HomeMy WebLinkAbout1370 NIGHTSHADE RD; ; CBR2018-0001; PermitI "(7-city of
Carlsbad
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Residential _Permit
Print Date: 05/21/2018
Job Address: 1370 Nightshade Rd
Permit Type: BLDG-Residential Work Class: P/M/E . Status:
Parcel No: 2156411900 Lot #: Applied:
Valuation: $0.00 . Reference #: Issued:
Occupancy Group: Construction Type: . Permit
Finaled:
U Dwelling Units: Bathrooms: Inspector:
Bedrooms: Orig. Plan Check U: Final
Plan Check U: Inspection:
Project Title:
Description: MCARDLE: REPLACE 2 FAU UNITS IN ATTIC - SAME LOCATION
Permit No: CBR2018-0001
Closed - Finaled
01/02/2018
01/02/2018
MColl
5/21/2018 2:30:5312M
Owner: Contractor:
TRUST MCARDLE JAMES AND LINDA 2002 COASTAL REFRIGERATION
TRUST01-03-02
1370 Nightshade Rd 6525 Paseo Frontera, Apt L
CARLSBAD, CA 92011 Carlsbad, CA 92009-4534
760-683-5683
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $170.00
Total Fees: $170.00 Total Payments To Date: $170.00 Balance Due: $0.00
Please take NOTICE that approval of your project includes the "Imposition of fees, dedications, reervations, or other exactions hereafter
collectively referred to asfees/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.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov
BI
- -- - Plan Chk Nnf'(- nnn I
( City of uiiaing Permitppuication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760.602-271.9 Fax: 760-602-8558 C uIsbaI
email: buildlng@carlsbadca.gov
www.carIsbadca.ov
- -
Est. Value
Plan Ck. Deposit
____ Dat =4r-_2_I
JUD AuI)RESS?7J SUITE#/SPACE#/UNiT# APN -
CT/PROJECT # LOT # dr PHASE # # OF UNITS I C BEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
-.
77'1 -W i44c:
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) I FIREPLACE
YES 0 #_ NOD
I AIR CONDITIONING
YES 0 NOD.
I FIRE SPRINKLERS
YES 0 NOD
APPLICANT NAME (Primar, Contact) . PROPERWWNR NAME
1i4' Alnf 1:11.e
ADDRESS ADDRESS ,ed
CITY STATE ZIP CIZPkIA/
STAV
PHONE FAX P NE
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I FAX
EMAIL EMAIL
DESIGN PROFESSIONAL NAME CONTRA' M>
ADDRESS ADDRESS
('ITV STATE ZIP C STATE Z
FAX OE
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J
r7EI'
FAX
EMAIL .
STATE LIC. C ST.lC.# I Ci..a.SS go I CITY BUS. LiC.#
(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 is licensed pursuant to the provisions of the Contractor's License Law iChapter 9, commending with Section 7000 of Division 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
civil penalty of not more than five hundred dollars ($500)).
9®Oc2D3 øIP6C7O®l1
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to sell-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.
g.,Phave and will maintain workers'liqWnsation, as required by S,esllen 3700 of the Labor Code, for the perform; is ISSALed. ork mPensa7cyrnnd policy
52r E.piradon DO number are: Insurance Co. Policy
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01
This sedan need not be completed if the permit is for one hundred dollars ($100) or less. 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 to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' pensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation m as rovided for in Sec on 370601 the Labor code, interest and attorney's lees. . J
,CONTRACTOR SIGNATURE -€ 14'_____., DAGENT DATE
-
,. .'. .. H.
I hereby affirm that! am exempt from Cdntractor's License Law for the following reason:
O I, as owner of theproperty 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
Ucense 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).
O 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:
I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 Yes 0 No
I (have! have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number):
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):
5.1 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):
'PROPERTY OWNER SIGNATURE . OAGENT DATE
4.
?(DOO &3U(3t?UJ ®Q ® UøO?O OOOWe O?8 ®W
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? 0 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? 13 Yes 0 No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 0 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
RGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
X3?D®1ZJ DO@ D3S
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lenders Address '
, . • -.:
IcertifythatI have mad the application and slate thatthe above Information Isconectand thatthe information on the plans lsaccurate. l agree tocomptywith all Cityotnllnances and State laws ielatingto bulldlngconstruction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. [ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LLBILI11ES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 50' and demobtion or construction of structures over 3stories in height.
EXPIRATION: Every permit issued by the Building Official der the provisions of this Code shall expire by Imitation and become nut and void if the buildirrgorwodc authorized by such pemilt is not commenced within
180 days*om thedateof such penniitoriflh tding o authorized by permit is suspended or abandoned at any time after the wojic is commenced for a dod of 1 days (Section 106.4.4 Uniform Building Code).
'APPLICANT'S SIGNATURE
,
DATE Ild j6/8
/
'I PERMITINSPECTIONAISTORi
Permit Type: BLDG-Residential Application Date: 01/02/2018 Owner: TRUST MCARDLE JAMES AND
LINDA 2002 TRUST 01-03-02
Work Class: P/M/E Issue Date: 01/02/2018 Subdivision: CARLSBAD TCT#90-15 UNIT#3
Status: Closed - Finaled ' Expiration Date: 11/19/2018 Address: 1370 Nightshade Rd
Carlsbad, CA 92011-3500
IVR Number: -8629
Scheduled Actual' Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date
0512112018 0512112018 BLDG-43 Air 058534-2018 Passed Michael Collins Complete
Cond./Furnace Set'
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes,
BLDG-Final 058674-2018 Passed Michael Collins Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency ' Yes
'BLDG-Mechanical Final ,
Yes
May 21, 2018 Page 1 of 1