HomeMy WebLinkAbout1977 Silverleaf Cir; ; CBR2017-2980; PermitPrint Date: 01/19/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1977 Silverleaf Cir
BLDG-Residential
2550121600
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: CONTINUING LIFE COMMUNITIES: CIRCUITS FOR SMART METER
Owner:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Permit No: CBR2017-2980
Closed -Finaled
12/13/2017
12/13/2017
1/19/2018 3:17:29PM
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
HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILD1NG O FIRE 0 HEALTH D HAZMAT/APCD
C cicyof Building Permit Application Plan Check No.cJ3R;::;N 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
www.carlsbadca.gov Date I ;J.-I ~ -1 -,r lswPPP
JOB ADDRESS SUITEf/SPACEf/UNrrt r PN
1977 Silverleaf Circle ---
CT/PROJECT# ILOT# I PHASE# I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. I ll't I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Circuits for Smart Meter
EXISTING USE l PROPOSED USE I GARAGE (SF) ~ATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES0, N<O YES 0 No 0 YES0 No0
APPLICANT NAME l?o~~+:WNE1N.it:e r7. 11 '.J-.re~
Prlnarv ~-~~ ~ • . • ,~VYJW7 -~ >'11
ADDRESS ADCJRl:SS -
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME
Rod Fuller Electric Corp. OBA Fuller Electa
ADDRESS ADDRESS
1018 Cudahy Place Suite B
CITY STATE ZIP CITY STATE ZIP
San Dieao Ca 92110
PHONE PHONE IFAX 619-276-5411
IFAX 619-276-3547
EMAIL EMAIL
Admin@fullerelectric.co m
ISTATELIC. # STATELIC.# icLASS I CITY BUSBLOS 1232290 494752 C-10
.. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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 !hat 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 a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby afflnn under penalty of petjc.ry one of the following dedaralions: D I have and will maintain a certificate of consent to self-insure for WO!kers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code. for the performance of the work for which this oennit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Cypress Insurance Company Policy No. ROWC811379 Expiration Date 10/1/2018
Jhi§,section need not be completed ff the permij is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permij 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 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 for In Section 3706 of the Labor code, interest and attorney's fees.
J!:S CONTRACTOR SIGNATURE O AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the WOik 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).
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).
I 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 0 Yes 0 No
2. I (have I 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 I phone I 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 I address I phone I contractors· license number):
5. I will provide some of the WOik, but I have contracted (hired) the following persons to provide the WOf1( indicated (include name I address I phone I type of work):
J!:S PROPERTY OWNER SIGNATURE 0AGENT DATE
Is lhe applicant or future building occupant required Ill submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 OI' 25534 of the
Presley-Tanner Hazardous Substance Account Act? a Yes a No
Is the applicant or future building occupant required to obtain a permit from the air pollution cootrol district or air quality management district? a Yes a No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a 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.
I certify that I haYe read the application and state that the above infonnation is correct and that the information on lhe plans is accurate. I ag,ee to comply with all City oldinances and State laws ielatingto building construction.
I hereby authorize representative of the Cir/ of CaJ1sbad lo enter upon the aboYe menooned property bf' inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLS8A.D
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 permij is required b' excavations o~ SO' deep and demolition OI' construct.on of structures over 3 skllies in heqlt
EXPIRATION: Every permit issued by the Building aocial under the provisi:lns of this Code shal expie by limitation and become nul and ..oo if the buildilg OI' Y,00( authorized by such permit is not commenced v.ithi1
180days from the date of such permij orif buiding Ol'Y,00( authorized by such permit is suspended or abMdoned at any tine after the Y,00( is commenced b' a period of 180days (Section 100.4.4 Unibm Eklildilg Code) .
...@S' APPLICANT'S SIGNATURE DATE 2--I I
PERMIT INSPECTION HISTORY REPORT (CBR2017-2980)
Permit Type: BLDG-Residential Application Date: 12/13/2017 Owner:
Work Class: P/M/E Issue Date: 12/13/2017 Subdivision:
Status. Closed - Finaled Expiration Date: 06/11/2018 Address:
IVR Number: 8316
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
01/19/2018
January 19, 2018
BLDG-34 Rough
Electrical
046435-2018
BLDG-Fina I
Inspection
Checklist Item
BLDG-Building Deficiency
046436-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Structural Final
BLDG-Electrical Final
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
CONTINUING LIFE COMMUNITIES
LLC
CARLSBAD TCT#92-08 GREEN
VALLEY
1977 Silverleaf Cir
Carlsbad, CA 92009-8407
Re inspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
Page 1 of 1