HomeMy WebLinkAbout2814 SEASIDE WAY; ; CB071127; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-02-2007 Miscellaneous Permit Permit No: CB071127
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2814 SEASIDE WY CBAD
MISC
1674802128
$0.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title:
Applicant:
PC070029
VILLAS OF CALAVERA HILLS 2ND
FLR ENTRY DECK REPAIR-
Issued:
Inspect Area:
Owner:
DEGROODT CONSTRUCTION CO. BEDROSIAN BARBARA
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: {
PERMIT FEE
2814 SEASIDE WAY
CARLSBAD CA 92010
Total Payments To Date: $120.00
FINAL A~/ROVAL
Date: Z 13&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 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 timely follow that procedure will bar any subsequent legal ~ction 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 infhih ii Tl whihh limiinh I
PERMIT APPLICATION (i) FOR OFFICE USE ~ 9 PLAN CHECK NO. ~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
. EST. VAL. _________ _
Address (Include Bldg/Suite II
Legal Description Lot No. Subdivision Name/Number
Assessor'• Parcel I Existing Use
Name Address
Name Address
' .
Unit No. Phase No.
Proposed Use
Total I of units
(Sec. 7031.6 Bu1iness and Profe11ion1 Code: Any City or County which requires • permit to construct, alter, improve, demoll1h or repair any structure, prior to lt1
issuance, also require.a the applicant for such permit to tilt a signed statement that he Is licensed pursuant to the provisions of the Contractor's llcenH Law
(Chapter 9, commending with Section 7000 of Division 3 ot the Business and Professloo1 Code) or that he Is exempt therefrom, and the basis for the 1ll1ged
xemptlon. Any violation f Section 7031.6 by any applicant fo, a permit st.Jbject1 the applicant to a cl ·1 penal f not more t n five hundred dollars ($5001).
~-.. ~ (. 1.f"'
Designer Name
State UcenH I
SS'fJ-o':f
8, ~TIO
License Clas,; __ ::t.....:;)..-____ _
Addren City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
State/Zip Telephone
0 I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of t~ork for which this permit is issued.
'4"' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, fo, the performance of the work for which this permit is
Issued. My worker's compensation lnsur1n~e carrier and policy number are: ( l
Insurance Company ~ :f""~ Polley No. 14'? I ~~ -2.001,., Expiration Date '8_ I _ ~O '""1
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is l11ued, I shall not employ any person In any manner so es
to become subject to the Workers' Compensation Laws of California.
WARNING: Folkn to ...,... wo,11.,.• _..tton cov""'II" lo unlawful, and lllal 1ubject on employer to criminal pen-end civil nn.. up to one hundred
thouHnd doll::!~100, O~• :::i::::-:::-of co-Htlon, d•-u provided for In Section 3708 of the Labor codo, lnt-t and 1ttomey'1 f-.
SIGNATURE;;L~~-~~;";:-~~;!--";:_=::U--±:=========;;------;;;-_oATE 4 l!!to:::1 f. ~J.l)Q -" I hereby affirm that I am exempt from the Contractor's License Lew for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure ls not Intended or offered for sale
(Sec. 7044, Busines■ and Profe11iona Code: The Contractor', Ucense L1w doN not apply to en owner of property who buildt: or lmprov11 thereon, and who doea
such work himself or through his own employees, provided that such Improvements are not Intended or offered tor sale. If, however, the building or Improvement i1
s~d within one year of completion, the owner•bullder will have the burden of proving that he did not build or Improve for the purpose of 1111).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Buslnaa■ and Protesalont Code: The
Contractor'• LicenH Law does not apply to an owner of property who builds or improves thereon. and contracts for such project■ with contractor(1) licensed
pursuant to the Cont11ctor'1 License Law).
0 I am exempt under Section _____ Business and Professions Code tor this reason:
1. I personally plan to provide the m1jor labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work,
3. I have contracted with the following parson (firm) to provide the proposed construction (include name/ address / phone number/ contr1ctor1 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/ contractors license number):. ________________________________________ _
6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated !include n•m• I add,eaa / phone number / type of work!:. __________________________________________________ _
PROPERTY OWNER SIGNATURE OATE _-::====::-'.=c--__ co'"MNH::_T(!JIJreflO~N~FO~~~i.io_!Q_~ijmi;iJ~ii.iii. rjj_uijiji_ijllJ;ij.~==:":::=::::::::::::=::.:::::=::==:::::::::
Is the applicant or future building occupant required to submit a business plan, acutely hazardous meterials registretion ~rm_>risk management and prevention
program under Sections 26606, 26633 or 26534 of the PrHley•Tann•r Henrdous Sub1tanct Account Act? 0 VES L»-""'NO
Is the applicant or future building occupant required to obtain I permit from th• air pollution control district or air quality management dittrict7 0 VES ~O
Is th• facility to be constructed within 1,000 feet of the outer boundary of a school tite1 0 VE$ [Q,'No
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 ANO THE AIR POLLUTION CONTROL DISTRICT.
I C
I hereby affirm that there 11 a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(11 Civil Codel.
LENDER'S NAME
I certify that I have read th• application and state that the above Information is co,rect and that the information on the plans 11 accurate. I agree to comply with all
City ordinances and State law, relating to building construction. I hereby authorizt representatives of the Citt of Carlsbad to enter upon the above mentioned
property for Inspection purposH. 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 requi,ed for excavetions over 15•0• deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the building 0fflclal uroer the provisions of this Code shall expire by limitallon and become null and void If the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or If the building or wori< authorized by such permit Is suspended or abandoned
at any ttme otter the work Is comme"?:or a period/{-•)~ 106.4 4 Uniform Building Code) l l
APPllCANT"S SIGNATURE ~ ~~·~ DATE Y.-tl11 ~,
~HITE: File YELLOW: Apphcant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/09/2007
Permit# CB071127
Title: VILLAS OF CALAVERA HILLS 2ND
Description: FLR ENTRY DECK REPAIR-
Type:MISC Sub Type: REPAIR
Job Address:
Suite:
Location:
2814 SEASIDE WY
Lot: 0
APPLICANT DEGROODT CONSTRUCTION CO.
Owner: BEDROSIAN BARBARA
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: PY ---
Phone: 7143885247
Inspector: ----
Requested By: CHRIS
Entered By: CHRISTINE
19 Final Structural ~------
Comments/Notices/Holds
Associated PCRs/CVs Original PC# PC070029
Inspection History
Date Description
05/30/2007 18 Exterior Lath/Drywall
Act lnsp Comments
AP PY