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HomeMy WebLinkAbout1377 SHOREBIRD LN; ; CB012702; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-15-2001 Patio/Deck Permit Permit No:CB012702 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1377 SHOREBIRD LN CBAD PATIO Lot#: 0 2157901900 $7,812.00 Construction Type: NEW BURNS-2 ATTACHED PATIO COVER 1 DETACHED PATIO COVER -1008 SF Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/15/2001 JM 08/15/2001 08/15/2001 SUMMIT SERVICES BURNS FAMILY TRUST 05-02-98 PO BOX 270392 SAN DIEGO CA 92198 760-737-7630 1377 SHOREBIRD LN CARLSBAD CA 92009 7337 08/15/01 0002 01 02 CGP 140-0B Total Fees: $140.08 Total Payments To Date: $0.00 Balance Due: $140.08 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Inspector· #4? ~/ -FINAL APPROVAL Date: 1/~2-/o 2- $84.29 $0.00 $54.79 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $140.08 Clearance: NOTICE; Please take NOTICE that approval of your project includes the almposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.w You have 90 days from the date this permtt 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 action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specHied fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of lirnttations has oreviouslv otherwise exoired. PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. (.;i3:.;12. 7()J-. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposilef ~:~:._•_'e_d_B_y~~~=-1.!kJ.~~~~=zr:::f::~r<-::,, =~"'Ii"''/==~- Business Name (at this address) Unit No. Phase No. Total # of units Description of Work • Existing Use 4 '1428' Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Nam • 131l·t ,.,,, . ,. ,. ' ,, " ·t~.--, . ,,.,,_Jl4', r'.!/ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its 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 Lew (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). Name Address City State/Zip Telephone # State License # _________ _ License Class _________ _ City Business License# /~3 Designer Name Address City State/Zip Telephone State License # _________ _ :e:•::.,:·•wi11ii!lffl®liiml!'Aficm,1,,,::•:· •· ·w~'rke;s; Co~p;nsation O;cla 0 ratio~: '\ hereby affirm under penalty of perjury one of the following declarations: O 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 the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's co Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR • Pohcy No, ~Mt?~ '37--a'/xoiration Date 1¢7/a/ ONE HUNDRED DOLLARS [$1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecur orkera' compensation cove awful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100 , In addition to the cost of co ages as provided for in Section 3706 of the Labor de, lnterea nd attorney's fees. -DATE 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or 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). D 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 contractor(s) licensed pursuant to the Contractor's License Law). 0 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 permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the follo:,ving person to coordinate, supervise and provide the major work (include name I 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 name / address / phone number / type of work).,_----------------------------------------------------------- Is the applicant 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~,,, i !:!!l:li$:1'.!MlTfl:lNl~~l'lti(NG!/!tietil!:Y .,, (Sec. 3097(i) Civil Code). LENDER'S NAME---~_,:::,_ _______ _ LENDER'S ADDRESS ,it;,,., ill/~l!i(Wll';Qe~11!!tli'A'11dii:li.ii:':··: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation 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 or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence period of 180 days (Secti 06.4 Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION INSPECTOR /? lf!> ----'-'------ PERMIT# G/!)IJ/), 1oJ. . PLAN CHECK# ----- JOB ADDRESS / 317 SH~l{G'/!,tfl.D LJ.f. DESCRIPTION fffJT10'5 +-813q CODE DESCRIPTION ACT COMMENTS 12 f1,t/lJL s ,A ti (.,T Cl I?. ,I I., t F, /I) 1t1..- ,;21 F1IVA1,,. p J._U{Yl/,J,.Jfr ?,1 f11v1n .. £ 1..el-rR.1c. ,Jor&: Alo Poo1-{),V -rH1j ftJ/?f11ll, f11-f10 15 otJI--( /llJ:>