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Home My WebLink About1913 CASSIA RD; ; CB151075; Permit04-09-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBI 51075 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1913 CASSIA RD CBAD PME 2150202500 Lot #: TRADITION APARTMENTS-1 NEW OUTLET @ BBQ AREA Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/09/2015 RMA 04/09/2015 04/09/2015 Applicant: 111 IN 1 CONSTRUCTION INC Owner. MANZANITA PARTNERS LLC 11610 COMPASS POINT DR #88 SAN DIEGO CA 92126 858-243-8175 3990 RUFFIN RD#100 SAN DIEGO CA 92123 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $0.00 $160.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 Inspector: FINAL Date APPROVAL Clearance: NOTICE: Please lake NOTICE lhal approval of your projecl includes the "Imposilion" of fees, dedications, reservations, or olher exactions hereafter collectively refen'ed to as "fees/exaclions." You have 90 days from the date this pennil was issued to prolest imposilion of these fees/exaclions. If you prolest Ihem, you musl follow the protest procedures set forth in Governmenl Code Seclion 66020(a), and file the protest and any olher requined information wilh the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure lo timely follow that procedure will bar any subsequeni legal action lo attack, review, sel aside, void, or annul their imposilion. You are hereby FURTHER NOTIFIED that your right lo protest the specified fees/exaclions DOES NOT APPLY to water and sewer conneclion fees and capaciiy changes, nor planning, zoning, grading or olher similar application processing or service fees in conneclion with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been oiven a NOTICE similar lo this, or as lo which the statute of limilalions has previouslv olhenA/ise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING OENGINEERING • BUILDING •FIRE • HEALTH nHAZMAT/APCD PlanCheckNo. ^ Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Est. Value Plan Ck. Pppo^lt APN ' ' SWPPP JOB ADDRESS ^^^^^^^^^^^^"''"""''T'r'"''^^^^^^^^^^^^r^uS'E#/SPACE#/UNITt. , ^(3 CA^5''^ KC^C) CuA€>^^k'i/\ ^oil CT/PR0JECT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nc/ude Square Feet of Affected Area(s; VfOl) Sto Af^P C'yrcufY •e-f.-^ar-ior coi^f^tcc^ ^^coi EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESPT* NOj I AIR CONDITIONING YES I I NO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAIVIE Prima »NT NAIVIE ^ l/l 1 ^ rycontact /TI^^U^I H//»^<^^V'^ ^ PROPERTY OWNER ADDRESS .A - STATE , ZIP ADDRESS y\ - STATE . ZIP CITY STATE PHONE PHONE EMAIL EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE PHONE FAX EIVIAIL civil penalty of not more than five tiundred dollars ($500)) WORKCRS' COMPSNSATION Workers'Compensation Declaration: I hereby affinn under penalty of peijuiy one of the following declarations: aI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 cf the Labor Code, for the perfonnance of the work for wrhich this pennit is issued. 1 have and will maintain workers' comBOTsation, as ceoilined bv^eetion 3700 of thidabor Code, for the perfonnance of the work for which this p^rnlt^lssued. My workers'compensation insjic^ce earner and policy numberare: Insurance Co. ytlTvT^ ^ Pollcv No ^ C^H ' ^ Expiration Dale /gnO//^ This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: 1 certify that in the perfomiance of the wori( for which this pennit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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, damages as provided te^^ctipii 3706 of the Labor code. Interest and attomey's fees. /CT CONTRACTOR SIGNATURE /^^^V^^ —^ QAGENT DATE CA»f\\ ^ P^l^ OWNEfl-BllilkDeROECLARATIOlA / hereby affimi that I am exempt from Contractor's Ucense Law for the following reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stmcture 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 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 I 1, 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 I 1 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, QYes I iNo 2.1 (have / have not) signed an application for a bullding pennit for the proposed work. 3.1 have contracted with the following person (firm) to pravide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the worit, but 1 have hired the following person to coordinate, supereise and provide the major wori< (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): jS^PRQPERVt OWNER SIGNATURE QAGENT DATE tCMM R t B T E TM fS •$ g C f I «> N Wk HO H - « t S I ms. ;.ei. IH 6 ; P E,R,li |;:.T i ; O (tl. ¥ Is the applicant or future building occupant required to submit a business plan, acutely hazanlous 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 fram the air pollution control district or air quality management district? Yes No Is the facility to be constmcted 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. CO W$TR OCTION fcENOING /k«ieJ«Clr I hereby affirm that there is a construction lending agency for the performance of the wori< this permii is issued (Sec. 3097 (i) Civil Code). Lenders Name Lender's Address I certify that I have read the eipplicatkin and state thatthe above information Is conect and that the inlbmiation on the plans Is aocuiate. I agiee to complywith all CHy ordinances and State laws relating to bulldlng constmction. I heneby auihorize representative ofthe City of Carlsbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS Aid EXPBISES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is required for excavations over 5'0' deep and demolitfon or constmctfon of slmctufes over 3 stories in height. EXPIRATION: Every pemiit issued by the Building Offcial under the provisfons ofthis Code shall expire by limitatbn and become null and void if the building or vrork authorized by such pemiit is not commenced vwthin 180 days from the dale of such pemiit or if the building or wort< authorized by such pennit is suspended or abandoned at any time after the woik is commenced for a period of 180 days (Sectfon 106,4.4 Unifomi Building Code). ^eTAPPLICANT'S SIGNATURE DATE mm 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, Emaii buildina(5)carlsbadca.aov or Mail the completed fomi lo Cily of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS STATE CITY STATE ZIP Carisbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL / FAX TO OTHER: ASSOCIATED CB*- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION >ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB151075 Type: PME Date Inspection Item 09/22/2015 34 Rough Electric 09/22/2015 39 Final Electrical 09/22/2015 39 Final Electrical 04/10/2015 31 Underground/Conduit-Wirin Inspector PD PD PY Act AP Rl AP AP TRADITION APARTMENTS-1 NEW OUTLET @ BBQ AREA Comments Tuesday, September 22, 2015 Page 1 of 1