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HomeMy WebLinkAbout1023 WHIMBREL CT; ; CB991490; Permit,Y)·q rJ.-City of Carlsbad 0411911999 Miscellaneous Permit Permit No:CB991490 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 1023 WHIMBREL CT CBAD MISC Subtype: 2157202600 Lot #: $2,950.00 INSTALL FIREPLACE TO SPECS W/ GAS LINE OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/19/1999 JM 04/19/1999 04/19/1999 Applicant: GEORGE TIM Owner: MONDSCHEIN JOSEPH F 1023 WHIMBREL CT 8722 04/19/99 0001 01 C-PRHT 1136 CHALCEDONY SAN DIEGO CA 92109 619-270-7527 Total Fees: $114.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES CARLSBAD CA 92009 Total Payments To Date: FINAL APPROVAL Date: S'~ff--?? $87.00 $27.00 $114.00 Clearance: $114.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 114-00 ·PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. W~?o CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Plan Ck. Deposi,.._t..,.-+----,'---T"- Validated By_.,.._.'-"'-;;.._,.,.._~,..,,..'!--7,,,_.,~- Date _______ .......Ji:;c,..£.-.s,q.~"'--J'--- 1. PROJECT INFORMATIO I() ~ '"!-. Oh 11"'-"\ Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use Existing Use y,/gc.e c:>u , dcx:.ir: f~ ~Mn.di~ Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name City 0 Owner O Agent for Owner State/Zip Telephone# Fax# 3. APPLICANT ,.......,-,-"""' D 7 Name 4. PROPERTY OWNER , ..,,\ o e, I½ ou r\d S bet Al\ I 6ol ~ Name Address City Telephone 1 5. CONTRACTOR • COMPANY NAME (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior 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, 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 ,.!!llllWPtion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mo!.!! than five hundred dollars ($500]). ·~ 0111. -r" ~ t I c. rJ' -, 1 ,;nCJ •')Si).. Name City State/Zi elephone # State License II /QG,~5" License Class ('-,)_] City Business License# {Jo·(pS£Ja Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. ~ 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 compen ation insurance carrier and policy number are: Insurance Company G C> \ -.-, Co Policy No. /V l/VC. tt"7'3:!,Q:5b .;l,. • (THIS SECTION NEED NOT BE COMPLETED I THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date 3}? J <l 0 • 1 0 CERTIFICATE OF EXEMPTION: I certify that in the performance 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 worke,s' compensation coverage is unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand doll 00,00 ), in addition to the cost of compensation, damages as provided for in Section 3706 of the bor de, interest and attorney's fees. DATE "-t I 9 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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). 0 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. 0 YES O NO 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 / phone number / 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 number/ 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 number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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? 0 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 POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 9. 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 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 to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, 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 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 ti1e provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after rk is menced for a period of 180 days (Section 106.4.4 Uniform Building Code). / ; APPLICANT'S SIGNATURE ..,c_->,=c:..._-=i.e:::'-1,,,"-""'---------------DATE _ __.1-+-.:..../_._Z4--'f"--'f ______ _ l, WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 5/12/99 Permit# CB991490 Title: INSTALL FIREPLACE TO SPECS Description: W/ GAS LINE Type:MISC Sub Type: OTHER Job Address: Suite: Location: 1023 WHIMBREL CT Lot l\PPLICANT : GEORGE TIM Owner: MONDSCHEIN JOSEPH F Remarks: PRE-GROUT Total Time: 0 CD Description Act Comments Inspector Assignment: NF --- Phone: 6192707527 Inspector: ---'-~~f=_ Requested By: TIM GEORGE Entered By: ROBIN 68 Fireplace/Tie Straps __/J___.£2'_ _il ____ rrs_:================ Inspection History Date Description Act lnsp Comments 5/3/99 66 Grout AP NF 4/26/99 11 Fig/Foundation/Piers AP NF