Loading...
HomeMy WebLinkAbout2820 FAIRFIELD AVE; ; CB071064; Permit05-02-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB071064 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Tltie: 2820 FAIRFIELD AV CBAD MiSC 1674802116 $0.00 Subtype: REPAiR Lot #: 0 C3g070929^ VILLAS OF GALAVERA HILLS 2ND FLR ENTRY DECK REPAIR-2820&2822 Status: ISSUED Applied: 04/18/2007 Entered By: KG Pian Approved: 05/02/2007 issued: 05/02/2007 inspect Area: /\ppiicant: DEGROODT CONSTRUCTiON CO. 21602 SURVEYOR CIRCLE HUNTINGTON BEACH CA 92646 714-375-1325 Owner: LAND DOROTHY M 2820 FAIRFIELD AVE CARLSBAD CA 92010 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $120.00 $0.00 $0.00 TOTAL PERMIT FEES $120.00 Total Fees: $120.00 Total Payments To Date:$120.00 Balance Due:$0.00 inspector FINAL APPpVAL Date: 2/Clearance: NOTICE: Please take NOTICE ■that approval of your project includes the ■imposition' of fees, detficaflons, reservations, or other exactions hereafter coliectivelyreferred to as Tees/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 foltow the protest procedures s^ forth in Government Code Section 66020(a), and file the protest and any other required infonnation wtto the City Manager for processing In accordance with Carlsbad Municipal Code Section 3.32.030. FaSuro to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, vcW, or annul their imposltloa You are haeby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, rror planning, zoning, grading or other simllar application processing or service fees In connection with this project NOR DOES IT APPLY to any fees/exacHons of which you have PteviousN been given a NOTICE similar to this, or as to which the statute of Bmltations has orevlouslv otherwise expired. PERMIT APPUCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFOBMATtON t-UK Ul-hiut u:>t: UJ PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated Date dBv S- Address (Indude BIdg/Suite ff}Bualneu Nama (at thb addroaa) Laga) Description Subdtvlaion Nemt/Numbor Total of urOta Assessor's Psroal ff Existing Use Proposed Usa DesertptJon of Woslt^ v s FT. , MStor^y^. # of BodroorrpciPTM tsepAcg^fai^QuyiITS j/kiaP/r: enir^ decjcs. 2 CCiffTAClpeBSON Of different from apjriicant) V ' 9 of Bathrooms Name Address City 3 AP^CAWT D Contranor ~Q Ag^rt for Contractor Q Owner Q Agent for Owner Stata/Zlp Telaphorte 0 Name 4. . PaOPERTY OWMtfl Otv State/Zip Telephona / Address Otv State/Zip Teiephono 0Narrto B. n COSfBAC'Yopi COMpAM?NAlflI . (S«. 7031.0 Bualnesa stkI Profesefons Code: Any City or County which requJrae a pormit to conatnict, ahor. Improve, demolish or repair arty structure, prior to ita touarrea, also requlfea the appflcant for such pormit to file a aignod atBtemant that ho la Uconsod pursuant to the provlslaiw of the Contractor's License Law [Chapter 9, convnendmg wtth Sactkm 7000 of Dfvsion 3 of the Businesa ond Profeasrora Codal or that he la axampt thorefrom, artd tha basrt for the aUeged Any viotatloi^ Sectlcn 7031.6 by eny applicant for a parmh subjecta the eppfeant to a cMl perslty^ not more five hundred dodara (I500D.■>r ([Wrvr: Co. CMw-, LA- Name State Ltcerise # Addroaa Ucansa Clasa aty Tdophone 9 Crty Bualnesa Ucenee 9 _ Designer Name Address City State/Zlp Telephone State Licenae 9 6. WORKERS* COfWaiSATtON " " . " ' ~ ' Wofkera' Compertsatwn DodaratiOA: I hereby affirm urtder penalty of perjury one of tha foDowing dedaretlona: Q I have end wil maintain a certificate of oonsont to self-insure for workers' compensation ae provided by Section 3700 of the Labor Coda, for tho performarwe of thejvork for wHch thb permit la isauotL I h«vo ortd wki maintain workera' compensation, as required by Section 3700 of tha Labor Code, for the performaf>ce of the work for wWch thta permft Islosuad. My workor'o compensation InmjrerM cerrief end poQcy number are: t Insuranoe Comoanv Polcy No._ Expiration Date^ (THIS SECTION Km> NOT BE COMPLETH) \F THE PERMTT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ CERT1HCATE OF EXEMPTION: I certify that In the performarxM of tfw work for wtilch this permit le Issued, I shall not enqiloy any person In any maruiar so oa to become subject to tfra Workers' Compcnaatlon Laws of Cairfomia. WARNIN0: FsDure to asoure workers' oompenaatlon covernga la unlawfuL end ahaO subject an employar to criminai penaWea and cfvH flnea up to ana hundredthouaend doQo^ 100,01^, tQBddbfam to tlwoost of compenaetlafu damagai ei provided for tn Section 3706 of the Labor code, tntereat and attomev'a feea.SISNATVRE C DATE 7 OWNEB-BUILDSI DtCLAWriON^ . ' J 1 hereby affirm that 1 am exempt from the Contraotor'a License Law for the foflowlng raaaon: O I, B3 owTwr of the property or my employeea with vregea as thak aole