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Home My WebLink About1706 Evergreen Cir; ; CBR2017-2147; PermitPrint Date: 10/13/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1706 Evergreen Cir BLDG-Residential 2050807000 $0.00 BLODGETI: REPLAFCE FAU PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Owner: TRUST BLODGETI FAMILY TUST 09-10-09 1706 Evergreen Cir CARLSBAD, CA 92008 Total Payments To Date: $170.00 Status: Applied: Issued: Fina led: Inspector: Contractor: WEST COAST APPLIANCES 1256 Fayette St EL CAJON, CA 92020-1511 619-557-0446 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: CBR2017-2147 Closed -Finaled 09/14/2017 09/14/2017 $0.00 $170.00 Building Permit Application Plan Check No. (\t{l '2;() 1'"1. Zt~l 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 271812719 Plan Ck. Deposit Fax 760-602-8558 www.car1sbadca.gov DattC\-(~-\ 1 I JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 205 1706 EVERGREEN CIR -080 -70 -00 CT/PROJECT# I LOT# I PHASE# · 1 # OF ~ITS I # BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I co;;ATY~E I ~G;;P DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACEMENT OF FAU 80,000 BTU EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESQ# NcQ vEs[Z]NoO YEs O NoO CONTACT NAME (If Different Fom Applicant) SYNDIE PICH APPLICANT NAME ADDRESS ADDRESS 1256 FAYETTE ST CITY STATE ZIP CITY STATE ZIP EL CAJON CA 92020 PHONE IFAX PHONE IFAX 619-557 -0446 619-448-3708 EMAIL EMAIL westcoastheatcool(@,gmail.com PROPERTY OWNER NAME CAROL BLOOGETTE CONTRACTOR BUS. NAME WEST COAST APPLIANCE SERVICE INC. ADDRESS 1706 EVERGREEN CIR ADDRESS 1256 FAYETTE ST CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92008 EL CAJON CA 92020 PHONE PHONE IFAX IFAX 760· 729-6867 619-557-0446 619-448-3708 EMAIL EMAIL westcoastheatcool@,gmail.com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# te10, c20r'TYBUS.LIC.1211147 810930 (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 sil(ned 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 !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars ($500]). Wor1<ers' Compensation Declaration: I hereby affirm under penalty of peljury one of the following dedarations: 0 I have and will maintain a certificate of consent to self,lnsure formers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wort< for v.tiich this permit is issued. [Z] 1 have and will maintain wor1<ers' compensation, as reQuired bv Section 3700 of the Labor Code. tor the performance of the wort< for v.tiich lhls permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co GRANITE STATE Polley No. wc.001.s1.09n Expiration Date 02-11 J:l!ii, section need not be completed ~ the permit Is for one hundred dollar.; ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the wort< tor v.tiich this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal~omia. WARNING: Failure to secure wor1<ers' compensation coverage is unlawful, d 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, damages as provided for In Section 3706 of the La r e, interest and attorney's fees. JiS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, wifl do the wort< and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property \\tlo builds or improves thereon, and v.tio does such wort< himse~ or through his own employees, provided that such improvements are not intended or offered for sale. If, however, lhe building or improvement is sold within one year of completion, the owner-builder will have the burilen of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of property v.tio builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractofs License Law). D 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 O ves 0 No 2. I (have I have not) signed an application tor a building permit tor the proposed m. 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 wort<, but I have hired the following person lo coorilinate, supervise and provide the major wort< Onclude name I address I phone I contractors' license numbef): 5. I will provide some of the wort<, but I have contracted (hired) the following persons lo provide the wort< Indicated (include name I address I phone I type of wort<): JiS PROPERTY OWNER SIGNATURE 0AGENT OATE Is the applicant or future building occupant required to submit a businesss, acutely hazalllous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air poUution control district or al,L9!!ality management district? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes LJNo 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 hereby affirm that there is a construction lending agency for the performance of the woric this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the abffie Information Is oorrect and that the information on the plans Is accurate. I ai,-ee to comply v.tth al City ordinances and State laws relating to building oonstruction. I hereby authcxize representawe ct the City ct Car1sboo to enter upon the above mentioned JroPel!Yfor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY~ CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES 'M-IICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ~ "THE GRANTING~ THIS PERMIT. OSHA: An OSHA pemit is required for excavations over SO' deep aid dendtion or COl'lStructiorl ct structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the p«MSions of this Code shal exp re lirritatiorl and become nul and l.00 if the lxlilding or WOO< authcxized by such pemit is not commenced within 180 days from the dale ct such pemit or if the building orWOf1< authonzed by such pemit is suspended at anytjrre after the WOO< iscxmnenced for a period ct 180 days (Sectioo 100.4.4 Uniform B.Jilding Code). ~ APPLICANT'S SIGNATURE DATE 9/14/17 i~ ·Nf' ~ ~ . . . · . . . PERMIT INSPECTION HISTORY REPORT (CBR2017-2147) "'= ' 1-1 J ' Permit Type: BLDG-Residential Application Date: 09/14/2017 Owner: Work Class: P/M/E Issue Date: 09/14/2017 Subdivision: Status: Closed -Finaled Expiration Date: 04/1 1/2018 Address: IVR Number: 6352 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 10/13/2017 10/13/2017 October 13, 2017 BLDG-43 Air Cond./Furnace Set 037 479-2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 037 480-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS TRUST BLODGETT FAMILY TUST 09-10-09 CARLSBAD TCT#74-08 1706 Evergreen Cir Carlsbad, CA 92008-1148 Reinspection Complete Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of 1