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Home My WebLink About2535 Jefferson St; 12; CBR2017-2538; Permit(city of Carlsbad Residential Permit Print Date: 07/19/2018 Permit No: CBR2017-2538 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2535 Jefferson St, 12 BLDG-Residential 1SS1704512 $12,000.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Alteration Status: Applied: Issued: Permit Fina led: Inspector: Closed -Finaled 10/24/2017 10/24/2017 MColl Plan Check#: Final Inspection: 7/19/2018 4:54'48PM Project Title: Description: HERMAN: REMOVE AND REPLACE APPLIANCES, NEW LIGHTING AND OUTLETS AT KITCHEN, GUEST BATH & MASTER BATH BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLOG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Tota\ Fees: $228.15 Owner: TRUST HERMAN LIVING TRUST 12560 Webster Ct CHINO, CA 91710 Total Payments To Date: $228.15 Contractor: BUILD A DREAM INC 14428 Hamlin St, Unit 330 Van Nuys, CA 91401-1455 855-211-0201 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 $132.70 $92.89 $1.00 $1.56 THE FOUOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING 0BU1LD1NG OARE 0HEALTH D HAZIIATIAPCO (City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760--602-2719 Fax: 760-602-6558 email: building@car1sbadca.gov www.carlsbadca.gov Plan Check No.(' p.,a 2D 11 -25 ~ Est. Value Plan Ck. Deposit Date In-?J..1-l 1 ISWPPP JOB ADDRESS Cl/PROJECT ,. ILOT# ,_ PHASE# I# Of UNITS I # BEDROOMS # BA.THR............ I TBIMT --NMIE I CONSTR. TYPE I occ. GROUP ~1:~"''j;~~(i)1:fu~-m ~td.).;v'lj (10"t<:3z,) \nc_)\l4-f(Ot>->b:~/ (?\e.c--tr,(0,.\' -(;\...t ,t Co..b·,n.t:,b I 1:>rj l;vll\\ pc.d--ch 1'V1J' '* ~ l.-;'}f\1) Oi'f\)\..\~ vn·,\-- -USE I PROPOSEDUSE IGARAGE (SA PATIOS(SF) loECKS(SF) FIREPLAC-E ,IA1RCONomoN1NG IFIRESPRINKLERS vESO •<OJ YES0No0 YES0•o0 ,..APPL ..... _ .. NT .. _ ..... -V,.,0c_eJ __ l,)_1_6S ___ a_"' ________ ""'f!!PROPEATY==-~~~r,, .e..,\ l-l o .rYY\ct h EMAIL ' EMAIL DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE I FAX PHO~ .,-,..-\ '-' IFAX I 'b':::A-\ ·'7-11 0 2..o I EMAIL EMAIL , I STATE UC.# STATE UC.# ICIASS IL 1= 8(JS. UC.# • p Ot.p,:;,L• I c:L (Sec. 7031.5 Business and Professions Code: Any Cil;Y or County which reqwres a permit to construct, alter, improve, demolish or repair any: structure, pnor to its Issuance, also requires the applicant for such pennit 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 the Business and Professions Code} or that he is exem.l}I; 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}). WORKERS' COMPENSATION Workerl' Compenaation Dedaratlon: I hereby affitm under penalty of pe,Jury one d the following declarations: CJ.1 have and will maintain a certificate of consent to self-insure for workefs' oompensation as provided by Section 3700 of the labor Code, for the peJfonnance of the 'IIOO( for v.tiich this permit is issued. ~ I have and wiH mal-........ ~ as (o, bv Section 3700 of lhe Labor Code. ro, 1he _pertom,ance of 1he ""'i'<o"7:, lhls -is issued. My ""'1<ers' -;pnce n: aad policy number a,e: Insurance Co. ~ Pol,cy No. 9' ({}I.Q -Dale l-'i ]ll§. section need not be completed if the pennlt Is for one h;;;d-ONars(S) or less. LJ Certificate of Exemption: I certify that in the pe,formance of the work for which this permit is issued, l shaH not employ any person in any maooer so as to become subieCt to the Wooers' Compensation Laws of Galifomia. WARNING: Failure to secme workers' compensation coverage la untawful, and shall subject an employer to crlmlnal penalties and ctvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of~ damages a1 provided for In 3706 of the Labor code, Interest and attorney's fees. NS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contracto(s License Law for the foHowing reasoo: D I, as owner of the property or my employees 'Mlh wages as their sole ~satiOn, wiU do the "M)r1( and the structure is OOI: 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 buids or improves thereon, and who does such work himself or through his own~ provided that such improvements are oot intended or offered for sale. If, however, the building or improvement is sold 'Mlhin one year of completion, the cr.mer-buildefwill have the burden of proYilg that he did not bulk! or improve for the purpose of sale). 