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Home My WebLink About2525 Jefferson St; H-J; CBR2018-2308; Permit( City of Carlsbad Residential Permit Print Date: 02/27/2019 Permit No: CBR2018-2308 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2525 Jefferson St, H-J BLDG-Residential 1551703603 $0.00 Work Class: Repair Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 09/05/2018 09/06/2018 PBurn Plan Check#: Final Inspection: 2/27/2019 11:56:lSAM Project Title: Description: LAGUNA DE LOS PATOS: RESIDE BUILDING (UNITS H,1,J) Owner: LAGUNA DE LOS PATOS HOA 760-720-0900 BUILOING INSPECTION FEE Total Fees: $234.00 Total Payments To Date: $234.00 Contractor: PRIMECO 220 Oceanside Blvd Oceanside, CA 92054-4903 800-881-8067 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 $234.00 ,;- (_ City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Pian Check Est. Value PC Deposit ---~-7,_ __ _ Date q /4 :18 BRIEF DESCRIPTION OF WORK: \c6-·":>1t)t; &,11.D(,-JEoS N"Jlf 1.y :,A/l:fil'51Dc 0 Addition/New: ______ New SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: _____ SF of affected area Is the area a conversion or change of use? Yes/ No D Pool/Spa: ____ SF Additional Gas or Electrical Features? -------------- D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ Ne,, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: ____________________________________ _ D Plumbing/Mechanical/Electrical Only: __________________________ _ D Other: ___________________________________ _ APPLICANT (PRIMARY) PROPERTY OWNER Name: J:O&M MBNP.1Q,t>-Z. Address: -z--z.o OCEftN51Qc &.vD City: OCJ!/'INSIPE-: State: CA Zip: OJ'ZQSL/ _. Phone: --z <,o -4o5 -3445 Email: E:MPtM?,1Q\1£zB P81MBco COM DESIGN PROFESSIONAL Name: _________________ _ Address: ________________ _ City: ________ State:. ___ Zip: ____ _ Phone: _________________ _ Email: _________________ _ Architect State License: ___________ _ Name: LA&uNt\ re: iris 0)-rrt; tloB Address: 2"'2-S :i$,a:'-'E\2SoN '7I City: CIS£JbBAQ State: Cf\ Zip: 92Do8 Phone: ____________________ _ Email: ____________________ _ CONTRACTOR BUSINESS Name: PBiue:co Address: :z:zo QGEi"IN:s,()€ Bl.VD City: OC@NS10£ State: CA Zip: 9:Zo$'-I Phone: floo. '38 f. flo 7 Email: ?f2.IME?Jtl>f! i-};.Ji11ECQ, coM State License: -, 31 %~ Bus. License: I a q 17;)~3 {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, impro ,e, demolish or repair any structure, prior to its 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 e <empt 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 ot 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 3'i00 of the Labor Code, for the performance of the work which this permit is issued. D I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the perforn,ance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: _,,eru..,,·'""ufo:uil?...,1\l,.,Jtr=_,C,.__..ON'.i.,....u~="'--'-"(P6=.,_~N);'1l\JI>eu-'-"'""-"f1A",=~-- Policy No. Lj51)3· ,Q/,C/ Expiration Date: QI fol /Zo/q O Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I stiall: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. CONTRACTOR SIGNATURE: __ ,_..,~µ.,,-·-,,.~L-----------□AGENT DATE: _____ _ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the fol/awing reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the s~ ructure 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 b:.iilds 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 thl' 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 improvemi>nt. 0 Yes O No 2. l (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 indicatf·d (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 th~ performance of the work this permit is issued (::-2c. 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 regist'ation form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley~Tanner Hazardous Substance Account Act? □ Ye-, 0 No. Is the applicant or future building occupant required to obtain a permit from the air pollution control district or ai 0 quality management district? □ Yes O No Is the facility to be constructed wlthin 1,000 feet of the outer boundary of a school site? D 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 1 have read the application and state that the above information is correct and that the information c:n the plans is accurate. I agree 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 property 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 VvAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over S'O' deep and demolition or conc;truction 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 permit is suspended or abandoned at anytime afterthe wo,k is commenced for a period::? z:un. iform Building Code). APPLICANT SIGNATURE: ~ DATE: 09/zq /'7Q/f5 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-:/719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 2 of 2 Rev. 06/18 .. . PERMIT INSPECTION HISTORY REPORT (CBR2018-2308) Permit Type: BLDG-Residential Application Dato: 09/05/2018 Owner: LAGUNA DE LOS PA TOS HOA Work Class: Repair lssuo Dato; 09/06/2018 Subdivision: CARLSBAD TCT#72-10 Status. Closed -Finaled Expiration Date: 06/03/2019 Address: 2525 Jefferson St, H-J Carlsbad, CA 92008-1462 IVR Number: 13678 Scheduled Actual Inspection Type Inspection Status Reinspection Date Start Date Inspection No. Primary Inspector Complete 09/11/2018 09/1112018 BLDG-SW-Pre-Con 069679-2018 Passed Paul Burnette Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/13/2018 09/13/2018 BLDG-13 Shear 070005-2018 Passed Paul Burnette Complete Panels/HO (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency No 11/28/2018 11/28/2018 BLDG-Final 077239-2018 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency See card No BLDG-Electrical Final No 12/04/2018 12/04/2018 BLDG-91 077838-2018 Passed Michael Collins Complete Complaints Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency Caulking at siding/trim ok Yes 02/27/2019 02/2712019 BLDG-Ftnal 084799-2019 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency See final notes about Unit ID Yes BLOG-Building Deficiency See card No BLDG-Electrical Final No February 27, 2019 Page 1 of 1 ~ ' I ~ ASSESSMENT PAR, NO, 16~-170-36 sue ID IID-[!I NOTE• EACH SUl'I LD. 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