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Home My WebLink About2239 PASEO SAUCEDAL; ; CBR2017-0179; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 02/13/2017 Residential Permit Permit No: CBR2017·0179 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2239 Paseo Sauceda! BLDG-Residential 2552603000 $0.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: SIEM: RUN 80' GAS LINE TO BBQ & FIREPIT FROM METER Owner: TRUST SIEM TRUST 11-12-00 2239 Paseo Sauceda! CARLSBAD, CA 92009 Status: Closed -Finaled Applied: 01/27/2017 Issued: 01/27/2017 Finaled: Inspector: PB urn Co-Applicant: STP MASONRY 6807 Amber Pl Lemon Grove, CA 91945-1301 619-252-4039 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 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 $166 00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: PLANNING ENGINEERING BUILDING FIRE HEALTH HAZMAT/APCD ( city of Building Permit Application Plan Check No.r.fif< ') () jl--(\l7 ~ 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.oarlsbadca.gov Date I l'J, /17 lswPPP JOB ADDRESS l}; ?-.' C ,r..,t, v·.: -< ' SUITE#/SPACff/UNrT• rPN' '") ) ' J,,! --- 'r' .. I CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet or Alrected Area('sJ Sex) , , '1 I, 1 L., ' \ \ ', I ', ! ', ,_ ri.: ,V ... . Y'i I g F\RL\'.>11 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE IAJR CONDITIONING I FIRE SPRINKLERS YES □# NO □ YES □ NOD YES □ NO □ APPLICANT NAME . ' PROPERTY OWNER NAME ')( ,1) \),{,·(~-. J-tn[-<,i.\_ (VJ11ir }< . t)· I • I 1·} ADDRESS ' 1\ ADDRESS "I i, ·~ r_.,) C,+..,h , J 1, / } 1\, iok-, 'I )1 11'1~--J -~) J '.r, ';,, t/_;.-( . --',> i w CITY 1 STATE ZIP CITY 0 STATE ZIP 'i J L,·1\,,., ! . . l L-i'-t--/ _ ),UI ' \,/IJ,'-,. ' ' PHONE I FAX1 ' CjS,•ic-PHONE IFAX c I'\ ·>Li; (j~'i ~ v I -1 ~c.•; ;~ ',; ~j . ' ) .,, 5· I 7 EMAIL ' EMAIL ) ;),{ i.. (-,·1,,-,1• I,·:..•',.., . ,J -i \ .. I t'\l1S1...·;i I-y (lv vc1l.,,v,1 .(_ ..,.-v1 ,•l :,,; i , '1 DESIGN PROFESSIONAL CONTRACl"OR BUS. NAME ,) \ \ , I 'v1L1.'> l,-., 'I(' 'I ADDRESS ADDRESS 11.v, l, , I V· ~· ! I > I ,, ZIP CITY STATE ZIP CITY STATE ;, { ., u I l-, ,_,. ' l l-1 ·1 / ·1 '-/ ,> PHONE IFAX PHONE IFAX '}, l, ,,, /}/ J... l. /V '_> •·j L i 'I ~ i.· ._, ·,,,-;,.: EMAIL EMAIL ~ \ l J V\t,5,1.-,1 17 l· yr.,/,,,u,. ' I) T,··, I STATE UC.# STATE UC.# r-I CITY BUS. UC.# ·:,·/YJ'1c { (Sec: 7031.5 Business and Professions Code: Arry City or County which requires a permit to construct, alter, improve, demolish or repair any structure, i:mor 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 D1v1sion 3 of the B_usmess and Profeasions Code) or that 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 cIvII penalty of not more than five hundred dollars ($500}). WOIIKlltS" COIIIPl!NSATION , Wortlen' Compensation Declaration: J hereby afflfTTI under penalty of perjury one of the following declarations.- □ I have and will maintain a certificate of consent to self.Insure for workers' compensation as provided by Section 3700 of the Latx>r Cooe, for the performance of the work for which this permit is issued. ~ I have and will maintain worlt~' compensation. as required by ~n 3700 of the Labor Code. for the performance of the work for which_this P8flllit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. Vi-'\n~ lt,K'L f;[,<_, -~ (.t,!,v-dfy Co Policy-No. (LA Ob21 \,Joo ExpirationDate ,, /cl /1] This section need not be completed if the permit is for one hundred dollars ($100) a less. r r ' D Certificate of &emption: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to beoome subfecl to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' 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 coda, interest and attorney's fees. fl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason- □ /, 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 Cede: 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, howewr. the building or rmprovement is sold within ooe 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 (Se:::. 7044, Business and Professions Code: The Conhldor'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 C.ontractor's License Law). □ I am exempt under Section ____ Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed pro~ improvement. □ Yes □ No 2 l (have I have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (furn) to provide the proplsed construction (include name address I phone/ contractors' license number) 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, super.,ise and provide the major work (include name I address I phone I contractors' liceflse number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indCSted (include name/ address/ phone/ type of work) fl5 PROPERTY OWNER SIGNATURE AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance kcou nt Act? □ Yes D 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 constructed within 1,000 feet oflhe outer boundary of a school site? 0 Yes D 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. I certify th at I have read the application and state that the above infonnatlon is correct and that the infonnation on the plans is accurate. I agree to oomplywith all City ordinances and State laws relating to building oonstruction. I hereby authorize representative of the City of Carlsbad to enter upon the above menh'oned properly for 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 ACCRUE AGAINST SAID CflY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such pennlt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code) . ..@S'APPLICANT'SSIGNATURE /Z --------.. _, ____ .. _ ' DATE / 2 7 I 7 ----____ ___,,___ __ --------;;z--------------·--------·--- STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS D PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) n CONTRACTOR (On Pg. 1) □ ASSOCIATED CB#------------□ MAIL TO: □ CONTACT (Listed above) rJ OCCUPANT (Listed above) D CONTRACTOR (On Pg. 1) □ NO CHANGE IN USE/ NO CONSTRUCTION D MAIL/ FAX TO OTHER: ________________ _ □ CHANGE OF USE/ NO CONSTRUCTION ,.t!5 APPLICANT'S SIGNATURE DATE Permit Type: BLDG-Residential Application Date: 01/27/2017 Work Clae;.\;: P/M/E Issue Date: 01/27/2017 Status· Closed -Finaled Expiration Date: 07/31/2017 Scheduled Date Actual Start Date 01/30/2017 01/30/2017 02/13/2017 02/13/2017 February 13, 2017 IVH Number: 1649 Inspection Type Inspection No. BLDG-23 Gas/Test/Repairs 011784-2017 BLDG-Final Inspection Checkllst Item BLDG-Building Deficiency 013451-2017 Checklist ltcrn BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Paul Burnette Paul Burnette TRUST SIEM TRUST 11-12-00 2239 Paseo Sauceda! Carlsbad, CA 92009-8705 Reinspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1