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Home My WebLink About1975 Lancewood Ln; ; CBR2017-2973; Permit(City of Carlsbad Print Date: 01/19/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1975 Lancewood Ln BLDG-Residential 2550122000 $0.00 Residential Permit Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig, Plan Check#: Plan Check#: P/M/E Description: CONT LIFE COMMUNITIES: CIRCUITS FOR SMART METER Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2017-2973 Closed -Finaled 12/13/2017 12/13/2017 1/19/2018 3:29:14PM 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $170.00 .\ . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD Ccityof Building Permit Application Plan Check No.~ VI ...,..,.1..., -;:l.q '7.-:;: 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck .. Deposit email: building@carlsbadca.gov Dat~{)/ft:( Ir .L lswPPP www.carlsbadca.gov JOB ADDRESS 1-••-/-ACEf/UNITt rPN 1975 Lancewood Lance --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I 'IENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Squan Feet of Affected Area(•) Circuits for Smart Meter EXISTING USE FIREPLACE I PROPOSED USE IGARAGE (SF) PATIOS (SF) I DECKS (SF) v,so, IAIR CONDITIONING I FIRE SPRINKLERS N<O vesONoO vesONoO APPLICANT NAME PROP£;; OWNER NAME I +, • --•~Al"\ ~ C. (,--·-·-•. -~-\ t.o'-.. ADDRESS ADDRESS ~ CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS.NAME Rod Fuller Electric Corp. OBA Fuller Electli ADDRESS ADDRESS 1018 Cudahy Place Suite B CITY STATE ZIP CITY STATE ZIP San Dieao Ca 92110 PHONE PHONE I FAX 619-276-5411 I FAX 619-276-3547 EMAIL EMAIL Admin@fullerelectric.com I STATE LIC. # STATE UC.# 'CLASS I CITY BUBLOS1232290 494752 C-10 (Sec. 7031.5 Business and Profess10ns Code. Any City or County which requires a permit to consuuct, alter, improve, demolish 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 fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_[lt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than fwe hundred dollars t!!i500}). WORKERS' COMPENSATION WOfKers' Compensation Declaration: I heroby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workera' compensation as provided by Section 3700 of the l.m Code, for the J):!rformance of the work for which this permit is issued, [Z] I have and will maintain wortlers' compensation, as reauired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' comJ):!nsatlon insurance carrier and policy number are: Insurance Co Cypress Insurance Company Policy No. ROWC811379 Expiration Date 10/112018 lfil.seclion need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this pennlt 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 wontens' 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 to, in Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER OECLARATION I heteby affirm that I am exempt from Contractor's l..k:ense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as lheir sole compensation, wilt do the work and the structure is not inteooed 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 WOO 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 contra::ting 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 cootractor(s) licensed pursuant to the Contractor's Ucanse Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. l personally plan to provide the major labor and materials forconstroction of the proposed property improvement. Oves Oo 2. I (have I have not) signed an application for a building pem,it for the proposed work. 3. I have contracted with the following person (firm) to provkle the proposed construction (include name address/ phone I contractors' license number): 4. 1 plan to provide IX)rtions of the 'M>rk, but I have hired the folklwing person to CXXJrdinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but 1 have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE I 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? □ 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 D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes a 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 1 hereby affinn that there 1s a construction lending agency for the pertormance of the work this permit is issued (Sec. 3097 O) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION t I certify that I have read the appllcatlon and state that the ab<we lnfonnatlon Is conect and tllatthe information on the plans Is accuram. I &greetn comply with all Cllyoldlnaooes and State laws relating to building construction. I hereby authorize representative of the City of Cartsbacl to enter uj)On the above menooned property br inspection purposes. I Af.S0 AGREE TO SAVE, INDEMNIFY AAD 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 br excavations over 5'0' deep and derrdition or ronstructOn of structures mer 3 stories in height. EXPIRATION: Every pennlt issued by the Buik:ling Official under the provisions of this Code shall exple by limitaoon and become nul and voi:I if the buik:ling a'M'.lfk authorized by such pennit is not commenced Yitthin 180 days from the date of such permit a if the bukling or 'M>l'k authorized by such permit is suspended or abandoned at any time after the IAOfk is oomrnenced tr a perbd of 180 days {Secoon 106.4.4 UnOOnn Buikiilg Code). ,IS APPLICANT'S SIGNATURE ---DATE , i-1, > I 1 ! l ' ' ' PERMIT INSPECTION HISTORY REPORT (CBR2017-2973) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 12/13/2017 Issue Date: 12/13/2017 Expiration Date: 06/11/2018 IVR Number: 8308 Inspection No. Inspection Status 01/19/2018 BLDG-34 Rough Electrical 046445-2018 Passed January 19, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 046446-2018 Checklist Item BLDG-Building Deficiency BLDG-Mechanical Final BLOG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro CONTINUING LIFE COMMUNITIES LLC CARLSBAD TCT#92-08 GREEN VALLEY 1975 Lancewood Ln Carlsbad, CA 92009-6826 Reinspection Passed Yes Passed Yes Yes Yes Yes Complete Complete Complete Page 1 of 1