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Home My WebLink About2580 Wellspring St; ; CBR2017-2407; Permit(city of Carlsbad Residential Permit Print Date: 03/29/2018 Permit No: CBR2017-2407 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2580 Wellspring St BLDG-Residential 2081902600 $0.00 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 10/11/2017 10/11/2017 CRenf Plan Check#: Final Inspection: 3/29/2018 9:38:36AM Project Title: Description: SLABICKI: ELECTRIC TO BBQ & WATER FEATURE, GAS TO BBQ PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Tota\ Fees: $170.00 Owner: CARL SLAB IC Kl 2580 Wellspring CARLSBAD, CA 92010 360-949-9630 Total Payments To Date: $170.00 Contractor: GREEN EXPRESSIONS LANDS 3912 Bedford Ave Oceanside, CA 92056-3337 760-653-9967 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 lega! 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 $170.00 . (ci~of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 780-802-2719 Fax: 760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov Plan Check No. { EJ~Qa.. ?-.;Jl(D I Est. Value Plan Ck. Deposit Date O-(\- SUITE#/SPACE#/UNIT# APN It BATHROOMS TENANT BUSINESS NAME I CONSTR. 1YPE I OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) AIR CONDITIONING FIRE SPRINKLERS YES O NOD YES O NOD APPLICANT NAME (Primary Contact) ADDRESS CITY STATE ZIP }"' ... , '!tu.0 PHONE FAX EMAIL DESIGN PROFESSIONAL NAME ADDRESS CITY STATE ZIP ZIP PHONE FAX -=m,to EMAIL STATE LIC. # STATE LfC.H clAss -Z1--CITY BUS. LIC.# (Sec .. 7031.5 Business and P.rofessions Code: Any City or Coun.ty 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 si~ned statement ttiat 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 that he 1s exem_r;it therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 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 Declaration: I hereby affirm under penalty of pe,jury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit· 0 I have and will maintain WO ~tion, a~ regu~ Section 3700 of the Labor Code, for the 'perform~~wor1<rwl&hlhil:P~ -"~-My wor~er~' compensa. number are: Insurance Co. L"'1 ~ Policy No. ~('( W _ r:;> ..:Jb ) V Exp1rat1on Date __ _,__~~~---- and policy This section need not be completed if the permit is for one h dred dollars ($100) or less. D Certificate of Exemption: I certify that in the perform ce o e work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of California. WARNING: Failure to secure worker ' n coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to on undr thousand dollars (& 100,000), in in Section 3706 of the Labor code, interest and altorney's fees. I hereby affirm that I am exempt from Contractor's License Law for the following reason: a 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 lo 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) a 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). O I am exempt under Section ___ , __ Business and Professions Code br this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O 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/ 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)· .Ji$ PROPERTY OWNER SIGNATURE []AGENT DATE ' COMPLETE THIS 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 Substa11ce Account Act? D Yes O 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? D Yes Cl 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 haw read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all Clfyordinances and State laws relating to bulldlngconstructlon. I hereby authorize representatiVe of the Ci~ of Carlsbad ID enter upon the abovemen!oned prq,erty for iropection plJJloses. I ALSO AGREE TO SAV~ INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENS WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep d demolition or construction of strucb.Jres over 3 stories in height. EXPIRATION: Every permit issued by the Building Offi · under provisions of this Code shall expire by Hmitation and become null and void if the building orworl( authOlized by such permit is not commenced within 180 days from the date of such permit or if the buildi a orized b such ermit is suspended or abandoned at any time after the work is commenced for ape · of 180 d (Section 106.4.4 Unifoon Building Code). ~ APPLICANT'S SIGNATURE DATE T "'A;; 1 ~ ,; , §( ' w 'J > " , , {-"' "' \, 1r. · .. ·. '. · i • ~ " Pli~ll lNSPEeTIC?>N Mls'ToRX R!:P<>,~1; (C~~2gi~,:2407) · " .. · . Permit Type: BLDG-Residential Application Date: 1011112017 Owner: CARL SLABICKI Work Class: P/MIE Issue Date: 10/1112017 Subdivision: Status: Closed -Finaled Expiration Date: 05/3012018 Address: 2580 Wellspring St Carlsbad, CA 92010-5604 IVR Number: 6891 _,,. _______ -- Scheduled Actual Inspection Type Primary Inspector Reinspection Complete Date Start Date Inspection No. Inspection Status -------··-- 12101/2017 12/01/2017 BLOG-21 041959-2017 Passed Chris Renfro Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-31 041958-2017 Passed Chris Renfro Complete Underground/Condu it-Wiring Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/2912018 03/29/2018 BLDG-Flnal 063163-2018 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLOG-Plumbing Final Yes BLDG-Mechanical Final Yes BLOG-Structural Final Yes BLDG-Electrical Final Yes March 29, 2018 Page 1 of 1