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
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