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Home My WebLink About1969 Lancewood Ln; ; CBR2017-2972; PermitPrint Date: 01/17/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1969 Lancewood ln BLDG-Residential 2550122000 $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: CONT LIFE COMMUNITIES: CIRCUITS FOR SMART METER Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-2972 Closed -Finaled 12/13/2017 12/13/2017 CONTINUING LIFE COMMUNITIES LLC ROD FULLER ELECTRIC CORPORATION PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 1940 levante St CARLSBAD, CA 92009 Total Payments To Date: 619-276-5411 $170.00 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. $170.00 $0.00 . T~E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD - C_cityof Building Permit Application Plan Check No('~ ;;, ,J-::}._ • JI ,_ J -1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date 7a.-J3-J7--lswPPP I JOB ADDRESS 1...,,, .. ,./SPACE•f .. ,.,,. rPN 1969 Lancewood Lallf(!!~ --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(•) Circuits for Smart Meter EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE TAIR CONDITIONING I FIRE SPRINKLERS YESO N<{J YES □No□ YES0No0 APPLICANT NAME P'PERTY OWNER NAME 1 !~ r:-· · -·-UJ\.' '~ --/\v,,'f IV\• . ~.11 c. •v ,r ,., .,· 1 ' ADDRESS ADDRESS .) CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Rod Fuller Electric Corc. DBA Fuller Electli ADDRESS ADDRESS 1018 Cudahy Place Suite B CITY STATE ZIP CITY STATE ZIP San Dieao Ca 92110 PHONE PHONE l'AX 619-276-5411 T'AX 619-276-3547 EMAIL EMAIL Admin@fullerelectric.com I STATE UC.# STATE UC.# \CLASS I CrTY BUSBLOS 1232290 494752 C-10 (Sec. 7031.5 Business and Professrons Code: Any City or County which requires a permit to construct, alter, improve, demohsh 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 any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS" COMPENSATION Worke,s' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for 'M'.lrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ZJ I have and will maintain wortcers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Cypress Insurance Company Policy No. ROWC811379 Expiration Date 1w11201s This section need not be completed if the permit Is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for whk:h this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: failure to secure worti;ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand doHars (&100,000), in addltlon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest: and attorney's fees. ,1$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractors Ucense Law for the fol/O'Mng reason: □ □ □ I, as owner of the property or my employees with wages as their sole oompensaoon, 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 oot apply to an CM'flef 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, 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 oontractor(s) /iceflsed pursuant to the Contractor's License Law). I am exempt under Section ____ ,Business and Professioos Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes ONo 2. I (have I have not) signed an application for a building pennitfor the proposed work. 3. I have contracted with the following person (finn) 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 ma)Or work (include name/ address/ phone I contractors' license riumber): 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/ phooe I type of work): ,1$ PROPERTY OWNER SIGNATURE □AGENT DATE ' I COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the applicant or future building occupant required to submit a business plan, acutely hazaftlous materials regislraHon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No !s the facility lo be constructed 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 is a construction lending agency for the performance of the work til1s permit 1s issued (Sec 3097 (1) Civil Code) lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above Information lsooll9Ct and that the lnfonnatlon on the plans is accuiate. I agiee to comply with all Cli, ordinances and State laws relallngto building oonstructlon. I hereby authorize representative of the City of Carlsbad to enter upon the atxwe mentioned prq>ertybr inspecti')n purJ:X)SeS. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSMD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: M OSHA J;ermlt is required br excavations over 50' deep and demoh::in or construction of strucb.Jres over 3 stories in heg,t. EXPIRATION: Every permit issued by the Buik:ling Oflk:ial under the provisbns of this Code shall ex.pre by limilatm and become nul and void if tie buik:ling or 'AOlk authorized by such permit is not commenced 'M!hin 180 days from the dale of such permit or if the buik:ling or'M>l'k authorized by such permit is suspended orabanooned at any time after the oork is commenced bra perod of 180days (Secoon 106.4.4 Unii:lrm Buik:ling Code). AS'APPLICANT'SSIGNATURE DATE 2, I, ?:, /, -_, _ _ PERMIT INSPECTION HISTORY REPORT (CBR2017-2972) Permit Type: BLDG-Residential Application Date: 12/13/2017 Work Class: P/M/E Issue Date: 12/13/2017 Status: Closed -Finaled Expiration Date: 06/11/2018 IVR Number: 8307 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status 01/17/2018 01117/2018 January 17, 2018 BLDG-Final Inspection 045970-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro CONTINUING LIFE COMMUNITIES LLC CARLSBAD TCT#92-08 GREEN VALLEY 1969 Lancewood Ln Carlsbad, CA 92009-6826 Re inspection Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1