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Home My WebLink About148 REDWOOD AVE; ; CBR2017-0909; Permit\ Print Date: 05/01/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 148 Redwood Ave BLDG-Residential 2042520800 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www .carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: ESPEY: GAS LINE REPAIR AT SIDE YARD -NO WORK IN R.0.W. Owner: Status: Applied: Issued: Fina led: Inspector: Contractor: Permit No: CBR2017-0909 Closed -Finaled 05/01/2017 05/01/2017 TRUST ESPEY FAMIL YTRUST 04-10-93 470 36Th Ave TM BENNETT PLUMBING AND DRAIN INC SAN FRANCISCO, CA 94121 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Total Payments To Date: $166.00 Po Box 4417 carlsbad, CA 92018-4417 760-458-1824 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. $166.00 $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD C City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. C€J!Z2DI 7-q()Cl Est. Value Plan Ck. Deposit JOB ADDRESS CT/PROJECT# LOT# PHASE# DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE "'c... APPLICANT NAME Primary Contact ADDRESS EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE FAX SWPPP SUITE•/SPACEI/UNITjl # OF UNITS # BEDROOMS # BATHROOMS GARAGE (SF) PATIOS (Sf} STATE ZIP ct,.._ "I.au c:, C/ PHONE FAX 1 lcl.:> '-\ '.)'---\ \\ q \ ZIP STATE UC.# STATE LIC.# °'-(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to_construct. alter, improve, demolish or repair any structure, rior to its issuance, also requires the applicant for such permit 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 OivIs10n 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS· COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l:JJ-have and wlll 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. ~ave and will maintain workers' cB;insa(on, as reQuIred by Section 3700 of the Labor Code, for the performance of the work for whictl this permit is issued. My workers' compensation insurance arrier and polk;y number are: Insurance Co. ,&_ ' JN) (0,5{kLIOLLJ1 Policy No. 7}WC, / I '2_ L4' ] <c '::I Expiration Date l 2 l , l]li§.seclion need not be completed if the permit is for one hur.dred 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 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, dam a es as provided for in Section 3706 of e bor code, interest and attorney's fees. fE5 CONTRACTOR SIGNATURE I hereby affirm 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 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 to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 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 worl< (include name/ address/ phone/ 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/ address/ phone I type of worl<): ~ PROPERTY OWNER SIGNATURE □AGENT DATE CQMPLETE THIS SECTIQN FQR NQN•RESIDENTIAL BUILDING PERMITS QNLY 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 Acf? 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? Yes 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. CQNSTRUCTIQN LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the application and state that the aboYe infonnation Is correct and that the infonnation on the plans is accurate. I agree to comply with all Cllyordlnances and State laws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter u~n the alxlve mentioned property br inspecoon ~rp.JSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID Cf!Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ is required for excavations over 5'0' deep and demoliOOn or ca1struction of structures over 3 stories in he'Jht, EXPIRATION: Every pellTl~ issued by the Building Offcial under the provisions of this C.ocle shall expire by limitation and become null and voi:l Wthe lx.Jilding orv.ork authorized by such pennit is not commenced 'Mlhin 100 days from the date of such pennit or if the building orv.ork authori by such pennit is suspended or abandoned at any lime after the v.ork is oommenred for a period of 180 days (Section 100.4.4 Unifoon Building C.ode) _M$ APPLICANT'S SIGNATURE DATE C • 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 Dl'TlONS PICK UP: CONTACT (Listed above) OCCUPANT {Listed above) CONTRACTOR (On Pg. i.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,AS APPLICANT'S SIGNATURE ASSOCIATEDCB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP , t4; ~{0,,' \' ,~fi£0':.s ,}J• •1'>,-f 0 ,,, ''"'"; ;:" 'a 1 11/," 1 , ;::!,~~' , : ' 0 ;, Pll\(~IT INSPE<:;TION HIST~RY REPORT (CBR2017-0909)' , ' Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 05/01/2017 Issue Date: 05/01/2017 Expiration Date: 10/30/2017 IVR Number: 3426 Inspection No. Inspection Status 05/01(2017 BLDG-23 GasfTest/Repalrs 021805-2017 Passed BLDG-Final Inspection Checklist Item BLOG-Building Deficiency 021806-2017 Checklist Item BLDG-Building Deficiency BLOG-Plumbing Final BLOG-Mechanical Final BLOG-Structural Final BLOG-Electrical Final COMMENTS Passed COMMENTS Owner: TRUST ESPEY FAMILY TRUST 04-10-93 Subdivision: PALISADES Address: 148 Redwood Ave Carlsbad, CA 92008-4051 Primary Inspector Reinspection Complete Jonathan West Complete Passed Yes Jonathan West Complete Passed No No No No No '•-----------,---------------------------------------------May 01, 2017 Page 1 of 1