HomeMy WebLinkAbout2085 LEMONBERRY LN; ; CBR2017-2976; Permit(city of
Carlsbad
Print Date: 01/19/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2085 Lemonberry 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: CBR2017-2976
Closed -Finaled
12/13/2017
12/13/2017
1/19/2018 3:22:46PM
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
'
fHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE QHEALTH OHAZMAT/APCD
C_cityof Building Permit Application Plan Check No. r .,'.;. -.• ·v.'J _
____ ,.
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 /d..-V?-r-1 ISWPPP
JOB ADDRESS 2085 Lemonberry Lane
t .. .,, , ~, .. PACE#/UNITI IAPN ---
CT/PROJECT# 'LOT# 'PHASE# 1
# OF uNrrs
1
# BEDR ........ ,s #BA1HROOMS I TENANT BUSINESS NAME
1
CONSTR. TYPE
I
acc. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Anta(s)
Circuits for Smart Meter
EXtsnNG USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE '!AIR CONDITIONING I FIRE SPRINKLERS
YES0, "'° YES0No □ YES□No□
APPLICANT NAME PROP~~!~AME I .l-1-I'm-,11. -;..c--e_~ .,. .... l"\A
ADDRESS ADDRESS ~
CITY STATE ZIP CITY STATE ZIP
PHONE \FAX PHONE \FAX
EMAIL EMAIL
DESIGN PROFESStONAL 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 l'AX 619-276-5411 I FAX 619-276-3547
EMAIL EMAIL
Admin@fullerelectric.com I STATE LIC. # STATE UC.# !CLASS \ CITY aus'tos 1232290 494752 C-10
(Sec. 7031.5 Busmess and Professions Code: Any City or County which requires a permit to construct, alter, improve, demohsh or repair any structure, pnorto 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 exemJlt 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 t$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of pe,jury one of the following declarations:
0 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 reQuirecl 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 101112018
pii§.section need not be completed if the permit is for one hundred dollars ($100) or less.
LJ Certificate of Exemption: I certify that in the performaoce of the work for 'Mlich 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 coverage Is unlawful, and shall subjed an employ« to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dmnages n provided fO( in Section 3706 of the Labor code, Interest and attorney's fees.
£f CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affinn that I am exempt from Contractor's License Law for the following 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 builds or improves thereon, and who does such WOO( 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 Cooo: The Contractor's License Law does not appry' to an owner of
property who builds or improves thereon, and contracts for such prtjects 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. DY es Oo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the foltowlng person (firm) to provide the proposed construction (include name address/ phone/ contractOfS' license number):
4. I plan to provide portions of the work, but I have hired the following person to coon:Jinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. J will provide some of the work, but I have contracted (hired) the following persons to provide the wol1I indicated (include name I address/ phone I type of work):
£f PROPERTY OWNER SIGNATURE □AGENT DATE
i
I
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 matenats registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of Ille
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ·
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? a Yes □ No
\s Ille 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 APPllCANT HAS IIET 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 is a construction lendmg agency for the performance of the work thts pennit 1s issued (Sec 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certttythat I haYe read the appllcatlon and state tbatthe above lnfoonatlon Is oorrect:and that the information on the plans Is acauate. I agree to oomplyv.tth all Cityon:llnanoes and State laws relallogtu building oonstruclion.
I hereby authorize representative of the City of Cartsbad to enter uro, the above mentioned propertybr inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSEV\D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST So\JD CITY IN CONSEQUENCE OF THE GRANTING Cf THIS PERMIT.
OSHA: An OSHA permit is required br excavations over 5'0' deep and demolition or constructbn of structures over 3 stooes ii he9tt.
EXPIRATION: Every pennit issuOO by Ille Buik:ling Official under the provisions of this Code shall expie by limitalm and become nul and void if the buik:ling or 'AOlk authorized by such pemrit is not oommenQOO 'Mlhin
180days from the date of such permtt or if the building or'AOlk aulhorized bysudl permtt is suspended or abandoned at any time aflerthew:irk is oommenced bra peood of 180d (Secoon 100.4.4 Unibrrn &iik:lflg Ccx:le).
~ APPLICANT'S SIGNATURE DATE !l
. ' .
PERMIT INSPECTION HISTORY REPORT (CBR2017-2976)
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: 8311
Inspection No. Inspection Status
01/19/2018 BLDG-34 Rough
Electrical
046441-2018 Passed
January 19, 2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
046442-2018
Checklist Item
BLOG-Building Deficiency
BLDG-Structural Fina\
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
2085 Lemonberry Ln
Carlsbad, CA 92009-6884
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
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