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Home My WebLink About2673 WADSWORTH ST; ; CBR2017-1217; PermitPrint Date: 12/04/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2673 Wadsworth St BLDG-Residential 2081930900 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: P/M/E Stat us: Applied: Issued: Finaled: Inspector: Description: MARASHI: INSTALL GAS LINE TO FIREPLACE & ELECTRICAL TO WATER FEATURE IN BACKYARD Owner: SAEID MARASHI 760-644-3583 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 Contractor: HELCCO 4186 Chasin St Oceanside, CA 92056-3411 760-822-5971 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. Permit No: CBR2017-1217 Closed -Finaled 06/07/2017 06/07/2017 $0.00 $166.00 THE FOL~OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD • 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 Plan Ck. Deposit JOB ADORES -:i_ CT/PROJECT# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -----~· ,.. • EXISTING USE CITY STATE PHONE FAX EMAIL www.carlsbadca.gov Date +-SUITE#/SPACE#/UNIT# APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) DECKS (SF) ZIP STATE e,ft FAX STATE UC.# s+ CONSTR. TYPE QC . R UP +- FIRE SPRINKLERS YES□NO□ ZIPq zos-6 Cl l-ot:J., vO L<A (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 ($5001). Workers' Compensation Declaration: I hereby affirm under penaffy of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' com'lensatlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceeo))';f;'t:J•-u,/.L.)f:1),.1/y -:::-}<JS, Policy No. QW &$ q'°2??'~ 7.Sfxr,irationDate6 -J q-/ + This section need not be completed ~ the permit is for one hundred doll{rs ($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 lo 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, ~es _:,provided lo In Sectlo f_7"-a"'code, Interest and attorney's fees. _,g CONTRACTOR SIGNATURE r~ ~ □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 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 nol apply to an owner of property who builds or improves thereon, and who does such work himse~ 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 lhe property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with conlraclor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. O Yes O 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 /phone/ contractors' license number): 4. I plan lo 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 lo provide the work indicated (include name/ address/ phone/ type of work): _l(S 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D Yes a 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. f the work this permit is issued (Sec. 3097 (i) Civil Code). I certify that I have read the application and state that the above infonnation isconectand 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 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures <JI/er 3 stolies in height. EXPIRATION: Eveiy permit issued by the Bui • I under the provisions of this all e ire bY, imitation and become null and void n the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if1 e b i work authori ed by such ded abandoned at any time after the work is commenced for a period of 180 days (Sectiion 106.4.4 Unnorm Building Code). ~ APPLICANT'S SIGNATURE DATE 6 ..... .-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. cc:nTIrIc11Tc: OF OCCUPANCY { C o 111 111 c r c , ,1 I Pro1ccts O n I I' 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. 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. LIC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o 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 ~ APPLICANT'S SIGNATURE DATE • Permit Type BLDG-Residential Application Date: 06/07/2017 Owner: Work Class: P/M/E Issue Date: 06/07/2017 Subdivision: Status: Closed -Finaled Expiration Date: 12/06/2017 Address: Scheduled Date 06/09/2017 Actual Start Date 06109/2017 12/04/2017 12/04/2017 December 04, 2017 IVR Number: 4188 Inspection Type Inspection No. BLDG-21 Underground/Underf loor Plumbing 025820-2017 Checklist Item BLDG-Building Deficiency BLDG-31 Underground/Condu it -Wiring 025942-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 042167-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLOG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Primary Inspector Passed Jonathan West COMMlcNTS Passed Jonathan West COMMl':NTS Passed Chris Renfro COMMENTS SAEID MARASHI 2673 Wadsworth St Carlsbad, CA 92010-5603 Reinspection Complete Complete Passed Yes Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of 1