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Home My WebLink About2364 Merwin Dr; ; CBR2018-0894; Permit(city of Carlsbad Residential Permit Print Date: 05/04/2018 Permit No: CBR2018-0894 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2364 Merwin Dr BLDG-Residential 2081622200 $8,400.00 Work Class: lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Cogen Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 04/12/2018 04/12/2018 Plan Check#: Final Inspection: 5/4/2018 8:43:38AM Project Title: Description: GORDON: FLUSH ROOF MOUNT PV, 7.665KW, 21 MOOS, l INVERTER, NO UPGRAOE OR RMA Owner: JOSH GORDON 2364 Merwin Dr CARLSBAD, CA 92008 Co-Applicant: FREEOOM FOREVER LLC 31932 Gloxinia Way Lake Elsinore, CA 92532-2600 951-321-0855 BUILDING P'ERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $182.44 Total Payments To Date: $182.44 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 $106.09 $74.26 $1.00 $1.09 ,. ., ('Ci~of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 76CHI02 Z719 Fax: 760-602-8558 email: bulldlng®carlsbadca.gov www.carlsbadca.gov SU ITEH/SPACE# /UN IT# Est. Value Plan Ck. Deposit Date J.-j-1;;}-/ APN PHASE H # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) V )I EXISTING USE GARAGE (SF) ".s ~ tJ n'--IJ, Ii" l PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES D NOD APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME h-a-c=------c-------''Pl'""-"-7--f-TI.£"<.il'":L'_cj._L-i,t_~---=----l--.--a,=;c--------~,___.,'---"'~---"'-'o'..',,Z~!) o,,-l ____ ----1 AD,ES} 8 I 1 s s , -.---(1._!.,/V vs.w //0 ADDRESS STATE Ctr 6 ZIP f cr~ooo FAX I I PHONE --1 9 8 ,C.o-o Cf- EMAIL CONTRACTOR BUS. NAME ADDRESS ADDREss 5 _ S / a V" 1 J, f;-cAJ.:, rl /tv"S /:I I Io CITY STATE ZIP CITY STATE ZIP /}'\ IA. C ,1 ~:r (, -2- PHONE FAX PHONE q 5' I :; EMAIL EMAIL (JA'. l STATE LIC. # CITY BUS. LIC.# {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 s1~ned statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code} or {hat he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1\ 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: D I have and will maintain a certificate of consent to self-insure for workers' compensation as pro~ided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued CJ-r have and will maintain workers' compen~ation, as ref!uire~ by Section 3700 of the Labor Code, for the performanc@ilf the work for which this permit is is_:ued. My workers' compensatio insu nee carrier and policy numberare:lnsuranceCo. C.ft l, p,Ar/1/.1 J d.S PolicyNo. t:L2-J1'Jl6--/-01 &f ExpirationDate--1-~L./'-/'--l-'------- This section need not be completed if the permit is for one hundred dollars ($100) or less 0 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 to secure workers' compensation coverage is unla ul, 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, dama s as eel for i lion 3706 o e Labor code, interest and attorney's fees . ..65 CONTRACTOR SIGNATURE I hereby affirm 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 Contracto(s License Law does not apply to an owner of properly 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 pro~ing 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 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 this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ 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. \ 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 I 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 I address /phone/ type of work) A$ PROPERTY OWNER SIGNATURE ~GENT DATE '-I / 2) I 2 _Jc O M P,L ET E TH IS SE CT ION FOR NON· R E SI DENT I AL B U IL DI NG PER M ITS O N LY 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? 0 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 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 APPLICANT HAS MET OR 1S MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1l Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that 1 have read the application and state that the above information is correct and that the lnfoimation on the plans is acx:urate. I agree to comply with all Cily ordinances and state laws relating to building construction. I hereby authorize represenlawe of lhe Cfy of Carlsbad lo en,0-upon ~•-•mentioned propeify for inspection purposes. I ALSO AGREE TO SAVE, INDEf.tllFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA pennit is requred for excavations <:Ner 5'0' deep and demolition or construction of structures over 3 stories in heght EXP1RA TlON: Every permit issued by lhe Buikling 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 bui ing or authortzed by such pennit is suspended or abandoned at any time aflerthe work is commenced fa a period of 180 days (Section 106.4.4 Unifonn Buildil'V:;I Code). ,;fl$ APPLICANT'S SIGNATURE DATE , ·•~ PERMIT INSPECTION HISTORY REPORT (CBR2018-0894) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Cogen Closed -Finaled Actual Start Date Inspection Type Application Date: 04/12/2018 Owner: Issue Date: 04/12/2018 Subdivision: Expiration Date: 10/31/2018 Address: IVR Number: 10694 Inspection No. Inspection Status Primary Inspector 05,04/2018 05/04/2018 BLOG-35 Solar Panel 057008-2018 Passed Chris Renfro May 04, 2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 057009-2018 Chocklist Item BLDG-Building Deficiency BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Chris Renfro COMMENTS JOSH GORDON CARLSBAD TCT#96-07 KELLY RANCH VILLAGE E 2364 Merwin Dr Carlsbad, CA 92008-3871 Reinspection Passed Yes Passed Yes Yes Yes Complete Complete Complete Page 1 of 1