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Home My WebLink About1266 PLUM TREE RD; ; CB994072; PermitCity of Carlsbad 10/29/1999 Miscellaneous Permit Permit No:CB994072 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1266 PLUM TREE RD CBAD MISC Subtype: 2145402800 Lot #: $0.00 SHETTY / WILLARD RESIDENCE OTHER 0 INSTALL EXTERIOR MAN DOOR@ GARAGE Applicant: SHETTY BHASKER V&WILLARD LISA K 1266 PLUM TREE RD CARLSBAD CA 92009 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/29/1999 MOP 10/29/1999 10/29/1999 Total Fees: $35.00 · · ~yments To Date: $0.00 '.l!lalifll\ce Due: $35.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: .SR. .. FINAL APPROVAL Date: \\1 \=, ffi fa $a5.00 ••• • $0.00 ''.$35.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code SeCOOn 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to ~mely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise excired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY ~ PLAN CHECK NO . ~-L( b 1 CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 2075 Las Palmas Dr., Carlsbad (760) 438-1161 CA 92009 Plan Ck. Deposit----.,,...-,...---- Validated By __ _..___..Pt.~~:;..;...~---- Date. __ --+,,b6.._.j...:..Vf--1,....W4~..,._: __ _ Business Name (at this address) C.o..rlsbo-.A. Tc.T -3l 4 2.-02-~ o \ Legal Description Lot No. Subdivision Name/Number 1,-,.-,""'e., Unit No. Phase No. Total # of units 2.l't _'$'f 0 -2..~-0 b Assessor's Parcel # Existing Use 3 2..00 2 Proposed Use 5 3 610.,r-tl-?(.. clo o c ~e.)<+~.r•br cription of Work SO. FT. #of Stories # of Bedrooms II of Bathrooms 2. CONTACT PERSON (If ctffNWlt from applicant} Name Address 3. APPLICANT ·□ Contractor O Agent for Contractor ~wner l-•:S 'I.. lJ.J\\\o-.rc:A. Bha.S\c.Gv''f>l,.,,t,+ 12..lo Pl'-'-""" Name 4. PROPERTY OWNER l..tSG,... W.llo.r .l e~o.s la,,-Sl-\e..-t- Name 5. CONTRACTOR. COMPANY·NAME City 0 Agent for Owner ,...,.~ le. C..CU-1 j lo ~J... City City State/Zip Telephone II Fax II Telephone# 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, 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 1$5001). Name Address City State/Zip Telephone# State License II _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty ot periury one of the following declarations: D 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 'tor which this permit is issued. D 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______________________ Policy No, __ .,-__________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF TH.E PERMIT IS FOR ONE HUNDRED DOLLA~S ·1.$100} OR 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 ahan aubjact an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000). in addition to the cost of compenHtion, damages as provided for in Section 3706 of.the Labor code, interest and attorney's fees. ~ SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). · [9"' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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). D I am exempt under Section 7 O '-t 4 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. 0 YES ONO 2. I (have I have notl 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): Ed. fVlC.Do1"\Cl¼j"' Const-.,11:s15 Oo..l<Or Ap±,W1 'i1.11"A. CA '}2.0 'tf'f/"7•0 -'ilOb -I 0 '&7/ 4lol~'t 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (inctu'de name I 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 workl: __________________ -:----:-------,~.---r""""".ri.:----------------------------- \--'PROPERTY OWNER SIGNATURE V,..:.~ DATE tu -2...lo -'\j COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? 0 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? O YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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. CONSTRUCTION LENDING AGENCY 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. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the i·;formation 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INotMNIFY 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 365 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). \,--APPLICANT'S SIGNATURE ~"'4:-r_ (/..J~--.. !fat!~'!i DATE _J_o_-_2._<&>_-_~..:......,.j ____ _ City of Carlsbad Inspection Request For: 11 /12/99 Permit# CB994072 Title: SHETTY / WILLARD RESIDENCE Description: INSTALL EXTERIOR MAN DOOR@ GARAGE Type:MISC Sub Type: OTHER Job Address: Suite: Location: 1266 PLUM TREE RD Lot 0 APPLICANT SHETTY BHASKER V&WILLARD LISA K Owner: SHETTY BHASKER V&WILLARD LISA K Remarks: DID NOT SAY WHAT WAS NEEDED Total Time: CD Description Inspection History Date Description 11 /9/99 34 Rough Electric Act Comments Act CA lnsp Comments SR Inspector Assignment: SR --- Phone: 0000000000 Inspector: SQ. • Requested By: NA Entered By: CHRISTINE 11/4/99 14 Frame/Steel/Bolting/Welding AP SR NEEDS TO PUT LIGHT RECEPTICAL OUT SIDE OF EXTERIOR DOOR