suspended or abandoned at any lime afterthe\\Olk is oommenced tJr a penod of 100days (Sediln 1(Xi.44 Umbm Building Code). _g 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 . C ': :~ J : .~ J ,: :\ ,· • , ·~ ,-U P '\ i' l C '/ 1 ( 0 Ill ;'11 ' ( ,l I r r O j t' .._ t \ C: n ! 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: 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 ,kS APPLICANT'S SIGNATURE DATE Permit Type: BLDG-Residential Application Date: 12/09/2016 Owner: COOWNER HAUGEN MARK S&JOANNE E Work Class: P/M/E Issue Date: 12/09/2016 Subdivision: Status: Issued -Active Expiration Date: 06/07/2017 Address: 2738 Victoria Ave Carlsbad, CA 92010 IVR Number: 731 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 12/13/2016 BLOG-Final 005507 -2016 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 12/13/2016 12/13/2016 BLOG-23 005253-2016 Passed Paul Burnette Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes January 10, 2017 Page 1 of 1