HomeMy WebLinkAbout1640 SANDALWOOD LN; ; CB081868; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-01-2008 Miscellaneous Permit Permit No: CB081868
Building Inspection Request Line (760) 602-2725
Job Address: 1640 SANDALWOOD LN CBAD
Permit Type: MISC Subtype: REPAIR
0
Status: Parcel No: 2051305900 Lot#: Applied: Valuation:
Reference #:
PC#:
$0.00 Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: MELANDEZ RESIDENCE
REPLACE FRENCH DOORS & ON BAY WINDOW@ KITCHEN
Applicant:
MELANDEZ CHRISTIAN T&ALICIA M
1640 SANDALWOOD LN
CARLSBAD CA 92008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $130.00
Inspector:
PERMIT
Owner:
MELANDEZ CHRISTIAN T&ALICIA M
1640 SANDALWOOD LN
CARLSBAD CA 92008
Total Payments To Date: $130.00 Balance Due:
Clearance:
ISSUED
10/01/2008
MDP
10/01/2008
10/01/2008
$130.00
$0.00
$0.00
$130.00
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmposttion" of fees, dedications, reservations, 01· other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposttion 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 timely follow that procedure wilt 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 l:'lnd 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 hi vi I i ii r
City of Carlsbad
1635 Faraday Ave .. carlsbad, CA 92008
760-692-2717 I 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
# BEDROOMS
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
SUITl;#/SPACE#/UNIT# APN
# BATHROOMS TENANT BU INESS NAME CONSTR. TYPE OCC. GROUP
EXISTING USE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NO □ YES □ NO □ YES O NO □
CONT ACT NAME (If Dltl'erent Fom App#cant} APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS CITY BUS. UC.#
(SK. 7031.S Busillffl and Professio,u Code: MJ City or CoontY, which rtqMil'tJ a permit to COIISlnlct, alter j!!Pf'Clvt, demolish or reP,air any strllC!ure prior to ib inuance, also lliluim the applicant for 1udi permi1 to file a signed 1tatemeat that ht is rlCtllStd .9..ursuant to tht Pf!1Yision1 of lbt Connctw's License l,iw {Chapter ,, commending widl Section YOOO" of D1viUon 3 of the Busina1 and Professions Code} or that be is eiempt theretom, and the basis for the alleged mmplion. Any Yiolation of Section 1031.S by any appl1C1nt lor a permit subjects tht applica•t to a O'I'~ pe11ahy of not fflGn! than fin hundred dollan {SSOO} ).
WORKERS' COMPENSATION
Worktrt' Compenutlon Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain I certfflcate ol conHRI to NIMhl.lre for workers' compensation as provided by Section 3700 of the Labor Code, for the perlonnance of the work for which this permit Is issued.
D I have and will malntafn workers' cotnpanllllon, as required by Section 3700 of the labor Code, for the performance of the work !or which this permit is issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co. ____________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed If the permit is !Of one hundred dollars ($100) or less.
D Certificate ol Exemption: l certify that in the performance of the work for which this permit ls Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
Callfornia. WARNING: F■lure to secure workera' compensatfon coverage Is unlawful, and shall subject an employer to criminal penalties and dvll fines up to one hundred thousand dollars (&100,000), In
adcltlon to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
I h~by affirm thal I am exempt from Contractor's Ucense Law for the following reason:
f!!/' I, as owner of the property or my employees wiih wages as their sole compensation, will do the work and the structure is not Intended Of 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).
□ 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 contracto~s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section ____ Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) lo provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name/ address/ phone/ type of work):
Is the applieant 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? □ Yes □ No
Is the applicant or future bu!ldng occupant required to obtain a permit from the air pollution control district or air quality management disttict? □ Yes □ No
Is the facility to be constructed within 1,000 1881 of the outer boundary of a school site? □ 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) Clvil Code).
lender's Name lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above lnfolmatlon Is coned: and that the information on the plans is accurate. I agiee to comply with all City ordinances and St.ate law.; relatlngto building construction.
I hereby au1horiZe representative a the Cly a Ga/obad loenter Ll)Oll the above menlioned property tor i1spectm purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AIL LIABILITIES, .AJDGMEt,ITS, COSTS AND EXPENSES WHICH MAY IN PmWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: /IJ1 OSHA pennl is raqui8d lorexcavatioos o;er SU' deep and deroomn orconstructkin dslrud1Res .,,., 3stories i1 he~.
EXPIRATION: Eve~ pennl Issued by the BtJ~ilg Office! IJlder the proviskins a lhis Code shal e,pie by lmllatiln and -nul and vo«I I the buidilg or-aulhorized by sl.dl permil is na commenced v.lhn
180days Iran the daleasl.dl permilorlthebuidng · by sl.dl pennl iss,..pendedoraoondooedat · atterthe ll<lrkis commenced tor a period a 180days(Section 106.4.4 Unlonn Bui~ngCode).
RS APPLICANT'S s1GNATIJRE V MC-->< DATE Y oc..r. ,i!J/ , ze,
. m City of Carlsbad Bldg Inspection Request
For: 10/21/2008 .
Permit# CB081868 Inspector Assignment: PC ---
Tille: MELANDEZ RESIDENCE
Description: REPLACE FRENCH DOORS & ON BAY WINDOW@
KITCHEN
Type:MISC Sub Type: REPAIR
Job Address: 1640 SANDALWOOD LN
Suite: Lot: 0
Location:
OWNER MELANDEZ CHRISTIAN T&ALICIA M
Owner: MELANDEZ CHRISTIAN T&ALICIA M
Remarks:
Total Time:
CD Description
19 Final Structural
fui.tJComments
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--------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
10/14/2008 18 Exterior Lath/Drywall AP PC
Phone: 3232167646
Inspector:
Requested By: CHRISTIAN
Entered By: CHRISTINE
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