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Home My WebLink About2637 PARADISE RD; ; CB151820; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-2015 Miscellaneous Permit Permit No: CB151820 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2637 PARADISE RD CBAD MISC 2131411600 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: ABERNATHY RES= ADD FRENCH DOORS AT LIVING ROOM W/MINOR ELECTRIC Applicant: ABERNATHYIAN&KARI 2637 PARADISE RD CARLSBAD CA 92009 415-203-4873 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES INSPECTIONS Owner: ABERNATHY IAN&KARI 2637 PARADISE RD CARLSBAD CA 92009 ISSUED 06/12/2015 LSM 06/12/2015 06/12/2015 $130.00 $0.00 $0.00 $130.00 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: Inspector: Clearance: $0,00 NOTICE: Ptease take N ICE t at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." 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 fe s/ i ns of whi h hav r vi I en i n a NOTICE imilar to this r s I whi h the s atu f limit ti n h revio I herwi x ir d. ' THE'FOLlowlNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH OHAZMATIAPCD Ccicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. ~ IS l~oV CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet or Affected Area(a) ADDRESS CITY STATE ZIP PHONE '"'- EMAIL STATE UC.# SUITEf/SPACH/UNITI # BATHROOMS ADDRESS CITY PHONE EMAIL STATE LIC.# Est. Value Plan Ck. Deposit STATE '"'- CLASS ZIP SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS v,s□NoD CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to construct, alter, improve, demolish or repair any structure, l)rlor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawjChapter 9, commendmgwith Section 7000 of Division 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any apphcant for a perm rt subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Woril:ers' Compensation Declaratlan: I hereby affirm under penally of perjury one of the fol/awing declarations: B I have and will maintain a certificate cf can sent ta 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. I have and will maintain workers' campensatlan, as reQuired bv Section 3700 of the Labor Code, for the performance of the work for which 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 ($100) or less. LJ Certificate of Exemption: t certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure ta secure workers' compensatlan coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up ta one hundred thousand dollars {&100,000), In addition to the cost of compensation, damages as provided for ln Section 3706 of the Labor cede, interest and attomey's fees . .8$ CONTRACTOR SIGNATURE O AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: rT,l__ 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 ~ltcense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his OWl1 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 riot 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. OYes 0No 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/ contractors' license number): 4. I plan to provide portions of the wolk, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number): 5. I will provide ~ome of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ~ PROPERTY OWNER SIGNATUR □AGENT DATE . .. ' .... Inspection List Permit#: CB151820 Type: MISC Date . ln~pection Item 09/1112015 89 Final Combo 09/1112015 89 Final Combo 08/28/2015 18 Exterior Lath/Drywall 08/27/2015 84 Rough Combo Tuesday, September 15, 2015 OTHER Inspector Act PY PY PY RI AP AP AP ABERNATHY RES= ADD FRENCH DOORS AT LIVING ROOM W/MINOR ELE Comments Page 1 of 1