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Home My WebLink About2681 WADSWORTH ST; ; CBR2017-1806; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 10/06/2017 Residential Permit Permit No: CBR2017-1806 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2681 Wadsworth St BLDG-Residential 2081931100 $0.00 www.carlsbadca.gov Work Class: P/M/E Status: Lot II: Applied: Reference ti: Issued: Construction Type: Fina led: Bathrooms: Inspector: Orig. Plan Check II: Plan Check II: Description: YUAN: EXTEND EXISTING OUTLET IN BACKYARD// RUN GAS LINE FROM METER TO BACKYARD FOR FUTURE USE Applicant: TUSCANY PAVERS DANIEL OSTERBERG 241 S Twin Oaks Valley Rd San Marcos, CA 92078-4330 866-596-4092 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: JOHN NIE YUAN 2681 Wadsworth St Carlsbad, CA 92010-5603 Total Payments To Date: $166.00 Contractor: TUSCANY PAVERS INC 241 S Twin Oaks Valley Rd San Marcos, CA 92078-4330 866-596-4092 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 t he 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. Closed -Finaled 08/08/2017 08/08/2017 $0.00 $166.00 '·c City of Carlsbad JOB ADDRESS CT/PROJECT# DESCRIPTION OF WORK: EXISTING USE APPLICANT NAME (Primary Contact) CITY ~ PHONE ADDRESS CITY 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#/SPACEH/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME I 'l 'b o..c k PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) #_NOD PROPERTY OWNER NAME ADDRESS z_c,g \,./ ~ STATE Co- FAX CONTRACTOR BUS. NAME STATE ZIP CONSTR. lYPE OCC. GROUP AIR CONDITIONING YES D NO D ZIP ~'2.0 I .,..., Rd. ZIP 8' FIRE SPRINKLERS YES D NOD PHONE 1-c-------~---------11%_6c,)_2_,__,.,· '------'-'"---'-""----'------------j EMAIL EMAIL PHONE FAX FAX 2 STATE LIC. # STATE LIC.H q1 i G.c.. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an~ 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 [hat he is exempt 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 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: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ef1 have and will maintain workers· compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. C..a-k.l :ey :C.., ~ A°:)e.o o/ Policy No. we O \3 -CoJ-3<. s:s:: Expiration Date / -z..-2.0 -W L 7 This section need not be completed if the permit is for one hundred dollars {$100) or less. 0 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 in ection 3706 of the Labor code, interest and attorney's fees. _,i!S CONTRACTOR SIGNATURE ~~~~.,,,,,==--□AGENT DATE "zS" '6 I hereby affirm that I am exempl from ContractOf's License Law (Of 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 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. D Yes □ No 2. I {have I 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 construction (include name address I 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/ address I 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 / address I phone/ type of work) ~ 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 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 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 POLLUTION CONTROL DISTRICT. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl have read the application and state that the above infonnation is correct and that the infonnation on Ille plans is aCCtJrate. 