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Home My WebLink About118 BREAKWATER DR; ; CBR2017-0103; PermitPrint Date: 01/24/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 118 Breakwater Rd BLDG-Residential $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: POINSETIIA COVE HOA: 100A METERED PEDESTAL CHANGEOUT-LIKE FOR LIKE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: POINSETTIA COVE HOA 9665 Chesapeake Dr, Ste 300 San Diego, CA 92123-1326 760-930-7838 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Contractor: THREE PHASE ELECTRIC INC 737 S Vinewood St Escondido, CA 92029-1928 760-781-1100 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. Permit No: CBR2017-0103 Closed -Finaled 01/17/2017 01/17/2017 $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING OFIRE 0HEALTH 0HAZMATIAPCD C_cicyof Building Permit Application Plan Check No.cJ; Q._ ~ l 7 -of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck,. Deposi, email: building@carlsbadca.gov www.carlsbadca.gov Date( \ '7 /I -, ISWPPP o3, JOB ADDRESS 118 Breakwater Rd. SUn£1/&PACEf/UNITI r~ I - -- CT/PROJEl;l # 'LOTS I PHASE# 1 #OF UNITS r BEDROOMS II BATHROOMS 'TENANT BUSINESS NAME rUN<:>TR. I T~E 1 occ. GROUP DESCRIPTION OF WORK: Include Squant Feet of Affected Atea(s) Like for like 100Amp meter pedestal replacement. All line and load wiring/conduit to remain in place. Existing concrete base is to remain in place. New pedestal will meet all SDG&E requirements per attached specifications. EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO I AIR CONDITIONING ' I ARE SPRINKLERS NcQ vesONoD vESONoO APPLICANT NAME Brandon Lombardi PROPERTY OWNER NAME Poinsettia Cove HOA ADDRESS ADDRESS 737 South Vinewood St. 9665 Chesapeake Drive Suite 300 CITY STATE ZIP CITY STATE ZIP Escondido CA 92025 San DieQo CA 92123 PHONE I FAX PHONE FAX 760-670-8047 760-781·1188 760-930-7838 EMAIL EMAIL brendon@hoalighting.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Three Phase Electric ADDRESS ADDRESS 737 South Vinewood St. CITY STATE ZIP CITY STATE ZIP Escondido CA 92025 PHONE PHONE FAX I FAX 760-781·1100 760-781-1188 EMAIL EMAIL brendon@hoaliJ~htinJ~.com ISTATELIC. # STATELIC.# CLASS ICI1YBUBLOS1241620 599757 C10 .. (Sec. 7031.5 Bus1ness and Professions Code: Any City or County wh1ch requ1res a perm1t to construct, alter, 1m prove, demolish or repa1r any: structure, pnor to 1ts 1ssuance, also requ1res the applicant for such permit to file a sil!ned statement tfiat 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 exem.11t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($500)). WORI<ERS' COMPENSATION Workers' Compensation Declaration: I hereby affitm under penalty of petjury one of tile follcwing declllllltions: 0 I have and will maintain a cartillcate of consent to salf·lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permH is issued. lZJ I have and wllll!lllntaln workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance canier and policy number are: Insurance eo. Cypress Insurance Company Policy No. THWC706074 Expiration Date 311012017 lbi§.section need not be completed K the permit is for one hundred dollars ($100) or less. U Certificate of Exemption: I certify that In the performance of the work for which this permH 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 worken' ~sation coverage Is unlawful, and shall subject an employer to criminal penaltlea and civil flnea up to one hundred thousand dollars (&100,000), In addition to the coat of c:ompensallon, dsmagea ea provided for II!JIIqlon ~06 of the Labor code, Interest and attorney's fees. 65 CONTRACTOR SIGNATURE ~ ~L -(ZIAGENT I heteby alfltm that I am exempt from Contractor's Ucanse Law for tile follcwing reason: D I, as owner of lhe property or my employees with wages as lheir sole compensation, will do lhe work and lhe 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 himseff or through his own employees, provided lhat such improvements are not intended or offered for sale. If, llc7tvever, lhe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving lhat he did not build or improve for lhe purpose of sale). 0 I, as owner of the property, am exclusively contracting wilh licensed contractors to ~nstruct lhe project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts lor such projects with contractor(s) licensed pursuant to lhe Contractor's License Law). D I am exempt under Section Business and Professions Code lor lhis reason: 1. I personally plan to provide lhe major labor and materials for construction of lhe proposed property improvement. DYes 0No 2. I (have I have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with lhe following person (firm) to provide lhe proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of lhe work, but I have hired the following person to coordinate, supervise and provide lhe major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indicated (include name I address I phone I type of work): 65 PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicalt or Mure building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? IJ Yes IJ No Is the applicant or Mure building occupant required to obtain a penn it from the air pollution control district or air quality management district? IJ Yes IJ No Is the facility to be cons1ructed within 1,000 feet of the outer boundary of a school site? IJ Yes IJ 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. Lender's Name I certify that I have read the application and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I &glee to comply with all Cit¥ onllnances and Stale laws relallngto buldlng c:onslnldlon. I hereby authorize representative oflhe City of catsbad Ill enter upon the above mentioned property br 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: flro OSHA penmtt is required tlr excavations (lofer 5'0' deep and demolitbn or oonstruction of s1ructures over 3 sklries in t!eght. EXPIRATION: Every penmtt issued by the Building Official under the provisbns of this Code shall expie by imttalion and become nuH and vokl ~the building or v.ork authorized by such penmit is not commenced Wlhin 180 days from the dail of such penmtt or if the buik:lilg or v.ork authorized by such penmk is suspended or abandoned at any time after the v.ork is commenced for a period of 180 days (Section 100.4.4 Unitlrm Building Code) . ...@S"APPLICANT'SSIGNATURE ~ _,.. DATE /-/7- PERMIT INSPECTION HISTORY REPORT (CBR2017 -01 03) Permit Type: BLDG-Residential Application Date: 01/17/2017 Owner: POINSETTIA COVE HOA Work Class: P/M/E Issue Date: 01/17/2017 Subdivision: Status: Closed -Finaled Expiration Date: 07/17/2017 Address: 118 Breakwater Rd Carlsbad, CA 92009 IVR Number: 1457 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 01/24/2017 BLDG-32 Const. 011192·2017 Passed Paul York Complete Service/Agricultural( Temp) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 011193-2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 01/18/2017 01/18/2017 BLDG-33 Service 009966·2017 Passed Paul York Complete Change/Upgrade Checklist Item COMMENTS Passed BLDG-Building Deficiency No January 24,2017 Page 1 of 1