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Home My WebLink About2614 LEWIS LN; ; CBR2017-1469; PermitPrint Date: 07/05/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2614 Lewis Ln BLDG-Residential 1552722500 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: O'NEIL: EMERGENCY GAS LINE REPAIR PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: TRUST ONEIL MICHAELE AND BRENDA M 2614 Lewis Ln CARLSBAD, CA 92008 714-887-9946 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: 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: CBR2017-1469 Closed -Finaled 06/29/2017 06/29/2017 $0.00 $166.00 THE FOLLOwilfG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □eu1LOING □FIRE □HEALTH 0 HAZMAT/APCD {"city of Building Permit Application Plan Check No. (_j / .rri/ · f-/Lf&-i 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. ~eposl_t . . email: building@ca~sbadca.gov www.carlsbadca.gov Date 11, '::J-9 If' -r lswPPP JOB ADDRESS 21,/ '/ i.6W/S t.A~ SUrrE#jsPACEI/UNtT# APN --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Squant Feet of Affected Atea(s) G°AS ,R l!T _,P '-4 C t!!f' I? Oi!s P✓A.JR I/Al.I/€ .P/,,P✓~ s-:n1116 /"" /t'✓~ -n:, s,/v,e, ~t;;Jt/4-t_?-6.). h.P✓o/ ~ /~7, (:;JI J' C.. (Nia ICE I'✓!,,._ EI? w/e:,,.,,e ,rg ,.,.,.,,.,..,,..:. ,''1V ~CJ<"- EXJSTINQ USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[}I Nc{J YES□No□ YES□No□ APPLICANT NAME~/ CQ,t/e'f_. Prtnarv Contact ~ Ne/ L-PROPERTY OWNE~ME ~/~ 'e'-c9✓ Nl!f5'✓''- AD~i/1../ t.,.,,,;;N6 ADDRESS t,..GW/S CITY STATE ZIP ZIP CA41 <-/840 CXI 9--_,; CITY ~ ~ -Ah? -PHONE .Ao IFAX PHONE /T " IFAX 71-1-ee7., :;Ji - EMAIL e . .e?~/' ~ t:~A/L-. EMAIL /H/r ,,~~'-- DESIGN PROFESSIONAL CONTRACTOR BUS. NAME .P ,r;;,(/ C?'/ f'E_ /?u , ADDRESS ADDRESS ~ ✓Vt:/tle'ltl:;6 ,p,.., 411~~ I ~00 CITY ,1,1 //.77' ZIP CITY STATE ZIP1,;2 0~~ Siq,o✓ A?A4,(o.,. C;t PHONE f'V/ / r:,r PHONE 79'8 lit7 IFAX ?/~O EMAIL , EMAIL I STATE UC.# STATE UC.# I CLASS I CITY BUS. LIC.# (Sec, 7031.5 Bus mess and Professions Code: Any City or County which requires a perm rt to construct, alter, improve, demolish or repair any structure, pnor to itS issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, comme_nding with Section 7000 of Division 3 of the B_usiness and Professions Code} or {hat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any apphcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORl<ERS' COMPENSATION 1 Workers' Compensation Declaration: I hereby affirm under penalty of perjlJtY one of the fo//owrng declarations: D I have and will maintain a certificate of consent to self•illSUre for wo/11:ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wo/11: for which this permit is issued. 0 I have and will maintain workers' compensation, as reciuired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensalioo insurance carrier and policy number are: Insurance Co. ____________________ Policy No.---------~-----Expiration Date __ . ________ _ ~section need not be completed if the pemlil is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the WOfk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltfes and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, interest and attomey's fees. N$ CONTRACTOR SIGNATURE □AGENT DATE OWNER~BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License law for the following reason: D l, 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 Cootractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such worll himself or through his own employees, provided that such improvements are oot intended or offered for _ ~f. however, the bu. ilding 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). lkf1", as owner of the property, am exdusively contracting with licensed contractors to construct the project {Sec. 7044, Business and ProfesSIOOs Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts !of such PfOjects 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. Ov es Oo 2. I (have I have not) signed an application for a building permit for the proposed worir:. 3. I have contracted with the following person (firm) to provide the proposed constructiofl (indude name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (indude name I address/ phone I contractixs' license number)· 5. ! 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 wor1(): -@)PROPERTYOWNERSIGNATURE ""?'>-o'-----jp._. ['@ '::§;;, □AGENT OATE 9 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant orfutln building occupant required to submit a business plan, acutely hazardous materials regisb'ation form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Substance Account At;t.? tl Yes tl No Is lhe applicant or future building occupant required to obtain a permit rrom the air polh.Jlion control district or air quality management district? tl Yes tl No Is lhe tadtity to be constructed within 1,000 feel of the outer boundary of a school site? tl Yes ti No If ANY OF THE ANSWERS ARE YES, A ANAL 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 I heraby affinn that there is a construction lending agency for lhe performance of lhe worl< th,s permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION lco,dfythatl ..... -lheapplcallonand-thallheallo,eilfolmallonls-andtllatlhe-Clllheplansls_l_m_wldlallCliJonllnaocesandSlaiBl1Ms_ .. __ 11-.reby aulhoriZe ,epresen1atiw al the City ol Calobad ID --the above mentioned property IJr ilspedion Pl'JIOSOS-I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESS THE CITY Of CARLSBAD AGAINST All LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHK:H t/AY IN A/N WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTU'lGOf THIS PERMIT. OSHA: An OSHA pennl i; 181p19d IJr excavations over SU' deep and _,or oonstnx:lionof struciJres rm, 3 sillies il heiitl- EXPIRAIDN: E...y pemil osued by Ile lluldi'lj Official Ll1ller Ile pro,i;ilns of lhe Code shaU expie by inilatioo and become nul and vm ff the buidi1g or I\01k ·-by sud1 pemil i; 11111 oonmenc:ed willil 100 days from the dale of sud1 pemil or , the bliklilg or I\01k authorized by sud1 pennl • OJSpended or abandored al "'I Im! allB< the I\01k i; oonmenc:ed IJr a peood ol 100 days (SOdbl 106.4.4 1ti1Jrm Buillilg Code). A5APPLICANT'SSIGNATURE ~ f.'"' DATE e: /:z.e/ ;:;f:J,/7 f's , ,¼{ , ;,-, , '\ , +" : • ', ' PERMIT INSPECTION HISTOR't'REPORT (CBR2017-1469) " X • Permit Type: BLDG-Residential Application Date: 06/29/2017 Owner: TRUST ONEIL MICHAEL E AND Work Clas!;;· Status: Scheduled Date P/M/E Closed -Finaled Actual Start Date Inspection Type BRENDAM Issue Date: 06/29/2017 Subdivision: CARLSBAD TCT#88-06 Expiration Date: 12/26/2017 Address: 2614 Lewis Ln Carlsbad, CA 92008-1438 IVR Number: 4729 Inspection No. Inspection Status Primary Inspector Re inspection ··---·-··-··-------------------------------- July 05, 2017 BLDG-21 Underground/Underf loor Plumbing Checklist Item BLDG-Building Deficiency BLDG-23 Gas/Test/Repairs BLDG-Final Inspection Checklist Item BLDG-Building Deficiency Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Scheduled COMMENTS Passed COMMENTS Passed COMMENTS Paul Burnette Passed No Paul Burnette Passed No Paul Burnette Passed No No No No No Complete Incomplete Complete Complete Page 1 of 1