0 I, as owner of the property, am exclusively oootracting with licensed contractors to oonstruct the~ (Sec. 7044, eus.iess and Professions Code: The Contractor's license law does not apply IO an owner of property whO builds or improveS thereOn, and oomracts for such pro;ects with contractor(s) licensed pursuant to the Contractor's license law). D l am exempt under Sedion Business arxl ProfessionS Code for this reason: 1. I peraooally plan to pro,ide 1he majo, ~bor and materials ro, oons1ruclion of lhe prooosed property improvement. 0Yes (Jlo 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. I have rontracted wi1h 1he ml-person (firm) to provide lhe prooosed oons1ruclion pnclooe name address I poone I oootraclOra' license number): 4. I plan to provide portionS of the work, but l have hired the following peraon to coordinate, 5l4)el'Vise and provide the major work fmckide name I address I phone I contractors' license number): 5. l will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inckJde name I address I phone I type of WQI\.): NS PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future bulk!ing OCC1Jpant required to submit a business plan, acutely hazardous materials registration form or risk maiagement and prevention pogram under Sectiof'ls 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accollnt Ad? [] Yes C] No Is the applicant or future buikling occupant required to obtain a permit from the air polution control distnct or air quality management district? [] Yes a No Is the fa:ility 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 ANAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED UNLESSTIIE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND lHE AIR POUUTION CON1ROl DISTRJCT. I a,rtifythatl have 188d the application andsalethattheatxMI mbmaliorl Is CDffl:ICl:Md that the klfonnation on the pms is aauate. I agmeto amplywith all CilJodnln:les and State laws ""8tingto bulldslg coosCrucdon. I helllby-represenlatileof lhe Clyof Galsbad k>en\eruiXJO tJe abo,e rrenliJlled-1\' ilr-l>KJJO'OS. I ALSO AGREE TO SAVE, N!JEMNIFY AND KEEP HARMLESS THE CITY CF CARI.SBAD AGAINST All. LIABILITIES, JUDGMENTS, ODSTSAND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIDCITY IN ODNSEOOENCE CF THE GRANrnG CF THIS PERMIT. OSHA: AA OSHA pennl O requilld ilr excavalions-5'0' deep and -or conslrudilo of S1rudure$ <Nfl( 3 sm,s ii hegrt. EXPIRA TKJN: E""Y pennl -by lhe llJiijr,g Olli:ial under lhe pro,isiJlls of ~is Code shall e,q,ie by -ar<I beoome nul and voil ! lhe buimg orY<Jlk auh>ri2ed by such peimit is nol """""'1<Ed v.illil 100da)s from lhe dale of such pe'l1lil or!lhe b<Jiklr,g orY<Jlk-by sLdl pennl;; suspendedor-al"1yline a!Erlhe Y<Jlk isW11f!Ml11Ced ilra period of 100da)s (Sedilrl 1re.4.4 l)iitlnn lllitlr,g Code). AS APPLICANT'S SIGNATURE DATE \O ~ \1 Permit Type: BLDG-Residential Application Date: 10/2412017 Owner: TRUST HERMAN LIVING TRUST Work Class: Alteration Issue Date: 10124/2017 Subdivision; CARLSBAD TCT#77-01 Status: Closed -Finaled Expiration Date: 0513012018 Address: 2535 Jefferson St, 12 Carlsbad, CA 92008-1420 IVR Number: 7156 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete ·------··-~·- 11/20/2017 11120/2017 BLDG-24 040982-2017 Partial Pass Michael Collins Reinspectlon Incomplete Rough/Topout Checklist Item COMMENTS Passed BLDG-Building Deficiency Tub mixers Yes BLDG-34 Rough 040981-2017 Partial Pass Michael Collins Reinspection Incomplete Electrical Checklir;t Item COMMENTS Passed BLDG-Building Deficiency Partial No 12/01/2017 12/01/2017 BLDG-34 Rough 042075-2017 Passed Paul Burnette Complete Electrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial Yes 07/16/2018 07/16/2018 BLDG-Final 064166-2018 Failed Michael Collins Re Inspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Notice No BLDG-Electrical Final No 07/18/2018 07/18/2018 BLDG-Final 064344-2018 Failed Mlchael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency See notice No BLDG-Electrical Final No BLDG-Electrical Final No BLDG-Building Deficiency Notice No 07/19/2018 07/19/2018 BLDG-Final 064489-2018 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency See notice No BLDG-Electrical Final No BLOG-Electrical Final GFCI, smoke/Co detectors ck, T-24 ck Yes BLDG-Electrical Final No BLOG-Building Deficiency Yes BLDG-Building Deficiency Notice No July 19, 2018 Page 1 of 1