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Home My WebLink About1540 JEANNE PL; ; CB062187; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-02-2006 Miscellaneous Permit Permit No: CB062187 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1540 JEANNE PL CBAD MISC 2071302000 $0.00 Subtype: OTHER Lot#: 0 MISSMAN RES-ADD FIRE DOOR TO ATTIC THRU GARAGE Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/02/2006 LSM 08/02/2006 08/02/2006 MISSMAN ROLLAND A JR&BERTHA J LIVING TRUST 01-25 MISSMAN ROLLAND A JR&BERTHA J LIVING TRUST 01-25 1540 JEANNE PL CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $60.00 PERMIT FEE 1540 JEANNE PL CARLSBAD CA 92008 Total Payments To Date: $60.00 Balance Due: Clearance: $60.00 $0.00 $0.00 $60.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES !T APPLY to any f I x i n f whi h h v r vi I n iv n NOTICE similar o thi r whi h h atut of limitations h r vi sl h rwise ex ired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.(!..$ O{o a. I f('; EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_~-~~L.-~L.;;..--- Date ___ a'J_,_f_.:)._,/.....::0c...::0=---- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work l,. 1 , _ SQ. FT. #of Stories , ~ ~r-:t11 . ./,, , q(l:l,c_ ~ ~a,vc.lf.Q: ~ # of Bedrooms # of Bathrooms ·' · ~QNI~..9..If11E!1$.QN11lfilSAfftr.fl1filt91'1) fppJlcpntl .,, ... , '''(Jlc'-r:;,Jt(j-c', , Address City State/Zip Telephone# Fax# '□~~rifr'tor~9JIJrf!l.191'!.°l'.;:Oi1?w1ieiw "□Agent (<ir,Owner,':_,' .~. Name Address City State/Zip Telephone# Name Address City S.tate/Zip Telephone# tti~~c'QNJMU2Ri.'!.\991t'll!A8INAMg'.~• · :\t,..;K ;~;c :ft&,1,:~"..·.1<:'t-··r .:,;,1;~ (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ .§; ... ~W91fllRS1!.CQMP1NWJQN·,..;.;,.,...,:~~ ..... -..i?,ii•t,:!!8i,-~\f~/,<d'..cc;:~ :, 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. 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 Data. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 aecure workers' compensation coverage la unlawful, and ahaU subject an employer to criminal penalties and civU fines up to one hundred thousand doU11r1 ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE•;:;;;;;;:;;:;;;,.;:;;,;;::::;;;;;;;::,;~:;:;;;;;;;;:;;;;::;;;;:;:;:;;;;;:::;:;;;:::;;;;;;:;;;;;::;;::;;;;;:;;;;;;,;;~::;;;;;;;:;;;;:;:;;;;;:;;;;-;;;;;;,::;;:;:::: DATE ________ _ 11.::1iIDittmYsYi~m"'geqlfAM !Qftl . ;:"' ~~~~~~~'illi~'t!?J~i~!u11'i~'!ii1 ... ~.1/i:i'£it~~~1}iI:~t:tk~~,~~;:Iilmi:ltJ§!?td.;i:~:.li;'.~ 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 (Sac. 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 Prof.esslons Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement.rp!_ YES 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 / phone number/ contractors license number): 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 Act7 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? 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. [Q,~.:!;9...NS."rn!,1!.JJQifl...!;NP!tiqAq]t•ii;:'.Y:it'h~ :;:~;.:'L:.:i)'' 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 Ii ·• ""el!JlcAN'IT~Il61CMi9 ·.. ,·,,~,,. ........ .;;,"""'''"' \ ':;;01••,:.,,tt:k:t1i~ •.• \l~~tl~F~"'1'r.'iLli'l11'll"5&'tt¼.tlirl'lr~ll'i~~~;i 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 Cit\' 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: 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 commenced within 1 BO 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 the work is commenced for a period of 180 days (Section 106.4.4 Uniform ilding Code). WHITE: File YELLOW: Aoolica PINK: Finance DATE ~. (l, 2---a----,1i City of Carlsbad Bldg Inspection Request For: 08/21/2007 Permit# CB062187 Title: MISSMAN RES-ADD FIRE DOOR TO Description: ATTIC THRU GARAGE Type:MISC Sub Type: OTHER Job Address: 1540 JEANNE PL Suite: Lot: 0 Location: Inspector Assignment: Phone: Inspector: APPLICANT MISSMAN ROLLAND A JR&BERTHA J LIVING TRUST 01-25 Owner: MISSMAN ROLLAND A JR&BERTHA J LIVING TRUST 01-25 Remarks: frame/door installation @ garage AM Total Time: Requested By: HOMEOWNER Entered By: CHRISTINE CD 14 l1 Date Description Act Comments Frame/Steel/Bolting/Welding lrl2-------------------f" l Nro/(_··· ..... _____ fcf?_ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Description Act lnsp Comments