HomeMy WebLinkAbout2820 SEASIDE WAY | 2820 SEASIDE WAY | 2822 SEASIDE WAY; ; CB071129; PermitCity of Carlsbad
• 1635 Faraday Av Carlsbad, CA 92008
05-02-2007 Miscellaneous Permit Permit No: CB071129
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2820 SEASIOE WY CBAD
MISC
1674802125
$0.00
PC070029
Subtype: REPAIR
Lot#: o
VILLAS OF CALAVERA HILLS 2ND
FLR ENTRY DECK REPAIR-2820&2822
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
DEGROODT CONSTRUCTION CO. CAVANAUGH KAREN LIVING TRUST
21602 SURVEYOR CIRCLE
HUNTINGTON BEACH CA 92646
714-375-1325
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $120.00
Inspector:
2820 SEASIDE WAY
CARLSBAD CA 92010
PERMIT FEE
Total Payments To Date: $120.00
FINAL APzox-,L
Date: 75 1-> 1 7
Balance Due:
Clearance:
ISSUED
04/18/2007
KG
05/02/2007
05/02/2007
$120.00
$0.00
$0.00
$120.00
$0.00
NOTICE: Please take NOTICE th t 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 pemiit was issued to protest impositlon 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 infonnation with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely 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 x i n f hi h v r vi I N ! ·mil r hi hi h Ii i i n
PERMIT APPLICATION . (i)
FOR OFFICE USE ~ 9 PLAN CHECK NO. ~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1, ~CT INfOl!WIATION
Address (include Bldg/Suite I~
.
.
Legel DHcription Lot No. Subdivision Name/Number
Assessor's Parcel I Existing Use
Name Addre11 City
(1agont for Ownor
Unit No. Phase No. Total I of units
Proposed Use
State/Zip
Name Addre11 City State/Zip Telephone I
OWNIII
Name Address City State/Zip Telephone#
~Sec. 7031.6 Bualne11 and Profeasions Code: Any City or County which requires a permit to construct, alter, Improve, demoU■h or repair any structure, prior to Its
lssu1nce, also requlru 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
xemption, Any violation f Section 7031.6 by any applicant for a permit subject• the applicant to a cl penaltv. t not more t n five hundred dollars ($5001).
~'W>crl\\ G.. O'-. ( • . 1.<
State License I S5'f J.Ol£
Designer Name
State Uc■nff I
License Class--~-.------
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaratlona;
State/Zip
0 I have and will maintain a certificate of consent to self.Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of t~ork for which this permit Is Issued.
c;r'" I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the perform1nca of the work for which this permit is
issued. My worker's compenaetion insurance carrier and policy number are: G { l
Insurance Company ~ S~ Polley No. 14'«' I ~'if1$'"-.2.061.,., Expiration Dote 1L I_ ~O (
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100) OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit 11 Issued, I shell not employ 1ny person In 1ny manner so 11
to become subject to the Workers' Compenaetion Laws of California.
WARNING: F-to .....,. wor1c ... • --cov.._ la unlawful, and -1ubject on employor to criminal _-. and clvM -up to ono hund<od thouaand 100, 0), -..,., to tho oat of compenaotlon, d•-u provided fa, In Section 3708 of tho L-code, lnt-t and ottomey'1 f-.
SIGNATURE DATE Y l.!1!'.JO::::)
7 Ol',!ll!l!L"'1,i.!J.Q.Qj _
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employeH with wages as their sole compensation, will do the work and the structure Is not Intended or offered for sale
(Sec. 7044, 8u1lneaa and Profession• Code: The Contractor's License Law does not apply to 1n 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 tor sale. If, however, the building o, improvement la
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpoH of 1111).
O I, 11 owner of the property, em exclusively contracting with licensed contractors to con1truct the project (Sac. 7044, Bualnea1 and Profesalon1 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 contractorl1) licensed
pursuant to the Contractor's License Law).
0 I em exempt under Section _____ Buslnass and Professions Code for this reason:
1. I personally ~an to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application tor I building permit for the proposed work.
3, I have contracted with the following person (firm) to provide the proposed construction (Include name/ addres, / phone number / contrectora license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractor1 licenae number): ________________________________________ _
6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name I address / phone number I type of workl:, __________________________________________________ _
PROPERTY OWNER SIGNATURE,~~~~~;;:;::;:;,;;:;;;;;:~.:;::;~~~1,,~t =:.~:_:,:_=:,:-:_-:=_=_=_:-~;;~:..-°':.0-:_A:T:E_;:::_::~=::::5'::;;;:;-;;= COMPUTi THITIECTION FOB_#~~Q__
Is the applicant or future building occupant required to submit I business plan, acutely hazardous material, registration ~rm _>risk management and prevention
program under Section• 26506, 26633 or 26634 of the Presley-Tanner HHardous Substance Account Act? 0 YES L.»-"NO
Is the applicant o, future building occupant required to obtain• permit from the air pollution control district or air quality management district? 0 YES ~O
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES (Q'No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I NITAU UNDIN AGEN
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME .. ~-
I certify that I have read the application and state that the above Information 11 correct and that the information on the plana 11 accurate. I agree to comply with all
City ordinances and State laws relating to building conttruction. I hereby 1uthorl11 repres1ntativ11 of th• Cltt of Carlsbad to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY 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 demolltlon or construction of structures over 3 stories In height,
EXPIRATION: Every permit Issued by the building Official u-r the provisions of this Code shall expire by llmitallon and become null and void II the building or work
authortzed by such permit 18 not commenced wilhln 180 days from the dale of such permit or If the building or work authorized by such permtt Is suspended or abandoned
at any time after lhe wort< Is cornme"':or a period /l ~,(S~106 4.4 Uniform Building Code). l \
APPLICANT'S SIGNATURE J....: ~M..~-~ DATE '1. t lX1 b. 7
~HITE: File YELLOW: Apphcent PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/09/2007
Permit# CB071129
Title: VILLAS OF CALAVERA HILLS 2ND
Description: FLR ENTRY DECK REPAIR-2820&2822
Type:MISC Sub Type: REPAIR
Job Address: 2820 SEASIDE WY
Lot: Suite: 0
Location:
APPLICANT DEGROODT CONSTRUCTION CO.
Owner: CAVANAUGH KAREN LIVING TRUST
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural
Comments/Notices/Holds
Inspector Assignment: PY ---
Phone: 7143885247
Inspector: ----
Requested By: CHRIS
Entered By: CHRISTINE
Associated PCRs/CVs Original PC# PC070029
Inspection History
Date Description
05/30/2007 1 B Exterior Lath/Drywall
Act lnsp Comments
AP PY