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Home My WebLink About152 SEQUOIA AVE; TP; CBR2017-2624; PermitPrint Date: 12/04/2017 .Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 152 Sequoia Ave, Tp BLDG-Residential 2060110800 $0.00 CARR: TEMP POWER POLE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $170.00 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#: Owner: CO-OWNER CARR ERIC AND KIMBERLY 152 Sequoia Ave CARLSBAD, CA 92008-4057 Total Payments To Date: $170.00 Status: Applied: Issued: Finaled: Inspector: Contractor: GARCILASO CONSTRUCTION 2577 Joann Dr Oceanside, CA 92056-3428 760-631-2012 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. Permit No: CBR2017-2624 Closed -Finaled 10/31/2017 10/31/2017 MColl $170.00 $0.00 . ( City of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 78CMI02 271,9 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE# /UN IT# Plan Check No. Est. Value Plan Ck. Deposit Date APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NOD YES □ NO □ YES □ NOD ADDRESS qp 7-os=; CITY PHONE FAX EMAIL DESIGN PROFESSIONAL NAME ADDRESS CITY STATE ZIP ZIP qi PHONE FAX EMAIL STATE UC.# (Sec. 7031.5 Business and P_rofessions Code: Any City or County which requires a permit to construct, alter, improve, demo h or repair any structure, prior to its issuance, also requires the applicant for such per_mit to frle a signed statement that he 1s licensed pursuant to the provisions of the Contractor's license Law /Chapter 9, commend mg with Section 7000 of D1vis1on 3 of the B_usmess and Professions Code} or fhat he is exem_P.t therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars [$500)). Wor ers' Compensation Declaration: I hereby affirm under penally of perjury one of the 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. 0 I have and will maintain workers' compensation, as r uired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ins number are: Insurance Co. • Policy No. _______________ Expiration Date +--t.¥'-'--'-1"-"""°"'ll-£J-- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation L8'Ns of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages s pr ided f~~n 3706 of lhe Labor code, interest and atlorney's fees. A$ CONTRACTOR SIGNATURE i,.__/~ □AGENT I hereby affirm that I am exempt fro ontractor'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) □ 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). □ 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 D Yes O 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) lo 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 lo coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired} the following persons to provide the work indicated (include name I address/ phone/ type of work) ~ PROPERTY OWNER SIGNATURE □AGENT DATE , ' ,,tOMPLETE 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? D 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? □ Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnatlon fs correct and that the infonnation on the plans Is aa:urate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Car1sbad to enter upon the above menboned property foc inspection purposes. l 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: AA OSHA permit is required for excavations over 5'0' deep and demolition Of construclion of structures over 3 stories in height. EXPIRATION: Evel)' pennit issued by the Building ial under the provisions of this Cooe shall expire by limitation and become null and void if the building Of work authorized by such permit is not commenced within 180 days from the date of such permit or if the b · Of rk authorized such it is suspended or abandoned at anybme after the work is commenced for a pericxl of 180 days (Section 106.4.4 Unifonn Building Cooe). ~ APPLICANT'S SIGNATURE DATE f • Pcrnut fypc: Wo1k CIJSS St<1tu<;· Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 10/31/2017 Owner: Issue Date: 10/31/2017 Subdivision: Expiration Date: 06/04/2018 Address: IVR Number· 7371 ···~•--""" -·- Inspection No. Inspection Status Primary Inspector 12/0412017 12/04/2017 BLDG-32 Const. Service!Agricultural( Temp) 042103-2017 Passed Michael Collins December 04, 2017 BLDG-Final Inspection Checklist ltem BLDG-Building Deficiency 042104-2017 Checklist Item BLDG-Building Deficiency BLDG-Electrical Final COMMENTS 100 amp service with GFCI receptacles Passed Michael Collins COMMENTS Release emailed to SDGE ... ----------------------------- CO-OWNER CARR ERIC AND KIMBERLY PALISADES 152 Sequoia Ave, Tp Carlsbad, CA 92008-4057 Reinspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1