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Home My WebLink About2360 AVENIDA HELECHO; ; CB051509; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-27-2005* Miscellaneous Permit Permit No: CB051509 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 25527251 00 Lot #: 0 Applied: 04/27/2005 Valuation: $3,220.00 Entered By: RMA Reference #: Plan Approved: 04/27/2005 Issued: 04/27/2005 Project Title: SCHLEHUBER RES-FIREPLACE Inspect Area: Applidant: Owner: C.B. SHEA 2360 AVENIDA HELECHO CBAD OVER 6 FT HIGHT SCHLEHUBER MICHAEL J&JAMIE E 2360 AVENIDA HELECHO CARLSBAD CA 92009 QBAD CARLSBAD, CA viuAGE 92008 DR 858-509-4963 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $89.00 $0.00 $0.00 $89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 referred to as %Wexactions.” You have 90 days from the date this permit was issued to protest imposition of these feedexactiis. 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. PERMIT APPLICATION PLAN CHECK NO. CITY OF Cb3LSEHD BUlLDlNG DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Phase No. Total X of units Unit No. Legal Description Lot No. Subdivision NamelNumber 1. 4 Assessor's Parcel X Proposed Use De&ription of Work SQ. FK t of Bedrooms X of Bathrooms City Business License I State License I Designer Name Address City . Statenip Telephone State License I Workers' Compensetlon Declaretion: I hereby affirm under penalty of per/urv one of the following declerntions: 0 I have end 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 e work for which this permit Is issued. $ I have and will maintain workera' compensation, as requlred by Section 3700 of the Labor Code, for the performance of the work for which thls permit is Insurance Company Policy NO. 413 - ?-my Expiration Date 4- I 06 0 CERTIFICATE OF EXEMPTtON: I cenify that In the parformanca of the work for whlch this permit is issued, I shall not employ any person in any manner so as to become subject to the Workere' Compensation Laws of Calfomla. WARNINQ: hRur to mecum worken' comp.n..tlon covnage Is unlawful, and .hd 5ubJecl rn e- to akninal p.na)tI~ urd civil flnes up to one hundred thwund dollera (8100.0001. In dditlon to the cost of compensatbn. damages as provkbd for fn SacUon 3708 of the Labor code, interart and attorney's foes. DRED DOLLARS 181001 OR LESS) SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the followinn reason: Ad 0 I, as owner of the property 01 my employees with wages ea thdr soie compensation, wlli do the work end the structure Is not intended or offered for sale (Sec. 7044, Buainess and Profensions Code: The Contrector's License Law does not apply to en owner of property who builds or improves thereon, end who does such work hlrnself or through hls own employees, provlded that such improvements are not intended or offered for sale. If. however, the building or improvement is sold withln 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, 15 owner of the property, sm exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'a Ucense Law doee not applv to an owner of property who builds or improve8 thereon, and contrecte for such projects with contrector(s) licensed pursuant to the Contractor'a Ucense Law). 0 1. 2. 3. 4. number / contractom license number): 6. of work): PROPERTY OWNER SIGNATURE DATE I am exempt under Section I personally plan to provide the major labor end materials for conetruction of the proposed property improvement. 0 YES ON0 I (have I have not) slgned an application for e building permit for the prbposed work. I have contracted with the following Person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): i pian to provide port lo^ of the work. but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone I wlll provide nome of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type Business and Professions Code for this reason: BUlEdlND is the applicant or future building occupant required to submit e business plan. acutely hazardous matedals registration form or risk management and prevention program under Sections 26606, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant requlred to obtain a permlt from the air pollution control district or air queIity management district? Is the facility to be constructed within 1,000 feet of the outer boundary of e school site? 0 YES 0 NO 0 YES 0 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 I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sac. 309711) Civil Code). LENDER'S NAME LENDER'S ADDRESS i certlfy that I have reed the application and state that tho above information is correct end that the information on the plans is accurate. I agree to comply with e11 City ordinsncee and State lawn reletlng to building construction. I hereby authorize representatives of the Citt of Carlrbad 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 GRANTINQ OF THIS PERMIT. OSHA: An OSHA permit le required for excavations over 5'0" deep and demolitlon or construction of structures over 3 stories in height. EXPIRATION Evety permit issued by the building Ofklal under the provisions of this coda shall expire by limitation and become nuii and vdd if the building or work authorlzed by such permit is not commenced within 180 days from the date of such permit M if the building or work authorlzed by such permit is suspended or abandoned a1 any time after the work is commhcgd fokhperiod of 180 days (Section 108.4.4 Uniform Buildino Code). - APWCANT'S SIGNATURE DATE 4-17-05 WHITE File YELLOW Applicant PINK: Finance - + UNSCHEDULED BUILDING INSPECTION DATE qV7/5 4 INSPECTOR Jln e . PLAN CHECK,# .. JOB ADDRESS h J1\ v . DESCRIPTION Il-, CODE DESCRIPTION L.3. m, ACT COMMENTS