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Home My WebLink About2067 LEMONBERRY LN; ; CBR2017-2977; Permit{city of Carlsbad Print Date: 01/19/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2067 Lemonberry Ln BLDG-Residential 2550122000 $0.00 Residential Permit Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Ptan Check#: Plan Check#: Description: CONTINUING LIFE COMMUNITIES: CIRCUITS FOR SMART METER Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2017-2977 Closed -Finaled 12/13/2017 12/13/2017 1/19/2018 3:19:50PM 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 I THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD C_cityof Building Permit Application Plan Check No./l(N" ~,•] ....;}<j r? 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.carlsbadcagov Date I :L~ ,,_ I 'l--ISWPPP JOB ADDRESS I ;,uuo:.w/.,PAC--, -.. 1Tt11 APN 2067 Lemonberry Lane --- CT /PttOJECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS , ,uvvo, BUSINESS NAME I CONSTR. TYPt. I occ. liROUP DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) Circuits for Smart Meter EXISTING USE FIREPLACE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) YES[), 1 r'R CONDITIONING I FIRE SPRINKLERS "'° YES □No □ YES□No□ APPLICANT NAME PROr~~yqe~NfMf,t • f:IJ . " V\:~esi... ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE 'FAX PHONE I FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Rod Fuller Electric Coro. DBA Fuller Electli 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.# 'CLASS / 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, 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 that 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 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 workers' 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 reauired by Section 3700 of the lalx>r 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 101112018 ~section need not be oompleted if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for whk:h this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cov«age ts unlawful, and shall subjed an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage& as provided for In Section 3706 of the Labor code, interest and attomey's feos. Ji$ CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby afflrm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with w;ges as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professklns 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 wm 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 conBting 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 map!" labor and materials for construction of the proposed property improvement. Oves 0No 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 WOO., but I have hired the following person to cooldinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but l have contr.K:ted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): NS PROPERTY OWNER SIGNATURE □AGENT DATE i COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ls the a~lcant or future Quildtng occupant required to submit a business plan, acutely hazardous materials reg6tration form or risk man.gement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ts the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management 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 perfonnance of the work this permit is Issued (Sec. 3097 0) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I ~ that I haw read the appllcalion and state that the abl:we information is correct and that the Information on the plans Is acQlrate, 1 agree to complyMth all atroldlnances and Stale laws 19lallngto building construction. I hereby au~orize n,presental"° of the City of Carlsbad~ eoterupon the aw,, mentioned property ix k1specli)o 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 ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is ra:iuired iJr excavations over 5'0' deep c11d demolition or CXlllStructbn of structures over 3 stories in heght. EXPIRATION: Eveiy pennit ssued by the Buik:ling Of'lk:ial under the provisions of this Code shal expi'e by limitation ax! become nul clld vokl if the OOiklilg or v.ork authorized by such permit is not commenced Wthin 180days from the dale of such permit or if the uikling or v«llk authorized by such pennlt is suspended or abanooned at anytime after the v.ork is commenced b" a perod of 180d~(Secoon 100.4.4 Unii::lrm Buik:lilg C'me). ,f!S" APPLICANT'S SIGNATURE DATE ,i-/13/ , , ',-', PERMIT INSPECTION HISTORY REPORT (CBR2017-2977) Permit Type: BLDG-Residential Application Date; 12/13/2017 Work Class: P/M/E Issue Date: 12/13/2017 Status: Closed -Finaled Expiration Date: 06/11/2018 Scheduled Date Actual Start Date 01/1912018 January 19, 2018 IVR Number: 8312 Inspection Type Inspection No. BLOG-34 Rough Electrlcal 046438-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 046440-2018 Checklist Item BLOG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro CONTINUING LIFE COMMUNITIES LLC CARLSBAD TCT#92-08 GREEN VALLEY 2067 Lemonberry Ln Carlsbad, CA 92009-6884 Reinspection Passed Yes Passed Yes Yes Yes Complete Complete Complete Page 1 of 1