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Home My WebLink About2672 WADSWORTH ST; ; CBR2017-1382; Permitl Pri~t Date: 12/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2672 Wadsworth St BLDG-Residential 2081932000 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check#: Description: MILLARD: RUN GAS LINE FROM HOUSE FOR FIREPIT IN BACKYARD AREA Owner: COOWNER JEFF AND DIANE MILLARD 925-984-6189 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: 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: CBR2017-1382 Closed -Finaled 06/20/2017 06/22/2017 $0.00 $166.00 THE F4JLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING C cityof Carlsbad JOB ADDRESS Q & / 2 CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNIT# #BATHROOMS Oeu1LD1NG Q FIRE Plan Check No. ' Est. Value Plan Ck. Deposit Date SWPPP CONST . TYPE CCC. GROUP DESCRIPTION OF WORK: Include Squaro Feet of Artoctod An,a(s) ._?<. lLl1 l'7 ; n 7 g C<..5 I ; rLJl_ i Vl bC(__ cit<-/ a,A tx.f U-<-.. ~ h ~ -fur -f!t·rcpi'f ~ppv~ I 2 ,P&-f-I ~ EXISTING USE APPLICANT NAME Prtna Contact ADDRESS CITY CITY PHONE EMAIL STATE FAX PATIOS (SF) ADDRESS ZIP CITY PHONE EMAIL STATE UC.# STATE LIC.# FIRE SPRINKLERS YES□No curd S-f. STATE ZIP FAX CLASS CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to ccnstruct. 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 {$500}). Workers' Compensation Deciaralion: I hereby a/firm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for woll<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of lhe w01k for which this permit is issued. LJ I have and will maintain workers' compensation, as required by Section 3700 of lhe Labor Code, for lhe performance of lhe work f01 which this permit is issued. My workers' compensation insurance earlier and policy number are: Insurance Co Policy No. Expiration Date ;Im.section need not be completed if the pennt is for one hundred dollars (S100) or less. LJ 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 mamer 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 Section 3706 of the Labor code, interest and attorney's fees. _,g CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the folbwing reason: [¼J □ □ I, as owner of lhe property or my employees with wages as their sole compensation, will do lhe work and lhe structure is not intended 01 offered for sate (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds 01 improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended 01 offered for sale. If, however, lhe buiding or improvement is sold within one year of completion, lhe owner-builder will have lhe burden of proving that he did not build 01 improve f01 lhe purpose of sale). I, as owner of lhe property, am exclusively contracting wilh icensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contract01's License Law does not apply to an owner of property who builds or improves thereon, and contracts 101 such projects wilh contractor(s) licensed pursuant to lhe Contractor's License Law). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personally plan to provide lhe major labor and matelials for construction of the proposed property improvement. O ves O No 2. I (have/ have not) signed an application for a bLilding permit for lhe proposed woll<. 3. I have contracted wilh the following person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of lhe work, but I have hired lhe following person to coordinate, supervise and provide the maj01 woll< (include name/ address I phone/ contractors· license number): 5. 1 will provide some of the woll<, but I have c tracted (hired) lhe followng persons to provide lhe woll< indicated (include name I address I phone I type of work): _,g PROPERTY OWNER SIGNATURE DATE q J ' Is the applicant or full.re bl.ilding 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-Tamer Hazardous Substance Account Act? O Yes O No Is !he applicant or fulure building occupant required to oblajn a perrrit from !he air pollution con~ol disbict or air quati ty management disbicl? O Yes O No Is !he facility to be consrucled within 1,000 feet of !he outer bOl.fldary of a school site? O Yes O No IF ANYOFTHE ANSM:RS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANTHAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify 1hat I have read the application and state 1hattheabove infonnation is correct and that the infonnation on the pt ans is accurate. I agree to colll)ly llith all City ordinances and Stale law.; relating to building consbudion. I t-ereby authorize represen1ative of the Ofy of Ca1sbad b ener upon 1he above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH WAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm rt is reqiired for excavations over 5'0' deep and oomoilion or constructicn of stuctures over 3 stories in heigit. EXPIRATION: Eve,ypermrt issued by the Buikfing Official unoorthe provisionsof 1his Cooo shall expire by 6mitaron and become nua andvcid if he building orw:irk ailhorized by such penritis notcommenoed w1hin 180 days from the date of such pem,itorif 1he buildingorv.ori< ai ·zed by such permrt is suspenoodoritlanooned atooytime afer1he v.a1< is commerced bra period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE I P.ermit Type: BLDG-Residential Application Date: 06/20/2017 Owner: COOWNER JEFF AND DIANE MILLARD Work Class: P/M/E Issue Date: 06/22/2017 Subdivision: Status: Issued -Active Expiration Date: 06/04/2018 Address: 2672 Wadsworth St Carlsbad, CA 92010 IVR Number: 4539 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete Date Start Date 12/08/2017 BLDG-Final 043032-2017 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 12/05/2017 12/05/2017 BLDG-23 042318-2017 Passed Chris Renfro Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes December 08, 2017 Page 1 of 1