HomeMy WebLinkAbout1324 SHOREBIRD LN; ; CB071884; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-16-2007 Miscellaneous Permit Permit No: CB071884
Building Inspection Request Line (760) 602-2725
Job Address: 1324 SHOREBIRD LN CBAD
Permit Type: MISC Subtype: OTHER Status:
Parcel No: 2157910700 Lot#: 0 Applied:
Valuation: $0.00 Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: KENNEDY RES-REMO MST BATH
NEW TUB,SHOWER,FIXTURES,ELECT SWITCHES
Applicant: Owner:
JOHN ORD KENNEDY WENDY J TRUST 10-10-04
1646 NEPTUNE AV
ENCINITAS 92024
760 613 9569
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $125.00
Inspector:
8 GREENWOOD AVE
ROMEOVILLE IL 60446
PERMIT FEE
Total Payments To Date: $125.00 Balance Due:
Clearance:
ISSUED
07/16/2007
LSM
07116/2007
07116/2007
$125.00
$0.00
$0.00
$125.00
$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 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 I f hi h h v r i l Tl E i '1 rt . h h h
City of Carlsbad
1635 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
#BEDROOMS
Plan Check No. Cl8C>7 1~%lf
Est. Value
Plan Ck. Deposit
Date 7 /IO O 1
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME UP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF) FIREPLACE
YES □#_ NO □
AIR CONDITIONING
YES □ NOD
FIRE SPRINKLERS
YES D NOD
CONTACT NAME (If Dll'ferent Fom App/leant) APPLICANT NAM'::..S: ~ ~ ~
ADDRESS ADDRESS ~ \ ~-..,,_ ~ (fo>4\eo ,____,_.._,....,~
CITY STA~
PHONE FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
ADDRESS
ZIP CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC.# CLASS CITY BUS. LIC.#
fStc. 7031.5 Bu1iness and Professions Code: Any City or County; which requirM a permit to con1truct, alttr1 impro¥e, demolish or reP.air any structure, prior II) its issuance. also requim the a,oolicant for 1och permit to file a signed stattment that ht is ricen1td J!.ursuant to the prO'lisions of tht Contractor's liceme law {Chapter 9, commending with Secrion 000 of Division 3 of the Business and Praf!s1ion1 Code} or that he ii nempt thtrttOm. and the basis for the alleged exemption. Any •iolation of Stction ro3 I.S by •IIY applican1 for a permit subjecu tile applicant 10 a er/'~ penalty of not more than five hundred dollars {SSoon
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ I have and wlll maintain I certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued.
□ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perbfrnance of the work for which this permit is issued. My workers' compensation Insurance carrier and polt,,._
number are: Insurance Co. Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. □ 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 the Workers' Compensation laNs of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provtded for In Section 3706 of the Labor code, Interest and attorney's feea.
_g CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's UC8nse 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 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 with 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 plan 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 with the following person (firm) to provide the proposed construction (include name address I phone I 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 I phone/ 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 I address/ phone I type of work):
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 kt? □ Yes □ 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 □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 OFFfCE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL OISTRICT,
I certify that I haw read the applicatlon and state that the a bow information Is conectanct that the Information on the plans Is ao::urate. I agree to comptywlth alt Cltyordlnancesand State laws relatlngto building oonstructlon.
I hereby aulhoriz, represenlalive of lhe Ci~ of C"1sbad lo enler upon lhe ab<We mentioned p,uperty for nspeclon pu,poses. I ALSO AGREE TO SA VE, INDatllFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit • ,equied for excavations ""'SU' deep and demcjilioo or construction of slrucrures ""'3 slolies i1 height.
EXPIRATION: Eve!)' permit issued by lhe BuMding Oll'cial under lhe prtMSioos of~-Code shaU e,pire by linilation and be<:orre nuH and v<id I lhe buiijk1g or-aulhorized by such pemi1 • not commenced v.ffli•
180 days from lhe date of such pemit orilhe buldilg or-aulhorized by such pennl • SUS1)el1!led or-.od at any time after lhe-• oormienced for a period of 180 days (Seclion 106.4.4 Unloon Buldilg Code).
A:S°APPLICANT'SSIGNATUIIL (, -'2.v--~ DATE -, l l.:, ~ (
City of Carlsbad Bldg Inspection Request
For 03/05/2008
Permit# CB071884 Inspector Assignment: PC ---
Title: KENNEDY RES-REMO MST BATH
Description NEW TUB,SHOWER,FIXTURES,ELECT SWITCHES
Type MISC Sub Type OTHER
Job Address·
Suite
Location:
1324 SHOREBIRD LN
Lot:
APPLICANT JOHN ORD
0
Owner: KENNEDY WEND J TRUST 10-10-04
Remar · 1ST AM PLEASE
Total Time
Act Comments
Phone: 7604195024
Inspector:
Requested By: ANTHONY
Entered By: CHRISTINE
Description
Final Structural
~liv'\«<.,
ltfl~~~~-
t Comments/Noli
Associated PCRs/CVs Original PC#
lns12ection History
Date Description Act lnsp Comments
0910612007 17 Interior Lath/Drywall AP PC
0910612007 18 Exterior Lath/Drywall AP PC
0910412007 14 Frame/Steel/Bolting/Welding AP PC
09104/2007 27 Shower Pan/Roman Tubs AP PC
0910412007 34 Rough Electric AP PC
0810312007 14 Frame/Steel/Bolting/Welding CA PC
08/0312007 27 Shower Pan/Roman Tubs CA PC
0712612007 24 Rough/Topout AP PC CALL FOR PAN INSP. WHEN READY CALL FOR FRAME WHEN
BLACKED IN
3
0
X