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Home My WebLink About1293 SHOREBIRD LN; ; CB993819; Permit10/18/1999 City of Carlsbad Patio/Deck Permit Permit No:CB993819 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1293 SHOREBIRD LN CBAD PATIO Status: ISSUED Parcel No: Valuation: Reference #: Project Title: Applicant: C.B. SHEA 2157800900 $0.00 GAS LINE 300 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 858-509-4963 Total Fees: $28.00 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 TOTAL PERMIT FEES Lot#: 0 Applied: 10/18/1999 Construction Type: NEW Entered By: GMF Plan Approved: 10/18/1999 lssQ9i:t 1Q,()taJg!Jfi9!ml01 01 02 Inspect Area: C-PRMT 28 -00 Owner: DANA FAMILY TRUST 01-28-88 1293 SHOREBIRD LN CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: $0.00 $0.00 $0.00 $0.00 $1 .00 $0.00 $0.00 $27.00 $28.00 $28.00 Inspector: .....;~ ................... --- FINAL APPROVAL Date: IQ/ctJ /q::J. Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/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 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 oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION I 213 '==21-\QR G\31 JZ..h FOR OFFICE USE ONLY PLAN CHECK NO. c..5'f1.3&-f9 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By....(./1J..4f==---------- Date 1t,lrt 1-t<; I ~ Address (include Bldg/Suite #J Business Name (at this addfess) /,,..llls(;>o Legat Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # ot units Proposed Use # of Bedrooms # of Bathrooms Name Ad · 3. APPLICANT _;N' Contractor O Agent for ..-,State/Zip Titephone # Fax # ,-,o. C..,. . ~rtG Name 4. flj,OPERTY flWNER t1.R:.-r. Me..s, Name City State/Zip Telephone# S. CONTRACTOR, COMPANY·NAME (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 Any violation of Section 7031.5 by any a plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). ~E. Name City State/Zip Telephone II State License # f",8 3 ~ / /, License Class City Business License II _______ _ Desig~er Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS• COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perJury one of the following declarations: D 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. D 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______________________ Policy No._____________ Expiration Date,~------- SECTION NEED NOT BE COMPLETED IF THE PER FOR ONE HUNDRED DOLLARS 1$1001 ·oR LESS) CERTIFICATE OF E PTIO I certif t in pe mance of the work for which this permit 1s issued, I shall not employ any person in any manner so as ome subJect to e or ' o e af alifornia. wful, and shall subjllct an employer to criminal penattl .. and clvll fines up to one hundred 1atkm, damagoo as provkl•d for In Section 3706 of tha Laj; •:r •~ot end ettomey·e foos. DATE /P t' 'J 7 ; 7. I hereby affirm that l am exempt from the Contractor's License Law for the following reason: D 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 propeny 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 tor 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 propeny, 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 comractor(s) licensed pursuant to the Contractor's License Law). D 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. D YES ONO 2. I !have / have not) signed an application tor 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 I contractors license number): 4. I plan to provide ponions of the work, but I have hired the following parson to coordinate, supervise and provide the major work (include name I address / phone number/ contractors license number).,_------------------------------------------------- 5. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON./lESIDENTIAL BUILDING PERMITS 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 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant reQuired to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. 8. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097lil Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS, ________________________ _ 9. APPLICANT CERTIFICATION l certify that I have read the application and state that t · · i ormation on the plans is accurate. I agree to comply with all City ordinances and State laws relating t f the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. S THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXP IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. EXPIRATION: Every per work authorized by su or abandoned at any ti sin height. ~.!]l~CO.OL~h!elllll ea,xx~•~••• imitation and become null and void if the building or e of such perm1 the building or work authorized y such permit is suspended days (Section 106.4.4 Uniform Building Code). DATE -'-/,/)+l-l-'-1-~'--------- City of Carlsbad Inspection Request For: 10/19/99 Permit# CB993819 Title: GAS LINE Description: Type:PATIO Sub Type: Job Address: Suite: Location: 1293 SHOREBIRD LN Lot APPLICANT C.B. SHEA 0 Owner: DANA FAMILY TRUST 01-28-88 Remarks: Total Time: CD Description Act Comments 11 Ftg/Foundation/Piers ~~~/~ Inspection History Date Description Act lnsp Comments Inspector Assignment: ~ Phone: 6192464963 Inspector: ~~ -~-'---'I,-- Requested By: CHRIS SHEA Entered By: CHRISTINE