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Home My WebLink About1651 OAK AVE; ; CB152482; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 '\. 08~04-2015 Miscellaneous Permit Permit No: CB152482 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 1651 OAK AV CBAD MISC 1562123800 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: CARLSBAD 17-CONVERT INTERIOR OF HOME TO A SAL.ES OFFICE-WITH AN ADA COMPLIANT Applicant: CITY VENTURES HOMEBUILDING INC STE 150 3121 MICHELSON DR IRVINE CA 92612-5679 858-248-7010 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Owner: CITY VENTURES HOMEBUILDING INC STE 150 3121 MICHELSON DR IRVINE CA 92612-5679 858-248-7010 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: ISSUED 08/04/2015 RMA 08/04/2015 08/04/2015 $65.00 $0.00 $0.00 $65.00 Inspector: Fl NAL~~PROV ,AL Date: ti J.-7 / b Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 ou have reviousl been I iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. r' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING D BUILDING D FIRE 0 HEALTH DHAZMAT/APCD ·C Cityof Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNITf Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP APN -00 CT/PROJECT # LOT# PHASE# # OF UNITS # BEOR OMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ~ CT l'l--Oi AIR CONDITIONING FIRE SPRINKLERS YES0 No0 YESO NoO CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE EMAIL STATE UC.# 94~1-o'-f- STATE UC.# "IS4o'-f<J CLASS e, CITY BUS. UC.# \1.'Y!,c.;, (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 ($500)). 7 • WORKERS' COMPENSATION -, ,-., -~,.' Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations: 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 wol1< for which this permtt is issued. I have and will maintain wor1<ers' compensation, as reQu1red by Section 3700 of the Labor Code, for the performance of the wol1< for which this perm~ is issued My workers' compensat,on insura carrier and policy numberare:lnsuranceCo ~ a>Mpra-NS,(\'._..) IN~(u-,N<t' filn.() PohcyNo. -fO{.l(.1'2 ... -1.,o/'f ExpirationDate 19 ~ ~ section need nol be completed tt the permtt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhal in the performance of the wol1< for which th' ued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of Calrtomia. WARNING: Failure to secure workers' com age is u w all subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {& 100,000), in addition to the cost of compensation, damage cti 370 of e, lntere nd attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of lhe property or my employees with wages as their sole compensation, will do the wol1< 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 wol1< himsett or through his own employees, provided thal 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 bulden of proving thal 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 lo 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 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 lhe following person to cooldinate, supervise and provide the major wol1< (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 wol1< indicated (include name I address I phone I type of wol1<): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE Inspection List Permit#: CB152482 Date _ Inspection Item 08/29/2016 89 Final Combo 12/18/2015 19 Final Structural Tuesday, August 30, 2016 Type: MISC OTHER CARLSBAD 17-CONVERT INTERIOR OF HOME TO A SALES OFFICE-WITH AN Inspector Act Comments PD AP PD AP Page 1 of 1