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Home My WebLink About141 Cherry Ave; ; CBR2017-2519; Permit(city of Carlsbad Residential Permit Print Date: 04/10/2018 Permit No: CBR2017-2519 Job Address: Permit Type: Paree\ No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 141 Cherry Ave BLDG-Residential 2042321500 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Flnaled 10/19/2017 10/19/2017 Plan Check#: Final Inspection: 10/20/2017 9:44:42AM Project Title: Description: PACIFIC GEN., LLC: GAS LINE REPAIR Owner: PACIFIC GENERAL LLC Po Box 3210 LK HAVASU CTY, CA 86405 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 Co-Applicant: DM BUILDING INC 3520 Seagate Way Oceanside, CA 92056-2680 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 NOTlFIED 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $170.00 · (cicyof Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 78CMI024719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date JOB ADDRESS SUITE#/$PACE#/UNIT# IAPN ---P-H CHE;.IZ/Z'i SmEE-T CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS [TENANT BUSINESS NAME .. I CONSTR. TYPE I CCC. GROUP DESCRIPTION OF w;;_K: Include Square Feet of Affi7. Area(s) rA--C. L,~e ·-=-p1.,~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I ·FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESD #~ NOD YES O NOD YES O NOD APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME --· ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME r-, M r:z,, .. , "'J• ,,._ ADDRESS ·--ADDRESS # CITY ~ ~mt;~ 3S-W SF. CITY STATE ZIP ('_ll...ttC.tt.a.....,... STATE CA-ZIP q l.f:(;Fb PHONE I FAX PHONE ~ l~ -z1oo ;so 78'/L/ 7<RO f.t, lj 1-/ · 0 i I Lf -EMAIL EMAIL I STATE LIC. # STATE UC.# q3q535Q 1'~1 l"f~~'~o7 (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any structure, pnor to its issuance. also requires the applicant for such per.mil to file a siJ;!ned statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of D1vis1on 3 of the B_us1ness and Professions Code} or fuat he 1s exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$5001). ""'woRKERS' COMPENSATION Workers' Compensation Declaralion: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 I have and will maintain workers' co?rnsation, ~s required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is~ed. My workers' compensa~ion'J' suranc1arrier an9 policy number are: Insurance Co. 19& l 1 ) \A j (. a ;j :1, 3 53 J s:: Policy No. M IQ we.. s, f-:.t..tte l OM f'Expiration Date 11ro t z:. ,c, J :b This section 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' compensation coverage is unlawful, and shall subject an employer lo criminal penalties and civil fines up lo one hundred thousand dollars (&100,000), in addition to the cost of compensation n 3 0"6~ Labor code, interest and attorney's fees. _15 CONTRACTOR SIGNATURE 0AGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: a 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). D 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). a 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. D Yes a 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 lo provide the work indicated (include name I address I phone/ type of work) _k5 PROPERTY OWNER SIGNATURE 0AGENT DATE ; itoMPLETE THIS SECTION FOR NON•RESIDEliiTIAL BUILDl-~ra PERM,IT-s' ONL'Y ' ,, ,, ~ j -"-JL.. k " '~ j 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 lo obtain a permit from the air pollution control district or air quality management district? D Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 information lsoorrectand that the information on the plans Is accurate. I agree to oomplywith all Clfyordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsbad 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 LIABILrTIES, 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 required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eveiy permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void W the building oroork authorized by such permit is not commenced VJithin 180 days from the dale of such permit · · · wor1< · · · or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code}. ,/15 APPLICANT'S SIGNATURE DATE q ,, / ' ,;,fjJ, "1¥0, ' rH°fyfat'.;; , 4' ' 1f'L1 t' ' ", {' '!, c ~d,li·', • • . ,, , , ::PE~Mff INSPECTIO~ t\(fstG,Bt REPORT (CB.~2017;2819) . , , , Pcrrnit Type,: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 10/19/2017 Issue Date: 10/19/2017 Expiration Date: 04/18/2018 IVR Number: 7101 Inspection No. Inspection Status 10/20/2017 10(20/2017 BLOG-23 GasfTestfRepaln. 038274•2017 Passed BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 038275-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final ---------·---·-------- April 10, 2018 COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro PACIFIC GENERAL LLC PALISADES HEIGHTS REFILED 141 Cherry Ave Carlsbad. CA 92008-8214 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1