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1347 Cassins St; ; CBR2019-1716; Permit
(city of Carlsbad Print Date: 09/05/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1347 Cassins St BLDG-Residential 2156902700 $0.00 Residential Permit Work Class: Cogen Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: BENNETT: 5 KW BATTERY INSTALL TO (E) SOLAR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $17S.OO Owner: TRUST BENNETT LIVING 1347 Cassins St CARLSBAD, CA 92011 Total Payments To Date: $175.00 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: NB BAKER ELECTRIC INC 2120 Harmony Grove ESCONOIOO, CA 92029 442-257-0877 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 accord_ance 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: CBR2019-1716 Closed -Finaled 07/02/2019 07/02/2019 9/5/2019 8:52:48AM $175.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check C8fc'2.0t"{-l-=1!6 Est. Value PC Depo,it --------- ( 2 ,✓• Date """Tl<-1/ / ::i Job Address __,_/ J:...._'1,__7_-=(_'--'a:"'--"'~-\..._f_,_/\-'-'-\ ____.c..5.~t,__ ____ Suite: ___ APN: -U S 6 9 o ?.. 7 o 0 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, ·,lyes 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: _________________________ _ [;Y Other: · ]v ±:\ V ( 4-j J 6 A APPLICANT (PRIMARY CONTACT) Name: \,ycc1~ i.,;1 (L{ / Dc..n\ / Llk-l,,c.._A,., Address: '2 I 2° ).\ti.Ill\}" 'J 1111 >" ._ City: fA(P" c.¢• State: l B Zip: tiZ.o"l...~ Phone: "76o !,(('-boLL Email: I,., V j) I-<, ©Ptk< r A.<#--,c. fl\ ffJ'f. . <..•,-, DESIGN PROFESSIONAL Name: ________________ _ Address: _______________ _ City: _______ State: ___ .Zip: ___ _ Phone: ________________ _ Email: ________________ _ Architect State License: __________ _ PROPERTY OWNER ~ Name: Pr., L-/ "-Tiu, I\ \l... T.L Address: I ]<(7 (c,. JI ,,,,, I & }<(....J:c1 City: (r,,; h l,i.. ) State: l/± Zip: '12 o/ / Phone: 76o'::(J,o7Lf Email: J7mc.b £ Ct, I\ ce,:i Le Sf"''-· I. V'f\, CONTRACTOR BUSINESS Name: 13,cKe.( l~cl--lL e11er,;-t: Address: 2...l]_o J±WM ~,1 7, l1i(u City: eu •)'1j .)~ State: {fl Zip: ftLc.,2 tj Phone: l( ~z_ -'2. t;°7 -0~77 Email: J)bt.L.J~ (}.11(a)T?,.../,,_if}ur,'--e"J5t.,,Cotli State License: 'j >'3 DX3 Bus. License: TIJo,> ) 21.) I oL (S<.:!C. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or r<!pair any structure, prior to it5 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 lic<:!nse Law (Chaptar 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 B-1 Page 1 of 2 Rev. 06/18 { OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty af perjury one of the fa/lawing declarations: □ I ha,,e 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 is issued. □ I have and will maintain worker's compensation, a_s required by Section 3700 of the Labor Code, for thererformance of the work for which this permit 1s issued. My workers' compensation insurance earner, and policy number are: Insurance Comf.a,;. Name: 0 J / ;! /) t...k, I , ( J h j L"' / t""'-(...£ Policy No. /l1 W L ] / 2= S: S: S It'.( Expiration Date: :'.3 · -~ • 1::I 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 be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an e loyer 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 Co e, interest and attorney's fees. CONTRACTOR SIGNATURE: fk~~==~==============---□AGENT DATE: _1 __ 1 __ +q ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractors License Law for the following reason: □ 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 704..\, 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 offer:!d for sale. If, however, the building or improvement is sold w1tnm 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 propert'/ 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. □ Y2s □ 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. l 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): S. I wilt 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 performanc2 of the work this permit is issued (Sec. 3097 {i) Civil Code) Lender's Name: _____________________ Lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR ~ION-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 Account Act? □ Yes O 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 !F 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. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the 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 cm IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' 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 b lding or 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 a andoned rk authorized tany time after the work ls commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 DATE: _/__,'2-+_{~q Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2019-1716) ' ", ' Permit Type· BLDG-Residential Application Date: 07/02/2019 Owner: TRUST BENNETT LIVING Work Cl;:iss· Cogen Issue Date: 07/02/2019 Subdivision: CARLSBAD TCT#90-36 UNIT#02 Status: Closed -Finaled Expiration Date: 03/03/2020 Address: IVR Number: 20134 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 09/06/2019 09/05/2019 September 06, 2019 BLDG-34 Rough Electrical 103183-2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 103184-2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Paul York COMMENTS Passed Paul York COMMENTS 1347 Cassins St Carlsbad, CA 92011-4857 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1