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Home My WebLink About2407 JACARANDA AVE; ; CB041363; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-23-2004 Miscellaneous Permit Permit No: CB041363 Building Inspection Request Line (760) 602-2725 Job Address: 2407 JACARANDA AV CBAD Permit Type: MISC Subtype: OTHER Status: ISSUED 04/23/2004 SB 04/23/2004 04/23/2004 Parcel No: 2550703000 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: JACKSON RES SAW CUT SLAB TO REMOVE/REPLACE H20 LINES Inspect Area: Applicant: STEVE JACKSON 2407 JACARANDA AV Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $30.00 Inspector: PERMIT FEE Owner: 'J642 ·),{./23/04 JO(C BRANDENBURG BETH L TRUST 04-13-99 2407 JACARANDA AVE CARLSBAD CA 92009 $30.00 $0.00 $0.00 $30.00 Total Payments To Date: $0.00 Balance Due: $30.00 EXPIRED PERN1l1 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C' SECTION 106.4.4 :M 0~1'E r 01,;:,;,o(oY-SIGNATURE_ t..C~~------- FINAL APPROVAL Date: Clearance: 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 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 IT APPLY to any f x i n f whi r vi 1 iv n N Tl E imil r hi r whi f limi i n I h i FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.~ fo ~ff) CITY OF CAR~SBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Name Address City State/Zip Telephone# Fax# ~~;;,Ji~~~''' Address City State/Zip Telephone# Name Address City State/Zip Telephone# (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. y v. ol fion of Section 7031.5 b any applic nt for a permit subjects the applica9uo1a civil pen~y of not more than five hundred dollars [$5001). ' I, 0 .-C/W. V(~r--C',, Ci'Z-~f. ?(;o '?'l')-74-f/ Address JI.... City State/Zip Telephone# Name r1,, State License # --'G./L7,_¾c.,e:__7 __ License Class _ _,fe::_/ ______ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone x;i;~~;;i~~~~!~~!'f~!;;t~'~;t!:Y~~Jlj'i;;~;',;;'~~~;;~;~ '1~;1~;1';~~;~,:~.~~ d;!t!i!.::!~t? ::,,, .... , D 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. D 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 re: Insurance Company --------------~-~L.-+---Policy No. ____________ _ Expiration Date _______ _ SECTION NEED NOT BE COMPLETED IF THE P NE HUNDRED DOLLARS 1$1001 OR LESSI CERTIFICATE OF EXEMPTION: I certify tha nth rform ce of the work for which this permit is issued, I shall not employ any person in any manner so as come subject to the Workers' Compensaf n L f Cali WARNING: Failure to secure workers' co e • unlawful, and ahall aubject en employer to criminal penaltlea and civil fines up to one hundred thousand dollars 1$100,000), In addition the Ion, demagea as provided for In Section 37 0 0A6ToEf t~ Laipo,;t:~e/13~t and attorney'• feea. SIGNATUREliiiiiiiiiiiiiiiim,iiliiiii$1iipjiiiiiiiiiiiiiiiiii~~i:~ii~ 'r_ / <---/ I ."~~~~Wfil~N:tmi~&~_;f~J,t)~iffiiift&t~f'~:~fof'.%¼~:;~1Y:~~1;~~l!~£t~~~~::~-8~fi;C,frfi%'1f'y;~~:s~;.;;;~;/\'. I hereby affirm that I am exempt fro cense Law for the following reason: D I, as owner of the property o my emplo es w h wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professi ns Code: e Con ractor'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 o emplo es, 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 o r•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). D 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. D YES ONO 2. I lhave / 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 I contractors license number):. ________________________________________________ _ 6. 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).:_----------------~~----------------------------------------- DATE Is the applicant or future building occup required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 25533 or 25534 of the Presley•Tanner Hazardous Substance Account Act? 0 YES O NO ts 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 O 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. 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 L$'..i3/0:fAUUCAJ\il'f"0!8ll-,mN~rwv,.1t'.'.Eit:J/;U[jtq~~~J<<( or ation · correct and that the information on the plans is accurate. I agree to comply with all ere authorize representatives of the Citt of Carlsbad to enter upon the above mentioned IND NIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, CRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. DATE _ _,_tf:_;_(_'2.._.>__,_(_o_(/--___ _ : File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/18/2004 Permit# CB041363 Title: JACKSON RES SAW CUT SLAB TO Description: REMOVE/REPLACE H20 LINES Type: MISC Sub Type: OTHER Job Address: 2407 JACARANDA AV Suite: Lot 0 Location: APPLICANT STEVE JACKSON Owner: BRANDENBURG BETH L TRUST 04-13-99 Remarks: Total Time: Phone: Inspector: ---- Requested By: NA Entered By: CHRISTINE 19 Final Structural v1 C--~ GJ ~ CD Description Act Comment _ (J(/ ~ l:!J -----,,0,-lJ,. cD, ~: Associated PCRs/CVs Inspection History Date Description Act lnsp Comments