HomeMy WebLinkAbout2571 MUIRFIELDS DR; ; CB154344; PermitPrint Date: 04/27/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2571 Muirfields Dr
BLDG-Residential
2i32S00600
$95,082.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class:
Lot#;
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check #:
Addition
Project Title;
Description: RESDNTL-RAD YANG: 570 SF DET. POOL HOUSE
Total Fees: Total Payments To Date:
Status:
Applied:
Issued:
Finaled:
Inspector:
Balance Due:
Plei3se take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE s·1milar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: (B154344
Closed -Expired
12/09/2015
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE, □PLANNING 0 ENGINEERING
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
□BUILDING QFIRE QHEALTH OHAZMAT/APCD
Est. Value
Plan Ck. Deposit
Ccityaf
Carlsbad www.carlsbadca.gov Date 1-z • q . I SWPPP
JOB ADDRESS SUITEf/SPACEf/UNITI APN
'2:1;1,
CT/PROJECT# LOT# PHASE # BATHROOMS TE NT B SINESS NAME CONST . TYPE OCC. GR UP
DESCRIPTION OF WORK: Include Square Feet of Affectff Area(s)
~"7T)Zl.lGT ~, ~ -p-=t.. ~ 51J SF
EXISTING USE GA AGE (SF) PATIOS (SF) DECKS (SF) --
PROPERTY OWNER NAME
ADDRESS
"2.'7 '71
CITY ZIP CITY
;y1-
PHONE PHONE
EMAIL EMAIL
DESIGN PROFESSIONAL ~ CONTRACTOR BUS. NAME
ADDRESS ADDRESS
CITY ZIP CITY
PHONE PHONE
EMAIL EMAIL r
STATE UC.#
)
AIR COND!T!ONING
NcQ YEsBt,o □
STATE ZIP
~
FAX
CLASS CITY BUS. LIC.#
FIRE SPRINKLERS
YES0NO~
(Sec. 7031.5 Business and Profes~ions Code: Any City or County which requires a permit to_construct. alter, improve, demolish or repair any structure, pnor 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 B_usIness and Professions Ccx:le} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penall'jof perjury one rf the fol/owing declarations:
B I have and will maintain a certificate of consent to self-lnsure for 'M:lrkers' 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 wfll 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 workers' compensation insurance carrier and policy
number are: Insurance Co, ______________________ Polley No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars {$100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of
CaHfomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for Jn Section 3706 of the Labor cOde, interest and attorney's fees.
6$ CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, w"il 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 WOO( 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).
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 bu/Ids 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 im/l"(lvement. OYes ONo
2. I (have/ have noO signed an application for a building permit for the proposed work
3. ! have contracted with the fol/owing person (firm) to provide the proposed construction (include name address/ /l'lone / contractors' license number):
4, ! plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work pnclude name/ address/ phone/ 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/ type of work):
,I$ PROPERTY OWNER SIGNATURE QAGENT DATE
COMPJ.ETE THIS SECTION FOR NON~RESIDENTIAL 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 □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify1flat I haYe read the application and state lhat1fle above information Is correct and that the information on 1fle plans is accurate. I agree to (X)fllplymth all City ordinances and State laws relating 1D building construction.
I hereby authorize representative of the City of Car1sbad to enter up:m the aoove mentioned prq:ierty klr Jlspiclion purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIAfllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST 5'\ID CITY IN CONSEQUENCE CT' THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolltion or construction of structures over 3 stories in heght.
EXPIRATION: Every permit issued by the Building Official under !he proviskJns of this Code shall expire by limitation and become nul and void if the buik:ling or 'MXk authorized by such permit is not oommenced 'M!hin
100days from the date of such permit or if the building or rk authorized by such permit is suspended or ab3ndoned at anytime after the w:,rk is commenced for a period of 100 days (Sectk:ln 100.4.4 Uniform Buildrtg Code).
AS APPLICANT'S SIGNATU DATE Jz_ C""i' ~IS