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Home My WebLink About2368 SUMMERWIND PL; ; CBR2017-0510; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 01/31/2017 Residential Permit Permit No: CBR2017-0510 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2368 Summerwind Pl BLDG-Residential 2081703200 $0.00 GINSBURG: REPLACE FURNACE Owner: www.carlsbadca.gov Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 01/03/2017 01/03/2017 TRUST GINSBURG ROBERT S&LINDA S REVOCABLE LIVING TRUST 12-19-94 2368 Summerwind Pl SHERLOCK HEATING & AIR CONDITIONING, INC. CARLSBAD, CA 92008 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.0D Total Payments To Date: $166.00 2880 Scott St, Ste 104 Vista, CA 92081-8560 760-295-5D14 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 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ( City of Carlsbad JOB ADDRESS j,. 3 (a g CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI Plan Check No-Ce> Est. Value Plan Ck. Deposit Date 1--::f APN PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE APPLICANT NAME Primary Contact ADDRESS3( 'l-2.S CITY w~~Ho..lce EMAIL DESIGN PROFESSIONA ADDRESS CITY PHONE EMAIL FAX STATE FAX GARAGE (SF) PATIOS (SF) DECKS (SF) ZIP STATE LIC. # PROPERTY OWNER ADDRESS 2-3,-&" CITYr 1,,.A,·\ CONTRACTOR BUS. NAME 017-0'510 SWPPP CONSTR. TYPE OCC. GROUP FIRE SPRINKLERS YES□No□ 20::Jif (Sec_. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anx structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nding with Section 7000 of DIvIsIon 3 of the Business 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 subiects the applicant to a cIvII penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workera' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 0 ljlave 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, Ga':'°.h ". e and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compen:~rtµ carrier and policy number are: Insurance Co,.f)C£ h.MC+t't-c;orr: ~ Cn Policy No. Ql. J(..,c.J..f'f( 0 \ 22'7, Expiration Date Z: f 7 ~section need not be completed if the permit is for one hundred dollars ($100) or less. · LJ 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, g.77,-.,:,;;,-·· Section 3706 of the Labor code, interest and attorney's fees, _85 CONTRACTOR SIGNATURE ~-----~ENT I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: □ □ 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 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 lo provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (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/ phone/ 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/ 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 I phone/ type of work): _g PROPERTY OWNER SIGNATURE □AGENT 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? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D 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 J hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1l Code) Lender's Name Lenders Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon is correct and that the infonnation on the plans is accurate. I agree tl'.l comply with all Cify ordinances and Stite law.:; relating tl'.l building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aOOve mentioned property fi::ir insJ:€C(Jon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA pem11t is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennij issued by the Building Offi::ial under the provisions of this c.ode shall expire by li11italion and beoome null and void if the building or 'Mlrk authorized by such p:innit is notrommenced v.ithin 180 days from the date of such pennit or if the building or rk by such p:im1ij is suspended or abandoned at any time after the wrk 5 commenced bra p:iriod of 180 days (Sectbn 100.4.4 Unifonn Building Cooe), A!S' APPLICANT'S SIGNATURE DATE { / J /11 ----------.~'-'.~~~-------------~ • 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. LIC. No. DELIVERY OPTIONS 0 PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) Ll CONTRACTOR (On Pg. 1) 0 MAIL TO: o CONTACT (Listed above) n OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) 0 MAIL/ FAX TO OTHER: ________________ _ A{ APPLICANT'S SIGNATURE o ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CBR2017-0510) Permit Type: BLDG-Residential Application Date: 01/03/2017 Owner: TRUST ROBERT S&LINDA S REVOCABLE LIVING TRUST 12-19-94 Work Class: P/M/E Issue Date: 01/03/2017 Subdivision: Status: Closed -Finaled Expiration Date: 07/31/2017 Address: 2368 Summerwind Pl Carlsbad, CA 92008-3796 IVR Number: 1185 Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection 01/31/2017 01/31/2017 BLDG-43 Air 011877-2017 Passed Jonathan West Complete Cond./Fumace Set BLDG-Final 011878-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes January 31, 2017 Page 1 of 1