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2601 COLIBRI LN; ; CB972731; Permit
Suite BUILDING PERMIT09/29/97 11 53 Page 1 of l Job Address 2601 COLIBRI LN Permit Type RESIDENTAL ADD/ALT Parcel No 215-535-10-00 Lot# Valuation 5,000 Occupancy Group Reference* Description REMODEL KITCHEN,TRUSS CHANGE ELECT,PLUM Permit No Project No Development No Construction Type Status Applied CB972731 A9703487 Apr/Issue Appl/Ownr COMPLETE DESIGN & REMODELING 760 431 -Ifs^' 5670 EL CAMINO REAL STE J CARLSBAD CA 92008 *** Fees Required *** .......-• *** Fees.... Collected & Credits VN ISSUED 09/24/97 09/29/97 73.00 * ** Fees Adjustments Total Fees Fee description Building Permit Plan. Check Strong Motion Fee * BUILDING TOTAL 120X00 ;'('.. ,/.op.~V:;.Y £20 o;p\ ,': '"••• / (\ "'"'"" ,-•'''";"; .. '. Credit s Total /F>aymentsx : ;Ba lancet Due ^ ,-Units ^ oo 47.00 73 00 Ext fee Data 72 00 47 00 1 00 120 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 PROJECT INFORMATION FOR OFFICE USE ONLY *l I 'PLAN CHECK NO _ EST VAL 5 0d° Plan Ck Deposit Validated^ By Date Address (include Bldg/Suite #) Z Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use 0001 01 02 C-/"lfffB.thr.»ms*7-00Description of Work iC/TOiM tH. COWt ACT PERSONlrf different from applicant) FT #of Stories # of Bedrooms os> Address City State/Zip Telephone #Fax # 603-7878 (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 CodeJ 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 I$5QQ1) Name State License # 3*5 Address <* ^> /^ License Class 7*^ City State/Zip f City Business License ff - / Telephone* ^/.^^J^ Designer Name State License # Address City State/Zip Telephone 9"'. WORMRSrC^MPENSATlbN. ..". .1 _^IIE '"I™,. 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I lyilnSiiitsL,,' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~1 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 l~l 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 Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) J/f CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as 'to become subject to the Workers Compensation Laws of California WARNING Failure to seaure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars^$/UW,OnO) in addition to the cost of compensation, damages as provided for in Section 3706 of the Laboi code, interest and attorney s fees SIGNATURE f1* *~* ' °ATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~l 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) PI 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 I~|NO 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 name / 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 (•'SECTIQifeFQ^^ .i:,. ," 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? d YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d YES d 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 AND THE AIR POLLUTION CONTROL DISTRICT .8 ...CONSTRUCTION LENDING AGENCY _" ." _. .. " ™~ -i^IlL^ 4!.-:'" ^"- •r" . ..'j ', 4 ::.»:- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME f/r^ LENDER S ADDRESS <9 APPLICANT/CERTJFJCAfiON =::.••••;—-r -,-•=- ,•-- ^- -,.. — — —. - ..„-, "|ij£ -•' ~ :-:° I certify that I have read the application and state that the 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 City 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 5'0" 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 building or work authorized by such permit is not co^rfftnced within 365 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 thajwark/s tommenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE llvL/ AAJL*. . DATE WHITE File YELLOW Applicant PINK Finance 07/17/98 INSPECTION HISTORY LISTING FOR PERMIT* CB972731 DATE INSPECTION TYPE INSP ACT COMMENTS 03/04/98 Final Combo RI RI