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HomeMy WebLinkAbout1373 SHOREBIRD LN; ; CB980517; PermitCity of Carlsbad 04/24/2000 Building Permit Permit No:CB980517 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: Applicant: 1373 SHOREBIRD LN CBAD MOHO Sub Type: 2157901100 Lot#: $0.00 Construction Type: NEW Reference #: INSTALL TEMP SALES TRAILER FOR BELLA LAGO Owner: Status: Applied: Entered By: Appr/lssued: Inspect Area: BROOKFIELD HOMES BROOKFIELD CARLSBAD INC 12865 POINT DEL MAR STE 200 DEL MAR CA 92014 619 481-8500 ISSUED 02/19/1998 RMA 02/19/1998 PS Total Fees: $120.00 Total Payments To Date: $120.00 Balance Due: $0.00 Description Fee MBLEHM SETUP 12 0. 00 FINAL APPROVAL Date: '(-:e!-£ ~ <;;f:) Clearance: Co -3P-b¢ d1< , 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 folklw 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES ff APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. S E W E R P E R M I T 02/27/98 16:25 Page 1 of 1 Job Address: 1373 SHOREBIRD LN Permit Type : SEWER -RESIDENTIAL Parcel No: 215-790-11-00 Suite: Permit No : SE98002S Bldg Planck#: CB980517 Description: INSTALL TEMP SALES TRAILER FOR : BELLA LAGO Status: PENDING Applied: 02/27/98 Apr/Issue: Permitee : BROOKFIELD HOMES 619 481-8500 Expired: 12865 POINT DEL MAR STE 200 DEL MAR CA 92014 Prepared By: DR *** Fees Required Fees : Adjustments: Total Fees: Fee description Enter Nt.,mber Total EDUs Sewer Fee Enter Sewer EDUs * SEWER TOTAL *** Fees Collec~a'+ Q2;Q?~i0001 01 O'! * * ----------------------------------e=-~JMr"----:n~-00 .. . To al Qred± s: .00 Tota ~ ayrnents: .oo B'alan E1 De: 2,703.00 Uhit F~ /Unit Ext fee Data 1. 00 1.00 1824 .00 879 .00 L 2703.00 F\NAL APP ROVAL D,' ri::----\NSP.---- \_cLEARANCE-----:::::=::::::: CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C/fO ~ 1 7 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ____ ....,..,--, __ _ Validated Bv_..---.----l-~'--1----- Date ~[ / / f/ Yf- 1. PROjECT INFORMATION Addr!s (include Bldg/Suite #) A / .. , Business Name (at this address) I 'J. 7J o/-l-0/25 8/£u ~v. 7:3€UA: L.Afco Legal Description O Lot No. SubdivisCion ~m•~Yibe.: ~/ Unit No. J;e. /3 Bbo 23 / r ,v d, Phase No. Total # of units Assessor's Parcel # Existing Use V""1-c/1NT Proposed Use Description of Work SO. FT. lot Stories I of Bedrooms It of Bathrooms .T tFMP __ .. Sift-~~ r&.9Llf& . ..M.&s~_,K?EAE~-·f23.tt$~.§~g~.µ;e ,r;;5i2: _£?9-r 2.~CCRSO~fromappllcentl . · ~ '' · · · · · ·~ ~/~-'?~~~/'/::/..; 1Q0.,1 ';i"- N■me Address City State/Zip Telephone It Fax It 13:3~~ ~~C~tor lf~AH:;~ont~~,31 _t~ A&~ner/-; ;~·-;.-:,.;; z;e:C #.-9,e, #dt)O 4. PROPERTY OWNER 13,eooff(Gc.b Name Address City State/Zip Telephone I s. CONTRACTOR • COMPANY NAME ..... . "r-.. ~· ~•-•,-.7.• -¥~.~•-....,,,T ... __,_~...,_.."""7',~'!'1.~•~""'!""""T"-;"'!:;"-~~-••• .. •~-:0:-:0-.•1!"!":',-7"~~.-rr---:~•,-'f"~-·• ~ ~. • ,i. (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 statemant 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 (95001). 'l312-00,e.RGC.LJ /I0 "'4'G-5 ~ A/.§1;-0 //oc. 6 /r-4 8/-2/SO O Name Address City Stete/Zip Telephone I State License I B License Class 7, -3,P 3.,:2.... City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION ·-·· ·~•~-~~., .,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain I 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. ~ I have and will maintain workers' compensation, es required by Section 3700 of the Leber Code, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number ■re: ,e_,,e,,µ,; c:, $7' ~ Insurance Company (1/S Co O;C ;z>A Policy No. //3-£1-R-~'S' Expiration Date 'f...!_?,t..f J' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t•100J OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is l11uad, I shall not employ any person In any menner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aacure worllera" compenaatlon coven1ge 11 unlawful, and ahall subject an employer to c:rfmlnal penalties and clvll fine, up to one hundred thousand do:?0.0001, In addition to t~t o~ co"?8"58tion, damages a, provided for In Section 3706 of ~ Labor coda, ln~~and attorney'• fHs. SIGNATUR~,:;!,A~-. ~ DATE ~ -/o/'-Y J" 7. OWNER-BUILDERDECLARATION -. ·-..•... . ' ·: . ,~n-:---~··-,.-J"••·•:,:~~•-'.V~""~;•·ii• ,,,,-•··•'flr.'•~.,.:; .,. ' I hereby affirm that I em exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages II their sole compensation, will do the work and the atructure is not Intended or offered for aale (Sec. 7044, Business and Profassions Code: The Contractor's Ucen■e Law does not apply to an owner of property who builds or lmprovas thereon, and who does such work himself or through his own.employees, provided that such lmprovamants are not Intended or offered for Hie. If, howaver, the building or lmprovemant Is sold within one year of completion, th• ownar-bullder will have the burden of proving that ha did not build or Improve for the purpoH of Hie). 0 I, ■s owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profession■ Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for euch projects with contractor(1I 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 mejor labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed en application for I 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 / contrectors license number): 4. I plan to provide portions of the work, but I have hired the following peraon to coordinate, superviH 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 ______________________ _ DATE _________ _ iCOMPl.ETE THIS SECTION FOR NON-RESIDENTIAl. ilili.biNO PEriMtts· ONi. f.'1"'IT'"""'.''.'"":f..,,....,."'~e.r,*-r;:;"'"-1V'!';?:" ?-1''.\..~~~-u•~. ~ •.• '"' • '. ·r-:--:: •........ ~~-~ Is the applicant or future building occupant required to aubmlt a business plan, acutely hazardous matllrials r■g;stratlOf'l form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prnley•Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control distri_ct or air quallty management district 7 O YES D NO Is the facility to be constructed within 1,000 feat of the outer boundary of • 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. 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 _________________________ _ 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 ell City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 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 365 days from the date of such permit or If the building or work authorized by such p~rmit is suspended or abandoned at any time1 alter ~ork is commenced for ■ perio f 180 days (Section 106.4.4 Uniform Building Code). APPLICANT"SSIGNATUR'eZ/~~..2.::-':~::3:~:::::::=:::::_ _______ DATE _.2.-/?-.f?J' WHITE: Flie YELLOW: Applicant PINK: Finance I Inspection List Permit#: CB980517 Type: MOHO Date Inspection Item 311311998 97 T-24 H-Cap Consultation 31411998 11 Fig/Foundation/Piers 3/2/1998 21 Underground/Under Floor 3/2/1998 22 Sewer/Water Service Monday,Apnl24,2000 Inspector Act PS CO PS PS PS co AP AP INSTALL TEMP SALES TRAILER FOR BELLA LAGO Comments Page 1 of 1