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Home My WebLink About1401 Forest Ave; ; CBR2017-1628; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 08/24/2017 Residential Permit Permit No: CBR2017-1628 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1401 Forest Ave BLDG-Residential 1561109600 $5,200.00 www.carlsbadca.gov Work Class: Cogen Status: Lot#: Applied: Reference#: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: CREALOCK: INSTALL 13 FLUSH-ROOF MOUNTED PV PANELS, 4.09KW, NORMA, NO UPGRADE BUILDING PERMIT FEE $2000+ BUILDING PLAN CHECK FEE (BLDG) SB1473 BUILDING STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $136.80 Owner: TRUST CREALOCK PAMELA L REVOCABLE TRUST 11-19-09 1401 Forest Ave CARLSBAD, CA 92008 Total Payments To Date: $136.80 Contractor: ASI HASTINGS INC 4870 Viewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-9300 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 -Fina I ed 07/18/2017 07/18/2017 $0.00 $79.48 $55.64 $1.00 $0.68 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0 BUILDING D FIRE · C_cityof Carlsbad JOB ADDRESS I CT/PROJECT# EXISTING USE APPLICANT NAME CITY EMAIL DESIGN PROFESSIONAL CITY EMAIL 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# Plan Check No. Est. Value Plan Ck. Deposit Date APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS (SF) DECKS (SF) FAX EMAIL EMAIL STATE LIC. # STATE LIC.# 0 HEALTH D HAZMAT/APCD CONSTR. lYPE OCC. GROUP FIRE SPRINKLERS YES0 N00 ZIP 12o:>8 (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 {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or Chat 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}). Workers' Compensation Declaration: I hereby affirm under penany of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-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 D I have and will maintain work 'compensation, as ~ed by Sec~ 3700 of the Labor Code, for the .performarr ~~f cfYer wlji:lljhzi 7r,us:,1-· My workers' compen . i ura e rr" nd policy number are: Insurance Co. rr e't} :,LtJ':). L.' 0 Polley No. a v.. w V I .!._ _ ."2 ~ Expiration Date O I This section need not be completed · permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I ify tin 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 ecu worke mpensatio coverage is unlawrul, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in , amages a pro lded for ection 3706 8'.the Labor code, Interest and attorney's fees. J ~AGENT ~;:;;;:;:;;~~~~ I hereby affirm that I am exempt from Contractors License Law fOf the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do t ork 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 wh oes such work himse~ 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. 0 Yes 0 No 2. I (have I 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 I phone I 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 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 the work indicated (include name I address I phone I type of work): Ji$ PROPERTY OWNER SIGNATURE 0AGENT DATE 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 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? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Ci1yordinances and State laws relating to building construction. I hereby authorize representative of the c· of Carlsbad to enter upon the above mentioned property for rispection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARlv'lESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOG S, OSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penntt is requ · for ex tions s·o· deep and demol'rtion or ~!ruction of structures <Ner 3 stories in height EXPIRATION: Every penntt issued the ilding · un e provisions of this Code shall expire by Imitation and become nun and void ~ the building or WOO< authorized by such permit is not commenced within 180 days from the date of such ; the buikf · by Sidi penntt · spended or abandoned at any time after the WOO< is corrvnence<U period 80 days (Section 106.4.4 Uniform Building 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. CERTlflCAI[ 0 F OCCUfJ.!-\NCY ( C o ni n1 c r c 1 (1 I PrOJc'C,s 0 f1 J ~'; Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB# 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL/ FAX TO OTHER: D CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE "'i1ff1¥'~ ~J,~:'<, PERMIT INSPECTION HISTORY REPORT (CBR2017-1628) Permit Type Work Class: Status; Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 07/18/2017 Issue Date: 07/18/2017 Expiration Date: 02/20/2018 IVR Number: 5101 Inspection No. Inspection Status 08/24/2017 08/24/2017 BLDG-35 Solar Panel 032597-2017 Passed August 24, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 032598-2017 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST CREALOCK PAMELA L REVOCABLE TRUST 11-19-09 1401 Forest Ave Carlsbad, CA 92008-1012 Reinspection Passed Yes Passed Yes Yes Yes Yes Complete Complete Complete Page 1 of 1