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Home My WebLink About2804 CACATUA ST; B; CB012384; Permitt L/ boll. is 07/16/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No:CBOI 2384 Job Address: Permit Type: MlSC Subtype: OTHER Status: ISSUED Parcel No: 21 53702904 Lot #: 0 Applied: 07/16/2001 Valuation: $0.00 Entered By: MDP Reference #: Plan Approved: 07/16/2001 Issued: 07/16/2001 Project Title: ROBIN GLEN ASSOCIATION Inspect Area: 2804 CACATUA ST CBAD St: B REMOVE GAS & ELECTRIC FROM COMMUNITY SPA Applicant: GUENDERT ELEANOR 71 16 AVIARA DR CARLSBAD CA 92009 760 931-6981 Owner: TEETER DIANE L 1426 HOLLY AVE IMPERIAL BEACH CA 91932 4710 07/16/01 0002 01 02 CGP 30.00 Total Fees: $30.00 Total Payments To Date: $0.00 Balance Due: $30.00 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $30.00 $0.00 $0.00 $30.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactons. 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 wth 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or sewice fees in connection with this project NOR DOES IT APPLY to any feedexactions 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 I FOR OFFICE USE ONLY EST. VAL. Plan Ck. Deposit Validated By Date Legal Description Lot No. Subdivision NameINumber Phase No. Total # of units Unit No. Assessor's Parcel # Existing Use Proposed Use Name Address city Statelzip Telephone # Fax # Name Address city Statelzip Telephone # 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 Code1 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 [$5001). Name Address City Statelzip Telephone # State License # License Class City Business License # Designer Name Address City Statelzip Telephone of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOOl DR 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 ($100.0001. 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 I'hereby affirm that I am exempt from the Contractor's License Law for the following reason. 0 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 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 1. 2. 3. 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 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 01 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). Business and Professions Code for this reason: Pg I am exempt under Section I personally plan to provide the major labor end materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I Contractors license number): 4. number I contractors license number): 5. 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 0 YES 0 NO N tENdlN 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 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 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 APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/19/200 1 Permit# CB012384 Inspector Assignment: PD Title: ROBIN GLEN ASSOCIATION Description: REMOVE GAS & ELECTRIC FROM COMMUNITY SPA Type: MlSC Sub Type: OTHER Job Address: 2804 CACATUA ST Suite: B Lot 0 Location: APPLICANT GUENDERT ELEANOR Owner: Remarks: ASSIGN TO PD CALL TO ARRANGE TIME Total Time: Requested By: ELEANOR CD Description Act Comments Entered By: KAREN 36 Electrical Repairs Associated PCRs lnmection History Date Description Act lnsp Comments