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Home My WebLink About1868 Outrigger Ln; ; CBR2017-0985; PermitPrint Date: 05/16/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1868 Outrigger Ln BLDG-Residential 2074012400 $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; ROBERTS: INSTALL MINI SPLIT A/C UNIT W/ DUCT AND ELECTRICAL Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-0985 Closed -Finaled 05/09/2017 05/09/2017 AKrog TRUST ROBERTS ALMA P LIVING TRUST 01-21-03 MY GUY HEATING AND AIR CONDITIONING INC PLUMBING, ELECTRICAL, ANO MECHANICAL PERMIT Total Fees: $166.00 1868 Outrigger Ln CARLSBAD, CA 92008 Total Payments To Date: $166.00 4561 Lambeth Ct Carlsbad, CA 92010-6408 760-505-5834 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. -----·--•-····· $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH C_cityof Carlsbad JOB ADDRESS ieeaB ocA-, Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITH/SPACEI/UNITI Plan Check No. Est. Value Plan Ck. Deposit Date 'S-G\-li APN CT/PROJECT# LOT# E # # Of UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ::i:-v'\ ":>-\o.\\o_\;\ on EXISTING USE APPLICANT NAME Prtna Contact ADDRESS CITY PHONE 7 EMAIL M' ' \ "V)\ ~ GARAGE {SF) d--- PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME ADDRESS PHONE EMAIL FIREPLACE YES[), AIR CONDITIONING N<O YES □No □ STATE ZIP 0 HAZMAT/APCD OCC. GROUP FIRE SPRINKLERS YES□Nors:J ~DES~.~ .... ~ .. ~o~ ... ~~ .. ~o"'•··,-----------------------+'!!c'!!o"'•T!!!R~A~CTO!!!!!~.'!!.~u~."!_ N!!'A~M~E!"" _______ l""_""!" ___ "!"''!""' ___ .,.I"!'~ I r.;:;;;=;--------------------b.==-----.,__,_+--'_,,,_+_u_,.__,,,LI...l-'-'1'rf-+""----'""'-Jl.'l--'--"1"'u~ ADDRESS ..,, CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which reQuires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the app!icant for such per_mit to file a signed s~tement that he is licensed pursu~nt to the provisions of the Contractor's License t.:aw /Chapter 9, commending with Secti9n 7q00 of Division 3 of the Business and Professions Code} or fhat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any apphcant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORl<ERS' COMPENSATION W0111:ers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following rieclarations: I have and will maintain a certificate of consent to self•insure for workers' compensation as provided by Section 3700 of the Lalxlr Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation, as required by Section 3700 of tpe Lalxlr Code, for the perfonnance of the 'M'.lrk for which is oe:nnit is issued. My workers' COmpensation insurance carrier and policy oumbe,a,e ln8"rar<:e Co. Y\<yie, TV1\l 1(C{y)( f. Sf (V\ { f S Policy No. \ Q -e,p;ralion Date 5/ I / I B , J ~section need not be completed if the pennit is for one hundred dollars ($100} or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit 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 worxars' compensation coverage is unlawful, and shall subject an employer to crlminal penaltln and cl vii fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damagn as provided for in Section 3706 of the Labor code, Interest and attorney's fees . .JiS CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractors Ucense Law for the following reason: □ □ □ 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 bullding 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 contrcK:ling 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. OYes ONo 2. I (have/ have not) signed an application for a building pennit for the proposed work 3, I have contracted with the following person (f1nn) to provide the proposed construction (include name address I 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 I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the al)plicant 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be conslructed 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I haY& read the application and state that the above lntlnnation is oon-ec:tand that the infoimation on the plans is accurate. I agree to comply Nth all Cr\' oltlinances and Stale iav.s 181ating1D buYdlng construction. I hereby auihorizB representalille of lhe Cfy of Carlsbad to enter upon lhe above 1T011lioned property ilr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 0c CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGftJNST SAID CITY IN CC>'JSEQUENCE 0c THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations OYef' 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION: Every permit issued by the 0.Jilding Official under the provi.5ions of this Code shall expi'e by · · · and become nun and i,oo if the l:x.Jilding or ~IX authorized by such pem,it is not oommenced wthin 19::Jdays rom the date of such permit orif tr oork authorized by SlK:h permit is suspen abardoned at anytime after the'o\Ol'k is oommenced for a pericxl of 19Jdays {Secoon 100.4.4 UnifollTl 0.Jilding C.ade). ~ AS APPLICANT'S SIGNAT1JRE DATE 5 I ' ', -; .~ -PERMIT INSPECTION HIST.ORY REPORT (CBR2017-0985) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 05/09/2017 Owner: Issue Dato: 05/09/2017 Subdivision: Expiration Date: 11/13/2017 Address: \VR Number: 3616 Inspection No. Inspection Status Primary Inspector 05/15/2017 05/15/2017 BLDG-43 Air Cond./Fumace Set 023326-2017 Failed Andy Krogh 05/16/2017 05/16/2017 May 16, 2017 Checklist Item BLDG-Building Deficiency BLDG-43Alr Cond./Fumace Set 023437-2017 BLDG-Final Inspection 023436-2017 Checklist Item BLDG-Mechanical Final BLOG-Electrical Final COMMENTS No one home Passed Andy Krogh Passed Andy Krogh COMMENTS TRUST ROBERTS ALMA P LIVING TRUST 01-21-03 CARLSBAD TCT#82-06 UNIT#01 1868 Outrigger Ln Carlsbad, CA 92008-3781 Reinspection Complete Reinspection Complete Passed No Complete Complete Passed Yes Yes Page 1 of 1