HomeMy WebLinkAbout2615 COLIBRI LN; ; CB013173; Permit10-04-2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB013173
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2615COLIBRILNCBAD
MISC
2155351700
$1,20000
Subtype
Lot#
REPAIR
0
SCHULZ RESIDENCE
REPAIR EXISTING SHOWER TILE & SEAT
Applicant
WITTON, ROBERT G
6831 XANA WY
CARLSBAD, CA 92009
619-744-9517
Status ISSUED
Applied 10/04/2001
Entered By MDP
Plan Approved 10/04/2001
Issued 10/04/2001
Inspect Area
Owner
SCHULZ JURGEN&LINDSEY B
2615COLIBRILN
CARLSBAD CA 92009
1450 10/04/01 0002 01 02
CGP 60 = 00
Total Fees $60 00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
Total Payments To Date $0 00
PERMIT
Balance Due
$6000
$000
$000
$6000
TOTAL PERMIT FEES $6000
Inspector
FINAL APPROVAL
//^-7 / /)/
Date // ^° ' Ls ( 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
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
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 similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
PROJECT INFORMATION^
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel #Existing Use
||\J
Proposed Use
Description of Work
iSISONTACT"PERSQNfoFdifferent from applicant)
SQ FT #of Stories # of Bedrooms # of Bathrooms
Name
3— ;Sjff!iSMf\f • CD Cqmfacfor''
Address
:• ^rp— | •"• "~;;"?;:-;^nr:"-r7F'^-~LJ Agent for Contractor :-Q{Ownerlt;.[
City
3 Ag'enrfbr Owner
State/Zip Telephone #
•-':... '"•«:.:
Fax #
Name
4 PRpPERfYjOWNER
Address City State/Zip Telephone ft
IS"
Name Address City State/Zip Telephone
.CpNTRACfbR -NAME
(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 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 [$5001)
err o^>
Name
State License #
Designer Name
State License tt
;6 WORKERS
4T7.Z,
^COMPENS
11^
lTioiNi'"F:'
Address
License Class D "~ ^
Address
" •; "' "• , ;T: is
City
City
City
State/Zip
Business License tt IZ-O '
State/Zip
Telephone tt '
Telephone
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
Q 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
(THJS 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
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 criminal penalties and civil fines up to one hundred
thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE KfVs U^ XXftHl-, . DATE |Q-c\-Q|
7 : " '" '" '" ' " '' '" '" "
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
n 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)
l~l 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)
fj 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 Q YES flNO
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
. BUILDING PERMITS ONLY;^ Sp '". .^siS' ::"::Wfr IP-' .... i^ai^ "..I"" ,.s:, '""'" .,
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? [H YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' O YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' Q YES CD 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 LENDER'S ADDRESS
jisr '::iAP£i®A>iiT.cEWiRavTON|flK:" ::-r'-'."- ,. ~-j.^::;;I:'7gv"t .. " •-.'. .' '- ';;,: ": .„ ,/-":>?r"
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 CitV 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 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_lSO days (Section 106 4 4 Uniform Building Code)
DATE \O-OM -Q\
WHITE File YELLOW Applicant PINK Finance
APPLICANT S SIGNATURE
City of Carlsbad Bldg Inspection Request
For 11/27/2001
Permit# CB013173
Title SCHULZ RESIDENCE
Description REPAIR EXISTING SHOWER TILE & SEAT
Inspector Assignment PD
2615 COLIBRI LN
Lot
Type MISC Sub Type REPAIR
Job Address
Suite
Location
APPLICANT WITTON, ROBERT G
Owner SCHULZ JURGEN&LINDSEY B
Remarks AM EARLY PLEASE
Phone 7609669517
Total Time
CD Description
29 Final Plumbing
Act Comments
Requested By ROB
Entered By ROBIN
Associated PCRs
Inspection History
Date Description Act Insp Comments
10/30/2001 17 Interior Lath/Drywall AP PD SHOWER
10/23/2001 14 Frame/Steel/Boltmg/Welding AP PD OK TO MOP/LATH
10/23/2001 17 Interior Lath/Drywall WC PD