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Home My WebLink About2816 SEASIDE WAY | 2818 SEASIDE WAY; ; CB071128; PermitCity of Carlsbad 1 1635 Faraday Av Carlsbad, CA 92008 05-02-2007 Miscellaneous Permit Permit No: CB071128 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2816 SEASIDE WY CBAD MISC 1674802127 $0.00 Subtype: REPAIR Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: PC070029 Project Title: VILLAS OF CALAVERA HILLS 2ND FLR ENTRY DECK REPAIR-2816&2818 Applicant: DEGROODT CONSTRUCTION CO. 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: f PERMIT FEE Owner: LITHGOW BABETTE 4519 ST GEORGE CT CARLSBAD CA 92010 Total Payments To Date: $120.00 FINAL APiO/L Date: · o/i 3 ,, 7 • Issued: Inspect Area: 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 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 pennit 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 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 x i n fwhi r i I n iv n N I ii whi h h Ii i n h I h i PERMIT APPLICATION FOR OFFICE USE ~ 9 PLAN CHECK NO. ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Address (include Bldg/Suite I ) Legal Otscription Lot No. Subdivision Name/Number Unit No. Phase No. T otel l of units Assessor' 1 Parcel I Name 4 Name I.~ Existing Use City City Proposed Use Fax# Telephone I State/Zip ---- (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, altar, improve, demolish or repelr any structure, prior to lts 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 Profession, Code) or that he Is exempt therefrom, and the basis for the alleged Stata License I SS'i J..04 License Cle11 :g, City Business License # A-efl.jl Designer Name State UcenH I Address City e ·~no Workers•ComPensatlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: Steto/Zlp Telephone 0 I have end will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performence of t~ork for which this permit Is Issued. c;t""" I have and will maintain workers' compensetion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compen11tlon Insurance carrier and policy number are: l l lnsurence Compeny ::::'5(.ATlf '.3:'-?1::k;, Polley No. 11.l'i( I ~~ -2001,, E,plratlon Date '3_ I _ 'l--00 '"1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (f1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is i11ued, I shall not employ 1ny person In any manner so 11 to become subject to the Workers' Compensation Laws of California. WARNING: Fabe to HCUN work ... comp9nMtlon covwage la unlawful, and ahell •ubfact an employer to criminal penettlN and dvtl ftnn up to one hundr.t thou..,... dol0j0if1~00. ~), ~ ~tho}:--ol compen11tlon, da-u p,ovtded lo, In Soctlon 3701 of tho L-code, lnt-t and 1ttomey'1 , __ SIGNATURE i_:_ _.,dn,_ DATE q LrrJo::1 7 ~Jl.!!JII --. . It I hereby affirm that I am exempt from the Conuactor's License Law for the following reason: 0 I, as owner of the property or my employees with wagea as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Busineu and Professions Code: The Contractor's Ucen11 Ltw doee not apply to an owner of property who build• or improvea thereon, and who do11 such work himself or through his own employees, provided that such improvements art not intended or offered for sale. If, however, the building or Improvement ii sold within one year of completion, the owner•builder will have tha burden of proving that he did not build or Improve for the purpoH of aala). 0 I. aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Buslneat and Profeulona Code: The Contractor'• license law does not apply to an owner of property who builds or improves thereon, and contracts for such project• with contractor(sl licensed pursuant to the Contractor's Ucense law). D I am exempt under Section _____ 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 / have not) signed an application for a building parmlt 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): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work llnclude name / address I phone number/ contr1ctor1 license number): ________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following pe,sons to provide the work indicated (Include name/ addresa / phone number/ type of work):. __________________________________________________ _ DATE PROPERTY OWNER SIGN,.'.:A'..'.T.::'.U'.:R'.:E.-===c-::::=--::::===-=======-====-=::::--=- l:Or.\l!l.{[l ll!II W:UOJUQa..~"'™O~Hiililt!'!!llii'oot.'!l!l_l< !:----~------------ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration ~rm~ risk management and prevention program under Sections 26606, 26633 or 26634 of the Presley-Tanner Ha11rdous Substance Account Act? D YES L»-""IQO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality man191ment district? 0 YES c---,:i'o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES ~ IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. INGAGINC 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 NA;M;E;_:;.~;..,;.;;;;.;.,.,::::;;;;;;;;;;;;;;--;;;;;;;;;;;;;;;;;;;;=.. ~~TIO I certify that I hive read the application and 1t1te that the above Information Is correct and that the information on the plans Is accurate. I agr11 to comply with all City ordlnancts and State laws relating to building construction. I hereby authorize representatives of the Citt of Cartsbtd to enter upon th■ above mentioned property for Inspection purPolH, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 le required for excavations over s•o• deep and demolltlon or construction of structures over 3 stories in height. EXPIRATION: Every pennlt Issued by the building Official under the provisions of this Code shall expire by llmltallon and become null and void ~ the building or wor1< authorized by such permit Is not commenced within 180 days from the date of such permit or If the building or wor1< authorized by such permtt Is suspended or abandoned at any time after lhe wor1< Is comme"?:or a period!{ ~s ).~106 4 4 Uniform Building Code) } l APPLICANT'S SIGNATURE ~ CL..\1\1...~.~ DATE Y. t rx: \ h ( f WHITE: File YELLOW: Apphcent PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/09/2007 Permit# CB071128 Title: VILLAS OF CALAVERA HILLS 2ND Description: FLR ENTRY DECK REPAIR-2816&2818 Type:MISC Sub Type: REPAIR Job Address: Suite: Location: 2816 SEASIDE WY Lot: 0 APPLICANT DEGROODT CONSTRUCTION CO. Owner: LITHGOW BABETTE Remarks: Total Time: CD Description 19 Final Structural Act Comments 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 18 Exterior Lath/Drywall Act lnsp Comments AP PY