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Home My WebLink About1480 WINDROSE CR; MP; CBR2018-3364; Permit{city of Carlsbad Residential Permit Print Date: 03/15/2019 Permit No: CBR2018-3364 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: 1480 Windrose Cir, Mp BLDG-Residential $0.00 Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Status: Applied: Issued: Permit Fina led: Inspector: Closed -Finaled 12/05/2018 12/05/2018 Plan Check II: Final Inspection: 3/15/2019 9:34:08AM Project Title: Description: SPECTRUM: REPLACE METER PEDESTAL Applicant: Contractor: VIDEO VOICE DATA COMMUNICATIONS THAI NGUYEN VIDEO VOICE DATA COMMUNICATIONS 12681 Pala Dr 12681 Pala Dr GARDEN GROVE, CA 92841 714-331-0024 Garden Grove, CA 92841-3926 714-897-6300 PLUMBING, ELECTRICAL, AND MECHAN ICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I w ww.carlsbadca.gov $175.00 • Plan Check No. ()(~R:J.Q \Z 7:f3'' ( City of Building Permit Application .,, J I =- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 76().602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov /Jic;J;X Date JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1480 Windrose Cir. Carlsbad CA 92008 -- - I CT/PROJECT# 'LOT# I PHASE# I. OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Place new power supply cabinet 20' south of existing power supply cabinet due to saftey hazards on existing power supply cabinet. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I OECKS (SF) I FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS YES D #_ NO □ YES D NO D YES D NO D APPLICANT NAME (Prlma,y Contact) Thai Nguyen PROPERTY OWNER NAME Spectrum/Charter ADDRESS ADDRESS 12681 Pala Dr 8949 Ware Ct. CITY STATE ZIP CITY STATE ZIP Garden Grove Ca 92841 San Diego Ca 92 121 PHONE I FAX PHONE I FAX 714-331-0024 714-897-2110 858-635-8266 EMAIL EMAIL tnguyen@vvdcomm.net raymond.harns@charter.com DESIGN PROFESSIONAL NAME CONmACTOR BUS. NAME Video Voice Data Communications ADDRESS ADDRESS 12681 Pala Dr CITY STATE ZIP CITY STATE ZIP Garden Grove Ca 92841 PHONE IFAX PHONE I FAX 714-331-0024 714-897-2110 EMAIL EMAIL tnguyen@vvdcomm.net I STATE UC.# STATE UC.# ' CLASS I ICllY BUS. UC.# 821598 B,C7,C10 BLOS1236150 (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 {hat he Is exem.11t 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 lhe following declaralions: ~ I have and will maintain a certificate of consent 10 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. Ill] I have and will maintain workers' com~ensation, 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 number are: Insurance eo. HDI Global Insurance Company Policy No. ewgcc000224 716 Expiration Date 11/14/2019 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate or 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 lo the Workers· Compensation Laws or 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 or compensation, damage prov· ed for in Section 3706 of lhe Labor code, interest and attorney's fees. ,J!S CONTRACTOR SIGNATURE ----□AGENT DATE \ V .s-I I heteby affirm lhal I am exempl from Conlfaclor's License Law for lhe following reason: □ I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of pcoperty who builds or improves thereon, and who does such work himsell or through his own employees, pcovided thal 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 nol build or improve for the purpose of sale}. □ I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe 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 pcojects with contractor(s) licensed pursuant lo the Contractor's License Law). a I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide lhe major labor and materials for construction of lhe p,oposed property improvement. D Yes □ No 2. I (have/ have nol) signed an application for a building permil for lhe proposed work. 3. I have contracted with lhe following person (firm) to provide the proposed construction (include name address I 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 I 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 I type of work}: .J!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 lhe air pollution control district or air quality management district? D Yes D No Is the facility to be conslructed within 1,000 feel 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 ANO THE AIR POLLUTION CONTROL DISTRICT. of the work this penmit is issued (Sec. 3097 (i) Civil Code). Lende(s Address I certifythatl have read tlle application and stile that the above Information is correct and that tlle information on the plans Is aCCtJrate. I agree to oomplywith all City ordinances and State laws relating to buildingoonstruction. I hereby authorize representative of lhe City of Cansbad to enter upon lhe 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 PERW. OSHA: An OSHA pennlt is requ~ed for excavations over 5'0' deep and demolition or construction of sb1.JcbJres over 3 stories ill height EXPIRATION: Every pennlt issued by lhe Building Official under lhe provisions of lhis Code shaU expire by imitation and become nul and void if lhe building or wor1< authorized by such perrm is not roimenced within 180days from lhe date of such pemiit or if the building orwor1< authorized by such permit is suspended or abandoned at anytime al\erlhe wor1< is commenced for a period of 180 days (Sectioo 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE ( "),. ( $ ( Q Permit Type: BLDG-Residential Application Date: 12/05/2018 Owner: Work Class: P/M/E Issue Date: 12/05/2018 Subdivision: Status: Closed -Finaled Expiration Date: 09/11/2019 Address: 1480 Windrose Cir, Mp Carlsbad, CA 92008 IVR Number: 15849 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 03/15/2019 03/15/20 19 BLDG-34 Rough 086185-2019 Passed Andy Krogh Complete Electrical BLDG-Final 086186-2019 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes March 15, 2019 Page 1 of 1