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Home My WebLink About2844 Camino Serbal; ; CBR2017-0284; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/23/2017 Residential Permit Permit No: CBR2017-0284 www.carlsbadca.gov Job Address:2844 Camino Serbal Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2552812300 Lot #:Applied:02/10/2017 Valuation:$0.00 Reference #:Issued:02/10/2017 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:PORTER:RUN GAS LINE TO BBQ Applicant:Owner:Contractor: RIVERS LANDSCAPE CONSTRUCTION TRUST PORTER FAMILY 2008 TRUST 07-11-08 RIVERS LANDSCAPE CONSTRUCTION ANTONIO RIOS 1175 Industrial Ave, Ste M 1175 Industrial Ave, Ste M Escondido, CA 92029-1431 Escondido, CA 92029-1431 760-504-4091 760-504-4091 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. •• • 17HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD ,r---Building Permit Application Plan Check NoCeV20 (7 -04.1.vCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. DepositCarlsbademail: building@carlsbadca.gov wvvw.carlsbadca.gov Date 2.ii p i I 7 sWppp JOWDDRy„ii "I SUITEVSPACEWUNIT#APN (-ant filo See-A 1 --- C14/1054CT i LOT #PHASE ##OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) hPe for r-efire i't -i i bucejr-e-ito b .10 -erg- N USE PROUU(Si4 GARA (SF)PATI (SF)DECKS (SF)FIREPLACE (AIR CONDITIONING FIRE SPRINKLERSg, YES0#NOD YES E3NO p YESEl Nop APPLICANT NAME . PROMRTYLOWNER po r ter._Primary Contact nib nto Kio,s :it ADDRESS — ADD S'S° OS /MA) SI- KOIL AO 1 ST2 14 AT- 111 iCaivi IA 0 er I ClA STATE ZIP STATE ZIP Z2ECO•U Ut 1.1 CFAx qz.Le/e_ajTYrirba/a. ect,PHONE PHONE FAX6t) so y yo w , smAIL i EMAIL 4fi_hriritDricperslait_t%nopr .Cc."IA IGN PROFESSIONA COFACTOR BUS. IIAMIEdiders k S cafeADDRESSADRESSing*.i IV Ok)t Art?At14 c-rt /4 CITY STATE ZIP CITY STATE ZIP 5scotovvo cA 1- 2.1971.PHONE FAX PHONE .FAX i qb) 'If 015EMAILEAILi••••/abrt a a ri0erskAiscet,oe-co --A STATE LIC.#!CIE LIC.#CLASS I ' CITY BUS. LIC.# fr30 gl r--Li (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 ($500)). WORKERS'COMPENSATION Workers' Compensation Declaration: / hereby affirm under penally of perjury one ofthe following declarations: 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. I have and will maintain worke0' 97Densation, aspired by Section 3700 of the bor Code, for the performarjf the work for which tUpermit is issued. My workers' compensation iwrance carrier and policy number are: Insurance Co. -/-7Ni kg e 'flit T.-C Policy No.kil.6 017 f 700 Expiration Date iA' /1 -/7 T is section need not be completed if the permit is for one hundred dollars ($100) or le . 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 alifomia.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 dollars (&100,000), in addition to the cost of compensation, dama. ,i• as 'ovided for in Section 3706 eLabor code, interest and attorney's fees.I /AK CONTRACTOR SIGNATURE t 1 /1..-0 .(0 n 0 AGENT DATE OWNER -BUILDER DECLARATION .9.:S.'..4. J.S. I hereby affirm that I am exempt from Contractor's License Law for the following mason:0 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).ElI,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).0 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.EDYes ONo 2.1 (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 Iphone/contractors' license number): 4.I plan to provide portions of the work, butI 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, butI have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): AcPROPERTYOWNER SIGNATURE DAGENT 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?0 Yes 0 No Isthe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes Cl No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?rl Yes 0 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 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). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that! have read the application and stateMatteabove intimationIs correct and that theintimationon the plans is accurate.I agree to comply with all City ordinances andStet laws relating to building construction. I hereby authorize representative ofthe CityofCarlsbad 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 INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by limitation and become null and void if the building or work authorized by such permitis not commenced within 180 days from the dateofsuch permit or if the building or work authorized by su«permit is suspended or abandoned at any time after the workiscommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ..eAPPLICANT'S SIGNATURE /co DATE A 0 0_7AiAta 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 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 ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP:o CONTACT (Listed above)o OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) o ASSOCIATED CB#0 MAIL TO:o CONTACT (Listed above)o OCCUPANT (Listed above) o CONTRACTOR (On Pg o NO CHANGE IN USE /NO CONSTRUCTION 0 MAIL/FAX TO OTHER:o CHANGE OF USE/NO CONSTRUCTION ..e5APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-0284) Permit Type:BLDG-Residential Application Date:02/10/2017 Owner:TRUST PORTER FAMILY 2008 TRUST 07-11 -08 Work Class:P/M/E Issue Date:02/10/2017 Subdivision: Status:Closed -Finaled Expiration Date:08/14/2017 Address:2844 Camino Serbal Carlsbad, CA 92009-6993 IVR Number:1898 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 02/15/2017 02/15/2017 BLDG-21 013969-2017 Passed Jonathan West Complete Underground/Underf loor Plumbing 05/23/2017 05/23/2017 BLDG-Final 024364-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes May 23, 2017 Page 1 of 1