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Home My WebLink About1198 MARIPOSA RD; ; CBR2017-1625; PermitPrint Date: 08/03/2017 Job Address: Permit Type: Parcel No: Val uatlon: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1198 Mariposa Rd BLDG-Residential 2122210900 $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: MULLALLEY: REPLACE 2 EXISTING HVAC SYSTEMS PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: TRUST MULLALLEY MIKE LIVING TRUST 04-29-02 1198 Mariposa Rd CARLSBAD, CA 92011 760-500-8004 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: 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 permlt 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: CBR2017-1625 Closed -Finaled 07/18/2017 07/18/2017 $166.00 $0.00 THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE, 0 PLANNING D ENGINEERING ( City of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# □BUILDING □FIRE □HEALTH OHAZMAT/APCD Plan Check No.(/:>l(;;)o/ Est. Value Plan Ck. Deposit Date ::,,_ APN CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE APPLICANT NAME Primary Contact ADDRESS :S?Zo PHONE MJ-7s EMAIL DESIGN PROFESSIONAL ADDRESS CITY GARAGE (SF) STATE LIC. # PATIOS (SF) FIREPLACE YESO AIR CONDITIONING NoQ YES □No□ ZIP CONffiACTORBJ/lt.JjA~~ J M:5 f/e,. ,v t:!c,oL, ADORES~ :::,'JZtJ CITY STATE LIC.# 67<, 'S5./ CITY BUS. UC.# FIRE SPRINKLERS YES □NO□ (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair any structure, p_rior to its issuance, also requ·rres the applicant for such per_mit to file a signed statement tflat he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_ndmg with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he is exempt 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 civH penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: _ Q, have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sect kin 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ 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' compensation insura carrier and policy numberare:lnsuranceCo. (ff/J:-/2~7 /V/4 fio~ Pol'rcyNo7? 0 0 41/1 3" '7 Y ExpiralionDate_~-9'"'1/.'-"<------ This section need not be completed if the permit is tor one hundred dollars ($100) or Jess. 0 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 lo become subject to the Workers' Compensation Laws of California, WARNING: Failure to secure workers' c satlon coverage Is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), In 3706 of the Labor code, Interest and attorney's fees. I hereby affirm that I am exempt from Contractor's License """"'-""'uwing 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 comµetion, the owner.builder will have the burden of proving that he did not build or improve for the purpose of sale) D □ I, as owner of the property, am exclusively contracting with licensed contractors lo 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 contraclor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section _____ .Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. 0Yes Do 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 / ,(tlone / contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work. [Include name/ address I phone I contractors' license number): 5. / will prov"1de some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work)· _,f'{ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or futute 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? 0 Yes O No ls the ap~icarlt or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the fa::ilily to be constructed within 1,000 ftlet of the outer boundary of a school site? D Yes O 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 hereby afflnn that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 0) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above lnfonnation Is correct and that the infonnation on the plans is acx:urate. I agree to comply with all Cll;yordlnances and State laws relating to buildlng construction, I hereby au~olize "Jlresenlalive of ~e Cify of Carlsbad ID enter upon ~e above menliooed property for inspec!on purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST ALL L~BILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requ.red for excavations over 5'0' deep and demolifioo or coostruction of structures over 3 staies in he(lht EXPIRATION: Every pennit issued by lhe Building Official under lhe provisions of lhis Code shall expire by limitation and become nun and void if the building or mrk authorized by such pennit is not commenced v.ffliin 180 days from lhe date of such pemiit or if the building authorized by sLJC!l pennit is suspended or abandoned at any time after lhe work is oommenced for a period of 180 days (Sectioo 106.4.4 Uniform Buikling Code). ~ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building DivisKln 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DEUVERY OPTIONS 0 PICK UP: □ CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) 0 MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: ________________ _ ,tS° APPLICANT'S SIGNATURE □ ASSOCIATED CB~------------ □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Pcrrrnf l'ypc: Work Class. Statw-· Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 07/18/2017 Issue Date; 07/18/2017 Expiration Date: 01/30/2018 IVR Number: 5097 Inspection No. Inspection Status 08/0312017 08/03(2017 BLDG-43 Air Cond./Furnace Set 030494-2017 Passed August 03, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 030493-2017 Cllccklist Item BLOG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST MULLALLEY MIKE LIVING TRUST 04-29-02 CARLSBAD TCT#97-14 UNIT#01 MARIANO 1198 Mariposa Rd Carlsbad, CA 92011-4204 Re inspection Pi'lSSNi Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1