C/GARY/619/719-8392 03/04/98 Final Combo PY AP 10/08/97 Shear Panels/HD's NF AP 10/08/97 Insulation NF AP 10/06/97 Frame/Steel/Bolting/Wel NF AP SEE CARD 10/06/97 Rough/Topout NF WC 10/06/97 Rough Electric NF AP 10/06/97 Rough/Ducts/Dampers NF WC HIT <RETURN> TO CONTINUE... CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972731 FOR 03/04/98 DESCRIPTION: REMODEL KITCHEN,TRUSS CHANGE, ELECT,PLUM TYPE: RAD JOB ADDRESS: 2601 COLIBRI LN COMPLETE DESIGN & REMODELING PHONE: PHONE: PHONE: APPLICANT: CONTRACTOR: OWNER: INSPECTOR AREA NF PLANCKtf CB972731 OCC GRP CONSTR. TYPE VN STE: LOT: 760 431-9556 REMARKS: C/GARY/619/719-8392 SPECIAL INSTRUCT: TOTAL TIME: INSPECTOR CD LVL DESCRIPTION ACT COMMENTS 19 29 39 49 ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 100897 Shear Panels/HD's AP NF 100897 Insulation AP NF 100697 Rough Electric AP NF 100697 Frame/Steel/Bolting/Welding AP NF SEE CARD i Q PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST Plan Check No.CBj^/^'^ si Address Planner S^2. -rb^£tr^ Phone (619) 438-1161, extension APN: 3.f^' 5"$'5~- SO Type of Project and Use: Zoning e of Proj ing- V CFD li Circle On General .Date of participation: Project Density: Facilities Management Zone- Remaining net dev acres. (For non-residential development: Type of land used created by this permit: ) £ o. Legend: /\ Item Complete ©I Item Incomplete - Needs your action /) I | I | Environmental Review Required: YES DATE OF COMPLETION: NO TYPE | [ Compliance with conditions of approval' If not, state conditions which require action Conditions of Approval. Discretionary Action Required: APPROVAL/PESO. NO. _ PROJECT NO. _ YES NO TYPE DATE OTHER RELATED CASES: Compliance with conditions or approval7 If not, state conditions which require action Conditions of Approval. Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES NO CA Coastal Commission Authority? YES NO If California Coastal Commission Authority. Contact them at - 3111 Cammo Del Rio North, Suite 200, San Diego CA 92108-1725, (619) 521-8036 Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES NO If NO, complete Coastal Permit Determination Form now Coastal Permit Determination Log #: Follow-Up Actions: 1) Stamp Building Plans as "Exempt" or "Coastal Permit Required" (at minimum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. I I Inclusionary Housing Fee required: YES NO (Effective date of Inclusionary Housing Ordinance - May 21, 1993 ) Data Entry Completed? YES NO (Enter CB #, UACT, NEXT12, Construct housing Y/N, Enter Fee Amount (See fee schedule for amount). Return) Site Plan: ^| | | | 1. Provide a fully dimensional site plan drawn to scale. Show North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines. | [ | | 2. Provide legal description of property and assessor's parcel number Zoning: CD 1- Setbacks. Front: Interior Side' Street Side: Rear. ' Required Required Required Required I | I I 2 Accessory structure setbacks: Front: Required Interior Side: Required Street Side: Required Rear: Required Structure separation: Required Shown Shown Shown Shown Shown Shown Shown Shown Shown I I 3. Lot Coverage:Required Shown 4. Height:Required Shown I I | | 5. Parking: Spaces Required Guest Spaces Required I | Additional Comments / Shown Shown f f, OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER S~DATE PAGE OF 5 /V= B' SEP* PROJECT ENGR DATE AU6 1 1 199f MANNING ENGINEERING 41892 ENTERPRISE CIRCLE SO, STE E TEMECULA, CA 92590 PHONE (909) 676-1844 FAX (909) 694-6026 t . t , 4 PAGE I OF V -tft (ADO PROJECT- ENGR _ DATE MANNING ENGINEERING 41892 ENTERPRISE CIRCLE SO, STE E TEMECULA, CA 92590 PHONE (909) 676-1844 FAX (909) 694-6026 4 $ ; -..' L.jJ.!...L!-..L[ t ! 1 4 ,!--{l -4 44-U4-U-HT 9A997 l*c t -t aa° RKSi 06^0 T •y •-. .-v/: it a . ,,, , J/i"i ,;; )/</* / C£\