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Home My WebLink About2842 FAIRFIELD AVE; ; CB071062; Permit05-02-2007 City of Carlsbad 1635 Faraday Av Carlsbad, OA 92008 Miscellaneous Permit Permit No: CB071062 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2842 FAIRFIELD AV CBAD MISC 1674802107 $0.00 Subtype: REPAIR Lot #: 0 Status: Applied: Entered By: Plan Approved: ISSUED 04/18/2007 KG 05/02/2007 VILLAS OF CALAVERA HILLS 2ND FLR ENTRY DECK REPAIR-2842&2844 Issued: 05/02/2007 Inspect iArea: /Applicant: DEGROODT CONSTRUCTION CO. 21602 SURVEYOR CIRCLE HUNTINGTON BEACH CA 92646 714-375-1325 Owner: SHAUGHNESSY DAVID J 2842 FAIRFIELD AVE CARLSBAD CA 92010 MIscelaneous Fee#1 MIscelaneous Fee #2 Additional Fees TOTAL PERMR- FEES PERMIT FEE $120.00 $0.00 $0.00 $120.00 Total Fees:$120.00 Total Payments To Date:$120.00 Balance Due:$0.00 FINAL AP NOTICE: Please take NOTICE that approval of your project Includes the "imposltlGn" of fees, dedications, reservations, or other exactions hereafter collectivety referred to as fees/exacttons." You have 90 days from the date this permit was Issued to protest imposition of these fees/exacflons. If you protest them, you must follow the protest procedures set forth In Goverriment Code Section 66020(a), and file the protest and any other required Information with the City Manager for processing In accordance with Cartslrad Municipal Code Section 3.32.030. Failure to timely follow that procedure will Irar any subsequent legal action to attack, review, set aside, void, or annul their Imposition. You are heretiy FURTHER NOTIRED 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 appScatlon processing or service fees In connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has orevloustY otherwise expired. PERMIT AFPUCATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. '.pio^BctimhjbMatwn n run urriuc use PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated Date mim? rsx^ Ul\V6 Bui]r>«n Nima (at thl« •ddresa) - Addrau (inctuda BMg/Sut« #) Legal Dejcriptton Subdivtilon Name/Numbsr Tot»( # of Aaaeasor'a Perod f Existing Um Propotad U*a V n -y FT. • f^Stor^^. # of Badrooms nsoy ^ d|f£iijrit frwR BpR5Mntl__. . _ ... i of Bathrooms 1 Name 3, .APPyCAWt rD Can&imor" Otv J'.Ag^nt tor Coniragtgr_ Cfpwiw Q.Agont.for 8tat«/Zlp Tetaphone f Name aty Stats/Zip Talsphone # Otv 8tata/Z)p Tfltephone ffName Address 6:_35drfi5Ai?r6Rltib.i9Sfi7"iaASE7T37TZ77'T_V-~ .-Z TT , " ~-I_ . - ~ ~Z_"r ZZT'L. ILTl (Seo. 7031.6 Buskwsa and Profesdons Code: Any Chy or County which regulras a permit to construct ahar. Improve, demolah or repair any otructife, prior to he isauanoe, also raquirea the applcant for tuch pam^it to file a tlgned statement that he la kenaed pinuant to the provlatons of the Contractor'i License Law [Chapter 9, oomrnandlng with Section 7000 of Dhrtsnn 3 of the Buslnaea and Profeeskms (^ode] or that he Is exempt therefrom, end the besle for the eleped empdon. Any vlolatloi^ Section 7031.6 by any apploant for e permit eubjecta the epptont to a cMl peneity^ rrat more tlm five hundred doOsre ItBOOl). ^ Darjyf. Co. •Xife&g- ;Stfo-veWcy\_ Cu*_ lku< LA- Q24pW^ Name State Uconte tf Addreee Lloenae CIsee -X- Qty Statefzjp' Telephorw # City Busineee Llosnfla # _ DaslgTW Name Stete Lteorwe 9 City State/Zip Teiephona e. _«dfiRERg';ci5SjPEH§AT®li ' I 7'.J Wofkera' Compensation Dedaratlon: I hereby affirm under perwity of perjury ar>e of the following dedaratians: Q I heve end wMI maintain a certlflcatfl of oonaent to eetf-lnaure for woricere' compansetlon ai provided by Section 3700 of the Labor Code, for the performance of thejvork for which this permit le lesusd. Q""^ I have and wlfi maintain workere' compensBtion, es required by Section 3700 of the Labor Code, for the performance of the work for wHoh thle permit la Issued. My worker'a comparaetion Utturarwe oarrler arul poioy number are: . f Inaurifwa Company Poflcy Kq. 1*"^^ t Exptration Data 1 ^ rTHU SECTION t^D NOT BE COMPLETED IF THE PEfMIT IB FOR ONE HUNDRED DOLLARS (*100] OR LOS) Q CERHRCATE OF EXEMPTION: I certify that In the performance of the work for which thle pormh la Issued, I diofi not employ erry pereon in any menrw eo ae to become subject to the Workere' Compensation Lowe of Caitfomle. WARN]HQ; FsDm to eeoue wortofe' cwnpensatlan oowefle la unlawful, and ihafl sufafact en ormptoyer to crknbrai peiMltlej end oM finee up to one hundred thouMfid doQyidI 00,000), h stbfhhMi to theacoet of ooapeoaetton, damegee ee prcnridod for tn Soctloa 3706 of the Lobor code, brtamrt and ottomey'a feei. SIGNATURE C DATE H I **^1 7. . OWN^^tL^ MOAHfen^C . _ ~11" ~1". _ 1 . ~ . . _ . 