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Home My WebLink About1285 SHOREBIRD LN; ; CB111379; PermitCity of"Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-06-2011 Patio/Deck Perm it Permit No: CB 111379 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: Project Title: Applicant: SUMMIT SERVICES P O BOX 270392 SDCA 1285 SHOREBIRD LN CBAD PATIO Lot#: 0 2157801100 $5,977.92 Construction Type: NEW DUSSIN:8€~ SF PA'FIO"(CITY)// 11'4" HIGH FIREPLACE (CITY) w<.IP f'Aj,i) 31 (,, ~ F" oe.-< A<--- Owner: DUSS\N SUSAN M PO BOX 8108 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Plan Check#: 92198 944-9615 RANCHO SANTA FE CA 92067 Building Permit Add'\ Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'\ Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES ISSUED 06/27/2011 JMA 07/06/2011 07/06/2011 $81.41 $0.00 $52.92 $0.00 $1.00 $1.00 $0.00 $0.00 $106.00 $0.00 $242.33 Total Fees: $242.33 Total Payments To Date: $242.33 Balance Due: Inspector: FINAL AP~OVAL Date <"• '7. ( l.---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 permit was issued to protest imposition of these feesfexactions. 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 lT APPLY to any f . n f h r i I I hi hi h h flimi «1'» Building Permit Application 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 I 2+-18/ 2719 Plan Check No. CB 111 ~ CITY OF CARLSBAD PH E # oF Fax: 760-602:8558-... www.carlsbadca.gov SUITE#/SPACE#/UNIT# # OF UNITS # BEDR MS # BATHROOMS de Square F, Atrected Area(s) '°'u... II -f (/,.// Est. Value Plan Ck. Deposit I l SWPP APN us 7,fo CONSTR. TYPE OCC GROUP FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES O NO □ CONTACT NAME APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL Se.vie., ,, C. L .. -e. p.o. Ba '27o3 CITY STATE C14r/fi,,J. CA ZIP <j'l..oJ/ CITY STATE Sc.~ t> i~ \) c,t ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (Sec: 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the apphcant 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 exem_P.t 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)). WORKERS' t:OMl'El'UATION Workers' Compensation Declaration: I hereby affirm under penalty 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 issued. t have and will maintain woril,!ll,' compensation, as requi~ by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insur nee carrie and policy number are: Insurance Co. ·1 0\Allr':' $\ l.tc.+ /"'(• Policy No. W(C Q Q / (o(, '/8:0 0 Expiration Date_~/~O"-"c..,...,__,_,_,_ __ This section need not be com~eted if the permit is for one hundred dollars ($100) or !ess. □ Certificate of Exemption: I certify that in the performance of the work for which this perm ti. 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 secure worklfl' compen1atlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines upto one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. 'X AS CONTRACTOR SIGNATURE /2-. ~ ~NT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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 'Mio 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 'Nilh 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 wrth contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally ~an to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted 'Nith the following person (firm) to provide the proposed construction (include name address/ phone/ 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 I address/ phone/ contractors' license number): 5. I wm provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of w.:irk): _,,1$ PROPERTY OWNER SIGNATURE □AGENT DATE COMJtl.lifli rHU SECTION f'Off NON-ffl!IIDll!NflAL BUILIHNG PllltMlts ONLY Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pemiit 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? □ 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 certify that I haYe read the application and state that the aboYe information is ooJTeCtand that the infonnation on the plans is accurate. I agree to comply with all City oldinances and Staie la\'tS relating tD building construction, I hereby authorize re~sentative of the Otyof Carlsbad to enter upon the alx>ve mentioned ~rty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN AN'! WAY ACCRUE AGAINST SAIO CITY IN CCT;SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' deep and dem(jioon or construction of structures over 3 stories in height. EXPIR/i.TION: Every permit issued by the Buik:ling Oflml under the provisions of this Code shall exjlre by limitatkm and become nun and vokl IT the buik:ling or ',',QI!( authorized by such permit is notcommencaj 'Mlhin 180 days from the date of such permit or IT the buik:ling or oork authorized by such permit is suspended or abandoned at any lime after the oork is oommenced for a pel"OO of 180days {Section 100.4.4 Uniform Buocling c.ode). ,..1$ APPLICANT'S SIGNATURE DATE . m City of Carlsbad Bldg Inspection Request . For 03/08/2012 Permit# CB111379 Inspector Assignment: PD --- Title: DUSSIN:376 SF PATIO (CITY) Description: DETACHED, 11'4" HIGH FIREPLACE (CITY), GAS TO BBQ & FIREPLACE, FOUNTAIN< 6 FT HIGH Type: PATIO Sub Type: Job Address: Suite: Location: 1285 SHOREBIRD LN Lot: APPLICANT SUMMIT SERVICES 0 Owner: DUSSIN SUSAN TRUST 08-26-10 Remarks: partial frame, KNEE BRACES Total Time: Phone: 7605802153 lnspector::2.£ Requested By: ENRIQUE Entered By: CHRISTINE CD Description Act Comments Frame/Steel/Bolting/Welding ftfi-_ ___,f=.------'1.......,tJ,c__c,tr-'---1,L,,_/ ____________ _ --------"··--- Comments/Nolie Associated PCRs/CVs/SWPPPs Original PC# lnsgection Histo[Y Date Description Act lnsp Comments 12/01/2011 17 Interior Lath/Drywall WC MC 12/01/2011 89 Final Combo co MC NOTICE 10/20/2011 19 Final Structural co MC COMPLETE ALL WORK 10/20/2011 29 Final Plumbing co MC 10/2012011 39 Flnal Electrical co MC 09/27/2011 14 Frame/Steel/Bolting/Welding PA MC PRE-LIM, POST I BASE CONNECTION 09/06/2011 66 Grout AP MC 2ND & FINAL CMU LIFT AT FIREPLACE 09/06/2011 68 Fireplace/Tie Straps WC MC 07/28/2011 66 Grout PA MC 1ST LIFT@CMU LAYUP AT FIREPLACE 07/28/2011 68 Fireplace/fie Straps we MC 07/22/2011 11 Ftg/Foundation/Piers AP PD PATIO COVER, FOUNTAIN, FIREPLACE BBQ FIREPLACE 07122/2011 23 Gas/TesURepairs AP PD BBQ FIREPLACE 07/22/2011 31 Underground/Conduit-Wiring AP PD BBQ 07/20/2011 11 Ftg/Foundation/Piers co MC NOTICE ATTACHED 07120/2011 31 Underground/Conduit-Wiring co MC 0711512011 11 Ftg/Foundation/Piers PA MC GATE CODE 8899, FIREPLACE ONLY r CB111379 1285 SHOREBIRD LN DUSSIN376 SF PATIO (CITY) nFTAr.1--11:::n 11'"", ,,,..., · -·---· I I a 11:&I I c@ • 'VJ,1 <' U!i 2 "" ~(2--1/11 -~ <i!_ FC {!,o/ lo FIKE /;, c51r✓.s,tJAJ /{W' ?/4AJ, 7/s/11 -f7//trvAJ1A.Jj (J:1.,v-,·.5 S') w,'J I lff;n>ve I/ f ;t-n' / . VI.AfYGYtJT to r/l-es : 'fEIJ l/t-m·cE '1 tJN ?htJs. ?(1p(1r -TSSU.£0 7(1cr/11-fA-n'o re.-u~s;.<2-c{ +o ~.e.come_ oleA-a._ck-ed -t-otv11/ 37fo SF