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Home My WebLink About1604 Cormorant Dr; ; CBR2018-2376; Permit( City of Carlsbad Print Date: 09/26/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: 1604 Cormorant Dr BLDG-Residential 2156500309 $0.00 Residential Permit Work Class: P/M/E Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check II: Description: RANDALL: ADD A/C -PREPLUMBED PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST GURBAXANI RANDALL FAMILY TRUST 05-12-14 506 Dahlia Ave, Unit B CORONA DEL MAR, CA 92625 619-855-0141 Total Payments To Date: $175.00 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: BEST SERVICE CO 5360 El Arbol Dr Carlsbad, CA 92008-4318 760-438-3989 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. Permit No: CBR2018-2376 Closed -Finaled 09/10/2018 09/10/2018 9/26/2018 12:07:30PM $175.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov .. ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Checit..IB2.0J&:':-237lo Est. Value PC Deposit ---------- 0 ate _9_._• ..JCl{)..c....._--=-il...,____ Job Address / b O '/ C0t.-M 0'4:tNr Suite: _____ APN: ___________ _ CT /Project#: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning:@/ no BRIEF 0EscR1PT10N oF woRK: -=--A~oo=~_,3~rt:»J!......=._;__::___.,L,4-:.J....L,-='-;__~c===o~,..._,~D.l.L11:~, !=::o~eJ~)..:..:nJ=--b:...i------------ • Addition/New: _____ New SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: SF of affected area -----Is the area a conversion or change of use ? Yes/ No • Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ • Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes / No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ------------------------------------- ~umbing/Mechanical/Electrical Only: _________________________ _ D Other: ---------------------------------------- APPLICANT (PRIMARY) PROPERTY OWNER Name: 13-e-~ ~t:Ht..,)lc~ Con.-P~''"1 Address: S: 3 k o fr'-A"-2•1 ..... })a,. City: CA-,:t-<-6,oA::() State:C--A:: Zip: CZ:zoo e. Phone: ---Z 'e o it::>$ '.>'t f> ~ Name: ~ r-> 1 a_-.A.J i)4<-L Address: I (a o'j &~0~ City: (;._$\--,,Z,.....~1?,A-Cl State: c..~ Zip: ____ _ Phone: ___________________ _ Email:-------------------.~ Email: ____________________ _ ~ CONTRACTOR BUSINESS DESIGN PROFESSIONAL Name: _________________ _ Name: 13.,<;;-:U:: ~&,>q;..,~ Co Address: _________________ _ Address: __________________ _ City: ________ State: ___ .Zip: ___ _ City: ________ State: ___ Zip: ______ _ Phone: _________________ _ Phone: ___________________ _ Email: ____________________ _ State License: Lf·"'\""5""2--i.-'2-Bus. License: ~LJO~ I (3.>0\J )( Email: _________________ _ Architect State 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 B-1 Page 1 of 2 Rev. 06/18 OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby 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 provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. 0 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: _____________________ _ Policy No. _______________ Expiration Date: __________ _ ~icate 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 civil 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 f ees. ONTRACTOR SIGNATURE: •AGENT DATE: 7 -(O-f ~ ----------------------------'--------- ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 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). 0 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). 0 I am exempt under Section ________ Business and Professions Code for t his reason: 1. I personally plan to provide the major labor and materials for construction of t he proposed property improvement. 0 Yes O No 2. I (have/ 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/ phone/ 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/ address/ phone/ 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/ address/ phone/ type of work): OWNER SIGNATURE: •AGENT DATE: ______ _ --------------------------- CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: _____________________ _ 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 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 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? O Yes O 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 M ET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND 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 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: c~ccc~~~~~=========-------DATE: ___._'7_-----'-/_D_---'/-~-- 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph : 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2018-2376) Permit Type: Work Class: Status: Scheduled Date 09/26/2018 BLDG-Residential Application Date: 09/10/2018 P/M/E Issue Date: 09/10/2018 Closed -Finaled Expiration Date: 03/11/2019 Actual Start Date IVR Number: 13803 Inspection Type Inspection No. BLDG-43 Air Cond./Furnace Set 071298-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 071153-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Requested COMMENTS Passed COMMENTS September 26, 2018 Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST GURBAXANI RANDALL FAMILY TRUST 05-12-14 CARLSBAD TCT#90-14 1604 Cormorant Dr Carlsbad, CA 92011-4004 Reinspection Passed No Passed Yes Yes Yes Yes Yes Complete Incomplete Complete Page 1 of 1