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Home My WebLink About141 Cherry Ave; D; CBR2019-1833; Permit(city of Carlsbad Print Date: 07/16/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 141 Cherry Ave, D BLDG-Residential 2042321500 $0.00 Residential Permit Work Class: lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: P/M/E Description: PACIFIC GENERAL LLC: REPLACE 3/4 GAS LINE 40' FOR GAS METER Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2019-1833 Closed -Fina led 07/12/2019 07/12/2019 7/16/2019 10:02:36AM PACIFIC GENERAL LLC JONES PLUMBING SERVICE INC Po Box 3210 LK HAVASU CTY, CA 86405 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 Po Box 0637 Vista, CA 92085-0637 760-727-4321 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $175.00 ,;- (_ Cicyof Plan Check Est. Value Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PC Deposit--------- Date __ ;?_/.........,_IL=--'-/_l<f_~ Job Address \ l.\. \ (_ J... ~'-:'i ~) e \ D \ Suite: ____ APN: __________ _ CT/Project#: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DESCRIPTION OF WORK: --~---'-~-=JK,,;~ .... f..-"'--_>_(_½...,____~"---"""'........__t.,__,--"--'-\-J_Q_....c.-_~___,~~\----- 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: -------------------------------------~ Plumbing/Mechanical/Electrical Only: __ UA--c_ __ ·~~----"Q-..J~--~~~.__~Uc.....-...J_<s.,,_-=--------- D Other: -------------------------------------- DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: ________ State: ____ Zip: ___ _ Phone: ________________ _ CONTRA<:!OR BUSINESS Name: ~ ...J fL~ Address: f o {1 O e: ~ ":L.- City: I:, t ~ stad,J\r Zip/, Lo ~ S'. Phone: c) 3---'L?r--\...( ] '<. \ Email: _________________ _ Architect State License: ___________ _ ~0 Email: ~ State License:_...,[£ ____ _...._ __ Bus. License: (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 8-1 Page 1 of2 Rev. 06/18 ( OPTION A}: WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following 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 is issued. ~have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the' rformance of the wor~for which thi p,ermit is iss M~ workers' co nsation insurance carrier and.,policy number are: lnsurapce <;o~~y Name: " ._ , · ' C. Policy No. \-\)1..:) \ Expiration Date: j_ 0 \ \'t l -l \ . \ □ 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 employer to criminal penalties and clvll 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: ( OPTION B ): OWNER-BUILDER DEC I hereby affirm that I am exempt from Contractor's license law for the following reas □ I, as owner of the property or my employees with wages as their sole compensation, will do th rk 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 r of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not i ed 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 did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with • nsed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of perty 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 th ajor labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed application for a building permit for the proposed work. 3. I have contracted wi e following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provid rtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' Ii se number): de some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone /type of work): □AGENT DATE: _____ _ ------------------------- · g agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). 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 I ely hazardous materials registration form or risk management and prevention program under Sections 2S505, 25533 or 25534 of the Presle -azardous Substance Account Act? □ Yes □ No ls the applicant or future building occupant require ain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1 et of the outer boundary of a school sitei' □ Yes □ No IF ANY OF THE ANSWERS A , FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF FFICE OF EMERGENCY SERVICES ANO 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 m SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMEN15, 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 5'0' deep and demorrtion or construction of structures over 3 stories in height. 1635 Faraday Ave Carlsbad, CA 8-1 Ph: 760-602-2719 Fax: 760-602·8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06/18 , PERMIT INSPECTION HISTORY REPORT (CBR2019-1833) Permit Type: BLDG-Residential Application Date: 07/12/2019 Owner: PACIFIC GENERAL LLC Work Class: P/M/E Issue Date: 07/12/2019 Subdivision: PALISADES HEIGHTS REFILED Status: Closed • Finaled Expiration Date: 01(13/2020 Address: 141 Cherry Ave, D Carlsbad, CA 92008-8214 IVR Number: 20375 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 07/16/2019 07/16/2019 BLDG-23 097567-2019 Passed Michael ColHns Complete Gas/Tut/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Meter, along CMU wall, underground to Yes Bldg. GMR called in to Debbie. BLDG-Final 097769-2019 Paued Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency GMR called in to Debbie. Yes BLDG-Plumbing Final Yes July 16, 2019 Page 1 of 1