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HomeMy WebLinkAbout1976 EAST POINTE AVE; ; CB013461; Permitly 11-08-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB013461 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1976 EAST POINTE AV CBAD MISC 2073832800 $0.00 Subtype: Lot#: OTHER 0 PRICE - REPLACE 3 WINDOWS 1 SLIDING GLASS DOOR Applicant: SEARS HOME IMPROVEMENT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/08/2001 JM 11/08/2001 11/08/2001 Owner: PRICE JOSEPH M&JULIA M 4031 Ji/WOl 00O2 Oi 02 60.')0 10415 SLUSHER DR SANTA FE SPRINGS CA 90670 800 807-9889 1976 E POINTE AVE CARLSBAD CA 92008 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $60.00 $0.00 $0.00 $60.00 Inspector: FINAL APPROVAL Date Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, resetvations, or other exactions hereafter collectively referred to as "fees/exactlons.' 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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing In accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, vokJ, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactkins DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar applicatbn processing or service fees In connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitaiions has prevk3uslv otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECTINFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit , , Validated Date Address (include BIdg/Suite #1 Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Ptiase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work , SQ. FT. #of Stories 2. CONTACT PERSON (If diffarant from applicant) # of Bedrooms # of Bathrooms Name Address 3. APPLICANT •Contractor S Agent for Contractor • Owner Jose 40f> <A). A>ve 4'Z_ City • Agent for Owner State/Zip CK. <R©065 Telephone S Fax # Name 4. PROPERTY OWNER Address City State/Zip Telephone # Name Address City State/Zip Telephone # S. CONTRACTOR - COMPANV 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name State License # Address License Class City State/Zip Telephone # City Business License # OglOOOQMtM I 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: • I have and will maintain a certificate of consent to self-insure for woricers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. S 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. IVIy worker's compensation insurance carrier and policy number are: Insurance Company [y\Pj6^lX^ INAOTV'AL • Policy No. Expiration Date (THIS SECTiON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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: Faiiure 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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. Q YES QNO 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 nams / 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 POR NON-RESIDENVAL 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? • YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS Wi APPLICANT CERTIFICATION I certify that I have read the application and state that tha 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 CitV 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 S'O" 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 buiiding or work authorized by such permit is not commenced within 180 days from the date of such permit or if the builciing or work authorized by such permit is suspended or abandoned at any time after the work is cpmmence9)'1^r a period of 180 days (Section 106.4.4 Uniform Building Code). . DATE ll-B-Q ' WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE City of Carlsbad BIdg Inspection Request For: 04/05/2002 Permit# CB013461 Title: PRICE - REPLACE 3 WINDOWS Description: 1 SLIDING GLASS DOOR Inspector Assignment: RB 1976 EAST POINTE AV Lot 0 Type:MISC SubType: OTHER Job Address: Suite: Location: APPLICANT SEARS HOME IMPROVEMENT Owner: PRICE JOSEPH M&JULIA M Remarks: Total Time: CD Description 19 Final Structural Act Comments Phone: 8774865959 Inspector: Requested By: JASON Entered By: CHRISTINE Associated PCRs Inspection Historv Date Description Act Insp Comments 01/17/2002 19 Final Structural CO RB SEE NOTICE ATTACHED 01/16/2002 19 Final Structural NR RB NO ACCESS & NO PLANS OR PERMIT