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HomeMy WebLinkAbout2827 WHIPTAIL LP; TP; CBC2017-0413; PermitPrint Dat~: 08/08/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2827 Whiptail Loop, Tp BLDG-Commercial 2091202600 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: Description: CARLSBAD OAKS: LOT 24 TEMP POWER POLE 200A Owner: RAF PACIFICA GROUP 858-314-3116 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Tot al Fees: $166.00 Total Payments To Date: $166.00 Status: Applied: Issued: Fina led: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred t o 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: CBC2017-0413 Closed -Finaled 08/01/2017 08/01/2017 $0.00 $166.00 ···c City of Building Permit Application Plan Check No. CRC/']()J 7 -()L//.~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 780-602~71.9 Fax: 760-602-8558 email: buildlng@carlsbadca.gov Plan Ck. Deposit . www.Q2rlsb2QQa.gov 1' I I /1 7 Date JOB ADDRESS J.15-21 ~Jh'rc\.\ \ L..oof ~'<'>¥ SUITE#/SPACE#/UNIT# IAPN ., - -- CT/PROJECT H I LOTH I PHASE# I# OF UNITS I# BEDROOMS H BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 'T.-A-S-\-~\ I ( 1..) 2.oo ~-,<"':, +e.VV\p oow✓ ~\e ' I \ \ \ c,.,vtJ -tr~: \ <;> < V) ool:"\A f' EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES O #_ NO O YES O NO O YES O NO 0 APPLICANT NAME (Primary Contact) t'-\ i'+c~ .B\'-'-~.I"\ PROPERTY OWNER NAME ADDRESS 3\2-'LS Lo-. B~o-. D-c .it Z.13 ADDRESS 2-4B2'7 W~'0 •113 I (oop w~ CITY Wes-\-{CP\.~ (_),TATE ZIP CITY Gi,r\ok,9-..J STATE ' ZIP q CA q,3ti? C-l'i 2,0(0 PHONE 1 (, ol -715-,~7 I FAX PHONE i Cl} -2'2.0 -'f<ir% J I FAX EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME 'le.-M.....-.. Pt,we~ 'Sws~s ADDRESS ADDRESS 625 ~e.. \ A,()°'-V CITY STATE ZIP CITY Plo.<:~nt,' "'-STATE c~ ZIP q i,'610 PHONE I FAX PHO~ l ~ ~ l (l,) ~ c,, '5 4'1 I FAX EMAIL EMAIL I STATE UC. H STATE UC.# f Pf~ l C 3 ICLASS C\O I CITY BUS{'2'.'1.. t \ 8°'2- (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 exemJ1t 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: C) 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 ol the work for which this permit is issued. ttJ I have and will maintain work~ • compen tion, as required by Section 3700 of the Labor Code, for the performaJJ,e ol the work for which t~~~i~ issued. My workers' compensation insuran carrier and policy number are: Insurance Co. \ < Policy No. DI'-' V l.JC.O l 3 f =1 Expiration Date O I ' This section need not be completed if the permit is for one hundred dollars 00) or less. 0 Certificate of Exemption: I certify that in the performa e of e 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' com a n covera nlawful. 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, damage on 3706 of the Labor code, interest and attorney's feey .Ji:S CONTRACTOR SIGNATURE ,,,,~,_-z,,., !i1'AGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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 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 ol completion, the owner-builder will have the burden of proving thal he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construcl the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner ol 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 exempl under Section _____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction ol the proposed property improvement. 0 Yes D No 2. I (have/ have not) signed an application for a building permil for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 4. 1 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 ol the work, but I have contracted (hired) the following persons to provide the work indicaled (include name/ address / phone / type of work): JiS PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or fut~re 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-Tan~er 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 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl have read the application and state that the above information is correct and that the infomiation 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 inspectioo 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 pemiit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Official er • ions of this Code shall expire by limitation and become null and void~ the building Ol'WOO( authorized by such pemiit is not commenced within 180 days from the date of such pemiit or ff the building or • ed bys ch permit is suspended or abandoned at any time after the WOO( is commenced or ape of 180 days (Section 106.4.4 Unfform Building Code). ,/i5 APPLICANT'S SIGNATURE /~-9'':;...Er DATE % \ 1 Pormit 7ypo: Work Class: Status: Scheduled Date BLDG-Commercial P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 08/01/2017 Issue Date: 08/01/2017 Expiration Date: 02/05/2018 IVR Number: 5395 Inspection No. Inspection Status 08/08/2017 08/08/2017 BLDG-32 Const. Service/Agricultural( Temp) 030991-2017 Passed August 08, 2017 BLDG-Final Inspection 030992-2017 Checklist Item BLDG-Electrical Final Passed COMMENTS Owner: RAF PACIFICA GROUP Subdivision: Address: 2827 Whiptail Loop, Tp Carlsbad, CA 92010-6670 Primary Inspector Reinspection Complete Andy Krogh Complete Andy Krogh Complete Passed Yes Page 1 of 1