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Home My WebLink About1515 Grady Pl; ; CBR2017-1814; PermitCity of Carlsbad v 1635 Faraday Av Carlsbad, CA 92008 Print Date: 09/28/2017 Residential Permit Permit No: CBR2017-1814 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1515 Grady Pl BLDG-Residential 2070215200 $0.00 HOLLAND: NEW A/CW/ ELECTRICAL Owner: www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 08/09/2017 08/09/2017 TRUST HOLLAND-GARBAT REVOCABLE TRUST 05-27-15 ACTION AIR CONDITIONING HEATING AND SOLAR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 1624 Ave Adante OCEANSIDE, CA 92056 Total Payments To Date: $166.00 2750 S Santa Fe Ave San Marcos, CA 92069-5928 760-727-4152 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 wilt 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. $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH 0 HAZMATIAPCD . C_Cityof Building Permit Application Plan Check No.Cf>R2.()l"1-/P\IL.! 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov li-l.-q -11 www.carlsbadca.gov Date JOB ADDRESS \S\S ~\-SUITE#/SPACE#/UNIT# IAPN 0<~'-\_ --- CT/PROJECT# l LOT# V 'PHASE# I* OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONS TR. TYPE l OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) w/ e,l'<..L+.,~c;,•J t,..t._w ,fl./<. C.(<C.l1.1+ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING l FIRE SPRINKLERS YESO NO• YES •No• YES•No• APPLICANT NAME {'J\ \ Primary Contact \-\,c1', 'RI. .. u °'""' PROPERTY OWNER i✓ a. d \.\,, II • "-b ADDRESS '3 \'l-'2-S Lo.. ~"':\ct. £Jr. ~1,,.13 ADDRESS 15 \? &r .... c\4 fl. CITY STATE ZIP q I ~" 2-. CITY '-STATE f'f\ ZIP q1.,ooi ~-;-\-\ "'-',;-(/_ Ci\ rAcl~b°'-0 PHONE'bl,g-• /JTj~ Ji°7 /,;, I FAX PHONE I FAX 7 (gel ~51 '(" ~ 4"711° EMAIL EMAIL DESIGN PROFESSIONAL CONffiACTOR BUS. NAME .n. ;f \ .A,, (,; ' 0 "'-ADDRESS ADDRESS '2, 1 '5 t) <s. ')1/J'\,P.., ""ft !'IV.£. CITY STATE ZIP CITY".)°"" STATE C.,.A, ZIP qv,i::,') \,/\d,.,C' t" ', PHONE I FAX PHD~{go-7'2,7-~1 St~ IFAX EMAIL EMAIL I STATE UC.# STATELIC# 5oq1so, I CLASS 1 j b I CITY BUS. UC.# lUI ti.{; (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 permit to file a si~ned statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code} or fhat he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/arafions: ~ave 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. l.t'.'.11 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for w ich this permit is issued. My workers' compensation in ranf: arrier and policy numberare:lnsuranceCo. 0,.t: ..\,~--vJ€.'S,,+ -~---Policy No. 'S06()2 0 Expiration Dale 3 r? 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 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' com s Ion coverage is unlawful, and shall subject an employer to cri~inal P. nalties and civil fines up to one hundred ousand dollars (&100,000), In addition to the cost of compensation, damag a pr 1d for in Se ·on 3706 of the Labor code, interest and attorney's fees. Rf CONTRACTOR SIGNATURE /4~~----AGENT DATE is, I hereby affinn that I am exempt from Contractor's 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. 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). 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 conlractor(s) licensed pursuant to the Contractor's License Law). / am exempt under Section ____ Business and Professions Code for this reason: 1. ! personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) s~ned 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 11umber): 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/ phone I type of work): k!J PROPERTY OWNER SIGNATURE •AGENT DATE I 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-Tanr:r Hazardous Substance Account Act? • Yes • 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 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 lnfonnation is correct and that the information on the plans is aoouratB. I agree to oomplywlth all City ordinances and State laws relating to building construction. I hereby authorize representative of lhe Cily of Cartsbad to enter upon lhe 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. 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 pennit issued by the Building Official derthe provisions of this Ccxle shall expire by limitation and become nuD and void if the building or work aulhofized by such permit is not commenced within 180 days from the date of such pennit or if th bu' in aulhorized by such pennit is suspended or abandoned at any time after the W:>rk is commenced for a pelioo of 180 days {Section 106.4.4 Unifoon Building Code). DATE 1": 11 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. 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 FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS • PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) • CONTRACTOR (On Pg. 1) D MAIL TO: o CONTACT (Listed above) CJ OCCUPANT (Listed above) • ASSOCIATED CB#•------------ • CONTRACTOR (On Pg. 1) • NO CHANGE IN USE/ NO CONSTRUCTION •MAIL/FAX TO OTHER: ________________ _ • CHANGE OF USE/ NO CONSTRUCTION AS APPLICANT'S SIGNATURE DATE 7' ' " ' ~ 1 'r \ , · ~ . PERMIT INSPECTION HISTORY REPORT (CSR2017-1814) · ' ' ' ' ti Permit r"'ypc: BLDG-Residential Application Date: 08/09/2017 Work Class: P/M/E Issue Date: 08/09/2017 StatlJS: Closed -Finaled Expiration Date: 03/27/2018 Scheduled Date Actual Start Date --------- 09/28/2017 09/28/2017 September 28, 2017 IVR Number: 5578 Inspection Type Inspection No. BLDG-43 Air Cond./Furnace Set 036134-2017 BLOG-Final Inspection Checklist Item BLOG-Building Deficiency 036133-2017 Checklist Item BLOG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST HOLLAND-GARBAT REVOCABLE TRUST 05-27-15 CARLSBAD TCT#72-15 1515 Grady Pl Carlsbad. CA 92008-3633 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1