HomeMy WebLinkAbout1361 SHOREBIRD LN; ; CB100098; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-14-2010 Miscellaneous Permit Permit No: CB100098
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1361 SHOREBIRD LN CBAD
MISC
2157900800
$7,140.00
Subtype: OTHER
Lot#: 0
LINEBERGER-ADD 2 FIREPLACES
AT BOTH STORIES OF HOME-WITH GAS
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/14/2010
RMA
01/14/2010
01/14/2010
R RIMMER CONSTRUCTION LINEBERGER JAMES F&ELIZABETH A
STE 103
2611 SOUTH HWY 101 92007
760 753-5906
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $194.00
Inspector:
PERMIT FEE
GAS LINE
1361 SHOREBIRD LN
CARLSBAD CA 92011
Total Payments To Date: $194.00
FINAL APPROVAL
Date: J -'.f -ro
$167.00
$27.00
$0.00
$194.00
Balance Due:
Clearance:
$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 pem1it 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
f in fwhich v rvi I ivn N Tl r hi ra flimi i h rvi I h i xird.
-I«~~
'.~ CITY OF
CARLSBAD
JOBADDR~ / J :,6
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT #
# OF UNITS # BEDROOMS # BATHROOMS
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESO#_N0 □ YES □ NO □ YES O NOD
APPLICANT NAME
ADDRESS e -ZIP CITY STATE ZIP
PHONE
PROPERTY OWNER NAME
ADDRESS
CITY STATE ZIP CITY ZIP
PHONE FAX PHONE
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby afflrm under penalt; of perjury one of the following declarations:
□ 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 iss ed.
□ I have and will maintain workers' CO!Jlll'~~i d by Sec. of the lab ode, for lhe _pellormancez, 1.31-e:!hif tljis~it is issued. Myw~~• compensation
number are; Insurance Co .. ___ ::::;:).__J__,':_4'--/-.'.'l;-.,4c...__J__~U~c:_:::l-.,L.:..... __ Policy No. -I-++ 1{ g. Expiration Date ---J:,,,.4'....L-4'-,Lf-<¾
policy
This section need not be compjeted if
□ Certificate of Exemption: l cert·
California. WARNING: Failure to
addition to the cost of compensation, dam e
~ CONTRACTOR SIGNATURE
d, I shall not employ any pernon in any manner so as to become subject to the Workers' Compensation Laws of
II subject an employer to criminal penalties and civil fines u to one hundred thousand dollars {&100,000), in
e, Interest and attorney's fees.
□ I, as owner of the property or my em e "th wages as their sole compensation, will do the won( 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).
□ 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 w~h conlractor(s) licensed pursuant to the Contractor's License Law).
□ 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. □ Yes O No
2. 1 (have I have not) signed an application for a building permit for the proposed wor!c:.
3. I have contracted with lhe following person (firm) to provide the proposed construction {include name address I phone/ conlractors' license number):
4. I plan to provide portions of the wor!c:, but I have hired the following person to coordinate, supeNise and provide the major work (include name f address I phone I contractors' license number):
5. twill provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
_65 PROPERTY OWNER SIGNATURE □AGENT DATE
..
COMPLETE THI$ SECTION FOR NON•RIISIDENTIAL BUILDING PERMIT$ ONLY
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 ol lhe
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the appiicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes □ 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 authorize representative of
AGAINST ALL LIABILITIES, JUD
OSHA: All OSHA permM is required
EXPIRATION: Eve,y perm~ issued
180 days from lhe date ofsudl ·
· correct and that the infonnation on the plans is accurate. I agree to comply vnth au City ordinances and State laws relating to building oonstruction.
menooned properly fo<mspecti:Jn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
HICH MAY IN ANYWAY ACCRUE AGANST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
clemolitioo or cmstrudion of slructures over 3 stories 11 height.
· bns of this Code shall expire by Imitation and becorre nun and YOO if tie buidhg or work autiorized by such penrit is not corrrnenced wiaiin
~-~nnl•~~ndedoc~-•tanyti~a~ .. ~::"J;:~~f ~~ 1~•~;8u~"9Code)
City of Carlsbad Bldg Inspection Request
For: 03/12/2010
Permit# CB100098
Title: LINEBERGER-ADD 2 FIREPLACES
Description: AT BOTH STORIES OF HOME-WITH GAS
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
1361 SHOREBIRD LN
Lot: 0
APPLICANT R RIMMER CONSTRUCTION
Owner: LINEBERGER JAMES F&ELIZABETH A
Remarks: DID NOT SAY WHAT TYPE OF INSPECTION
Total Time:
CD Description Act Comments
19 Final Structural
J1._
11. -----·--'t
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
I ns12ection Histo[)l
Date Description Act lnsp Comments
02/10/2010 14 Frame/Steel/Bolting/Welding AP PD
02/10/2010 23 Gas/TesURepairs AP PD
02/04/2010 13 Shear Panels/HD's AP PD
01/26/2010 11 Ftg/Foundation/Piers AP PD
Inspector Assignment: PD ---
Phone: 6195488937
Inspect~
Requested By: RON RIMMER
Entered By: CHRISTINE
01/26/2010 14 Frame/Steel/Bolting/Welding WC PD GATE CODE 8899
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