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HomeMy WebLinkAbout2624 EL AGUILA ST; ; CB983831; Permit01-25-2013 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Permit Perinit No:CB98 38 31 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: OccGroup: 2624 EL AGUILA ST CBAD RAD Sub Type 2155623700 Lot # $41,258.00 Const Type Reference # VN Project Title: 421 SF ADDITION-GUEST BED & BATH StatU^: EXPIRED Applied^ 3rl-7^^-6/l998 Entered By: RMA Appr/lssued: 11/25/1998 Inspect Area: Applicant: BRUCKNER, LISA Ovi7ner: BRUCKNER LISA A 2 624 EL AGUILA LN CARLSBAD CA 92009 760 603-8363 Total Fees: $438.31 $667.31 Payments To Date: $229.00 Balance Due: Description *• ELECTRICAL TOTAL * MECHANICAL TOTAL * PLUMBING TOTAL BLDG PLAN CHECK BUILDING PMTS STRNG MOTION Fee 20.00 21.50 41.00 228.75 351.93 4 .13 Inspector: FINAL APPROVAL Date-Clearance: NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectvely 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 follotfl/ 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 previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE O PLAN CHECK N EST. VAL. Plan Ck. Depos^ Validate Date Address (include BIdg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # ^ Existing Usey> /J /) J, < i Proposed Use / Assessor's Descnption of Work' SQ. FT. " #of Stones # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # 3-ll**l&LiCANMV H^Contr^^P""P A^Tfor Contra^^^:S'Ovvner^[Il Agent fo^wierj Nam 4. PROPERW'OWNERi amd ^ ArlHrocc City State/Zip Address /.ISA 6f?-LcoK(v/2<>- c,=.^/7,„ Teleph^e # Name 5. CONTRACTOR ««COMP*lNY 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, 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 IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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) Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone .6. .AMQRKERS,iC.OIVIgEN,SjaiTtONS^.. Workers' Compensation Declaration. I hereby affirm under penalty of perjury one of the following declarations- Q 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. n 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 earner 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) • 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 DATE lti,?-OWNlRMU!LDEkDECLARAlTO " 1 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) 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 contractorls) 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 matenals for construction of the proposed property improvement \Zi YES 2 1 (fiave)/ have not) signed an application for a building permit for the proposed work tie following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) I have contracti KID acted MWth Jf 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). MO 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): NiO PROPERTY OWNER SIGNATURE DATE IPPMPLETE THIS SECTION FORf/VdW-ffe^^^ ', .,1- ' 1 'jS. ti TM' Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES n NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct? 0 YES C] NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES • 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,/:\coNSfWcTioipl*ibiNm . ~ • \ ,^ ,^ ,;2r'"*- ~" 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 9-..-. ARPlJilMSritfflCftfW' 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 S'O" 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 authonzed by such permit is not commenced within 365 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after tt\e wprk is commenced for a penod of 180 days (Section 106 4.4 Uniform Building Code) ^^i^lAAA-Jc^n^ DATE _ APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK. Finance (m5 ^ A;-IPROVALS -vi|'^r/l£.E.ic;.-c,--^ _ r:.-o • Coastal Heallh Assoc. DATbS 'lO ApDdcarl Ffom AonlicarTt HAZ MAT FORM INO WASTE APP SCHOOL FEE FORM PUNCOHH ENGRGCORH BUS UC V/CXIMP FIRE PLANS ASSESSOR PLANS