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Home My WebLink About2680 Ocean St; ; CBR2017-2946; PermitPrint Date: 12/12/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2680 Ocean St BLDG-Residential 2031411000 $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: PHELPS: GAS LINE REPAIR, FROM METER TO INTERIOR OF HOME Applicant: Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2017-2946 Closed -Finaled 12/11/2017 12/11/2017 TFraz ARROW PIPELINE REPAIR INC DAVID CARDENEZ TRUST CARLSBAD MERMAID TRUST 1673 Amante Ct ARROW PIPELINE REPAIR INC 76D-429-6DOO PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 CARLSBAD, CA 92Dll-4D41 Total Payments To Date: $170.00 1330 Park Center Dr, 101 Vista, CA 92081-8300 760-476-9388 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. $170.0D $0.00 ' (city of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 780-802..271.9 Fax: 760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS /) l..6 80 Oc.ea..l\. si. urlshc.J SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date I t I -I APN CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) '-4..k:. l-oc k: .o u + . GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □# __ NOD ADDRESS J) 1:. 30 r-v.v l CITY V,sk PJ:!QNE /60. ADDRESS CITY PHONE 4,,,--rJ,. STATE CA-. FAX 0 I ,,,,e STATE FAX PROPERTY OWNER NAME ADDRESS ZIP '12.t>'J ( EMAIL CONmACTOR BUS. NAME ADDRESS I >o~D Pc, r/::.. ZIP CITY /. fir~ PHONE 7Go ·<-/29·6ooo C-----------------~---·-----·-------+----EMAIL EMAIL/') t./u. vie/ e... o rrau-- STATE LIC. # STA~T· OLf6 ST~ aA-. FAX CONSTR. TYPE OCC. GROUP ZIP 0// CITY BUS. UC.# FIRE SPRINKLERS YES □ NO □ ./21'575) (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, _rior 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 Law {Chapter 9, commen mg with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code) or that he 1s exem.et therefrom, and the basis for the alleged exemption. Arr-J v1olat1on of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars \$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby afflrm under penalty of perjury one of the folloWlng declarations· D I have and will maintain a certificate of consent to self-insure for workers' compensafon 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' compen~tion, as required by Section 3700 of the Labor Code, for the _performance of the work for which t~is permit is issued. My workers' compensation in urance arrier and policy numberare:lnsuranceCo. ~USkrMt "1:z11S: CL;, Policy No, 76oc2c, /64:b 7 ;& I Expiration Dale z, I This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, damages prov ed f ·n Section 3706 of the Labor code, interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE 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, lf, 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) □ l, as owner of the property, am exclusively contracting with licensed contractors lo 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 □ Yes □ No 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 work, but I have hired the followi~ person to coordinate, supervise and provide the major worl< (include name I address I phone/ contractors' license number): 5. I will provide some of the work, but\ have contracted (hired) the following persons to provide the work indicated (include name I address / phone/ type of work): °!S' PROPERTY OWNER SIGNATURE □AGENT DATE 1 "" ~ ~~ ,.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 fQ-m or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 1s a construction lending agency for the performance of the won< this permit is issued (Sec 3097 (1) C1v1I Code) lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnatlon Is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby au~Olize "'Presentawe of~• City of Carlsbad to enl!J upon ~-., mentioned prq,erty 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heMJhl EXPIRATION: Evefy permit issued by the Buildirg Official under the provisions of this Code shall expire by limitation and become nuH and void if the building or work authortzed by such permit is not commenced within 180 days from the date of such permit or if the ilding or a ed 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). ,6$ APPLICANT'S SIGNATURE DATE \ . " PERMIT INSPECTION HISTORY REPORT (CBR2017-2946) Permit Type; BLDG-Residential Application Date: 12/11/2017 Work Class: P/M/E Issue Date: 12/11/2017 Status; Closed -Finaled Expiration Date: 06/11/2018 Scheduled Date Actual Start Date 12/12/2017 12/12/2017 December 12, 2017 JVR Number: 8238 Inspection Type BLDG-21 Underground/Underf loor Plumbing Inspection No. 043100-2017 Checklist Item BLDG-Final Inspection BLDG-Building Deficiency 043101-2017 Checklist Item BLOG-Plumbing Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: TRUST CARLSBAD MERMAID TRUST Subdivision: GRANVILLE PK #2 Address: 2680 Ocean St Carlsbad, CA 92008-2237 Primary Inspector Reinspection Complete Tlm Frazee Complete Passed Yes Tim Frazee Complete Passed Yes Page 1 of 1