1 lU- -I'"- ' - I hereby affhm that I em exempt from the Contraoto^a Uoensa Law for the foitowing reason: Q I, SB owTwr of the property or my ampioyeee with wegee ae their sole compensation, will do the vrork ar>d the structure la not tntanded or offered for sale (Seo. 7044, Business Br>d Profeoatone Cods: The Contractor'i Llcanee Lew does not apply to an ovmer of property who bulds or improvee thereon, and who doea ouch work hlmsaif or throtqjh hie own employeee, provided that euch Improvemefrte ere not Intended or offered for eeia. If, however, the btfklng or ImproveriterU le sold within one year of completion, the owner-bulder wfl heve tho burden of proving that he did not buid or improve for the purpose of aaie). Q I, ae owner of the property, am exdualvely contracting whh bcensed contrectore to construct the project (Sec, '704A, Business wid PrDfesafona Coda: The Contreotor'e Uoensa (jw does not apply to an owner of property who biJdi or Improvea thereon, and con tree ta for euch pro)ectB whh oontractoiie) Mcansod pursuant to the Contractor's Uoense (.aw). O 1 sm exempt under Section BusJnesa and Profeseiofte Coda for thle reeeoru 1. I pereonaly plan to provide the major labor arxi mstarfaia for construotion of the proposed property Improvemsnt. Q YES QNO 2. 1 (have / heve not) signed an eppiloatlon for a buidng parmit for the proposed work, 3. I have contrectod whh the foUowing person (fkm) to provide the proposed oorutruction (Irudude name / eddreta / phone number / contractors Bcenss number): 4. I plan to provide portions of the work, but I have hirod the fodowlng person to coordlnats, supervise and provide the major work Qndude name I address / phone manber / contractors llcanee number): 0. I wfl provide some of tho work, but I heve oontraoted (hked) tho following persono to provide tho work Incfloated Qndude name / address / phone number / type of work); PROPERTY OWNER SiONATUHE DATE CO«M>ltlEjTlllS 8eOTfC!RFOB./W*vyBESm^^ OMLY_.. J Is ths appOoant or future buHdng oocupent requirod to submh a buslnees plan, acutely hazardoua matedaie regiftration form^rlsk manegement and praventlon progrem under Oectlone 2B60B, 26633 or 2BB34 of the Preeiay Tenner hiezardoue Subetance Acoouit Act? Q YES Q'''l9o la the appBcant or future buMng occupy required to obteki a permit from the air pollution control dstrlot or air quslty managsmsnt detrtet? Q YES Is the fadhy to be constructed within 1,000 feet of the outer boundery of a school aha? Q YES IF ANY OF THE ANSWERS ARE YEB, A HNAL CEHllHUATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETTNQ THE REQUIRSfENTS OF THE OFFICE OF BABtGENCY SBtVlCES AM) THE AIR POLLimON CONTROL DtSmCT. aT~<^WriftJcTi0N L^I^^ 11. .1" JIIL",:,, . _ ..I'.J". I hereby affirm that there le i construction lending agency for the performanoe of the work for which this pemvt Is lesusd (Seo. 30970) Chrfi Coda). LBJDER'S ADDRESSLENDER'S NAME, ■s.'.~4FSJtewfirc I certify that I have read the apploatkm and state that ths above Information le oorrect end that the Informetion on the plane ta socureta. I aoree to comply wrth afi City ordbiancas Qr>d 8tate laws reiatk>g to buldkig construction, I hereby authonzs repreaejgatlvst of ths ChV of Carlebod to enter upon the above mentioned property for Inspection purposss. I ALSO AORa TO SAVE, [M)aiMFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AQAINST ALL UABOineS. JUDOMENTS, COSTS AND EXPBfSES WHTCH HAY IN ANY WAY ACCRUE AQAM8T SAD CfTY IN CONSEQUENCE OF THE QRANTMO OF THIS PERMTT. OSHA: An OSHA permit ta rsqiirsd for excavetlone ow E'C* deep and demolition or constnjction of etnicturee over 3 etorlea In height. EXPRAHON: Every permit tasusd by tie bujkJvig Otnolal urvler t>e provtalona of thle Code aheO sxpke by Nnftallon arxi become null and void ff the bidding or work authorized by euch permit to not commenced within 160 daye from the dale of such pormn or if the buldkig or work authortzed by such permKta suspended or abandonedat any time after the work ta commenc^for a peM))j 160 dayt^S^(:tlon 106,4.4 Uniform Bulklmo Code). APPUCANTS SK3NATURE DATE WHITE; Hie YHXOW: Appllcent PINK: m City of Carlsbad BIdg Inspection Request For. 08/09/2007 Permit# CB071062 Title: VILLAS OF CALAVERA HILLS 2ND t Description: FLR ENTRY DECK REPAIR-2842&2844 Inspector Assignment PY Type: MISC Sub Type: REPAIR Job Address: 2842 FAIRFIELD AV Suite: Lot 0 Location: APPLICANT DEGROODT CONSTRUCTION CO. Owner SHAUGHNESSY DAVID J Remarks: Phone: 7143885247 Inspector: Total Time: 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 Descriptton Act Insp Comments 06/04/2007 ' 18 Exterior Lath/Drywall AP PY i 2I 8ha >P c^oiUnI i3aa>ojoai>t>oa)sss??s ?ssERA HILLS.K REPAjR\D, CA 92008REVISIONS:S.R. Bradfeij Associates, Inc.814 Morena BoulevarcL Suite 209 w/ San rHf»an r A Q711 n-9<^77814 Morena Boulevard, Suite 209 ^ San Diego, CA 92110-2633Phone: 619.295.4102 Fax: 619.295.4428