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Home My WebLink About1799 RATCLIFF RD; ; CBR2018-0294; Permit(city of Carlsbad Residential Permit Print Date: 03/07/2018 Permit No: CBR2018-0294 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1799 Ratcliff Rd BLDG-Residential 1562701000 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 02/06/2018 02/06/2018 Plan Check#: Final Inspection: 3/7/2018 12:51:20PM Project Title: Description: BREEN: 125A PANEL UPGRADE Owner: TRUST BREEN INTERVIVOS TRUST 04-29-82 1799 Ratcliff Rd CARLSBAD, CA 92008 Contractor: CHOZEN ELECTRIC 9037 Arrow Rte, Suite 100 760-729-2106 Rancho Cucamonga, CA 91730-4448 909-308-0924 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 TIIE FOi.LOWiNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD C_cityof Carlsbad Building Permit Appllcatlon 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: buitding@cansbadca.gov Pl_a~ ~heck No._QAA.2.Dlf}-02-'\'-\ Est. Value Plan Ck. Deposit www.carlsbadca.gov Date 2.-u -SWPPP APN # OF UNITS # BEDROOMS # BATI-IROOMS T£NANT NESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Squa,e Feet of -•) 12S/IOO O"lOi n pone-I u~rade GARAGE (Sf) DECKS(Sf) AIR CONDITIONING FIRE SPRINKLERS Nc0 YES □No □ YES□No□ ro_s. co,,., ADDRESS C1TY STATE FAX ZIP ZIP c::.__--~~~1µ<'--'---~Q'~''~~---1 PHONE EMAIL STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct. alter, improve, demoliSh or =ir any structure, prior to Its issuanc,.._also requires the applicant for such permit to file a si eel statement ttiat he is licensed pursuant to the provisions of the Contractor's License law r 9, commendln with Section 7uvu of Division 3 of the Business and Professions Code} or fat he is exam.Qt therefrom, and the basis for the alleged exemption. Any violation of Section ~03 .5 by any applican1tor a permit subjects the applicant to a civil penahy of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one oft/re following declarations: B I have and will maintain a cettificate of consent to setf.i111ure for WOfkers' compeosation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit is issued. I have and will maintain workers' compensation, as reauired 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 ________ _ Ibil~ need not be completed if the permit Is for one hundred dollars ($100) or less. u{Certlficate of Exemption: I certify that in the perfoonance of the work for which this pennit is issued, l 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' compenlllion coverage is unlawful, and shall subject an employer to criminal penalties and civtl fines up to one hundred thousand dollars (&100,000), In addition to the coat of compensation, damages as pro!!ded tofm Sedlon 3708 of the Labor code, Interest and attorney's fees. ,85 CONTRACTOR SIGNATURE /\._./ ~T I hereby afflrm that I am exempt from Contractor's Ucense Law for the following mason: O I, as owner of the property Of 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 oot 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 tie did not build or improve for the purpose of sale). □ □ I, as ownef" of the property, am exdusively 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 Of 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 construclioo of the proposed property improvement. Oves []No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. l have contracted with the folk:Ming person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions oflhe work, but I have hired the following person to coordinate, supervise and provide the major work {include name I address I phone/ contractors' license number): 5. I win provide some of the work, but l have contracted (hired) the foHoNlng persons to provide the work indicated (include name I address I phone I type of work): NS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future buikllng occupant requil9d ID suOOlll a business ~an, acutely hazardous materials registration fom, or risk management and prevention progran under Sections 25505, 25533 or 25534 of the Presley-Tanner Haza-dous Substance Account Acrl □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality managementdisb'icl? □ Yes □ No Is lhe facility to be constructed within 1,000 feet of the outer boundify of a school site? □ Yes ti No IF ANY OF THE ANSWERS ARE YES, A ANAL CERllFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU110N COHTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that thOIO ~ a coostruclion lending agency 10< Iha perlormalce of the WOl1< lhIs pem,lt ,s ~ued (Sec. 3097 (1) c;.,I Code). Lender's Name Lenders Address APPLICANT CERTIFICATION I C81tify"1atl-"""'lhe-•nd-"1atlheabo,elnfonnallon ~""'8Clandthatlhelnfonnallononlheplaro~-l-1Daxnply,Mh all atyOldl"'"""'and Slalo-iamO>g1D bulldng.....,_,_ I hereb\' aulhorize repmsenla1Ml ol lhe Cilyof Callibad lo """"Pl" lhe allo\o menliooed property ilr ilsi,,clon puq,oses. I ALSO AGREE TO SA~ INDEMNIFY AND KEEP HARMlESS THE CITY Of CARl.SIW) AGANST ALL LLI\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA M OSHA permit is le(Jlired br excavatioos over 5'0' deep aw;! dendli:Jn oc oonstrucoon of structures OVf!J 3 stories in height =RATION: EW!I\' pennil osued by Ille liliding crual under Ille pro'lisbns of lhis Coo, s~I expie by linlalon and become nun and wJid W Ille buidilg or v,ori( aul1orized by sudl pennil i; oot oommenoed \\illil 100dajs from lhe daleof sudl pennil rx rrlhe ooi~mgorm aulhclmed by sud1 pennl is suspended orabaoooned at anytime allerlhem • oommenoed bra period of 100dajs (SectiJn 100.4.4 Unoonn lili~ilg Coo>) . ..@S° APPLICANT'S SIGNATIJRE DATE 6 / 5' PERMIT INSPECTION HISTORY REPORT (CBR2018-0294) Permit Typo: BLDG-Residential Application Date: 02/06/2018 Work Class: P/M/E Issue Date: 02/06/2018 Status: Closed -Finaled Expiration Date: 09/04/2018 Scheduled Date 02/09/2018 Actual Start Date 02/09/2018 03/07/2018 03/0712018 IVR Number: 9362 Inspection Type BLDG-33 Service Change/Upgrade Inspection No. 048361-2018 Checklist Item BLDG-Building Deficiency BLDG-34 Rough Electrical 051023-2018 Checklist Item Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Tim Frazee BLDG-Building Deficiency Stucco patch done 3n/2018 March 07, 2018 BLOG-Final Inspection 051022-2018 Checklist Item BLDG-Building Deficiency BLDG-Electrical Final Passed Tim Frazee COMMENTS TRUST BREEN INTERVIVOS TRUST 04-29-82 LEBARR ESTS UNIT#2 1799 Ratcliff Rd Carlsbad, CA 92008-1060 Re inspection Complete Complete Passed Yes Complete Passed Yes Complete Passed Yes Yes Page 1 of 1