HomeMy WebLinkAbout2016 Mesquite Ct; ; CBR2017-2975; Permit(city of
Carlsbad
Print Date: 01/19/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2016 Mesquite Ct
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: CBR2017-2975
Closed -Finaled
12/13/2017
12/13/2017
1/19/2018 3:14:59PM
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 FOi.LOWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMA T/APCD
{'city of
Building Permit Application Plan Check N~/ 'J _ -;c:::('J.-,S-
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.carfsbadca.gov Date J.a. / 3-(":::l-lswPPP
JOB ADDRESS ,..., .. ~/_. .... Ef/UNITf IAPN 2016 Mesquite Court ---
CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I~ BUSINESS NAME I CONSTR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
Circuits for Smart Meter
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES0,.
I AIR CONDITIONING I FIRE SPRINKLERS "'° YESQNo □ YESQNo□
APPLICANT NAME ····r~:~"!."·"•M• .. "" I ·'--I'...,,,. ....•. M: L: .P"-.. ....,N ___ _.,/\1.• .t"'ll •'
ADDRESS ADDRESS ~ '
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE IFAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Rod Fuller Electric Corp. OBA Fuller Electlli
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.com I STATE LIC. # STATE LIC.# I CLASS I CITY BUSBLOS1232290 494752 C-10
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demohsh 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 fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Wor1lers' 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 workers' compensation as provicled by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued,
[Z] I have and will maintain workers' compensation, as required by 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
J,!!i§.section need not be completed if the pennit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensatk:Jn Laws of
California. WARNING: Fallureto secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
6$ CONTRACTOR SIGNAlURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
l, as owner of the property or my employees with wages as their sole compensation, will do the work and the structtJre 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 himseW 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 lk:ensed 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 DUilds 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 construcOOfl of the proposed property improvement 0Yes 0No
2. I (have/ have not) signed an application for a building pennit for the proposed woric
3. I have contracted with the following person (firm) to provide the proposed construction {include name address I phone/ contractors' license number):
4. 1 plan to provide IX)rtions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work):
Ji$ PROPERTY OWNER SIGNAlURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant o, future bvildlng occupant requlrad to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention ?l)gram under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality man.gement district? □ Yes □ No
Is 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 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 1s a construction lending agency for the performance of the work ttus permit 1s ISSUed (Sec 3097 {i) Civil Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the ab<we Information ls correct and that the lnfonnatlon on the plans Is acwrate. I agree to comply"1th all Ciwon:linances and State laws relatil.i;to bulklklg construction.
I hereby authorize representative of the City of Carlsbad to enk!r ui;xin the al:x>Ye mentioned property i:lr inspectioo pu,poses. l ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is requtred br excavations over 5'0' deep and demoitk>n or construCOOn of structures over 3 stories in height.
EXPIRATION: Eveiy pemiit issued by the Buikjing Official under the provisions of this Code shal expire by limitatioo arKI become nul and vOKl W the building or v.ork auUlorized by such permit is not oommenc:e:i wthin
180 days from the date of such permit or if the building or v.ork authorized by such permit is suspeooed or abandoned at ooy time after the v.ork is oommenced bra pe~ of 180 day:s (Sectkin 100.4.4 Unitlml Q.Jikjhg Code).
A!APPUCANT'SSIGNATIJRE --DATE / 2-/; 3 l1
(
I.,.
• >* ;',,
, PERMIT INSPECTION HISTORY REPORTt(CBR2017-29751
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 12/13/2017 Owner;
Issue Date: 12/13/2017 Subdivision:
Expiration Date: 06/11/2018 Address:
IVR Number: 8310
Inspection No. Inspection Status Primary Inspector
01/19/2018 BLDG-34 Rough
Electrical
046433-2018 Passed Chris Renfro
January 19, 2018
BLOG-Fina I
Inspection
Checklist Item
BLDG-Building Deficiency
046434-2018
Checklist Item
BLOG-Building Deficiency
BLOG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Chris Renfro
COMMENTS
CONTINUING LIFE COMMUNITIES
LLC
CARLSBAD TCT#92-08 GREEN
VALLEY
2016 Mesquite Ct
Carlsbad, CA 92009-6883
Re inspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
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