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Home My WebLink About2503 Wellspring Dt; ; CBR2018-3339; PermitCcityof Carlsbad Residential Permit Print Date: 01/15/2019 Permit No: CBR2018-3339 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2503 Wellspring St BLDG-Residential 2081928900 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 12/03/2018 01/14/2019 Tfraz Plan Check#: Final Inspection: 1/15/2019 11:54:48AM Project Title: Description: FARIZ: GAS ANO ELECTRIC FOR BBQ/ GAS TO FIREPIT Owner: COOWNER KASSAM FARIZ & CHAN ALEXA 2503 Wellspring St CARLSBAD, CA 92010 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Total Payments To Date: $175.00 Contractor: HELCCO 4186 Chasin St Oceanside, CA 92056-3411 760-822-5971 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 $175.00 ('cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Q:3f?&Q /,£-J53 Est. Value PC Deposit --------- Date _,_f,:;J~_-_3~-~-1...,·~~-- Suite: _____ APN: __________ _ JobAddressc9~ u;.e\\$X\D.9 0t CT /Project#: __________ Lot#:. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEFDESCRIPTIONOFWORK: G,~ 'ij 5\fcl:q,'I() fe:,(:2_ ~ ➔ hQf:,O;k □ Addition/New: _____ Living SF, ___ Deck SF, ____ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: _____ SF of affected area Is the area a conversion or change of use ? Yes/ No Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------- □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ___________________________________ _ D Plumbing/Mechanical/Electrical Only: ________________________ _ D Other: __________________________________ _ Name: ~ ~a Name: 0Y-\7,_ l<Ae:,'SQY"n APPLIC~(PRIMAR~ l. PROPERTY OWNER Address:\\&o~\Q $f Address: ~u..:,e\.\$QZ:i_,[9 §\--:~':¥~!' <3r I •• , 9'lO'lo ;:::~Ms.};:ncl Sh<o, ""'"'' qa-o LO Email:~~7@, Email: £6.y\7, ¥,0,':::,':;Q.,'(Y)@:::P,p, LO(Yl ~n::x:,.t.,o,n DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: ____________ Name: ~l.,C.,(.,Q Address: _______________ Address: i:\: ~$\0 -:fr City: ______ State:_~Zip: ____ City:o:dC&state: cf\ Zip: 9:31).S\Q Phone: ______________ Phon;?~ ~ ~7 \ Email:_____________ Email: (X'.~~0u.(\(l.Q_z.@ VO.~ Architect State License:____________ State License: 7 \d-\ l c2 lo Bus. License: ______ _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolis~r ~~S,>p~r~~ '\ • ZCL issuance, also requires the applicant for such permit to file a signed statement that he/she is 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 that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 8-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. ~ve and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the perfor for which this permit is issued. My workers' compensat1on insurance earner and policy number are: Insurance Company Name: __ ,._,....,"'-"-'===c._----1,.LL,,~'-'..L-l.,~~._J'--- Policy No.'t..\'11,\C .~,a.::r1A.S \ Expiration Date: 1-o, \ LA 11 .a (.c)IY\~Y") ~ □ Certificate of Exemption: I certrfy that in the performance of the work for which this permtt 1s issued, I shall not employ any person in any manner so as to be come subject 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 $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. J CONTRACTOR SIGNATURE: dvdhLAUOrii? ~GENT DATE: I;)/ o/ 18 ( OPTION B ): OWNER-BUILDER DECLARATION: 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 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 hls 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). □ 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). □ 1 am exempt under Section ________ Business and Professions Code forth is reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ 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/ 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/ 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): OWNER SIGNATURE: __________________ □AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY. IF ANY: I hereby affirm that 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: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. l hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AG REE 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 CITY IN CONSEQUENCE OF THE GRANTING OFTHlS PERMIT.OSHA: An OSHA permit 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 ofthis 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 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: ~VW:tl[[l.£? 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 DATE: ___._,J:9::.....,.../ _,_e:$,....,[--=l'-"-&'---- Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2018-3339) Permit Type: BLDG-Residential Application Date: 12/03/2018 Owner: COOWNER KASSAM FARIZ & CHAN ALEXA Work Class: P/M/E Issue Date: Subdivision: Status: Closed -Finaled Expiration Date: 06/05/2019 Address: 2503 Wellspring St Carlsbad, CA 92010-5604 IVR Number: 15781 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 12/07/2018 12/07/2018 BLDG-81 078006-2018 Passed Tim Frazee Complete Underground Combo(11,12,21,31) Checklist Item COMMENTS Passed BLDG-21 Yes Underground-Underfloor Plumbing BLDG-31 Yes Underground-Conduit Wiring 01/15/2019 01/15/2019 BLDG-Final 081351-2019 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLOG-Structural Final Yes BLDG-Electrical Final Yes January 15, 2019 Page 1 of 1 Cl) ;= ,, -C :l en () 0 (I) ~ -~ 1r ~ ~ r- I ...II ±49'-6" * f _r ,. ~ ♦ ♦ ♦ t + + • ♦ .~-. ♦♦♦♦♦♦♦♦♦♦♦♦4 ♦♦ ••••••••••••••• ♦♦ttf ♦♦♦♦♦♦t ♦t ♦♦ •••••••••••••••• tt ♦t ♦t ♦♦♦tt ♦tt ♦♦ t ♦ttft ♦♦♦t ♦♦tf ♦t ♦+t ♦♦t ♦♦♦♦t+♦t+♦ t ♦ttt ♦t ♦♦tt ♦♦♦♦♦ I r::-~---~-~---~~---~-~-r-~---------~~--------I ••••••••••••••+• 1 ••••••••+••••••• I ••••••••••••••• •~--+-------+--+-="'--~....,-+--I I ♦ + ♦ ♦ t t t t t + t ♦ t ♦ ' r· , r--:i I I +++•••••••• f •••••••••••• I Q7J 7J ,,, I I I l I I I I I 1· I .. 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