HomeMy WebLinkAbout2011 Lemonberry Ln; ; CBR2017-2978; Permit(city of
Carlsbad
Print Date: 01/19/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2011 Lemon berry Ln
BLDG-Residential
2550122000
$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: CBR2017-2978
Closed -Finaled
12/13/2017
12/13/2017
1/19/2018 3:26:17PM
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 annut 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
\(city of
Building Permit Application Plan Check No. U~l 1 ~ ;;2. 9
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/,;)-/ '2'-1-:i ISWPPP
JOB ADDRESS 1 .. .,,,~w/SPACEf'/UNfff TAPN 2011 Lemonberry Lane ---
CT/PROJECT# ILOT# I PHASE# l#OFUNITS !#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Circuits for Smart Meter
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESO
rlR CONDITIONING I FIRE SPRINKLERS
N<{J vrnONoO vesONoO
APPLICANT NAME PR?"~~crN:RNA,E rt--,, '" , •A ,'./.: e c:._ V
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Rod Fuller Electric Corp. DBA Fuller Electli
ADDRESS ADDRESS 1018 Cudahy Place Suite B
CITY STATE ZIP CITY STATE ZIP
San Dieao Ca 92110
PHONE PHONE [FAX 619-276-5411 l'AX 619-276-3547
EMAIL EMAIL Admin@fullerelectric.com
TSTATELIC.# STATE UC.# I CLASS I cnv BUSBLQS1232290 494752 C-10
(Sec. 7031.5 Business and ProfessJons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such permit to file a siro,ed 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 exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Worilers' 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)n(ers' compensation as provkled 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 worf(ers' 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 IX)!icy
number are: Insurance Co Cypress Insurance Company Policy No. ROWC811379 Expiration Date 10/1/2018
~section need not be completed if the permit is for one hundred dollars ($100) Of less. LJ Certificate of Exemptlon: I certify that in the performance of the work for 'Mlich this pe,mit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure work«s' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cl vii fines up to one hundred thousand dollars (&100,000), in
addltlon to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
,M$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason:
□
□
□
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 buik:ls 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 buik:ling or improvement is sold within one year of oompletion, 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 l>uilds or improves thereon, and oontracts 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 provkle the major labor and materials for construction of the proposed property improvement OYes ONo
2. I (have/ have not} signed an application for a building permit for the proposed oork.
3. I have contracted with the following person (firm) to provkle the proposed constroclion (include name address I phone I contractors' license number):
4. I plan to provide p:Jrtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (indude name I address/ phone/ oontractors' license number):
5. I will ~e some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work):
_g PROPERTY OWNER SIGNATURE □AGENT DATE
i
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 fonn or risk man.gement and prevention prognm 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 COfltrol district or air quality management district? □ Yes □ No
ls the facility to 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 Tl-IE 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 afflnn that there 1s a construction lending agency for the performance of the work this permit is tssued (Sec 3097 0) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certlf/that I have read the appllcation and state that the abc:MI informallon ls correct and that the lnfonnatlon on the plans Is accurate. I agree to oomplywlth all C11¥oldinancas and Stale laws ielatlngto bulldl..i; construction.
I hereby aulhorize "'presentatr,e of the Cifyof Carlsbad to enter upon the aix>l<l menooned property i,r inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAJNST SAi) CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: An OSHA pemitt is required br excavations over 5'0' deep and demolition or 001struc:oon of structures over 3 stories il heqrt.
EXPIRATION: Every perm~ issue:! by the Buik:ling aficial under the provisions of this Code shall expie by limitatm and boolne nul and void Wthe building orwxk authorized by such permit is ootcanmenced 'Mthin
180 days from the date of such permij or if the buidJlg oc 'M>rk authorized by sldl permtt is suspended or abanooned at any time after the v.ork is commenced br a ~ of 180 days (Secoon 100.4.4 Unibrm &iiHllg Code).
,AS' APPLICANT'S SIGNATURE DATE 12--( j (
>
PERMIT INSPECTION HISTORY REPORT (CBR2017-2978)
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
lVR Number: 8314
Inspection No. Inspection Status
01/19/2018 BLDG-34 Rough
Electrical
046443-2018 Passed
January 19, 2018
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
046444-2018
Checklist Item
BLDG-Building Deficiency
BLDG-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
2011 Lemonberry Ln
Carlsbad, CA 92009-6884
Re inspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
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