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Home My WebLink About2676 WADSWORTH ST; ; CBR2017-1220; PermitJ' Print Date: 06/19/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2676 Wadsworth St BLDG-Residential 2081932100 $ 0.00 Residential Permit Work Class: P/M/E Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check#: Plan Check#: Description: MA: GAS & ELECTRIC TO BBQ & FOUNTAIN (LESS THAN 6' HIGH) Owner: JIAN MA 858-436-5674 FEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $ 166.00 Total Payments To Date : $ 166.00 (city of Carlsbad Permit No: CBR2017-1220 Status: Applied: Issued: Permit Finaled: Closed -Expired 06/07/2017 06/07/2017 Inspector: JWest Final Inspection: Contractor: GREEN EXPRESSIONS LANDS 3912 Bedford Ave Oceanside, CA 92056-3337 760-653-9967 AMOUNT $166.00 Balance Due: $0.00 Please t ake 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 fo llow the protest procedures set fort h 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 co nnection 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. Building Division 1635 Faraday Avenue, Ca rlsbad CA 92008-7314 I 760-602 -2700 \ 760-602-8560 f I www.carlsbadca.gov EHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □ PLANNING 0 ENGINEERING •• C 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 SUITE#/SPACE#/UNIT# □BUILDING □FIRE □HEALTH Plan Check No.C'.f:R 2..G\ Est. Value Plan Ck. Deposit Date LO -'7 APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL PROPOSED USE STATE FAX STATE FAX GARAGE (SF) PATIOS (SF) ZIP ZIP STATE UC.# STATE UC.# DECKS (SF) CLASS -'I (-i .,.- AIR CONDITIONING YES □No□ CITY BUS. UC.# FIRE SPRINKLERS YES□No□ (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 7031.5 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 penafty 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 Section 3700 of the Labor Code, for the performance of the work for which this permi is is .[:J'1 have and will maintain w,'l{k~rs· compensation,15 required by Seclion 3700 of the Labor Code. for the perfor c f the wo; fQ.C,~h)f!l IJ()rmit is issued. My workers' compensati n i ra e number are: Insurance Co.\ 'Cf< Q-.c. g_ l :0 ::S Policy No. 0 ) ::> 6 .J D Expiration Date_.,_.....,,,-,..~~---- This sect km need not be completed if the permit is for on hundred d rs ($100) or less. 0 Certificate of Exemption: I certify thal in the perfo nee of e ork 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 work ' verage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundr d thou and dollars (&100.000), in addition to the cost of compensation, ection 3706 of the Labor code, Interest and attorney's fees . .JiS CONTRACTOR SIGNATURE O AGENT I hereby affirm thal I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the propertY or my employees with wages as their sole compensation, will do lhe work and the structure is not intended or offered for sale (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 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 tllereon, and contracts for such projects 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. O Yes O No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have oontracted with the following person (firm) to 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 worl\ (include name/ address I phone/ oontractors' 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): .JiS PROPERTY OWNER SIGNATURE □AGENT DATE J ' 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? D Yes D No Is the applicant or future building occupant required to obtain a penmit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ation is correct and that the infonmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize rep AGAINST ALL LIABI OSHA: An OSHA EXPIRATION: Every 180 days from the da o enteru the above mentioned property for inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD D EXPE ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ·9LJ!=..al!!!AS<elef..5'0' d and demolition or construction of structures over 3 stories in height. e provisions of this Code shall expire by limitation and become null and void if the building or work au orized by such penmit is suspended or abandooed at any time after the work is commenced }9;1 pe • ·zed by ch penmit is not commenced within ol 180 ays (Section 106.4.4 Uniform Building Code). DATE (J I ;· STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATI.: or OCCUPANCY /CommL•rc,.il ProJccts 0 n I y) Fax (760) 602-S560, Email building@carlsbadca.gov or Mail the completed form 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 I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) o ASSOCIATED CB# D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: o CHANGE OF USE/ NO CONSTRUCTION ,/l!S APPLICANT'S SIGNATURE DATE Perm it Type: BLDG-Residential Application Date: 06/07/2017 Owner: Work Class: PiM/E Issue Date: 06/07/2017 Subdivision: Status: Closed -Expired Expiration Date: 12/05/2017 Address: 2676 Wadsworth St Carlsbad, CA 92010 IVR Number: 4193 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 06/08/2017 06/08/2017 BLDG-23 025673-2017 Passed Jonathan West Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-31 025672-2017 Passed Jonathan West Complete Underground/Condu it-Wiring Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes June 19, 2018 Page 1 of 1