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Home My WebLink About2649 WADSWORTH ST; ; CBR2017-1425; PermitPrint Date: 10/05/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2649 Wadsworth St BLDG-Residential 2081930300 $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: SETVANPOUR: GAS TO BBQ & FIRE PIT// ELECTRIC TO BBQ & WATER FEATURE (LESS THAN 6' IN HEIGHT) Owner: Contractor: Perm it No: CBR2017-1425 Closed -Finaled 06/26/2017 06/26/2017 JWest T SETVANPOUR GREEN EXPRESSIONS LANDS PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 2649 Wadsworth St Carlsbad, CA 92010-5603 Total Payments To Date: $166.00 3912 Bedford Ave Oceanside, CA 92056-3337 760-653-9967 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. $166.00 $0.00 THE F LLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD -( 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 Noe£>R20\7-lv\2.'5 Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE 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 LIC. H STATE LIC.H AIR CONDITIONING NO□ YES □No □ CLASS -C:/l CllY BUS. LIC.H FIRE SPRINKLERS YES□No□ 0 0 (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 ($500)). Worl<ers' Compensation Declaration: I hereby affirm under penaffy 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 Seclion 3700 of the Labor Code, for the performance ol the work for which this permi is tiss ed. DI have and will maintain woft~; compensation, eQuired bf ~ion 3700 of the Labor Code, for the_performanf.~lurk"'.:wh~~Bissued. My workers' compens • i ;~y c,arlie9~nd policy number are: Insurance Co._!1~ V,ul'!J~~~~~-_!l~..:::_~1_ _______ Pohcy No. ~/1!_ 7 { ::> (> ::> Expiration Date---~-~•~~----- This section need not be completed if lhe permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that i the performan he 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 salion 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 __ '7P...._, d for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGN □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 empioyees 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 ol 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 wilh contractor(s) licensed pursuant to the Conlractor'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. O v es O No 2. I (have I have not) signed an applicalion 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 to 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 to provide the work indicated (include name I address / phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicart 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 feet of the outer boundary of a school site? D 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 worl< this permit is issued (Sec. 3097 (i) Civil Code). Lende(s Address I certify that I have read the application and state that the above infonnation is correct and thatthe 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 AGAINST All LIABllrTIES, JUDGMENTS OSHA An OSHA penntt is required for ex EXPIRATION: Every pennit issued by the 180 days from the date of such pennit or • e above mentiooed property for inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD S WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. and demolition or construction of structures over 3 stolies in height. e provisions of this Code shall expire by limitatioo and become null and void if the building or woo authorized by such pennit is not commenced within tt is suspended or abandoned at any time after the ~::menced for 2~ 101106.4.4 Uniform Building Code). STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at fin al inspection. C E R -, I F l C P, T E OF OCCUf'ANCV {Comn1erc1c1I P101ccts 0 n l y) Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, 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 D PICKUP: 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 ,,S APPLICANT'S SIGNATURE DATE Permit Type: BLDG-Residential Application Date: 06/26/2017 Owner: T SElVANPOUR Work Class: P/M/E Issue Date: 06/26/2017 Subdivision: Status: Closed -Finaled Expiration Date: 12/26/2017 Address: 2649 Wadsworth St Carlsbad, CA 92010-5603 IVR Number: 4625 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 06/27/2017 06/27/2017 BLDG-84 Rough 027321-2017 Failed Jonathan West Reinspection Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-34 Rough Electrical Electrical not buried. No 06/28/2017 06/28/2017 BLDG-21 027396-2017 Passed Jonathan West Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-31 027397-2017 Passed Jonathan West Complete Underground/Condu it -Wiring Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 10/05/2017 10/05/2017 BLDG-Final 036833-2017 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes October 05, 2017 Page 1 of 1