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Home My WebLink About1835 Forest Ave; ; CBR2017-0095; PermitPrint Date: 07/14/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1835 Forest Ave BLDG-Residential 1561520400 $0.00 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#: Description: MORSEY: INSTALL HVAC SYSTEM PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER MORSEY CALEB&MARGARET 1835 Forest Ave CARLSBAD,CA 92008 Total Payments To Date: $166.00 Status: Applied: Issued: Fina led: Inspector: Co-Applicant: MY GREEN HOME INC 1835 Forest Ave Carlsbad, CA 92008-1017 760-431-8502 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: CBR2017-0095 Closed -Finaled 01/12/2017 01/12/2017 JWest $0.00 $166.00 • ~HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING 0 ENGINEERING 0BUILD1NG DFIRE 0HEALTH 0 HAZMA T/APCD CCityof Building Permit Application Plan Check No.cr:,tz2e \; 7 -ooq "5 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carls Dad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov . . www.carlsbadca.gov Date \ ( (2.-/ l 7 !SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# rp\ CSto l~..;;; ~~t:::-'S:f /:>Ve, -lS2. -OL-( -c,~ CT/PROJECT# ILOT# I PHASE# rOFUNITS l#:300MS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. 1YPE I occ. GROUP '2- DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) p...br::, ~~ C-L.,( (Z-~~"tt-'1 ~'-\"SC. ~S ~C\' ~~ ~~~G.. o{?-"'t (2_ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO NoCJ YES0No0 YEsONoD APPLICANT NAME c~~ t-1°'2--s~y PROPERTY OWNER Primary Contact s~,-= ADDRESS ADDRESS I <g35 f=D(.2€St-P..VC- CITY STATE ZIP CITY STATE ZIP c~~ C-P--,~eo~ PHONE rAX PHONE IFAX EMAIL EMAIL DESIGN PROFESSIONA" NI p:,.. CONTRACTOR BUS. NAME '-'\'( r...o--.~ ~MS. tNC.. ADDRESS ' ADDRESS \ ~ -:SS' ~<2-E-4S. \ J).V'E,. CITY STATE ZIP CITY STATE ZIP c..~$6t>O C..J:::.. ~2_.(!)C,~ PHONE IFAX PHONE '2_lAX tfJO '4"3) ~o EMAIL EMAIL Cot,,~'°t@ky~~~E~E..~,<l~. <.etl-1 I STATE UC. # STATE UC.# ,c~ lc~zt1l?2.~~ 9=,'2.'2-S~ (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 an}' applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500J). WORl<ERS' COMPENSATION Workers' Compensation Declaration: I hereby aff/1711 under penatty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Si have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permtt is issued. My workers' compensation insur ce carrier and policy numberare:lnsuranceCo. A,t,-1~~ ~J:.ti1E:(2. PolicyNo . .$.vlJC.\ \0'2,..C::, 5~ ExpirationDate_eJ_~~cc......iic--=l~--- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permitis 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' 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, dama es as provide r in Section 3706 of the Labor code, interest and attorney's fees • . ,2! CONTRACTOR SIGNATURE 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 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 himseW 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 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). I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 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 the following person to coordinate, supervise and provide the major work (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 work indicated (include name I address I phone I type of work): nATI= Is lhe 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 lhe Presley-Tanner Hazardous Substance Account Act? D Yes D No · Is the applicant or future building occupant required to obtain a permit from lhe air pollution control district or air quality management district? D Yes D No Is lhe facility to be constructed within 1,000 feet of lhe outer boundary of a school site? D Yes D 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 aboYe information Is oonectand that the information on the plans isaa:urate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative a the City a Carlsbad to enter upon the rlxNe mentioned property fa ilspection Plfl)OSeS. I ALSO AGREE TO SAVE, INDEM'-IIFY AND KEEP HARM_ESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH 'Mfl.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem1it is required for excavations <:Nef 5'0' deep and demoition or construction a structures rNeI 3 stories i1 height EXPIRATION: Eveiy penr,it issued by the Bui'(ling Official lKlder the prtMSions of this Code shall expie by Imitation and become nul and void W the building or wor1< authorized by such perrrit is not ca,, 1101 ICed withi1 180 days fran the date of such pemitor if the buitcf au1horized by such pem11t is suspended or abandoned alcflYline after the wor1< is coomeoced fa a period a 180 days (Secoon 106.4.4 Unifoon Eklilding Code) . ..@S° APPLICANT'S SIGNATURE DATE \ I '2.. ,-, • 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 NA.ME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER:----------------- AS APPLICANT'S SIGNATURE o ASSOCIATED CB#·------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE / NO CONSTRUCTION DATE ZIP ,,;:: ":s ":: ' ",,, ·,,,ilt" PERMIT INSPECTION HISTORY REPORT (CBR2017..0095) ¥"'-Vk"\•Yx~ " Permit Typo: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Dato: 01/12/2017 Owner: Issue Date: 01/12/2017 Subdivision: Expiration Date: 01/10/2018 Address: IVR Number: 1431 Inspection No. Inspection Status Primary Inspector 07/14/2017 07/14/2017 BLDG-43 Air Cond./Fumace Set 028849-2017 Passed Jonathan West July 14, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 028850-2017 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final COMMENTS Passed Jonathan West COMMENTS COOWNER MORSEY CALEB&MARGARET 1835 Forest Ave Carlsbad, CA 92008-1017 Reinspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1 •