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Home My WebLink About1331 Knowles Ave; TP; CBR2019-1836; Permit{city of Carlsbad Residential Permit Print Date: 07/19/2019 Permit No: CBR2019-1836 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1331 Knowles Ave, Tp BLDG-Residential 1561641300 $0.00 Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: Description: HUELSEBUSCH: TEMPORARY POWER POLE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST HUELSEBUSCH MELODY SEPARATE PROPERTY 2004 TRUST 1331 Knowles Ave CARLSBAD, CA 92008 Total Payments To Date: $175.0D Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: BA WORTHING INC 640 Grand Ave, G Carlsbad, CA 92008-2365 76D-729-3965 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 07/15/2019 07/15/2019 7/19/2019 3:33:SlPM $175.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov {cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check {b6';;i c:il '.f. tf.3'a Est. Value PC Deposit --------- Date 7 -/ S--/ Cf Job Address __ I ~-"---0_1 _,_\<'_,_,rJ=(D.._IN=..,..\ e=-7-_,_&--"'-v ..... e ____ .Suite: -APN: \'?{p -1'14 -t:~ 00 CT /Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes / no BRIEF DESCRIPTION OF WORK: 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes / No 0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ ~ Other: _____ TL~'-'~~,.__-11,~..aOLJ.\.,_t,ru;;e/""'------------------- PROPERTY OWNER Name: -1.!.l~W!l,_!:l..l.l=:.L:!:'.!~~:'...'.....!..---Name: ~ «J:elo A,' I-hr el ?e k:>u~b. Address: Address: __ ..,,__ __ ....,~~------------ City: M:2Latti-State: CJa--Zip: g 't 00"2 City: bwJ State: __ .Zip: ___ _ Phone: 1teO -1'1--&j -~h;;> Phone: _______________ _ Email: '8'-A W or-Hit~ 'DJ£-«€, 1-tJwo~ Email: _______________ _ DESIGN PROFESSIONAL Name: '0<-ooK-2 lA}c,{.!Jit~ Address: G4-0 6,~cl k-J,e.pu ite l:i City: l'M:f?bcl State:~ Zip: tz:zmei Phone: 7v, Q '1'Uf !,,::ft;:5' Email: ~A woc+~ il't 'D{t.-A-h.o GO tate License: ;;,<3 2..B q ± CONTRACTOR BUSINESS Name: :B A jAJ.Q:,Q}__h~' ~l-- Address: /44-o l:lf#lll .hll1}e.6 City: Q,.rl6@A1\ Sta;(tZip: qu;o?;J Phone: 1(RD -12"/ -:M(,,7 Email: e,A ~~ 'L'c¾-e! .14~. c,mm State License:.J;#,i-'~=~'"k'--•1':+-Bus. Licen1:. _____ _ (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/she 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/she 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 civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760·602-8558 Email: Building@carlsbadca.gov ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the fol/awing declarations: □ I have and will maintain a certificate of consent to self•insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit ls issued. §ti have and will maintain worker's compensation, as required by Section ~700 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: lnsurancefomaany Name: C L/f2~ 'Crt":2, I' n Policy No. '.€> A \,\) C. <=f I oQ I '.22 Expiration Date: I 1 _ I /I<?, D Certificate of Exemption: I certify that ln_the performance of the work for which this permit ls issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: □AGENT DATE: _____ _ ( OPTION B }: OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law □ 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 completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ 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). □ 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. □ Yes □ No 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/ phone/ 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/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: __________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY. IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is Issued (Sec. 3097 (I) Civil ~ode). Lender's Name: ____________________ Lender's Address: ___________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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 Accoµnt Act? D Yes -0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have rE!ad the application and state that the above information is correct and that the Information on the plans is accurate. I agree to con,ply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the Oty of Carlsbad to enter upon th~ above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, IND~MNlf:Y AND KEEP HARMLESS THE cnv OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND El(PENSES WHICH MAY IN Am WAY ACCRUE0AGAINSTSAID cnv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavatfons over 5'rt deep and demolition Or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ___________________ DATE: _______ _ 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06118 PERMIT INSPECTION HISTORY REPORT (CBR2019-1836) Permit Type: BLDG-Residential Application Date: 07/15/2019 Owner: TRUST HUELSEBUSCH MELODY SEPARATE PROPERTY 2004 TRUST Work Class: P/M/E Issue Date: 07/15/2019 Subdivision: Status: Closed -Finaled Expiration Date: 01/15/2020 Address: 1331 Knowles Ave, Tp Carlsbad, CA 92008-1548 IVR Number: 20379 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspectlon Complete 07/19/2019 07/19/2019 BLDG-32 Const. 098149-2019 Passed System Administrator Complete Service/Agricultural( Temp) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 098150-2019 Passed System Administrator Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency PD, release sent to SDGE Yes BLDG-Electrical Final Yes July 19, 2019 Page 1 ot1