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Home My WebLink About1360 Knowles Ave; ; CBR2016-0276; PermitPrint Date: 12/14/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1360 Knowles Ave BLDG-Residential 1562313400 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Lot#; Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: P/M/E Description: KING: REPLACE 50 GAL WATER HEATER IN OUTDOOR CLOSET Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Permit No: CBR2016-0276 Closed -Finaled 12/05/2016 12/05/2016 TRUST KING ARTHUR &CAROLE A FAMILY 2006 TRUST 6-12-06 AFFORDABLE WATER HEATER 1360 Knowles Ave CARLSBAD, CA 92008 PLUMBING, ELECTRICAL, ANO MECHANICAL PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-259-7131 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. $98.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING Ccityof Carlsbad 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 SUITEf/SPACH/UNIU Date I # BATHROOMS TENANT BUSINESS NAME 0FIRE □HEALTH D HAZMAT/APCD SWPPP CONSTR. TYPE OCC. GROUP-] I i DESCRIPTION OF WORK: Include Square Feet of Attected.Ate•=B("sJ+----'~----~----~---------------~-----'-----·1 Re.?\ C\ C e. ~o,\\On \llca+\l)n EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO AIR CONDITIONING FIRE SPRINKLERS APPLICANT NAME ~fJ'..C9~!!_t. DESIGN PROFESStONAL ADDRESS criv PHONE EMAIL STATE FAX Co"" ZIP STATE LIC. # PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS 1.i '.) $ z CITY V N<Q YES □No □ YESONooj {Sec. 7031.5 Business and Professions Code: Any City or County whtch requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also re(lUires the applicant for such permit to file a signed statement that he is license<:! pursuant to the provisions of the Contractor's License Law fChapter 9, commending 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 subjects the applicant to a civil penalty of not more than five hundreo dollars {$500}). Workers' Compensation Declaration:/ herebyafflrm under penalty of pe,jury one offhe following decl8r8tions: 01 have and will maintain a certificate of consent to self-insure for workers' oompensation as provided by Section 3700 of the Latxir Code, for the performance of the work for which this permit iS issued. [SJ I have and will maintain worker&' compensation, as reQuired by Section 3(00 of the latxir Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy o,mbera~ Insurance Co\ OS\ 1 r a ace Qi . I).\'-fu e \t\l e S1e,ucy No ti u ::,., 2 A "11 DI) E,p;raton Date \ • I -\ J ' This section need not be completed if the permit is for one hundred dola,s ($100) or less. 0 Certificate of Exemption: J certify that in the performance of the work for which this permit is issued, ~hall not empjoy any person in any manner so as to become subject to the Wo/keJS' Compensation laws of catifomia. WARNING: Failure to HCUre 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 a provided for Jn Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE ; Cl g-(GENT I hereby afflrm that I am exempt from Contractor's Ucense l.iJw for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation. Yi111 do the work~ the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owoer 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, lhe buikling or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not buikl or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed oonlraclors to construct the project (Sec. 7044, Business and Professions Ccx:le: The Contractors 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. l personally plan to provide lhe major labor and materta!s for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have controcted with the following person (firm) to provide the proposed construction {include name address I phone I contractora' license number): 4.1 plan to i,ovlde portions of the work, but I have hired the following person to coord'1nate, supervise and provide the matar work (include name I address I phone I contractora' lleense number): 5. I will provide some of the work, but I have contracted {hired) the foltowlog persons to provide lhe work indicated (include name I address I phone /type of work): HS PROPERTY OWNER ~GNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY IS the apj:jleant or future building occupart required k> submit a business pla-t, acutely hazardous materi~s registration form or risk mc11agement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes D No Is the appllcant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the fa:ility to be constructed within 1,000 feel 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 ts a construction lending agency for the performance of the work this perm1t1s issued (Sec 3097 (1) Civil Code) Lenders Name Lender's Address APPLICANT CERTIFICATION I cerlffythatl haWI read the applicatlon and state lhatthe abcwe Information is oorrectand that the lnfonnatlon on the plans is accurate. I agmetc comply v.fth all Qty oolnances tlld stale laws relalingtc tuklng construction. I hereby aulhorize -live of lhe C,ty of Car1sbad t, -upon lhe above menlllned ~perty fornS{lecij:,n f'JrJX>leS. I ALSO AGREE TO SA VE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C~SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requrad br excavatioos over 5'0' deep and dem:ilO'Jll or construction of structures OY8f 3 stories in height. EXPIRATION: Every permit issued by the Buik:ling Offdal under the provisOOS of this Ccxle shall expire by imitation and become nu~ a'1d vet! if the buikling or v.ork authoozed by such permit is not canmenced 'Mlhin 1&:>days from the daklofsu::ti permit orif lhe blilding orv.ork authctized by su:;h permit is suspended or aba:ldoned at any time after the v.ork is commenced bra perm of 180days (Seclkin 106.4.4 Unibm Buik:llng Code) . ...@! APPLICANT'S SIGNATURE DATE\\ 1.C\ \\_Q PERMIT INSPECTION HISTORY REPORT (CBR2016-0276) Permit Type: BLDG-Residential Application Date: 12/05/2016 Owner: TRUST KING ARTHUR &CAROLE A FAMILY 2006 TRUST 6-12-06 Work Class: P/M/E Issue Date: 12/05/2016 Subdivision: Status: Closed -Finaled Expiration Date: 06/05/2017 Address: 1360 Knowles Ave Carlsbad, CA 92008-1547 IVR Number: 632 Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection 12/14/2016 12/14/2016 BLDG-25 Water 005405-2016 Passed Jonathan West Complete HeaterNents BLDG-Final 005404-2016 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes December 14, 2016 Page 1 of 1