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Home My WebLink About2330 Hosp Way; ; CBR2018-0604; Permit(city of Carlsbad Residential Permit Print Date: 03/27/2018 Permit No: CBR2018-0604 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2330 Hosp Way BLDG-Residential 1672504301 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Repair Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 03/12/2018 03/12/2018 A Krog Plan Check#: Final Inspection: 3/27/2018 12:53:22PM Project Title: Description: THE GROVES: REPAIR AT CARPORT #103 DUE TO VEHICLE DAMAGE (NON-STRUCTURAL) Contractor: JOHN POHLMAN CONSTRUCTION MANUAL BUILDING PERMIT FEE Total Fees: $130.00 Total Payments To Date: $130.00 855 Anns Way Vista, CA 92083-4716 760-305-2010 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 $130.00 '··----------------- Plan Check No. Est. Value r ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 78CMI024719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov Plan Ck. Deposit Date ,2-1 JOB ADDRESS SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# OF UNITS # BEDROOMS-# BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) rof.' J t"'L LO. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD #_ NOD YES D NOD YES D NOD APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME ADDRESS ADDRESS :l. ~ 1-0 CITY STATE ZIP STATE cA\ CITY (,,.p.,~ l..1 b .. i{ PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME j Dl"'-, .. 11. -C"''- ADDRESS ADDRESS g S°t" f>, I\ 'M \1J CITY STATE ZIP CITY STATE l f:\ PHONE FAX EMAIL STATE LIC. # (Sec: 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuan , lso requires the applicant for such per_m1t to file a signed statement ttiat he 1s 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 fhat he is exemf)t 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 {$500)). WORKERS' COMPENSATION Workers' Compensation Declaralion: I hereby amrm under penalty of perjury one of the following declarations: ~ I have and will mainlain a certificate of consent lo 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. 12' I have and will mainlain workers' compensation, as r uired by Section 3700 of the LabQr Code, for the performance of the work for which this pe and policy number are: Insurance Co. c! Dltf"l,,f ,. d , .! i" Policy No. __ ,....-.,L:-t",_,~'--'-'--'--"'-=t-'--J---- This section need not be completed if the permit is for one hundred dollars {$100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure lo secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, damages as provided for in S · 3706 of the labor code, inlerest and atlorney's fees. ,,/1$ CONTRACTOR SIGNATURE ~ 0AGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: Cl 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 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 will have the burden of proving that he did not build or improve for the purpose of sale). D I, 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). D 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. D Yes D No 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 work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE DA GENT DATE /; 0 MP LE TE TH I S S EC TI O N F O R N O N • R ES I D ENT I A L BU IL DI N G PERM ITS O NL Y 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 Account Act? D 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? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O 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 that I have read the application and state that the aboWl infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby au~olize represenlabve of ~e City of Carlsbad to enter upon ~e above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY 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 PERMrr. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolilion or construction of structures over 3 stories i1 heghl EXPIRATION: Every permit issued by the Building Official under the provisions of !his Code shall expire by imitation and become nul and void W lhe building or work authorized by such permit is not commenced ffllhin 180 days from the date of such pennit or Wthe building or'Mlrk authorized by such pennit is suspended or abandoned at any time after lhe wor1( is coounenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2018-0604) Permit Type: BLDG-Residential Application Date: 03/12/2018 Owner: Work Glass: Repair Issue Date: 03/12/2018 Subdivision: CARLSBAD TCT#81-41 Status: Closed -Finaled Expiration Date: 09/17/2018 Address: 2330 Hosp Way Carlsbad, CA 92008-1221 IVR Number: 10021 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspection Complete 03/16/2018 03/16/2018 BLDG-14 051974-2018 Passed Andy Krogh Complete Frame/Steel/Bolting/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Gate code to second gate only 4882# No 03/19/2018 03/19/2018 BLDG-17 Interior 062139-2018 Failed Andy Krogh Reinspectlon Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Wrong code No BLDG-18 Exterior 052199-2018 Passed Andy Krogh Complete Lath/Drywall 03/27/2018 03/27/2018 BLDG-Final 062882-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Structural Final Yes March 27, 2018 Page 1 of1