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HomeMy WebLinkAbout2627 COLIBRI LN; ; CB060821; Permit03-22-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB060821 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2627 COLIBRI LN CBAD MISC 2155352300 $000 Subtype OTHER Lot# 0 Status ISSUED Applied 03/22/2006 JMA 03/22/2006 03/22/2006 ARMSTRONG RES - REMOD HALL & GUEST BATHS-1STFLR WINDOWS ELECT TILE Entered By Plan Approved Issued Inspect Area Applicant MIRABELLA CONSTRUCTION P O 462696 ESCONDIDO CA 92046 760-738-7446 Owner ARMSTRONG ERIC W&BETH A 2627 COLIBRI LN CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $14400 $000 $000 $14400 Total Fees $14400 Total Payments To Date $14400 Balance Due $000 Inspector FINAL ABPROVAL 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 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 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 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 PKPJECfjTNFORMATlbN FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work CONTACT PERSON (if different from applicant) of Bathrooms Name Address .3 APPLICANT niContractoriJQfAgent for Contractor~ City DO'Agent foT Owner State/Zip Telephone tt Fax tt Name 4 " Address City State/Zip Telephone Name Address City State/Zip Telephone tt •5£T 'CONTRACTOR1 COMPANY:NAME ';"'—s^pj:^ j|^ :>3|: -m* •• ==;••' -;- - •••- - -• (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 I $5001) Name State License # » ''^5 Address• tJjt _> License Class ^*7 City State/Zip y( £j City Business License # /^- Telephone tt aXS^F Designer Name State License tt Address City State/Zip Telephone COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 J2 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 ,X>^s-X*e C &/*(/? -^4r-fCr Policy No Qfyo O&O&&SJ Expiration Date f^/^G r (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 additiojijD-the-cost-ef^agjpensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE <~- ^"('J} DATE 3~~£ T- ° ^ !7 OWNER BUILDER DECLARATION _!^«^S ' .. 4.P? ~Lk !f . ~" ._.. ' _ *£ "l^.-.... :....:. I hereby affirm that I am exempt from the Contractor s License Law for the following reason (~| 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) 0 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 l~l YES QNO 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 Ji^ VTV „.;„.. .....dSiiif ,nfc:- .,;i/"-a% ^I::::--::.™, T| 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? L3 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES O NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~] 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 r8*^ONS™"C1^ "7" *'S:T[":." "''~.~ .,::UF;:::: ^,. •J^ff'""'';' ' • :^ ~"." "'^ "'"." " ~" " "' " •'"'"' ""' 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 LENDER S ADDRESS __^_ 9™SSPP!5jt§pilT CERTIFICATION ISliKr'"'„ ,j|f J"^..,, ""-"JilBiJ 3-N:/""dlni." Jl?™";- JOlSL . r4t ::-iif •• 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 day^fronfrlfie/aate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrjfTiencStHor^a/iEriod ^f/180 d/ys flection 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/02/2006 PermiW CB060821 Title ARMSTRONG RES - REMOD HALL & Inspector Assignment JM Description GUEST BATHS - 1ST FLR, WINDOWS, ELECT ,TILE SURROUND, PLUMB Sub Type OTHER 2627 COLIBRI LN Lot Type MISC Job Address Suite Location OWNER ARMSTRONG ERIC W&BETH A Owner ARMSTRONG ERIC W&BETH A Remarks AM PLEASE Phone 6195205015 Inspector Total Time CD Description 19 Final Structural Act Comment Comments/Notices/Hold Requested By JOHN Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/18/2006 17 Interior Lath/Drywall AP JM SHOWER LATH & D WALL 03/31/2006 84 Rough Combo AP JM OK TO DRYWALL VI (N \ > M V ^\r\ ^ ?; License Detail Page 1 of2 California Home Wednesday, Ma h Welcome1^:, License Detail CALIFORNIA CONTRACTORS STATE LICEN Contractor License # 679453 DISCLAIMER ij A license status check provides information taken from the CSLB license data base Before :i on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 71246) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the Im button to obtain complaint and/or legal action information • Per B&P 7071 17. only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 03/22/2006 Business Information * * * MIRABELLA DESIGN BUILD 140 WOODWARD AVE ESCONDIDO, CA 92046 Business Phone Number (760) 738-7446 Entity Corporation Issue Date 10/26/1993 Expire Date 10/31/2007 * * * License Status * * * This license is current and active All information below should be reviewed * * *Classifications * * * [Class | B Description * * *Bonding Information ** * CONTRACTOR'S BOND This license filed Contractor's Bond number 142249C in the air $10,000 with the bonding company http //www2 cslb ca gov/CSLB_LlBRARY/License+Detail asp 03/22/2006 License Detail Page 2 of2 INDEMNITY COMPANY OF CALIFORNIA Effective Date 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer (RMO) SH THOMAS CHILSON certified that he/she owns 10 percent or more of the voting stock/equi corporation A bond of qualifying individual is not required Effective Date 10/26/1993 * * *Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 046-6668073 Effective Date 09/01/1998 Expire Date 01/01/2007 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Personnej_List Other Licenses • License Number Request flContractor Name Request [personnel Name Request • Salesperson Request Salesperson Name Request © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/22/2006