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Home My WebLink About1707 Evergreen Cir; ; CBR2019-0453; PermitCcityof Carlsbad Residential Permit Print Date: 03/08/2019 Permit No: CBR2019-0453 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1707 Evergreen Cir BLDG-Residential 2050807400 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 02/27/2019 02/27/2019 PBurn Plan Check#: Final Inspection: 3/8/2019 2:26:59PM Project Title: Description: VALENZULA: REPLACE SECTION OF SEWER LINE IN FRONT YARD/ REPLACE CLEAN OUTS/ REPLACE WATER HEATER PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $175.00 Owner: TRUST VALENZUELA MARIA L TRUST 06-06-05 1707 Evergreen Cir CARLSBAD, CA 92008 760-402-0341 Total Payments To Date: $175.00 Contractor: RESCUE ROOTER 965 Ridge Lake Blvd Memphis, TN 38120-9401 858-457-6572 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 ln 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 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $175.00 «' Building Permit Application Plan Che~({ -f)LJ 5:) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 I 2718 I 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date d /,;;-:;.-/;q lswPPP JOB ADDRESS 1707 EVERGREEN CIRCLE ~U,, c.,.1 ,c,PA1_;E#/UNIT# IAPN 205 -080 -74 -00 CT/PROJECT# I LOT II I PHASE# I# OF UNITS I II BEDROOMS II BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) REPLACE SECTION OF SEWER LINE IN FRONT YARD· REPLACE CLEANOUTS & WATER HEATER EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS SFR YESQ No[] YES □No □ YES□No□ APPLICANT NAME (Primary Contact) DEBORAH EDMISTON APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS 9895 OLSON DRIVE #B Cl1Y STATE ZIP Cl1Y STATE ZIP SAN DIEGO CA 92121 PHONE I FAX PHONE I FAX 858-457-6572 EMAIL EMAIL DEDMISTON(@.,ARS.COM PROPERTY OWNER NAME MARIA VALENZULA CONTRACTOR BUS. NAME ARS/RESCUE ROOTER ADDRESS ADDRESS 1707 EVERGREEN CIRCLE 9895 OLSON DRIVE #B Cl1Y STATE ZIP Cl1Y STATE ZIP CARLSBAD CA 92008 SAN DIEGO CA 92121 PHONE IFAX PHONE IFAX 760-402-0341 800-869-6972 EMAIL EMAIL DEDMISTON(@.,ARS.COM ARCH/DESIGNER NAME & ADDRESS 1STATE LIC. # STATE UC.# I CLASS ) CITY BUSBLOS1207640 765155 C-36 (Sec: 7031.5 Business and P_rofess1ons Code: Any Crty or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's license Law/Chapter 9, comme_nd1ng with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars [$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. [Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the peliormance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co LIBERTY MUTUAL Policy No, 7631508631018 Expiration Date 1011119 ~section need not be completed if the pemiit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the perfomiance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, WARNING: Failure to stSe workers' compensation co age is unlawful, and shall subject an employer lo criminal penalties and civil fines up to one hun ad thousand ollars (&100,000), In addition to the cost of compensatio da es as prov r In ctio 706 of the abor code, Interest and attorney's fees. 2 ,1$ CONTRACTOR SIGNATURE r .._--r-.--[2]AGENT DATE I hereby affinn that I am exempt from Contractor'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 COGe: The Contractor's License Law does not apply to an owner of property wlio 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 pers011ally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 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 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/ 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) 85 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.£!!1, 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 LLJNo Is the appl_icant or future building occupant required to obtain a permit from the air pollution control district or a\!:.9-!!ality management district? 0Yes [2] No Is the facIlIty to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LLJNo 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 lending agency for the performance of the work this permit Is issued (Sec 3097 (1) C1vII Code} Lender's Name Lenders Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is ao::urate. I agree to comply with all City ordinances and State lam 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 WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: hi OSHA permit is required for excavations over 5'0' deep and demolition or constrl.lclion of structures over 3 stories in heigh\. EXPIRATION: Every perm rt issued by the Building Official under the prov5ions of this Code shall expire by limitation and become null and void if the building or oork authorized by such pennit is not commenced 'hithin 180 days from the date of such permrt or if the building or work autholized such permrt is suspended or abandoned at any time after the oork is commenced for a riod of 180 days ion 100.4.4 Uniform Building Code) N.f APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2019-0453) Permit Type: BLDG-Residential Application Date: 02/27/2019 Owner: TRUST VALENZUELA MARIA L TRUST 06-06-05 Work Class: P/M/E Issue Date: 02/27/2019 Subdivision: CARLSBAD TCT#74-08 Status: Closed -Finaled Expiration Date: 08/27/2019 Address: 1707 Evergreen Cir Carlsbad, CA 92008-1148 IVR Number: 17345 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 02/28/2019 02/28/2019 BLDG-21 085021-2019 Passed Paul Burnette Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-25 Water 084876-2019 Cancelled Paul Burnette Reinspectlon Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Final 084877-2019 Cancelled Paul Bumette Reinspectlon Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 03/08/2019 03/08/2019 BLDG-Final 085597-2019 Passed Paul Burnette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No March 08, 2019 Page 1 of 1