HomeMy WebLinkAbout2835 VIA CONQUISTADOR; ; CB000138; PermitCity of Carlsbad
01/14/2000 Miscellaneous Permit Permit No:CB000138
Building Inspection Request Line (760) 438-3101
Job Address: 2835 VIA CONQUISTADOR CBAD
MISC Subtype: Status: ISSUED Permit Type:
Parcel No: 2225920900 Lot #:
OTHER
0 Applied: 01 /14/2000
Valuation: $0.00 Entered By: JM
Reference #: Plan Ap~~~I~ o{})Jl:~~2£01 01
Project Title: FOOTINGS ONLY FUTURE COVPAT Inspect Area: '&-PRMT
Applicant:
SPOURL NANCY
2835 VIA CONQUISTADOR
CARLSBAD CA 92009
760-476-0130
Total Fees: $30.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
In spector:
Owner:
SHEA HOMES LTD PARTNERSHIP
C/O SUSAN TRIMINGHAM
10721 TREENA ST #200
SAN DIEGO CA 92131
Total Payments To Date: Balance Due:
$30.00
$0.00
$30.00
FINAL APPROVAL
~1:i)Q Date: Clearance:
$30.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees. dedications. reservations. or other exactions hereafter collectively
referred to as ·tees/exactions: 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 Ca~sbad 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 capactiy
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 vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
30-00
PERMIT APPLICATION
FOR OFFICE USE ON);):?! 38
PLAN CHECK NO. Ll.J •
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
EST. VAL. _________ _
{760) 438-1161
Plan . Ck. Depo:, Ml.
~:::•tod By i.,) VV'. tf '@
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel I Existing Use PropoHd Use
Name Address .City State/Zip Telephone# Fax#
~?if~cA""N:f.l~~o~
Address City State/Zip Telephone#
':::!!'"•" -,~~WNEII ~t 0
Name 81//
J~Jfflll'ef'-'lft7cmilP:l'N ~-; ; . '
ISec. 7031.5 Business and Profesaions Code: Any City or County which raquires • permit to construct, alter, Improve, demoUsh or repair any stru~ure,_ prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licenHd pursuant to the provisions of the Contractor s License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professio~s Code) o~ ~hat he Is exempt therefro~, and the basis fc,r the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the apphcant to a c1v1' penalty of not more than five hundred dollars I$ 500]).
Name Address City State/Zip Telephone#
State License# _________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
il'~'"iW0~•1eot.1PSNtATI0~~="™~-4mi~1-Fi..~~~-'!.lo.~~;;,,~~!:':~~~:~r: r' ·: .: •
Workers; Compens~tion Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will ~liintain 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.
0 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 worker's compensation insurance carrier and policy number are:
Insurance Company_____________________ Policy No. Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance of tha 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: Fallunt to 11cure workera' compenntlon coverage la 1mlawful, and ahaA aubject an employer to criminal penahies and civil fines up to one-hundred
thousand dollar• 1$100,0001, In addition to the coat of compenaatlon, damage• H provided for In Section 3708 of the Labor code, lnt•eat and attorney'• feH.
SIGNATURE;;;;_:;:;::;;::;:;::::-::;=;:;::=::;:=;;;;:::;:;::::::::;;::;:;~::::;:;:;::;;;;;:=::;;;:;::;;;;::;;;;;:;;;;;;;:;:;;:::::::-:::;:;;:::;;:;::;: DATE ________ _ y -,·~:oWAEif.iiu~ee!'JfflJ1."11tfflr.,;:~~~'.:a£1=:~t~~'($~~'t .. 3:~~;,'r\~~:;:;~~'i:,::n~::~·::l;ti'ftl,r..<.".:c"".'?'::,.--:-z-:-, ,., ·-··.-:-.•• 7• •
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
'rizf' 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
~-7044, Business ■nd Professions Code: Th• Contractor's Licen11 Law does not apply ta en 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 y•~r of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Profeuions Coda: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with conttactorls) licensed
pursuant to the Contractor's License Lawl.
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan ta provide the major labor end materials for construction at the proposed property improvement. 0 YES ONO
2. I I have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person lfirml to provide the proposed construction linclude name / address / phone number / contractors license numbarl:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work linclude name / address / phone
number / contractors license number): ______________________________________________ _
5. I will provide some of the work, but I h ve contracted lhiredl the following persons to provide the work indicated (Include name / address / phone number / type
of work): ___________ -.-r..,...,,.,q~---,ll'----------------------.,.....~--1---------------
'\-PROPERTY OWNER SIGNATURE DATE ='::/:.:!:::':;/;==:::=::::::-::::::
'toM~THIS~EC1'.f0P{~RrN~· i--~~bi~~~~i-i-~fi--j~~--~-~-~_-.iiiij,.~~-ill;r·=i,,si;t!~.~fi•ij. i-~•i ·~.-i;..._.~,~~i::i:,..:3:~:~:•~;;:~,.·":""_::_:,.• ,:_:~ '• :~ '' ..
Is the applicant or future building occupent required to submit a businass plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 26534 of the Presley-Tanner Hezardous Substance Account Act? 0 YES O 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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 POUUTION CONTROL DISTRICT.
~l-'~~o_t.sn,u'c.Tfofi'~1NG'A(E{~J"'~~~~+f~~;~::,.;F,1~;;•~.:--:!:: : . ~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 30971il Civil Code).
LENDER'S NAME:;:::=;:;;;:::;::~:;;:::=;;:;;;=:=::;:;;;::::;;:;;-;::: LENDER'S ADDRESS ______ _
• .,.,~,A~CAHf.:·CERi'1FicAtiot{~1ffi,i&,~;t;,:~~J~~~~ffi:'..'fl~~~~'V'1;1;,;· ~--• •-,•-··
I certify that I have read the application and state that the above Information Is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad t o 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: 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 or
work authorized by such permit is not ommanced within 365 days from the date of such permit or If the building or work aut oriz d by such permit 1s suspended
or abandoned at any time after t1 w • for• period of 180 days !Section 106.4.4 Uniform Building Code).
X APPLICANT'S SIGNATURE ..:..l.➔--,4'Rl,l-'J.4J~:...,_________________ DATE _.,;l!..L:..L,l!Z.~~:_ _____ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 1/17/2000
Permit# CB000138
Title: FOOTINGS ONLY FUTURE COVPAT
Description:
Type:MISC Sub Type: OTHER
Job Address: 2835 VIA CONQUISTADOR
Suite: Lot 0
Location:
APPLICANT SPOURL NANCY
Owner: SHEA HOMES LTD PARTNERSHIP
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: ~
Phone: 0000000000
Inspector: ~b
Requested By: NANCY
Entered By: CHRISTINE
11 Ftg/Foundation/Piers ~------
Associated PCRs
Inspection History
Date Description Act lnsp Comments
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