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Home My WebLink About1095 Hoover St; TP; CBR2018-1425; Permit(city of Carlsbad Residential Permit Print Date: 07/09/2018 Permit No: CBR2018-1425 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1095 Hoover St, Tp BLDG-Residential 2061720100 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: VIOLA: INSTALL TEMP POWER POLE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Owner: TRUSTTHE AG MISH TOFF TRUST 06-23-95 4858 Park Dr Carlsbad, CA 92008-3811 760-613-8333 Total Payments To Date: $170.00 Status: Applied: Issued: Permit Finaled: 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 06/14/2018 06/14/2018 7/9/2018 9:19:52AM $170.DO $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov I ' Plan Check No. rD..l<_;:l (l j i--1~ 2.5 (city of Building Permit Application -, 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value Carlsbad Ph: 7~719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov r,. 71 '-l 11 'x' Date JOB A~~~ -e\. CA/tlf'3A0 CA 97LJtJ 9 SUITE#/SPACE #/UNIT# IAPN ·10(,,-\-=j-Z.0-/00 -\(}' ~~•· . I B€1lw1-o,,:J'0'i · TPHASE # T# OF u;ns I# BE.?OMS # BATHROOMS I TENANT BUSINESS NAME 6F7aJ OGG.GROUP l{ ~R-lmNP w~';jd~e Feet of Affected Areal!!) -PJU/f))I~ $:. , ./ {!Qtn~ r . EXISTING USE I PRO?~!L--l GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS LA'"S-YESD #_ NOD YES D NOD YES D NOD APPLICANT NAM~lmary ~t) 1r.J\ (0 PROPE~O~.Erne:' AOO',E~51J f' !ij--flK. f}/L, <:,llt'Tel/lJ ADDRESS Cllt fa (U,.~~ c'Z' cr]oof) CITY STATE ZIP 7lb-l13-S~33 IFAX PHONE IFAX E~DV10<--kfJ$S@ '-/iJ T{(lv ,. C,(rt"Y'--' EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS --·----------- CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE 1FAX EMAIL EMAIL TSTATE LIC. # STATE UC.# I CL.ASS TCITY BUS. UC.# (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to_ c_onstruct, alter, improve, demolish or repair any structure, J)rlOr to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law jChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a crv1I penalty of not more t five hundred dollars {$500)). ave and will maintain a certificate of consenl to 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. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pertomiance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Policy No. Expiration Date _________ _ This section 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 lo 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. ~ CONTRACTOR SIGNATURE 0AGENT 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: Tile 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 .)lffie. 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). pl'" 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 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 D No 2. I {have I 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 nc111e address I 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 I address I phone I contractors' license number): d {hired) the following persons to provide the work indicated {include name I address I phone I type of work): ,# Ji$ PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE TH IS SECTION~ FOR NON· RES 10 ENT I A'li BU IL O ING PERM I '.t\S-0 N LY , ',,s:~,~ -"''" ,,s 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 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? 0 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 infoimation is correct and that the lnfoimatlon on the plans is accurate. I agree to comply with all Cify ordinances and S1ate la~ relating to building construction. I hereby authorize representative of the City of Carlsbad to enter u~n the alxlve mentioned property br inspection PIJl'!XIS€S. 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: AA OSHA pennlt is required for excavations over 5'0' deep and demolition orconstructKln of strucl\Jres over 3 stories in height EXPIRATION: Every pennit issued by the Building cial under the provisions of this Code shall expire by limitation and become null and void if the building oroork authorized by sucil permit is not commenced within 180 days tom ~e da1e of such pennit or if e b · g orv.o~ au1ho/Jrized by ~~uspended or abandoned at anytime after the oork 0 AsToomE menced for a ~riod/of~s:;ays ~&d/bBn 106.4.4 Unifoon Building Code) .115 APPLICANT'S SIGNATURE -V 0 {A_,) --7 -- ' PERMIT INSPECTION HISTORY REPORT (CBR2018-1425) Permit Type: BLDG-Residential Application Date: 06/14/2018 Work Class: P/M/E Issue Date: 06/14/2018 Status: Closed -Finaled Expiration Date: 12/11/2018 IVR Number: 11954 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status 07/09/2018 07/09/2018 July 09, 2018 BLDG-Final Inspection 063383-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Burnette TRUST THE AGMISH TOFF TRUST 06-23-95 BELLAVISTA 1095 Hoover St, Tp Carlsbad, CA 92008 Re inspection Passed No No No No Yes Complete Complete Page 1 of 1