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Home My WebLink About1985 Buckthorn Ct; ; CBR2017-2979; PermitPrint Date: 01/19/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1985 Buckthorn Ct 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 Fina led: Inspector: Final Inspection: Contractor: Permit No: CBR2017-2979 Closed -Finaled 12/13/2017 12/13/2017 1/19/2018 3:ll:49PM 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: 0 PLANNING D ENGINEERING 0 BUILDING O FIRE 0 HEALTH D HAZMAT/APCD C cicyof Building Permit Application Plan Check No.~~/ '7 -;}C/ ::}- 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.-/ '3--I 1. lswPPP JOB ADDRESS SUITEf/SPACEf/UNITf r PN 1985 Buckhorn Court --- CT /PROJECT # 'LOT# I PHASE# r OF UNITS r BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Circuits for Smart Meter EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO N<O YES 0 No0 YEsO NoO APPLICANT NAME PROPERTY OWNER NAME - ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Ro d Fuller Electric Coro. 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 6 19 -276 -3547 EMAIL EMAIL Admin@fullerelectric.co m I STATE LIC. # STATE UC.# I CLASS I CITY BUSBLOS 1232290 494752 C-1 0 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 !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 ($5001). Workers' Compensation Declaration: I 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 WOlkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit 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 permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Cypress Insurance Company Policy No. ROWC811379 Expiration Date 10/1/2018 ~ section need not be completed ff the pennij is for one hundred dollars ($100} or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Galifomia. 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. ~ CONTRACTOR SIGNATURE QAGENT DATE ~~~~~~~~' I hereby affirm that I am exempt from ContractOl's Licen~ 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 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 ex improves thereon, and who does such work himse~ 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 cootracting with licensed cootractors to coostruct the project [Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds ex improves thereon, and cootracts for such projects with cootractor(s} licensed pursuant to the Contractor's License Law). I am exempt under Section Business aid Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement D Y es 0 No 2. I [have I have not} signed an application for a building penn~ for the proposed work. 3. I have contracted with the following person [finn) to provide the proposed coostruction (include name address I phone I cootractors' 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 cootractors' license number): 5. I will provide some of the WOik, but I have cootracted (hired) the following persons to provide the WOik indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE Is the applicant or future buUding occupant required to submit a business plan, acutely hazardous materials registration loon or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the abolle lnfoonation Is correct and that the infoonation on the plans Is accurate. I agree to comply with all Ctt¥on!inances and State laws relating to building construction. I hereby aulhorize representawe of the City of Carlsbad to enEr upon the above mentioned property br nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARl.SEW) 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 SO' deep and demolition or oonslrucoon of structures over 3 stories in height EXPIRATION: Every permtt issued by the Buikling Offcial under the provisions of this Code shall expie by imMlion a'ld become nul and void W the buikling or v.ork authorized by such penntt is not commenced 'Mthin 180days 1iom the daE of such permit or if the buiding or v.ork authorized by such permtt is suspended or abandoned at any time after the v.ork is comrnena!d bra pe7 of 180 days (Section 100.4.4 Unibrm Buikling Code). ,85 APPLICANT'S SIGNATURE DATE I 2,--I ) /, '' . . PERMIT INSPECTION HISTORY REPORT (CBR2017-2979) 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: 8315 Actual Scheduled Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 01/19/2018 January 19, 2018 BLDG-Final Inspection 046432-2018 Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS CONTINUING LIFE COMMUNITIES LLC CARLSBAD TCT#92-08 GREEN VALLEY 1985 Buckthorn Ct Carlsbad, CA 92009-8403 Reinspection Passed Yes Yes Yes Complete Complete Page 1 of 1