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Home My WebLink About111 TAMARACK AVE; 104; CBR2017-2020; Permit, ... (city of Carlsbad Residential Permit Print Date: 06/27/2018 Permit No: CBR2017-2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 111 Tamarack Ave, 104 BLDG-Residential 2060112103 $0.00 Work Class: P/M/E Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: SHELDON: REPLACE FURNACE PLUMBING, ELECTRICAL, ANO MECHANICAL PERMIT Total Fees: $166.00 Owner: TRUST SHELDON ROBERT KAND FERN M FAMILY TRUST 02-28-07 1231 S Hidden Valley Dr WEST COVINA, CA 91791 Total Payments To Date: $166.00 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Contractor: PRECISION AIR INC Po Box 2736 RAMONA, CA 92065 760-858-8000 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 witl 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. Closed -Finaled 08/31/2017 08/31/2017 6/27/2018 9:4L44AM $166.00 $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov / (city of Carlsbad Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 780-602-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov 1-'-P__:::la:.:..:n--=C.:.:che:..:c_:_:_k -'--"No=-c._C...=-->'f3~~'--"--""'-""0-_\'---.L:C-,;)Q ,;}. Q Est. Value Plan Ck. Deposit Date JOB ADDRESS 11 o-IV! Ave SUITE#/SPACE#/UN IT# /O'f CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet or Affected Area(s) Lr /<e cP Ke EXISTING USE 0 CT St-e /0 '-f STATE CITY STATE ZIP Cl'! FAX PHONE FAX 7r,,,o '-16 ;;i 77 EMAIL ofev EMAIL rec,~s, o~ -a.c:: . GOl"Y) DESIGN PROFESSIONAL NAME CQ,..TDA/"TnD a 110:: 111AMt:" i-===----------------------1-c-c-_P_.-.::, . ,., Ai~ .X-1..J C ADDRESS ADDRESS _ L¥1re?~i.:1)a,-_,, e / 56,<.,l _ 0. • $+-e Io </ CITY STATE ; ZIP CITY STATE ZIP FAX -'="'=~~---CA '7c 5 FAX PHONE 706-'-IS;;;. EMAIL STATE LIC. # CLASS c-,:;.o (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_ c_onstruct. alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law jChapter 9, commending with Section 7000 of Div1s1on 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a c1v11 penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D 1 have and will mainlain a certificate of consenl 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 :fJ' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the pelformance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance co::X::4-Jri+,. Na f-toua.J Ins"'-t~Q.V'IC<?lllicy No, SW C ' I a 7 fl.?, I Expiration Date I\ /3 I j 7 This section need not be completed if the permit is for one hundred dollars ($100) or less / / D Certificate of Exemption: I certify that in the pelformance 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 penallies and civil fines up to one hundred thousand dollars (& 100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. f#5 CONTRACTOR SIGNATURE -<"r--,._t,__ -p._,,.~,o,,C..'-'f I hereby affirm that I am exempt from Contractor's License Law for Che 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), D 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/ 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 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 I type of work): ,IE$ 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 prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tarmer 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? O 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 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 tending agency for the performance of the work this permit Is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the lnfonnation on the plans is accurate. I agree to comply with all City oldlnances and State lav.s relating to building construction. I hereby authorize representative of the City of Carlsbad to enter up::m the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGSINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST &\ID 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 provisions of this Code shall expire by limitation and become null and void if the building ormrk authorized by such permit is not commenced 'Nithin 180days from the date of such permit or if the building ormrk authorized by such permn is suspended or abandoned at anytime after the mrk is commenced for a period of 180 days (Section 100,4.4 Uniform Building Code). .A$ APPLICANT'S SIGNATURE DATE 8 "31 "h PERMIT INSPECTION HISTORY REPORT (CBR2017-2020) Permit Typ~: BLOG-Residential Application Date: 08/31/2017 Owner: TRUST SHELDON ROBERT KAND FERN M FAMILY TRUST 02-28-07 Work Class: P/M/E Issue Date: 08/31/2017 Subdivision: CARLSBAD TCT#81-44 Status: Closed -Finaled Expiration Date: 12/24/2018 Address: 111 Tamarack Ave, 104 Carlsbad, CA 92008-4082 IVR Number: 6075 Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection 06/27/2018 06/27/2018 BLDG-43 Air 062468-2018 Passed Andy Krogh Complete Cond./Furnace Set BLDG-Final 062469-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Mechanical Final Yes June 27, 2018 Page 1 of1