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Home My WebLink About2625 WADSWORTH ST; ; CBR2018-0899; Permit' • {city of Carlsbad Residential Permit Print Date: 08/30/2018 Permit No: CBR2018-0899 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 2625 Wadsworth St BLDG-Residential 2081904000 $0.00 Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: Description: SELTSER: GAS LINE TO FIRE BOWL & 8.8.Q. PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Owner: COOWNER SELTSER ADAM J AND JANETTE L 2625 Wadsworth St CARLSBAD,CA 92010 Total Payments To Date: $170.00 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: 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. Closed -Finaled 04/12/2018 04/12/2018 8/30/2018 8:37:58AM $170.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ... ' C City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-271.9 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -ra CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □ # __ NO □ YES □ NO □ YES □ NO □ PROPERTY OWNER NAME rz..::rt-\-5T q Z,D \ 0 ADDRESS CITY ZIP PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME <:::, ADDRESS ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # STATE UC.# CLASS CITY BUS. UC.# (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 Chat he is exempt therefrom. and the basis for the alleged exemption. Any violation of Section 1031.5 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 he,eby affirm under penalty of pe,jury 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 lhe work for which this permit is issued. D I 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' ccmpensation insurance carrier and policy number are: Insurance Co .. _______________________ Policy No. ______________ _ Expiration Date __________ _ This secuon need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensation Laws of California. WARNING: Failure to secure workers· compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided lor in Section 3706 of the Labor code, interest and attorney's fees. ,,1$ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). r:i"--1, 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}. D 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 / 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 I 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 f 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/ address/ phone / type of work): ,,1$ 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 Ha;,ardous Substance Account Act? □ Yes □ No Is the ap~icant 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? 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 certify that I have read the application and state that the above infonnation is correct and 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 pem1t is required for excavations <Nef 5'0' deep and demolition or construction of structures <Ner 3 stories in height. EXPIRATION: Every pem1it issued by the Building Official under the provisions of this Code shall expire by limitation and become nua and void ~ the building or work authorized by such permit is not commenced v.ithin 180 days from the date of such pem1it or ~the building or work authorized by such pem1t is suspended or abandoned at any time after the work is commenced for a peliod of 180 days (Section 106.4.4 Un~oon Building Code). ~ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2018-0899) Permlt Type: BLDG-Residential Application Date: 04/12/2018 Owner: Work Class: P/M/E Issue Date: 04/12/2018 Subdivision: Status: Closed -Finaled Expiration Date: 10/15/2018 Address: Scheduled Date Actual Start Date 04/18/2018 04/18/2018 08/30/2018 08/30/2018 August 30, 2018 IVR Number: 10707 Inspection Type Inspection No. BLDG-23 Gas/Test/Repairs 055449-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 068685-2018 Checklist Item BLDG-Building Deficiency BLDG-Structural Final Inspection Status Primary Inspector Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS Gas stubbed up with shutoff for future fire pit. Ok. No electrical CO0\11/NER SEL TSER ADAM J AND JANETTE L 2625 Wadsworth St Carlsbad, CA 92010-5603 Reinspection Complete Complete Passed Yes Complete Passed Yes Yes Page 1 of 1