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HomeMy WebLinkAbout2420 SACADA CIR; ; CB044542; PermitJC9\\ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-17-2004 Miscellaneous Permit Permit No: CB044542 Building Inspection Request Line (760) 602-2725 Job Address: 2420 SACADA CR CBAD Permit Type: MISC Subtype: OTHER Status: Parcel No: 2161904900 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference #: Plan Approved: Issued: Project Title: VENATOR RES RE-STUCCO Inspect Area: Applicant: Owner: APPTEK VENA TOR FAMILY TRUST 07-25-1996 STE 206 171 SAXONY RD 92024 760-635-0940 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $120.00 2420 SACADA CIR CARLSBAD CA 92009 INSPECTION Total Payments To Date: $0.00 Balance Due: ISSUED 12/17/2004 KG 12/17/2004 12/17/2004 $120.00 $0.00 $0.00 $120.00 $120.00 7903 12/17/04 0002 01. CGF" Inspector: 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 1ime~ 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 f /ex i n f whi h h v r vi I N Tl imilar hi r as t whi h h f limi i n ha r vi l h i •.. ·····-------------- O~! 120M oc, i ' FOR OFFICE USE ONLY 11 ..... J PLAN CHECK Nc(;BDt.Jl/S., y PE~MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 635 Faraday Ave., Carlsbad CA 92008 EST. VAL. --------r---- Plan Ck. Deposit w Validated By ____ .._~-+---:------- 1 _ crNFORMAm('lf)o Sctctl Jq C!;,e./e... ___ _ Date Jl,.-\J 'rJll <,~) *'~~':r-) i)/}_ C 1(l(!rl(/AbM0'1---- Address (include · #) /S -Busioosa Name (at Ins address)' Lo, 155 f, ,,,.:, , I , 1.eq_al Delcriptio(I Lot No. 7-it;,-170-'-/<f-Do Subdivision Nama/Number R..E:s Unit No. PhaeNo. Total # of units Existing Use Proposed Uae Desalption of Wm SQ. FT. 72 D # of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dlflerHI from applicant) Address City State/Zip Telephone# Fax# llf Con1rac1or a Agena a Con1rac1or /1( ,S:AXQ(} "BJ. :,("2,,>(., Add C Owls t:fnc,,.;kf a Agena a 0w1s e i ,uP( 7bC> . '1'.'Jr. O'itf 0 p Telephone# 4. PROPERTY OWNER Lu; Ve,v,fo, cA- Name Address Telephone# 5. CON11tACTOR • CC.OANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolisti or repair any structure. prior to Its lasuance, also requires the applicant for such pennit to file a signed lllltement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Oh/talon 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 for a pennit subjects the applicant to a dvil penally of not more '!1tyi five hundred dollln ($500)). ... -a.,-,, 1-bc c. -- Address City State/Zip Telephone# License Class C 15 --~-------City Business License# _________ _ Designer Name Address City State/Zip Telephone# State License# ______ _ I. WORKER'ICOIIIIPEMAllON wm .. · Compensation Dedanltion: I hereby llllirm under penalty of perjuiy one of the following dedalallona: Slf""' I have and will maintain a certificate of consent to aelf-lnlU!e for WOl1(ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the WOl1( for which this permit la issued. CY" I have and will maintain WOl1(er'a oompenaalion, as n,quired by Section 3700 of the labor Code. for the performance of the WOl1( for which this pennit Is Issued. My WOl1(er'a compensation lllSUIW199 canler and policy number-: r I /4 . / I09Yrance Company 'r,l«d::L::Ba rs:.;a«r Jc,,,,"'=,£_ h . Polley No. 3 7 ;728"' Expiration Date ,1... m y~ (THIS SECTlON NEED NOT BE COMPLETED IF THE PERMTT IS FOR ONE HUNDRED DOU.ARS [$100] OR LESS) ' 1 a CERTIFICATI: OF EXEIIPTION: I cei1ify that In the performance of the wOl1( for which !Na permit is issued, I shall not employ.,, person in e,:ry manner so as to Coinoensallion Laws of Callfomla. WARNING: Failure to MCU donars($100,000), In SIGNATURE 7. OWNER:-111,1;11:11~..u- COf1.,.IUtlon c:overage le unllwfl.ll, and ahll subject an employer to criminal penalties and clvN !In up to -hundred thouaand '4jlfni11M" .. ,t1on, damagH are provided for In Section 3708 of the Labor Coda, In-and attorney'• ..._ / DATE._~-,....