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Home My WebLink About1917 CASSIA RD; 100; CBR2016-0355; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/30/2016 Residential Permit Permit No: CBR2016-0355 www.carlsbadca.gov Job Address:1917 Cassia Rd, 100 Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2150202500 Lot #:Applied:12/14/2016 Valuation:$0.00 Reference #:Issued:12/14/2016 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:CONAM:REPLACE 40 GAL WATER HEATER Owner: MANZANITA PARTNERS L L C 3990 Ruffin Rd, 100 SAN DIEGO, CA 92123 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 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:El PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH Ej HAZMATIAPCDrBuilding Permit Application Plan Check NoCei.C2-'23:-.40 —0355 k.._CltY of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DepositCarlsbademail: building@carlsbadca.gov www.carlsbadca.gov Date (2 1F%-k (t (g2 SWPPP JOB ADDRESS 1.SUITEV VSPACEUNIT#APN // 7 cacs)- 0.fol 40 pit,4 CT/PROJECT #LOT PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:include Square Feet of Affected Area(s) tOcci''''14 ecdt.f.repiuvu./-1,05-.../ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESID#NOD YES ENO p yEsEi NoE: APPLICANT NAME Primary Contact 511cTuri Dqv.:r PROPERTY OWNER Gain/411iADDRESSADDRESS/9 0 1 CATS;01 col CITY STATE ZIP CITY STATE ZIP Crili/J-4.1 a CA-&DBPHONEFAXPHONEFAX EMAIL EMAIL DESIGN PROFESSIONA CONTRACTOR BUS. NAME /-5K er-.e../y R 01-91e /- ADDRESS ADDRESS 01-04)6 C e e‘.17e;e /CV/Cif- CITY STATE ZIP CITY v 0.cSTATE „Z a. IP 0if-yo.2.El C PHONE FAX PHONE FAX6/?-579-7979 EMAIL EMAIL Slav .4 reri p dyro Spy./i.e74 STATE LIC.#STATE LIC.#f CLASS CITY BUS.LIC.# F61 6e6a.C3'6? (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 theapplicant 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 theBusiness 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 ($5001). WORKERS'COMPENSATION ... !AA 1...1.0. Workers' Compensation Declaration:I hereby affirm under penaltyofperjury one ofthe following declarations: Er_.:y1 avet and will maintain a certificate of consent to self4nsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1Z I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performanceif the work for which this permit is issued. My workers' compensation iniiurancer artier and policynumber are: Insurance Co.gepi.46/6.c.bleicife ‘,...ite4tej-l*-1 I.Policy No.A 7- 11/00 7 4&e0 /Expiration Date 7P.7'/7 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 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 securework ompensation coverage is unlawful, and shall subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage Jrr.o 'ded for in Section 3706 of the Labor code, interest and attorney's fees. .ES CONTRACTOR SIGNATUle___AZ e ...0.EjAGENT DATE /./ 7.7.7:11OWNER-BUILDER RECLARATION l't..1....1 ti Ailktilia I hereby affirm thatlam exempt from Contractor's License Law for the following reason: O 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 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). O 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). ElI 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.[]Yes ONo 2.I (have / 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 / 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 / phone / type of work): RSPROPERTY OWNER SIGNATURE LIAGENT DATE cri ..i 4 ii - COe5 5IINtr THIS SECTION FOR NO111-.Rfirb7iiiTA.L...1u1iilnG r.r P.M ITS ONLY ::::4 =dm Aix idigeh gwittilloIr .0f...a ISI ....41d.ir.I. Is the 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 the Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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. ..4.:444. T..:.Yr PrCONSTRUCTIONLENDINGAGENCY 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 Name Lender's Address icr.F.!..nrAPPLICANTCERTIFICATION Icertify thatIhave read the application and state that the above information is correct and that the information on the plans is accurate.Iagree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations I -r 5'0' deep and demolition or construction of structures over 3 stories in height. )01i. EXPIRATION: Every permit issued by the Buildine r ial under the provisionsofthis Code shall expire by limitation and become null and sod if the building or work authorized by such permitisnot commenced within 180 days from the date of such permit or if thebri ..•rwo authorized such pe ita suspended or abandoned at any time after the workiscommenced for a period of 180 days (Section 106.4.4 Uniform Building Code)._., AcAPPLICANT'S SIGNATU --DATE 4:)..1///G .. STOP 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 buildingecarlsbadca.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 NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA -PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) m CONTRACTOR (On Pg. 1) o ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above) ii CONTRACTOR (On Pg. 1)o NO CHANGE IN USE/NO CONSTRUCTION 0 MAIL /FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION 2SAPPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2016-0355) Permit Type:BLDG-Residential Application Date:12/14/2016 Owner:MANZANITA PARTNERS L L C Work Class:P/M/E Issue Date:12/14/2016 Subdivision: Status:Closed -Finaled Expiration Date:06/12/2017 Address:1917 Cassia Rd, 100 Carlsbad, CA 92011 -4160 IVR Number:807 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 12/30/2016 BLDG-Final 007991-2016 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes 12/30/2016 12/30/2016 BLDG-25 Water 007992-2016 Passed Jonathan West Complete HeaterNents n.............."......1n -in4c Pana 1 of 1