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Home My WebLink About2648 Wadsworth St; ; CBR2017-1092; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/26/2017 Residential Permit Permit No: CBR2017-1092 www.carlsbadca.gov Job Address:2648 Wadsworth St Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2081931400 Lot #:Applied:05/23/2017 Valuation:$0.00 Reference #:Issued:05/23/2017 Occupancy Group:Construction Type:Finaled: #Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check /I: Plan Check #: Project Title: Description:SOBHANI: INSTALL 24 LED LIGHTS /3 OUTLETS /3 OVERHEAD FANS Owner: ALI SOBHANI PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $166.00 Total Fees:$166.00 Total Payments To Date:$166.00 Balance Due:$0.00 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. .._- THE FOLLOW:NG APFIRDVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD ,1..(Plan Check No.C8.PaCITAO_VCity of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax 760-602-8558 Plan Ck. DepositCarlsbadPh: building@carlsbadca.gov www.carisbadca.gov Date 5i0/11 JOB ADDRESS 2642 i„tos ko 0 iviii-i -r-I SUITE#/SPACE#/UNIT#APN -- / CT/PROJECT #LOT#PHASE ##OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) I 6 54-eit 9..4 Lai)1 ipti+3 -t-3 do-'-'4-4 45 -A—3 FetIli EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESElik.NOD YES El NO ED YES EI NOD APPLICANT NAME A \‘‘Solot-ta n i"PROPERTY OWNER Primary Contact 2‘14 r vv-e-t 3..r..v4'1-1 S4-' ADDRESS ,-- 13 - 0Y\761 I ADDRESS Sarx.e 41)z ot 19 flicc.i( CITY STATE ZIP CITY STATE ZIP CCA. %AS ba C A 9101 Q Cc5 W CA-q 2_<>I c) Qq. PHONE FAX PHONE °COW (-1131 _..0 09)77(-12.11 FAX EMAIL •EMAIL -' fV\)/9 v.stvov.cowk.....cw.AA6i,A4 6v 1/440? toy .G'"'" DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC.#STATE LIC.#CLASS 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, prior to its issuance, also requires theapplicant for such permit 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($5001). 4.'ORKERS'COMPENSATION Workers' Compensation Declaration:I hereby affirm under penalty of perjury one ofthe following declarations: ElI 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.EI have and will maintain workers' compensation,as required by 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 This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate ofExemption: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 is unlawful, and shall subjectan 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. ..@:§ CONTRACTOR SIGNATURE ElAGENT DATE I''''NER -BUILDMICLARATI.--'',' ........III.....• I hereby affirm that I am exempt from Contractor's License Law for the following reason: 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 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).0 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). F:11.!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.ElYes ENo 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 / 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 /contractors' license number): 5.I will provide some of the work, but I have con d (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .....,e....i,ePROPERTY OWNER SIGNATURE ..DAGENT DATE ..›!7.7 (/ 7.._ COMkEitl 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?0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET ORIS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. .2120 _EMIL47 "E TV DIN'G •• ;i7 Wm* I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). 'Lenders Name Lenders Address APPLICANT CERTIFICATION Icertify that I have read the application and state that the above information is correct and that the information on the plans is accurate.I agree to comply with all City ordinances and State laws relating to building construction. Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over50'deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or rized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ....ecAPPLICANT'S SIGNATURE DATE C (2-3 ( STOP 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 buildingacarlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#:(Office Use Only) C•ONTACT NAME OCCUPANT NAME A•DDRESS BUILDING ADDRESS C•ITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above) O CONTRACTOR (On Pg. 1)o NO CHANGE IN USE /NO CONSTRUCTION 0 MAIL /FAX TO OTHER:o CHANGE OF USE /NO CONSTRUCTION ,E 'APPLICANT'S SIGNATURE DATE .,........._ ' 7'Zi :_i..,i..'.:1. " •• . ..1!•:•:.1.,...-; . =•._. PERMIT INSPECTION HISTORY REPORT (CBR2017-1092) BLDG-Residential Application Date:05/23/2017 Owner:ALI SOBHANI P/M/E Issue Date:05/23/2017 Subdivision: Statt t...Closed -Finaled Expiration Date:11/21/2017 Address:2648 Wadsworth St Carlsbad, CA 92010-5603IVR Number:3890 -----.._—_—___--Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 05/25/2017 05/25/2017 BLDG-34 Rough 024396-2017 Passed Jonathan West CompleteElectrical Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes May 26, 2017 Page 1 of 1