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Home My WebLink About2614 Jacaranda Ave; ; CBR2017-0111; Permit• Print Date: 01/26/2017 Job Address: Perm it Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2614 Jacaranda Ave BLDG-Residential 2551132200 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Status: Lot#: Applied: Reference#: Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: MCCARTNEY: INSTALL40 LF OF 3/4 Pl PEON EXTERIOR FROM GAS METER TO INTERIOR GAS RANGE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: DOUGLAS MCCARTNEY 2614 Jacaranda Ave CARLSBAD, CA 92009 760-207-709S Total Payments To Date: $166.00 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. Permit No: CBR2017-0111 Closed -Finaled 01/17/2017 01/17/2017 $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD {city of Building Permit Application Plan Check No. C'is<Q.'LO , 7 -O \ \ \ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Depqsit Carlsbad email: building@carlsbadca.gov Date1T,,,17 ISWPPP www.carlsbadca.gov JOB ADDRESS ?_ b/'f TAC ,4 /l,A tv O IJ I/VI£ SUITEf/SPACE#/UNITf IAPN //3 --1-'v :;--z.-z__-oo CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. l'r'PE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /N St'/IL-L-~o LP oF u·, Gflt..,Vf/r,,..Jll;c,:;) 5/rzr;;;L G,4.J ftPG: 7b s6'1ve /<-/TGH6/'.J ,f..l")rv G 6 EXISTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES0, No[] YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER OoUGL/'/5 [J H cc,q.{?rJ"/G y Primary Contact ADDRESS ADDRESS 2., ( I 't-:r,,q C/7 f2, f9,v 17,4 r)VC CITY STATE ZIP CITY C !JR, c.. r !I/Jc? STATE C/} ZIP 9 2-oO'J PHONE IFAX PHONE 'I FAX 1Co -2..o7-7o o/ <' - EMAIL EMAIL 0:iuG @ tbvG;, cc r?R--rNEY, cot-1 DESIGN PROFESSIONA CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE UC.# STATE UC.# I CLASS I Cll'r' BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to. construct, alter. improve, demolish or repair any structure, p_r1or to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_ndingw1th Section 7000 of Division 3 of the Business and Professions Code) or that he 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)). 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 provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for wtiich this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 rs unlawful, and shalt subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees . .8.'5 CONTRACTOR SIGNATURE □AGENT DATE OWNER•BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wol"K 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 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). 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. 0Yes 0No 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 I 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 I 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 I phone/ type of work): ,8$ 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 Substance Account Act:? O Yes D 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. CONSTRUCTION LENDING AGENCY APPLICANT CE R Tl FICA Tl ON I certify that I have read the application and state 1hatthe above lnfonnatlon Is correct and that the information on the plans Is accurate. I agree to comply with alt Cify ordinances and Strte I.MS relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aoove mentioned property for inspection ~IJX)S8S. I ALSO AGREE TO SAVE, INDEMNIFY .A.ND KEEP HARMLESS THE CITY OF CAALSMD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE OF THE GRANTING OF THIS PERMIT, OSHA: M OSHA pennit is required for excavations over 5'0' deep and demclrtOO oro::xistruction of structures over 3 stories in height. EXPIRATION: Every perm rt issued by the Building Ofltial under the provisions of this Code shall expire by !imitation and beoome null and VOO if the building orw:,rk authortzed by sucil pennit is notoommenced within 180days from the date of such pennlt or if ~'Mlrk au rized by sucil pennlt is suspended or abandoned I an ti rk is commenred for a period of 180 days ( ion 100.4.4 Uniform Building Code}. A$APPLICANT'SSIGNATURE ~ 0.. rYl '-....~,,,-DATE / /? / • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTlONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR {On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ ,AS APPLICANT'S SIGNATURE □ ASSOCIATED CB#'------------- □ NO CHANGE IN USE/ NO CONSfflUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP - PERMIT INSPECTION HISTORY REPORT (CBR2017-0111) Permit Type: BLDG-Residential Application Date: 01/1,7/2017 Owner: DOUGLAS MCCARTNEY Work Class: P/M/E Issue Date: 01/17/2017 Subdivision: Status: Closed -Finaled Expiration Date: 07/17/2017 Address: 2614 Jacaranda Ave Carlsbad, CA 92009-9115 IVR Number: 1467 Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection 01/26/2017 01/26/2017 BLDG-Final 011341-2017 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Meter to cooktop. Yes January 26, 2017 Page 1 of 1 .. 1-...... /' _,.. -.. ~"' • I,'•• :J t' 'I ' • • : ~· 1~--·:~~:(t·(~ ff~~~!,-..;•, .;,.;-~--~"'.'I, } .,,.