componsation, wtl do tha work arul tha structure la not intondad or offered for safe (See, 7044, Buslnass and Professions Coda: Tho Coruractor'a LiceTse Lew does rtot apply to an ovmor of property wtn builds or Improves thoroon, and who does such work himself or through his own employeos, provided that such Improvomente are mt tntendod or offered for sale, if, howovor, tho bdltflng or Improvement lasold wtthln orra year of oomplet>on, tho owr>or-budder wil have tho biidon of proving tfwt he did rurt build or Improve for the purpoeo of aalo). Q I, as owner of the property, om exduslyely contrsotkig with licensed comroctora to corwtruct tfw project (Sao. 7044, Buslnoaa and Profosatona Code: Tho CoTTtractor's Lkonse Law does not apply to an ovmer of property who buflds or hnprovea thereon, and oontraots for such projects with contrsctorts) Bcensed pursuaiTt to tha Contrector'a licertsB Law). (~) i am exempt under Sactlcn Budnasa and ProfeaalGnB Code for this reason: 1. I pereonally plan to provide the major labor and n>ateriels for construction of the proposed property improvemant Q YES QnO 2. I (hovo / have not) signed an appikretlon for a buikkng permit for the proposed vrork, 3. 1 have contracted wtth the folowlng person (firm) to provide the proposed construction (indude nemo / address / phono number / oontructora lioenae number): 4. I plan to provide portions of the work, but I have hired the foUowk^g person to coordlrwte, supervise and provide the major work (Include nemo / address / phoneriumber / corrtractors Ucansa number): B. I wtU provMo some of the work, but I have oontrsotod (hired) the foflowlng persona to provide tho work indioattid (mdude ran>e / addnss / phone rKsnbcr I type of work): PHI3PERTY OWNER SIGNATURE DATE COMPLETE TH19 SECTION.for ^CWWttSa(?fly7I4tW)U31tlQPEB«rrSOflLY_ J la tha cppQcant or future buMng occupant requlrod to submit a buainosa plan, acutely hozardous materials regietretton form ^rlsk maru>gsmont sr>d prevemlon program undtr Sections 25600, 26B33 or 26534 of the Presiey-Tannaf Hazardoua Substance Account Act? Q YES la the applicant or future buHdmg occupant required to obtain a permit from the sir pdlutlGn conboi cCslriul or dr quoUty management district? Q YES Q'^O la the foolDty to bo constructed wtthln 1,000 foot of the outer boimdary of a school alto? □ YES 03^ IF ANY OF ira ANBWfERS ARE YES, A FMAL CERTlFtCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS T»E APPLICANT HAS t*ET OR IS UEETTfM THE REQUIREEitSrrS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DtSTRICT. e.Q^nuJCTK>tiLaiC?jgAij^cY . 1 hereby affirm that tfiera la a construction ierxfing agency for tha performenoe of tfra work for which this permrt la Issued (Soo. 30970) Civil Codo). LENDERS NAME LENDER'S ADDRESS S\APPLICANT CamHQAtiaS ■ 1 I certify that I have read the application arul state tfuit the above InformatMn la correct and that the Informotion on the plorra le sccurato. I sgree to comply wtth aD City onflnences and State laws reletlfTg to bu9car>g constructkm. 1 hereby authorize representatives of the CitV of Carlsbad to onter upon the above mentioned property for Inspection purpose*. 1 ALSO AORS TO SAVE, MOEMMFY AND KEEP HARMLESS T>e CfTY OP CARLSBAD AGAINST ALL UABUntES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 08HA: An 03HA permit la requked for excavatiorw over B'C deep and denraktlon or construction of structures over 3 stories In height. EXPlRAnON: Every permit Issued by kie buBdtng Official i^xler the provtilons of this Code shall expire by Qmftation and become nufi and void If tfra buftdlno or work authorized by such permit Is not commenced tdthki 180 days from the date of such permit ortf the building or work authorized by such permit Is suspended or abandonedat any time after the work ts commenc^for a perkxt cd 180 daysJSeptlon 108.4.4 Urdform Bulldmg Code). APPUCANTS SIGNATURE DATE WHITE: File YRLOW: Appflcant PINK: Fkranco City of Carlsbad BIdg Inspection Request For 08/09/2007 Permit# CB071064 Title: VILLAS OF CALAVERA HILLS 2ND Description: FLR ENTRY DECK REPAIR-2820&2822 Inspector Assignment PY Sub Type: REPAIR 2820 FAJRFIELD AV Lot Type: MISC Job Address: Suite: Location: APPLICANT DEGROODT CONSTRUCTION CO. Owner; LAND DOROTHY M Remarks: Phone: 7143885247 Inspector: Total Time: r CD Description 19 Final Structural Act Comments Requested By: CHRIS Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# PC070029 Inspection History Date Description Act insp Comments 06/04/2007 18 Exterior Lath/Drywaii AP PY a>PO71X171si ?>wa>rom>ao8S35SSS3??is©ERA HILLS:k repair^D, CA 92008revisionsT^^S,R. Bradfeu Associates, Inc.814 Morena Boulevard, Suite 209 ^ San Diego, CA 92110-2633Phone: 619.295.4102 Fax: 619.295.4428