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Home My WebLink About1805 Cottonwood Ave; ; CBR2017~0316; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 02/16/2017 Residential Permit Permit No: CBR2017-0316 www.carisbadca.gov Job Address:1805 Cottonwood Ave Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2155033728 Lot #:Applied:02/15/2017 Valuation:$0.00 Reference #:Issued:02/15/2017 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:PRESCOTT COMPANIES: GAS LINE REPAIR Owner:Contractor: TENTLER FINANCIAL L L C DEPENDABLE PLUMBING 18184 Calle Estepona 12120 Tech Center Dr SAN DIEGO, CA 92128 Poway, CA 92064-7149 858-486-5111 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00 Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD lication Plan Check No.MP ar 0 '7 J G/ Building Permit App C 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value City of Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 3riffiallerall1111111 JOB ADDRESS APN 1805 Cottonwood Ave., Carlsbad, CA 92008 _- CT/PROJECT # LOT # #OF UNITS #BEDROOMS #BATHROOMS TENANT B MESS NAME CONSTR. TYPE OCC. GROUP Seaport Villas DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Gas line repair PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD NCO YES ONO0 YES0 NO EXISTING USE 0 APPLICANT NAME PROPERTY OWNER NAME Mina Conta Craig Jones, Dependable Plumbing The Prescott Companies ADDRESS ADDRESS 12120 Tech Center Drive, Ste. A 5950 La Place Ct.. Ste. 200 CITY STATE ZIP CITY wirirgirmiiiZIP STATE Poway. CA 92064 Carlsbad. PHONE FAX PHONE 858-486-5111 858-486-3828 760.634-4700x0583 EMAIL EMAIL dispatchadependableplumbingco.com rvillanift.prescottmgt.com DESIGN CONTRACTOR BUS. NAME Dependable Plumbing ADDR ESS PROFESSIONAL ADDRESS 12120 Tech Center Drive, Ste.A CITY STATE ZIP CAPoway 92064 PHONE filligall111111PHONE FAX 858-486-5111 858-486-3828 EMAIL STATE LIC.# MIIIIIIIIIIIIMIIIIIIIIIIIIINII dispatchOdependableplumbingco.com 719678 CLASS C20.C36 CITY BUS. LIC.# B1987005981 (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improv, demolish or repair anystructure. orior to its issuance, also requires they for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law hapter 9, Commertding wtth tron 7upo ot Division 3 ot 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 acivil penalty of not more than five hundred dollars (5500)). WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penally of perjury one of Me following declarations: I have and will maintain a certificate of consent to sel6insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for vinich this permit is issued. BI have and will maintain workers' compensation. as remand 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 Co. The Hartford Policy No. 41WECCC8452 Expiration Date n_____.--2018 tisection need not be completed if the permit is for one hundred dollars MOO) or less. Certificate of Exemption:Icertify 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 become subject to the Workers' Compensation Laws of California.WARNING: Failure to secure workers' ....0 co •.a Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand ... lam (8.100,000). in addition to the cost of compensation, damages as .•.•ded.n ..:.n 3706 of the Labor code. interest and attomey's lees. AK CONTRACTOR SIGNATURE °AGENT DATE ir .12 ,. _OWNER -BUILDER r+.r ILLARATION i hereby affirm thatI am exempt from Contractors License .for Me following reason: ElI,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 vitro does such work himsett or through his own employees, provided that such improvements am not intended or offered for sate. 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). ElI,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 bulbs or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractors License Law). 0 I am e x empt ur Section__._.______Businessand Professions Code for this mason: 1. I personally plan to provid e the major labor and materials for construction of the proposed property improvement. Oyes CINo 2.I (have I have not) signed an apptication for a building permit for the proposed work. 3.Ihave 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 Ihave hired the following person to coordinate. supervise and provide the major Wait (include name I address / phone I contractors' license number): 5. IWO provide some of the work, but I have contracted (hired) the follovring persons to provide the work indicated (include name I address I phone ItyPe of work): °AGENT DATE 2-CPROPERTY OWNER SIGNATURE RI P .ET E "fir - '7. -"St i .O.44:.1P...611 Ill 0 N -R E S I D E N T I A L B U I L la I N G PERMITS 0 N L Y - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials nagistration ton or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance MUKHA Act? 0 Yes CI No Is the applicant or fUtUre building occupant required to obtain a permit from the air pollution control district or air quality management district? CI Yes CI No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CI Yes CI 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... CONSTRUCTION LENDING A4B-ENCY 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 Address Lender's Name APF.AtiCAN - Icertify thatIhave readthe application and statethatthe above information is correct and Matteinformation on the Mans is accurate. I agree to complyveithall Otyortinacesand State lawsMatta&bulldng construction. T C ERTIFI CAT I-O N I hereby authorize repmsentative of the City of Caisbad to enter upon the above mentioned poverty 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 OONSECIUDICE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA puma is required for excavations over 5'0' deep and demolition or construction of stiuctures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the p • •••••s of this •• -shallareaby rimitation and become null and void if the building or work authcriaad by such permit is not commenced whin 180 days from the date of such permit or if the building °murk ...:WrfP: y such .:-.is suspended or abandoned at any time alter the work is commenced for a80 d.(Section 1064.4 Uniform Building Code). lieAPPLICANT'S SIGNATURE ../ DATE 2 /5*—'1 7 qUill r • ,.:..i.,..•-..PERMIT INSPECTION HISTORY REPORT (CBR2017-0316). ;,,,r.:BLDG-Residential Application Date:02/15/2017 Owner:TENTLER FINANCIAL L L C .,,..-•.:..,,,P/M/E Issue Date:02/15/2017 Subdivision: t.::til:-..Closed -Finaled Expiration Date:08/14/2017 Address:1805 Cottonwood Ave Carlsbad, CA 92011 -5141 IVR Number:1978 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 02/16/2017 02116/2017 BLDG-Final 013940-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes ---Page 1 o