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HomeMy WebLinkAbout2778 Carlsbad Blvd; 206; CBR2018-1453; Permit( City of Carlsbad Residential Permit Print Date: 06/28/2018 Permit No: CBR2018-1453 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2778 Carlsbad Blvd, 206 BLDG-Residential 2031722504 $0.00 Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: WEBBER: NEW SOA 240V CIRCUIT TO SERVICE NEMA 14-50 OUTLET Owner: CRAIG WEBBER Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: NEW LEAF ELECTRIC INC Closed -Finaled 06/19/2018 06/19/2018 TFraz 2778 Carlsbad Blvd, 206 CARLSBAD, CA 92008 3960 W Point Loma Blvd, Ste H234 San Diego, CA 92110-5643 760-578-9834 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 Total Payments To Date: $170.00 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $170.00 ~~~LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING D BUILDING D FIRE D HEALTH D HAZMA T/APCD I · (cityof 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 Est. Value Plan Ck. Deposit Date h, -/Cf-If< JOB ADDRESS z. l l '6 Cftl/}/;,t)d (J.};,.J t ~ CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet f}AffecJ"ed Are,a(s) 1 /U~ So>fl ?}fd v cM'cv1+ ~ ,at·cl EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES0, NOD vEsONoD vesONoO APPLICANT NAME (s((.i.rA (o(Y PROPERTY OWNER (,f. IIV'R/J:i• r-Primary Contact 4 .. ,. ADDRESS ~'}(q \ tJ )rel rJ -fr l 3y ADORES~ 7 7<( ('~,{ k ~o.J (3/1/J, t,V>t W, (d,,t.\--Lor,..<1 CITY 511 · P-'cro STATE ZIP9'· CITY~r~w s'e,'J-ZIP (,A--z., /I ~ 1,o-c,0$5" PHONE 7co s --J<r 1'l.)'fJ I FAX PHONESo.3. ,r i J'l 7 7 FAX EMAIL &a_d~ ,11,,g,J) /-eo.t -e, /e(Jf. C. COM EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME A M I f _ 1::::.-J 1.,. ' 1 /_.,r.M, toit.-Y _ 1-e(, H ' l I () r , 'A~D~D~R~E~S~S~--------------------·-----------tcA~D~D~R~ES~S~--,.---~~~'-'.,-"",C.C~~~._,,,'-'-'~~~-'-'.L,.._ ______ _ ---1-___ J_7 .CO_vl ( o, n-r lolWI ts I iA )-t ll-2..j 'f CITY STATE ZIP c,rv , _ n , srATE 0,ziP 1 ~P~H~O~N~E--·------------1 F-AX- ~MA-~IL--------------~-- _ __,__.>()_c_"""~'-'-"'Y=o GJ.--__ ill_,___ -- PHoNJ (;o _s 7fi 'YI 34 I FAX --- EMAIL fl~ _I , l'.J\~U 'al (\-e,,I )-eA-f' d fJ.(..,fr., r . (_uft, ~-------ISTATELIC.# ------'STATELIC# \ 03 lf&.S 2> ''(_' · 10 ['c'r~TYCC~ /~~-~~~~ICIIA~.-~-C-w-·i ek ~1'1 WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under {)flna"y 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. iS({ have aod will maiotaio workera' \Ompeosatioo. as reouired-bv_ Section 3790 of the Labor Code, for the performance of the work or ~hi h this permit is iss~d. My workers' compensation insuran e carrier and policy number are: Insurance Co. ~ ~±('. Co/Ytf£ns'g,_ ho.I\ Jl'\S lJ[D.f\.~olicy No. ~ S I -1,0 / lJ Expiration Date ...:l'l/-~J~'-1--1----- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollara (&100,000), in addition to the cost of compensation, dam~ · ed f Section 3706 of the Labor code, interest and attorney's fees. /Ef CONTRACTOR SIGNATURE ~ • I hereby affirm that I am exempt from Contractor's Lirense Law for the following reason: D D D 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business arid 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 I have not) signed an application for a building permit for the proposed work 3. I have contracted with the following persori (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 I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persoris to provide the work indicated {include name I address I phone I type of work): /Ef PROPERTY OWNER SIGNATURE 0AGENT DATE ' 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·T anner Hazardous Substance Account Act? 0 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? 0 Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 hcM! read the application and state that the above Information is oorrect and that the information on the plans is accurate. I agree to oomplywlth all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem1it is required for excavations over 5'0' deep and demclition oroonstruction of structures over 3 stories in height. EXPIRATION: Every pem1it issued by the Building Official under the proviskms of this Cooe shall expire by limitation and become null and void if the building orwor1< authorized by such pennit is not commenced within 180 days from the date of such permit Of if the b · authorized by such pem,it is suspended or abandoned at any time after the work is commenced for ape · of 1 days (Section 106.4.4 Uniform Building Code), AS APPLICANT'S SIGNATURE DATE ,i 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. UC. No. DELIVERY OPTIONS D PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) 0 MAIL TO: D CONTACT (listed above) o OCCUPANT (listed above) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER:----------------- ,15 APPLICANT'S SIGNATURE o ASSOCIATED CB#------------ o NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP ~v. 1 "' .; •• PERMI.T INS.PECTION HISTOR'li Rl;;PORT (CBR2018-1453) wA ,~ , 'fY w a Permit Type: BLDG-Residential Application Date: 0611912018 Owner: CRAIG WEBBER Work Class: PIMIE Issue Date: 06/19/2018 Subdivision: CARLSBAD TCT#01-10 VILLAGE Status: Closed -Finaled Expiration Date: 1212612018 Scheduled Date Actual Start Date 06128/2018 06/28/2018 June 28, 2018 IVR Number: 12006 Inspection Type · Inspection No. Inspection Status ------------- BLDG-34 Rough Electrical 062459-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency Checklist Item BLDG-Building Deficiency 062460-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed COMMENTS Nobody home Passed at 1 :30 PM COMMENTS Nobody home Passed at 1 :30 PM Failed COMMENTS Nobody home BY THE SEA Address: 2778 Carlsbad Blvd. 206 Carlsbad. CA 92008-2269 Primary Inspector Re inspection Complete --.. ·-·------·- Tim Frazee Complete PasSed Yes Passed Yes Tim Frazee Reinspection Complete Passed No No No No No Page 1 of 1