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 LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permrt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under Ille provisions of this Code shall expire by limitation and become nun and void ~ lhe building or work aulhorized by such permit is not commenced wilhin 180 days from lhe date of such permit or~ lhe building or work authorized by such permrt is suspended or abandoned at any time after lhe work is commenced for a period of 180 days (Section 106.4.4 Un~orm Building Code). ,NS APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-1806) Permit Type: BLDG-Residential Application Date: 08/08/2017 Owner: Work Class: P/M/E Issue Date: 08/08/2017 Subdivision: Status: Closed -Finaled Expiration Date: 02/12/2018 Address: Scheduled Date 08/16/2017 Actual Start Date 08/16/2017 10/06/2017 10/06/2017 October 06, 2017 IVR Number: 5553 Inspection Type Inspection No. BLDG-21 Underground/Underf loor Plumbing 031883-2017 Checklist Item BLDG-Building Deficiency BLDG-24 Rough/Topout 031885-2017 Checklist Item BLDG-Building Deficiency BLDG-31 Underground/Condu it• Wiring 031884-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 037000-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Ins pection Status Primary Inspector Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS Inspected underground electrical conduit and gas line to BBQ Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS JOHNNIE YUAN 2681 Wadsworth St Carlsbad, CA 92010-5603 Reinspection Passed Yes Passed Yes Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Complete Complete Page 1 of 1 241 S. TWIN OAKS VALU\' RD, SA:,.,i MA.RCOS 9207!-t l'H:(866)596-4092 (_/' NAME: l<c:roy '{VA'() -r-.J~v'1!))e ADDRESS: '2(p5\ Wo.<is,..roc'I;\::, 'S'r CITY: G;,,~\.,bc:,d ZIP: 92 0\0 PHONE: (H) _______ (C) 7<.,0-'i 1'2. -OG,;,~ DRAWINGS ANO SPECIFICATIONS Contractor's License No: 918762, Classification: 006/012 JI: DRIVEWAY ;is:PATIO i.:l'RONT ia:!IACK'.)ll>IDE FIELD PAVER STYLE(S):.__,.lil!=.-..::....:=-ei:.....,,_,,=.,_,_-1 FIELD PAVER COLOR(S): ~5~aL::::--'¥:2'Ccs:::>.;~-"'"-"'"'-l ____ HEIGHT: _______ COLOR: ____ -I _______ COLOR: ____ --I --------------!SIZE: ----------------1 VA ROCK ::; GLASS o GRAVEL ONLY o NONE CAP TYPE: .J.::C:~; ~=~=~~:::~:~~~=~:~:~:===1~~t~~~;ji~D::,N:::A::.;TU~R,::A::,L_;;G:::A.S:::__::D:.,:P_::R::,:0.:.,:PA:::N:,:E:._...:C:.:,:N::,:0::,N::_E ...j ....<J'..J-"-'='__J""-'"""''-J..1.i...,,=-=-1CAP LN FT_ RECTANGLE D L·SHAPE o OTHER -----------lRETAINING: V/ N ______ LNFT DIMENSIONS: COUNTER DEPTH: BORDER DETAILS: WALL DETAILS: WALL TYPE: _______ COLOR: -----1 .,s_EA_LE_R_: _.£: ___ v_Es __ o_N_O--''---'-""------"-~----ISTEP LN FT: ..12.__ STYLE: -"=="------ICOUNTERTOP: COLOR: ----I l'URl"SQ FT: ___ STYLE: ________ __,STONE: (/,:h,,cv1 INSERTS: c GRILL o DOOR/DRAWER o FRIDGE INFILL: _________ PETS?: o NO o YES TREAD DEPTH: ;i,,<.TBD ON SITE Cl SIDE BURNER O SINK c ---------l PUTTING GREEN SQ FT: ____ # OF HOLES P,,WER'UN"£DGE LN FT: ELECTRICAL OUTLETS: INSIDE: ___ OUTSIDE: DETAILS: OTHER EDGE LN FT: OVERHANG LN FT: ____ STEP UP LN FT: DRAIN LINE LN FT: hO "DIMENSIONS MAY VARY SLIGHTLY PER MATERIAL CAPS:~ TYPE: -l...1.:cz.,...,_C:.>=---------1 OTHER: "INSERTS PROVIDED BY CUSTOMER UNLESS SPECIFIED OTHER: -G6t:r:-leKI . STEP/WALL: __ SPOT: --PATH: -- • rl • ' ~~. • I I I I• I L; _j _.., C,,) DETAILS:. ______________ --! TRANSFORMER WATTS a NEW o EXISTING )< ,::.~•::i~'no..,., -~\-cd •• • • S',-v..i'\'-'.,:,.~ c.~\J b\.;c.1::.. \.,.l,,H ,.:,., '""' ~\' i;),<~••c, ~07 V'V~:C s ?\ '~ f<>--.<. CA:;:· ~,,J,:,-·I:":> ,.,..~i,, ;&q ~ '''.} V M.I ") , . >\-tt.,(l"d . c~J :-?,°1oc.k. w...:11 ~ ,\\o \ft.1~ k'o \ ...... V~ e><i;t.~ ,;,_ -~ I AGREE THAT ALL ITEMS TO BE PROVIDED BY TUSCANY PAVER$ ARE INCLUDED ON THESE PAGES. , CUSTOMER INITIALSt71 __ ·' I