HomeMy WebLinkAbout2541 MUIRFIELDS DR; ; CB053569; Permit-
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-14-2005 Miscellaneous Permit Permit No: CB053569
Building Inspection Request Line (760) 602-2725
Job Address: 2541 MUIRFIELDS DR CBAD
Permit Type: MISC Subtype: OTHER Status: ISSUED
Parcel No: 2132500900 Lot #: 0 Applied: 10/14/2005
Valuation: $0.00 Entered By: SB
Reference #: Plan Approved: 10/14/2005
Issued: 10/14/2005
Project Title: MAGNOLIA ESTATES 8FT TALL• Inspect Area:
FIREPLACE W/ GAS LINE
Applicant:
DE MARIA LANDSCAPE
P 0 BOX 87
SOLANA BEACH CA 92075
619481-5500
Owner:
BARRA1TAMERICAN INC
5950PRIESTLYDR#11---.
UPtMLbUAL) U/k 92008
i\ ell
/
/
Miscelaneous Fee #1 / Miscelaneous Fee #2 / Additional Fees
TOTAL PERMIT FEES r
I ( I
\FIREPL?AcE ' .: - $89.00
GAS LINE.- 2 - . $27.00 I - - $0.00
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\\
-•';i \
7 •'•. $116.00
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Total Fees: I $116.00 ToaI Payments To Dater j•o Balance Due: - $0.00
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d'• .'
INCORPOSAED -' -•-•- ... /
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FINAL APPROVAL
Inspector: Date: 2 1 3'o ' 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 lees/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
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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
foo/3vi'tinnQ nf whirth unii hiv nmviruik, hoin niun WflTI(F imiir tn this ?ir tn whith th titIItA nf Iimittinns h nravintjsh, nihArwisA sxnirsd
- .• , -
FOR OFFICE, USE ONLY
PLAWC-HIE.CK INO
EST.VAL.1___•. •
Plan Ck. Deposit -'
VlidatedBy _
Date
Address Ii chide Bldg/Suite #) Business Name (at this address)
Legal Description --'- - Lot No.- Subdivision Name/Number - - - Unit No.- PhaseNo. - Total # of units
-•-1' -•• '
Assessor's Parcel 11 Existing Use Proposed Use--,. t3-5O-ct-oo
Desc on of ork • - SQ: FT. #àf Stories •- -. #-ofBedroo # of Bathrooms rfr4 Muna
IiERQJLtffnt ppjt)
Name - -- Address ----- City State/Zip Telephone # •.- Fax #
Ell
Name 1.4 A Address__3L _
(vc. 5'5'0 -4(o I Ca-v Sva& CCIftv IT7 oo7&(3-4Ii
Name Address . , City State/Zip Telephone #
IR -r - JAM
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improvoi 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 Contractors LicenseLaw
(Chapter 9, commending with Section 7000 otDivision 3 of the, Business and Professions C6e1 or that he is exempt therefrom,and the basisfor the allSged
exemption. Any violation of Section 7031.5by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001).
VL
Name Address , City State/Zip. , -' Telephone #
State License # '7 b'\ 3 License Ciss - city Businiss License #-__________________
Designer Name Address City State/Zip Telephone
State License # - - - - - -
KEcQMLENSA! _i - -
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 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 compensation insurance carrier and policy number are:
lnurarce Company Policy No. - • Expiration Date __IjO
(THIS SECTION NEED NOT-BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)-
CERTIFICATE OF EXEMPTION: Icertifythat in the performance of the work for which this permit is issued,-1 shall not employ any-person in any manr8r so as -
to become subject to the Workers' Compensation Laws of California. - - - - , - -
WARNING: - Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimin of penalties- and civil fines up to one hundred '
,thousand dollars ($10Q.O0). In addition to the co t of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE - - ' DATE ioji+IoS - -
ir ------------------------
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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. • . -
I, as owner of 'th-e property or my employees with wages as their sale compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professio/
nn
:The Contractor' ;License Law does not apply to an -owner Of property who builds or improves thereon, and who does
such work himself or through his owyees, provided at such improvements are not intended or offered for sale. If, however, the building or improvement is
Sold within one year of completion, ter-builder will óve-the burden of proving that he did not build or improve for the purpose of sale). - • -
I, as owner of the property, a ively contrting with licensed contractors to construct the projeCt (Sec. 7044, Business and Professions Code:, ZThe
Contractor's License Law does noto an own Of property who builds or improves thereon, and contracts for Such projects with contractor(S) licensed
pursuant to the Contractor s License
O I am exempt under Section )Csiness and Professions Code for this reason: - -•--
I personally plan to provide the ,d'and materials for construction of the proposed property improvement. 0 YES ON
2. I (have7 have not)iigned an a for 'a building permit for the proposed wàrk. -
.1 have,contracted with the follerson (firm) to provide the proposed construction (include name-/ address /. phone number) contractors license-number):
4. I plin toprovide portiónsof tl work, but I have hired the following persoñfO cóordinSte, supervise and provide the major work (include nime /áddresl! 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 -- - - - - , '----
Is the applicant or future building occupanyfequired to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program underSections 25505, 25533y(25534 of the Presley-Tanner Hazardous Substance Account Act?- 0 YES 0- NO ---- - -'-- -.
Is the applicant or future building occu 'ant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO
Is the facility to be constructed within 1,000 feet-of the outer boundary of a school site? D 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
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - -
hereby affirm that there is a construction lending agency for theperformance of the work for which this permit is issued (Sec. 30970) Civil Code). : -
LENDER'S NAME .i-J;c •
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_- ' - LENDER'S ADDRESS_- - --
1 certify that 1 have read the application and state that th'e above information is correct and that the information On the plans is'accuate' I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the- Cit' ofiCarIsbad 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 ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA excavations An OSHA permit is required for excavatio over 5 0 deep and demolition or con.1 1struction of structures over 3 stories in height 11
EXPIRATION: Every permit-issued by the building Official under the piovisions 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 180 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' Building Code). - - -
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APPLICANT S SIGNATURE 7'_-' DATE I If 4'f
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' WHITE: Fili-- YELLOW:'Applicant PINK: Finance - - - - - - - - -
PERMIT APPLICATION
CITY OF CALsBAb BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
City of Carlsbad Bldg Inspection Request
RD-04
For 02/22/2006
Permit# CB053569 Inspector Assignment: PD
Title: MAGNOLIA ESTATES 8FT TALL
Description: FIREPLACE WI GAS LINE - -
Type: MISC Sub Tye OTHER
Phone: 6199 141?
Job Address: 2541 MUIRFIELDS DR
Suite: Lot 0
Location: •: Inspecto.
APPLICANT DE MARIA LANDSCAPE
Owner:
Remarks: FIREPLACE INSPECTION
Total Time: Requested By: JUSTIN
Entered By: CHRISTINE
CD Description Act Comment • -
68 Fireplace/Tie Straps -
f--rd kt
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Comments/Notices/Hold -
AssociatedPCRs/CVs Original PC# . •
InsDectionHistory - -
Date , Description Act Insp Comments
- •
11/30/2005 11 Ftg/Foundation/Piers AP PD - •
11/30/2005 23 Gas/Test/Repairs
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AP PD .