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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