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Home My WebLink About1313 SHOREBIRD LN; ; CB052182; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ✓~q;~3 06-13-2005 Plumbing Permit Permit No: CB052182 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1313 SHOREBIRD LN CBAD PLUM 2157800400 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: MCSHEFFERTY RES-GAS TO PORTAB BBQ&FUTURE HEATER.ELECT TO 2 OUTLETS Owner: Issued: Inspect Area: pplicant: ' SUN UP LANDSC PE MCSHEFFERTY JOHN&GLENNA C 167 N. VULC VE CA 92024 760 944-1152 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 1313 SHOREBIRD LN CARLSBAD CA 92009 ISSUED 06/13/2005 LSM 06/13/2005 06/13/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROV~L Date: /( -2. -O ~ ,, Clearance: $47.00 NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions.~ You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/ex i n f whi h h r viousl been iv n N Tl E imil r I hi r t which th f limita i n h r vi sl otherwi PERiyllT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 .1, PRQj1;c·nNfORMATION I~ I :3> st1:0~1;:Jf,1n_o L,./4N '= FOR OFFICE USE ONLY PLAN CHECK NO. ____ _ EST. VAL. _________ _ Plan Ck. Deposit ¥ Validated By . 7 7 . Date /; _ /JJ I Address (include Bldg/Suite #) Business Name (at this address) E (.) c.1=. Subdivision Name/Number 0/E.t.JC..F-. SO. FT. #of Stories J2 ... ··. c·oNTA:~T P!;l!SOt,I (lf·diff11rimt from applicant). 5@ uP L..lftv~ ~t:.Al'IE.. L h 7/'l VuL c.Atv Avg , Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City · 0 Agent for Owner State/Zip Telephone # Fax # 3. APPtlCANT: Jif cpntr:,ictor □;A.9ent for·Contractor O Owner ~a, ,4-S: ./Jr>o VIE Name Address City State/Zip Telephone# ~-J~z~~'0&1~MUA JVJ £$HJZF&,cT1' /3.)3 s/lo,t.JLJ5trt,:J t.4-,-,e ~t.s~o .?.A. ~i..C>Oq ztzo 801/2 77:z_ Name Address City State/Zip Telephone # [lk. CO.NtllAC.10B .~,CO!\/I.PANY NAM.E. (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 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 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 [$500]). ~UN u/J llft..J/J f>?/¥lz /b2 1'1, \.0lt:A -"-" A/Iii. /.;tJ?t,-JtTftS .cA-. 9~02 y 74,,D 9s-'t///~2. Name Address City State/Zip Telef.>hone # State License# 'fS:-9'91 2-License Class ?"" 2..2 City Business License# {2-I 2 2-rr Designer Name Address City State/Zip Telephone State License # _________ _ ,6, W9.BJS-J;BS' COMPWSAT19N, · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company EIIE/2.eST N/,fTJo,JP,.c., IN$, Polley No.38'oo a::o 2 ch-I)'// Expiration Date £, /, 20~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 e Workers' Com1i sation Laws of California. WARNING: Failure ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred to the cost of compensation, damages as provided for in Section 3706 of the abor code, interest and attorney's fees. DATE--..~1_/ _ _3_1-----"t)'--"'""'-- 0 I, as owner of the property or my e ployees with wages as their sole compensation, will do the work and the struct ure 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). 0 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 / 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 (include name / address / phone number / contractors license number): ______________________________________________ _ 5. 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):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ lCOMRL~TE WIS.SECTION FQR NON-RE,SIDENT/AL.BUILDING 1:'ERMIJ$ ONLY DATE ----------- 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 tha 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 AND THE AIR POLLUTION CONTROL DISTRICT. [a.;:·~. CON~TIWCTION LENDING\~GENC'Y .. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S ADDRESS LENDER'S NAME ______________ _ [!!.~_-Aee1-jc_A:N:r CER'.TIFICATIQ~. ---------------------------- 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 Gitt 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 demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the buildi g 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 com nc · in 1 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comme-~~"" f 180 days (Section 106.4.4 Uniform Building Code). DATE ___ 6'--'1 /'--'3=-1-'0=-=S=------- YELLOW: Applicant PINK: Finance m· -City of Carlsbad Bldg Inspection Requ.Q<-·:x... For: 06/14/2005 Permit# CB052182 Inspector Assignment: Title: MCSHEFFERTY RES-GAS TO PORTAB Description: BBQ&FUTURE HEATER,ELECT TO 2 OUTLETS Type: PLUM Sub Type: Job Address: 1313 SHOREBIRD LN Suite: Lot 0 Location: APPLICANT SUN UP LANDSCAPE Owner: MCSHEFFERTY JOHN&GLENNA C Remarks: Total Time: Description ~ Comment Phone: 7608151701 Inspector: 4 Requested By: ST AN Entered By: CHRISTINE I CD 23 31 34 Gas/Test/Repairs Underground/Conduit-Wiring Rough Electric Ol\.-C6hk\ 61---! +#L----------1---- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments