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Home My WebLink About2256 Fairway Ln; ; CBR2017-1285; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 07/06/2017 Residential Permit Permit No: CBR2017-1285 www.carlsbadca.gov Job Address:2256 Fairway Ln Permit Type:BLDG-Residential Work Class:Cogen Status:Closed -Finaled Parcel No:2163102000 Lot #:Applied:06/13/2017 Valuation:$0.00 Reference #:Issued:06/13/2017 Occupancy Group:Construction Type:Finaled: If Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check ft: Project Title: Description:NYGARD: INSTALL EV CHARGER IN GARAGE Owner:Contractor: TRUST NYGARD REVOCABLE 2005 TRUST BAKER ELECTRIC INC 07-20-05 2256 Fairway Ln CARLSBAD, CA 92009 760-745-2001 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00 Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00 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. ————--—— fr. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING D BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.awic 17.-1225City of Est. Value Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date 6//3/1i JOB ADDRESS SUITEV VSPACEUNIT#APN CT/PROJECT #LOT #PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s)0 )---.V (2na/le r ../.7 -7/-he 3a -4,7€ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESa NOEI YES D NO D YESp NoD_A APPLICANT NAME..-A...)../PROPERTY OWNER Primary Contact iCs__-./7 n a/t_.„(4.34.9„.ADDRESS ADDRESS .,.44 _......--••• ,zw.../re.ilefffCITYA4.STA"ZIP CITY j STA ZIP PHONE FAX PHONE FAX76-.5-- V6 -6 e 1- 7,(266)5*W-me EMAIL ,EnnAIL/flyi.74)1.e_e„.-..0./,0.e-./.-.6-,.-./4'.-;....... DESIGN PR0*§SIONAL CONTRACTOR BUS. NAME ,A.4°'."Z-7-‘eelrri C ADDRESS ADDRESS04/C)ejl /Pr7e/CITY STATE ZIP CITY STATE ZJPb--5-c e e...v.o.-, PHONE FAX PHONE.FAX761_,5-i./‘---ora& EMAIL EMAIL ,,,,,..1/e/ri I a/.e -r.ee:3','"e'Vel'e71/-/ 6.-cet% r.4-cior STATE LIC.#STATE LIC.# 1CLASS CITY BUS. LIC.#al.7.S—'"*!.efk •fe.--/6 I 2.1 I (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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5by any applicant for a permit subjects the applicant to acivil 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:DI 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. j'l have and will maintain workers'mpenjatign,as regired by 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.m.-„<e7.--e.(... ---re s Policy No.naie _7c)7.. 6 Expiration Date 9— /—1.,, This section need not be completed if the permitis for one hundred dollars ($100) or less. ElCertificate of Exemption: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 become subject to the Workers' Compensation Laws of California.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subjectan employer to criminal penalties and civil fines up to one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. .-te CONTRACTOR SIGNATURE PrAGENT DATE e2‘--/3 --- 7z''TR:4rOWNER-BUILDER DECLARATIONSr3.....40 .kAL-R .:.a agelg iLkata I hereby affirm that I am exempt from Contractor's License Law for the following reason: ElI,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 work himself or through his own employees, provided that such improvements are not intended or offered for sale.If,however, the building or improvementis 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). ElI,as owner of the 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).0 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.0Yes EINo 2.I (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 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 / type of work): AKPROPERTY OWNER SIGNATURE ®AGENT DATE .. P-.7347-*C'OMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicgnt 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 Account Act?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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 is a construction lending agency for the performance of the work this permitis issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertify thatI have read the application and state that tile above information is correct and that the information on the plans is accurate.Iagree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILFIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over50'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 authorize 11$ permit is suspended or abandoned at any time after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). AKAPPLICANT'S SIGNATURE Cie DATE 3/7 (Toy) 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 buildingecarlsbadca.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 0 PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) 17]CONTRACTOR (On P.1) ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1)o NO CHANGE IN USE/NO CONSTRUCTION 0 MAIL /FAX TO OTHER: o CHANGE OF USE/NO CONSTRUCTION ..4KAPPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-1285) Permit Type:BLDG-Residential Application Date:06/13/2017 Owner:TRUST NYGARD REVOCABLE 2005 TRUST 07-20-05 Work Class:Cogen Issue Date:06/13/2017 Subdivision:CARLSBAD TCT#98-23 LA COSTA GREENS Status:Closed -Fineled Expiration Date:12/27/2017 Address:2256 Fairway Ln Carlsbad, CA 92009-6948 IVR Number:4316 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 06/30/2017 06/30/2017 BLDG-34 Rough 027592-2017 Failed Jonathan West Reinspection Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Wrong address No BLDG-Final 027593-2017 Failed Jonathan West Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Wrong address No 07/06/2017 07/06/2017 BLDG-Final 028017-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes July 06, 2017 Page 1 of 1