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Home My WebLink About221 Normandy Ln; ; CBR2018-1103; PermitCCityof Carlsbad Residential Permit Print Date: 05/30/2018 Permit No: CBR2018-1103 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 221 Normandy Ln BLOG-Residential 2030231600 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 05/07/2018 05/07/2018 Plan Check#: Final Inspection: 5/30/2018 9:33:0SAM Project Title: Description: SCHIFF: INSTALL TEMP POWER POLE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total fees: $170.00 Owner: TRUST SCHIFF DEBRA A FAMILY TRUST 09-19-03 6876 Batiquitos Dr Carlsbad, CA 92011-3917 Total Payments To Date: $170.00 Contractor: DM BUILDING INC 3520 Seagate Way, Ste 130 Oceanside, CA 92056-2680 760-644-0714 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 rn 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: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Ccityof Building Permit Application Plan Check No. r AN ,JIJ J X -j I a ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov Date 517 I Ix lswPPP www.carlsbadca.gov JOB ADDRESS ,1./2 L/11", t:./{'l<LS ~"'r~ SUITH/SPACEt/UNIT# r PN )...-Z-./ 't>~/1//fN!)Y / --- CT/PROJECT# ILOT # I PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) //('5T4t-t-T0rl/> /'t)li/~ /JtJLe EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO . N<O YES □NO □ YES□ NO□ APPLICANT NAME Sa?7T I<,--/ ,4--d PROPERTY OWNER NAME /J Ee R 41-G,9-/ ,,t::F n ......... _,r.11.n• ... - AD~?'U> S&/!f,tfT£ W,9-y .;/-/?0 ADORES)_ /Vc>--f m /J-n d y L,?--/1/E 7,,--/ c)c&f;v $/ LJL c..,5)/.TE lj~7{e:> CIU,f ~ S# ,(fl} 2'J-Zl~_.i..oC)~ po/t.t' ... s-1 J , CJ 76"? I FAX PHONE I FAX EMAi~ 7TC2 ~ff/ }:?LIi £/)/ /Y 7 , U$ EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME t) /)'f /7(,J /LI)/ IY/2 //fl? ADDRESS ADORE~ S'J,O S&.LJ-h'9r£ W.IJ-Y II 1~6 CITY STATE ZIP ~✓l~/0-e:. STATC-,61--ZIP 9 'u;>.5b PHONE I FAX ,NE _ 9 I FAX ~--~?2--75"7 EMAIL E~ff~ l>/JJ~{)/L(j;l//f C"? , /)5 I STATE LIC. # STATE LIC.E _ 9~~!>/J I CLASS 8 IA~; I i.:J.:~907 (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 {Cha'f.ter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). I I I W O R K E R S ' C O M P E N S A T I O N ·:? Worl<ers' Compensation Declaration: / hereby affirm under penally of pe,jury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for WO/kers' compensation as provided by Section 3700 of the Labor Code, for the performance of the WOik for which this permit is issued. ~ I have and will maintain worl<ers' co'.'l~nsatlon, as required by Section 3700, of the Labor Code, for the performance of the work for which this permit is issued. ?'°rkers' compensation ins nee rrier and policy number are: Insurance co/)Jl!)W~T em4/l'('05 Of.5i/,tt.T'-/ Policy No. Btltl h(t:o I ?,?zlpl~ Expiration Date ,// / /: -- ~section need not be completed if lhe permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhat in the performance 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' Compensation Laws of California. WARNING: Failure to secure woricers' 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 ~t:.,~..,...-:JI---0 AGENT I hereby affirm that I am exempt from Ccntrector's License Law for the following reason: □ □ □ I, as owner of lhe 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 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 wilhin 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 Iha 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 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 lhis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No 2. I (have/ have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address/ phone I contractors' 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 / address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) lhe following persons to provide the won< indicated (include name I address / phone / type of work): I i I I I L.'.~'.'::'...'..P::RO:P_:E:_RTY:.:__::O:,::WN::::.:ER~S:::IG:N:::.A~TU:R=E:_ ____________________ -=D::::...."G_E_N_T ____ o_A_T_E ______________ J COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous matertals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance A~ount 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? □ Yes □ No Is the facility to be consbucted within 1,000 feet of the outer boundary ofa 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 affinn lhat there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certilythatl have read thea1111rication and state that the abole lnfonmation iscona:tand that the Information on the plans is acam1te. I agreetocompttv,tth all Ceyonllnances and~ laws relating ID bulldlngconstluctlon. I hereby authorize represen1ative of the City of Carlsbed 1o enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-IE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SbJD CITY IN CONSEQUENCE OF THE GRAIIITINGOF THIS PERMIT. OSHA: AA OSHA permit is required fer excavations r:JoJer 5'0' deep and demolition or construction of struclures over 3 stores in height EXPIRATION: Every permit iSsued by the Building Official under the provisions of 1his Code shall expire by Imitation and become null and void if the buiidi1g orwonc authortzed by such penmrt is not commerced \M1hin 180 days from 1he date of such pem1ftorifthebuilding orwonc authorized by such permtt is suspended or abandoned atanytimeafter1he woo: is cornmene&d fora period of 180 days(Secoon 106.4.4 Uniform Building Code). ,A$ APPLICANT'S SIGNATURE DATE · PERMIT INSPECTION HISTORY REPORT (CBR2018-1103) Permit Typo: BLDG-Residential Application Dato: 05/07/2018 Owner: Work Class: P/M/E Issue Date: 05/07/2018 Subdivision: Status: Closed -Finaled Expiration Date: 11/26/2018 Address: IVR Number: 11190 Actual Scheduled Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 05/30/2018 05130/2018 May 30, 2018 BLDG-32 Const. Service/Agricultural ( Tempi 059381·2018 BLDG.Final Inspection Checklist Item BLDG-Building Deficiency 059382·2018 Checklist Item BLDG-Building Deficiency BLDG•Plumbing Final BLDG-Mechanical Final BLDG•Structural Final BLDG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS TRUST SCHIFF DEBRA A FAMILY TRUST 09-19-03 GRANVILLE PK 221 Normandy Ln Carlsbad, CA 92008-2223 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1