-~r ~-"-t---====-~ I hereby affirm that I am exempt from the Contractor's Uoenae Law tor the following rMson: □ I. as owner of the property or my employees with wages as their sole compensation, will d the WOl1( and the structure la not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Coooa<:tor'a l.k:enae Law does not apply to an owner of property who builds or improves thereon, and who does such WOl1( himself or through his own employees, provided that such Im~ -not Intended or offered for aale. If, i-r, the buiklng or Improvement Is 1101<1 within one year of , the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). owner of the property, am exclusively conlrllcling with licensed 00111rac:t01S to construd the project (Sec. 7044, Bulinesa and Profeuiona Code: The Contractor'• Law does not apply to an owner of property who builds or improves thereon, and oontracta for such projects with oontrac:tor(a) licensed pursuant to the Contractor'• Uoenae Law). a I am exempt under Section _______ Business and Professions Code for this reason: l:c.J:..,-. 5vb,...:.ftc 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. □ YES □ NO © I (haw/have not) ~ an application for a buiking permit for the prcpoeed Wllfk. c:J I have --ed with the following person (firm)~ · (Include name/ add,-/ / coutrac:tors license number): 4. I plan to provide polliona of the w011c, but I have hired the following person to /ontract01Sllcenae number): ---------------------------------------5. I will provide some of the "IMlltc. but I have oontracled (hired) the following p-.ona to provide the wOl1c indicated (include name/ address/ phone number I type of WOik): YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to aubmit a business plan, Sections 25505, 25533 or 25534 cl the Presley-Tanner Hazardous Su A Is the applicant or future building oocupant required to obtain a permit Is the facility to be construc:ted v.;thln 1,000 feet of the outer boundary of IF ANY OF TlfE ANSWERS ARE YES, A FINAL CERTIFICATE OF REQUIREMENTS OF 1HE OFFICE OF EMERGENCY SERVICES A I. CONS1RUC110N LENDNa AGENCY I hereby affirm that ~ If a cx,nslruction)ending agency for the LENDER'S NAME N (JIJ ~ Al' t, I. APPLICANT CER11FICA110N erials registration for or risk management and prellenllon program under □ NO ,.... •• r ,-.-· ,_ or air quality management dlatrict? □ YES □ NO NO I certify that I have read the applicatlon and state that the above information is 00ITed and that the information on the plans Is accurate. I agree to comply v.;th all City ordinances and State laws relating to building construction. I hereby authorize reprewntatives cl the City cl Carlsbad to enter upon the abo11e mentioned property for Inspection purposes. I ALSO AGREE 10 SAVE, INDE.IIMFY AND KEEP HARMLESS TlfE CITY OF CARLSBAD AGAINST All UABIU11ES, JUDGEMENTS, COSTS AND EXPENSES wtlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 1lfE GRANTING OF MS PERlaT. OSHA: An OSHA permit is required for excavations cl 5'0" deep and demolition or oon9truction cl structures over 3 stories in height. EXPIRATION: Ellery permit Issued by the building Official under Iha provisions cl this Code ahall expire by llmi1atlon and become nun and void If the building or wOl1c authorized by such pemlit Is not ~iced within 180 days from date cl 8IICh permit or If the building or WOl1t authorized by 8IICh permit is auspended or abandoned al any time alter the wOl1c Is commerlald for a cl 1 ( 1 .4.4 Unlfonn Building Code). / / APPLICANT'S SIGNATURE / DATE _....,I ~,_/1_,0 I,_!o,_,f-4,_ _________ _ WHITE: FIie YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/10/2005 Permit# CB044542 Title: VENATOR RES RE-STUCCO Description: Type: MISC Sub Type: OTHER Job Address: 2420 SACADA CR Suite: Lot 0 Location: OWNER VENATOR FAMILY TRUST 07-25-1996 Owner: VENATOR FAMILY TRUST 07-25-1996 Remarks: Total Time: Description CD 18 Exterior Lath/Drywall Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7606350904 Inspector: L Requested By: SCOTT Entered By: CHRISTINE --------·-··· ..