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Home My WebLink About1961 Deergrass Way; ; CBR2017-0062; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 01/17/2017 Residential Permit Permit No: CBR2017-0062 www.carlsbadca.gov Job Address:1961 Deergrass Way Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2550121600 Lot #:Applied:01/10/2017 Valuation:$0.00 Reference #:Issued:01/10/2017 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:LA COSTA GLEN: REPIPE HOUSE Owner:Co-Applicant: CONTINUING LIFE COMMUNITIES LLC REPIPE 1 1940 Levante St 19326 Ventura Blvd, 201 CARLSBAD, CA 92009 Tarzana, CA 91356-3016 818-344-2927 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. ——.INNIMMNIMIN THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:IDPIANNING DENGINEERING 0 BUILDING DFIRE OHEALTH DHAZMATIAPCD,...Building Permit Application Plan Check No.09jklon_00u2_kCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit wwW.carlSbadca.gov Date 1 -113 -1—+SWPPP JOB ADDRESS 1 SUITE#/SPACEVUNITA APNCte r i r 5 5 VIA --- CT/PROJECT S LOT#PHASE S S OF UNITS ft BEDROOMS ti BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet ot Attested Area(s) ale P '.P 2 11 o kA )e 147/P-e-4# EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDItIONING FIRE SPRINKLERS YESIDi NOE3 YESONO 0 YESEl NOD APPLICANT NAME --1 --.A '\(k ti 3 )otti d PROPERTY OWNERPrimary Contact 1j ..../1 1 1.-Cl C..0)-I-ci 4.7ADDRESSADDRESS CITY STATE ZIP CITY STATE ZIP FAX PHONE ,FAX PHONE1 1 ` I 3 c 61 3 4 I 1 4 )."/(2 1.2-6 l ti ti EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME R e..p . ADDRESS ADDRESS I 4"-"(e7 lie 1 +11 ca I)1 -frr-z._(9/ CITY STATE ZIP CITY_..--STATE ZIP- I Li./1---(Xill (11 (1 61 I a r 3 5 -6 PHONE FAX PHONE gi y 3 Li i.j92.7 FAX EMAIL EMAIL STATE LIC. S STATE LIC.# q 1.1 y 1 .2....... CLASS -CITY BUS. LIC.#• (...)66 (Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct. after, improve, demolish or repair any structure, prior to its issuan .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 % commendingwith Section 7000of 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 ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration:Ihereby affirm under penallyofperjury oneofthe following decharagons: I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain work 'on, as required by Section 3700 of the Labor Code, for the perfomiance of the work'whichthis_vermit is 5ied'.My workers' compensation insurance carrier and policy number are: Insurance Co.k 0 A R 1 Policy No.W C{LI t -17 (61 1 0 Expiration Date q —1 6 Msection need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption:I certify that in the performanceofthe 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: Failureto secure workers' compensation cover,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 ofcompensation, dama f.'-'provided for in Section 3706 ofthe Labor code, interest and attorney's fees. AK .--1.-- CONTRACTOR SIGNATURE . -/iZfAGENT DATE 1 -0.17 OWNER -BUILDER DECLARATION Iherebyarm thatIam exempt ham Contractor's License Law for the following season:0 I, as owner of the properly 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, Businessaid Professions Code: The Contractors License Law does not apply to an ownerofproperty 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).0 I,as owner of the property,anexclusively 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).0 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 DYes ONo2.I (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address /phone / contractors' license number): 4.1 plan to provide portions of the work, butI have hired the following person to marginate, supervise and provide the major work (include name / address/phone /contractors' license number): 5. I will provide someof the work, butI have contracted (hired) the following persons to provide the work indicated ('include name/address/phone/type of work): £PROPERTYOWNER SIGNATURE DAGENT DATE riervimaiimammum 1 COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY 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?0Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 No IFANY 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 is a construction lending agency for the performance of the work this permit is issue ,Sec. 3097 (1)Civil Code). Lenders Name Lenders Address APPLICANT CERTIFICATION I certify thatl have mad the application and state that the above Information Is correctand 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 imposes.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 over 50' deep and demolition or construction of structues over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or ifthe building or work authorized by such pentis suspended or abandoned at any time after the work is commencedforaperiod of 180 days (Section 106.4.4 Uniform Building Code). AKAPPLICANT'S SIGNATURE DATE 1-t '7 STYE 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 buildingacarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) C•ONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS C•ITY STATE ZIP CITY STATE ZIP Carlsbad CA P•HONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) O ASSOCIATED CB#0 MAILTO:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On pg. 1)O NO CHANGE IN USE/NO CONSTRUCTION O MAIL /FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION • JeAPPLICANTS SIGNATURE DATE • rlt? PERMIT INSPECTION HISTORY REPORT (CBR2017-0062) Permit Type:BLDG-Residential Application Date:01/10/2017 Owner:CONTINUING LIFE COMMUNITIES LLC Work Class:P/M/E Issue Date:01/10/2017 Subdivision: Status:Closed -Fineled Expiration Date:07/10/2017 Address:1961 Deergrass Way Carlsbad, CA 92009-8405 IVR Number:1367 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 01/12/2017 01/12/2017 BLDG-24 009561-2017 Passed Paul York Complete RoughlTopout Checklist Item COMMENTS Passed BLDG-Building Deficiency No 01/17/2017 01/17/2017 BLDG-Final 009851-2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No January 17, 2017 Page 1 of 1