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Home My WebLink About1602 Bittern Ct; ; CBR2017-2919; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/28/2017 Residential Permit Permit No: CBR2017-2919 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1602 Bittern Ct BLDG-Residential 2155907100 $0.00 WALLACE: INSTALL WATER SOFTENER Owner: www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Fina led: Inspector: Contractor: Closed -Finaled 12/07/2017 12/07/2017 TFraz TRUST WALLACE PEGGY A TRUST 08-25-14 1602 Bittern Ct ECOWATER SYSTEMS OF SAN DIEGO CARLSBAD, CA 92011 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 1351 Distribution Way, Ste 9 Vista, CA 92081-8832 760-754-1960 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 $170.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0 BUILDING O FIRE 0HEALTH 0HAZMAT/APCD I . C_cityof Building Permit Application Plan Check No.~~W\1-'.2.0i \0\ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov 1;2..--i-1, www.carlsbadca.gov Date JOB ADDRESS ~~e..'(\f'\. CJ·. SUITE#/SPACE#/UNIT# r PN \ (p-0-'l -- - CT/PROJECT# I LOT# I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~'i'S~"-\\ vv~-ter ~o~\-~ . EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO r lR CONDITIONING I FIRE SPRINKLERS NOD YES O NO D YES O NOD APPLICANT NAME 46\v.~-PROPERTY OWNER f e.'\ '\U We,.\\ <kC.e. Primary Contact l'-( *·"" ADDRESS '3 \ 'l.-2.") S o..\()-ADDRESS \ (oO '2, vvJ LCL U <, "tt-'). \ '?> g \ +t6f t'"\ C.-t. V CITY STATE ZIP CITY STATE ZIP v~~{(., (./, '\13t,2-(.c,-< \~ \o °'-~ cc. °I 'U>\ l PHONE ~ \"l'-"1 ~ 5 -1f(7 k IFAX PHONE -, lq r> -iv~ -i~, IFAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME C,COL-JcJ..\c.r '3 \..( <:. t ~,IV'\ <., 0~ "Sf) ADDRESS ADDRESS v \'?,'5l '() \ ":)\·,.,., \ov..t 1 ""' \,Jo.1 '\\'-'l CITY STATE ZIP CITY STATE ZIP V :S'rc,-(.)r C\'l,Ol"\ PHONE I FAX PHONE 11t,O ·1?~ · \'\ t,O l FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# "\i.'50~\ c. St; (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 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 ($5001). Worl!ers' Compensation Declaration: I hereby affirm under penaNy of perjury one of the following declarations: Qi 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' compensation, as required by Section 3700 of the Labor Code. for the performance of the wor1( for which this permit is issued. My worl(ers' compensati n in ranee carrier and policy number are: Insurance Co. M ( d (. e. "'~I 1 -:C"' ">. Policy No. f\ Dd:\ ~ ~ l lo 5 Expiration Date _'1.--+_l _\ ... 1_1 ____ _ This section need not be completed ~ the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the wor1( for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl(ers' Compensation Laws of California. WARNING: Failure to secure wo rs' compensation 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 e as provided for in Section 3706 of the Labor code, interest and attorney's fees./ R5 CONTRACTOR SIGNATUR UIAGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the wor1( and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does 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 Contractors 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 Contractors 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 wor1(. 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 wor1(, but I have hired the following person to coordinate, supeivise and provide the major wor1( (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 wor1( indicated (include name I address I phone I type of work): R5 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? O Yes D 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? O 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 info1T11ation is correct and that the infolTllation 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 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penntt is required for excavations CNer 5'0' deep and demolition or construction of structures CNer 3 stories in height EXPIRATION: Every pennit issued by lhe Building under lhe provisions of this Code shall expire by rimttation and become nun and void W lhe building or mr1< authorized by such penntt is not commenced within 180 days from the date of such permit or Wlh WOO\ authorized by such penntt is suspended or abandoned at any time after the mr1< is commenced I · of 180 days (Section 106.4.4 Uniform Building Code). _,a$ APPLICANT'S SIGNATURE DATE \ 1/.,, 1 • 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 Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) 0 MAIL/ FAX TO OTHER:----------------- ,IS APPLICANT'S SIGNATURE o ASSOCIATED CB#'------------ o NO CHANGE IN USE / NO CONSTRUCTION o CHANGE OF USE / NO CONSTRUCTION DATE ZIP J:>ERMIT INSPECTION HISTORY REPORT (CBR2017-2919) Permit Type; BLDG-Residential Application Date: 12/07/2017 Work Class: P/M/E Issue Date: 12/07/2017 Status: Closed -Finaled Expiration Date: 06/26/2018 Scheduled Date Actual Start Date 12/28/2017 12/28/2017 December 28, 2017 IVR Number: 8190 Inspection Type Inspection No. BLDG-25 Water HeaterNents 044504-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 044503-2017 Checklist Item BLDG-Plumbing Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: TRUST WALLACE PEGGY A TRUST 08-25-14 Subdivision: PARCEL MAP NO 16304 Address: 1602 Bittern Ct Carlsbad, CA 92011-5003 Primary Inspector Reinspection Complete Tim Frazee Complete Passed Yes Tim Frazee Complete Passed Yes Page 1 of 1