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HomeMy WebLinkAbout1379 NIGHTSHADE RD; ; CBR2017-1419; Permitk-city, of Carlsbad Print Date: 06/19/2018 Permit No: CBR2017-1419 Job Address:• Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 1379 Nightshade Rd BLDG-Residential 2156412500 $ 0.00 Work Class: P/M/E Lot #: Reference #: Construction Type Status: Closed - Expired Applied: 06/23/2017 Issued: 06/23/2017 - Permit - Finaled: Inspector: Final Inspection: Bathrooms: Orig. Plan Check #: Plan Check #: INCANDELA: INSTALL A/C & FURNACE Owner: Contractor: TRUST INCANDELA ROSE B REVOCABLE TRUST 1-800-ANYTYME 04-23-91 5290 Overpass Rd C/O Meridian Group, C 1064 La Mirada Ct SANTA BARBARA, CA 93111 Vista, CA 92081-7874 800-269-8963 FEE AMOUNT PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT • $166.00 Total Fees: $ 166.00 Total Payments To Date: $ 166.00 Balance Due: $0.00 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. 1 Building Division. 1635 Faraday Avenue, Carlsbad CA 92008-7314 1 760-602-2700 1 760-602-8560 f'1 www.carlsbadca.gov I !PFOLLbWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING . [:]ENGINEERING 0 BUILDING 0 FIRE 0 HEALfH 0 HAZMATIAPCD Building Perffiit ApplicationPlan ltlh>- 1635 Faraday Ave., Carlsbad, CA 92008 C ITY OF Ph: 760-602-2719 Fax: 760-602-6558 CAR SBA ID email: building©carlsbadca.gov , ' ' www.carlsbadca.gov . Check NoP2Ofl_L Est. Value Plan Ck' Deposit p Date (o— 22- Ii Iswpp I JOB ADDRESS - 1379 Nightshade Road, Carlsbad 92011 SUITE#/SPACEC/UNIT# , - APN - -. - CT/PROJECT C LOT C I PHASE C It OF UNITS INBEDROOMS C BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) •. INSTALL AC AND FURNACE -. EXISTING USE • PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD#. NOE AIR CONDITIONING YES DNO J IFIRESPRINKLERS YESI:1 NO APPLICANT NAME , - Pthiaiy Contact PROPERTY OWNER NAME, , ROSE INCANDELA - ADDRESS 3645 RUFFIN ROAD # 330335 ADDRESS 1379 Nightshade Road, Carlsbad 92011. CITY STATE ZIP san diego ca 92123. CITY STATE ZIP CARLSBAD . CA PHONE . 619-590.9337 FAX . PHONE . 7603108821..I FAX - EMAIL - (WEGREENINC.COM EMAIL DESIGN PROFESSIONAL . CONTRACTOR BUS. NAME MANZANITA EQUITY DBA.1800 ANYTYME ADDRESS ADDRESS 1064 La_ Mirada Ct. CITY STATE ZIP - CITY . STATE ZIP VISTA ca 92081 PHONE FAX PHONE ' (760)305-8963 FAX EMAIL EMAIL - STATE LiC. U STATE LiCe 1004700 . CLASS c20 CITY BUS. LiC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires apermit to construct, alter, improve, demolish or repair anystructure, prior to its issuance, also requires tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law jChapter 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 'h,ii nanaih, nf nnt rnn,o than fh,o hnnrlrM tlnhiarc iSRflflhi - r ' •. . Workers' Compensation Declaration: I hereby affirm under penaitji of pe4uy one of the following declarations: i:i 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 pemilt Is issued. IZJ I have 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' compensation Insurance carrier and policy number am: Insurance Co. TECHNOLOGY INSUARANCE COMPANY Policy No. WC5273 - - Expiration Date 11112007 Th section need not be completed If the permit Is for one huiidred dollars (S ) or less. , Certificate if Exemption: I certify that In the performance of the wo 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 gels 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 as provided for I I of e, nterest and attorney's fees. , CONTRACTOR SIGNATURE . . 0 AGENT DATE - o, vovi I hereby affin'n that I am exempt horn Contractor's License Law for the following reason: - - - [J 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 Contractors 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.irnprovement 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). - [J 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bislnessand Professions Code: 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. I personally plan to provide the major labor and materials for construction of the proposed property hnprovement DYes EJNo 2.I(have I have not) signed an application for a building permit for the proposed work. ' 3.1 have contracted with the following poison (firm) to provide the proposed construction (include name address! phone I contractors' license number): - 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivlse and provide the major work (include name! address! phone contractors' license number): - 5. twill provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name! address! phone/type of work): ..'PROPERTY OWNER SIGNATURE - - - - - - - []AGENT - DATE ' ' . -tL"14*09949 A% M034 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form ordsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes 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? DYes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 0 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. - ¶ i2&ttk I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code). Lenders Name - , Lender's Address -. Now '1.-M§AATZr I car* that I haw read the application and statiethatthe above Information Is conectand thatthe Information on the plans Is accurate. I agreetDcomliltrwitti all Cilyordinances and State Im relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD' AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES IM1ICflMAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An OSHA permit ism red for wearvations over 5'O' deep and derj&itionor constriuctlonofstructures over 3 stories in height. - - - EXPIRATION: Every permit issued by the Building OfRdal under the ris of this Code shall expire by limitation and become nul and void If the building or work authorized by such permit is not commenced vAthin 180 days from the date of such, permit or 9 the building or work au by such permit is suspended or abandoned at any On after the work Is commenced for a period of 180 d (Section 106.4.4 Unbm Buibturg Code). APPLICANTS SIGNATURE DATE