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Home My WebLink About2697 STATE ST; ; CB131000; Permit04-16-2013 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB131000 Building Inspection Request Line (760) 602-2725 2697 STATE ST CBAD MISC 2030542700 $0.00 Subtype: OTHER Lot#: 0 LTD PROPERTIES -CLOSE OFF REAR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: DOOR/ELIMINATE REAR DOOR OF STRUCTURE. OK PER MP Owner: ISSUED 04/16/2013 SKS 04/16/2013 04/16/2013 SCHROEDER CONSTRUCTION & DEV INC SCHROEDER LEONARD&DORIS FAMILY TRUST 07-01-87 2695 ST A TE ST CARLSBAD CA 92008 760-434-4396 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $65.00 2407 CROCUS DR BAKERSFIELD CA 93311 BUILDING PERMIT Total Payments To Date: $65.00 Balance Due: Date: O Clearance: $65.00 $0.00 $0.00 $65.00 $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 wh' h v r vi I i ii r hi r whi f limi i n h ; ? )- .7 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □ARE □HEALTH 0 HAZMAT/APCD «~) Building Permit Application Plan Check No. r -A ! :-:, I tJ.:n 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value / 1 ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit . ( (u') ,) CARLSBAD email: buldllng@carlsbadca.gov www.carlsbadca.gov sis >Date LI //(o/ 1-:J,swPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN ' -z C.<=f1 -<f "5t"t-C ~r.. --- CT/PROJECT# ILOT# PHASE# I# OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Aft'ected Area(s) 6l-('/"(?' 0,J e~ of"FC ~ l?ooiE:... ~ ~h-e..) LTV EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) !·FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NO □ PU NAM~lmary Contact) APPLICANT NAME (Secondary Contact) I~ •- ADLJHl:.~S • ADDRESS --7/49 '? ">-V--rC 'Slr, CITY STATE ZIP CITY STATE ZIP CA,<.(/' ·" -CA "12=£'; PHONE IFAX PHONE IFAX 7c;,o 4-34 43'1' £,. "](.,,O "{4Z•'5G'14 I1:;MAIL -s:::Jux-r,e c:i.ol, ~ EMAIL PROPERTY OWNER NAME ~~CTOR BUS. NAME ·-. "1(7e../ . ...... ---~ I, J,-. ADDRESS j ADDRESS -A-< ---J r .A...l q CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX 1 .. ,.,AIL It.MAIL ARCH/DESIGNER NAME & AODRESS I STATE UC.# l~":£:q 4-=,s-.a.. !°LASS ft~'"\?' ~5<-t~ r (Sec, 7031.5 Business and Profes~ions Code: AAy City or C(!un_ty which requires a permit to.construct, alter, improve, (!emollsh or re air an structure, .rior to it!"1ss~ance, also re~uires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law rcRapter t, commencflngw1th Section 70_00 of D1v1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any apphcant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). II WORKEII$' COMPl!NSATION Workan;' Compensation Declaration: / hereby afflrm under penalty of perjury one of the following declarations: □ I have and wlll 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 !his permit is issued, p{,J have and wlll maintain worken' compensation, as required by Section 3700 of the Labor Code, for !he performance ~he work for' which !his pemilt is issued. My workers' oompen~tion insur?f: carrier and policy number are: Insurance Co. SrAt'?Z f:t.lvt O Policy No. I C) ~ 3Z Z.. Expiration Date _J.~•¼l-·~l~+-1----- This section need not be completed if the permit is for Of)B hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the perfo a nee 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 Laws of California. WARNING: Failure ompensatlon covera s unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in ,:;,-.,-,.-·-•. ded for In s~dl,,po!l<>f the or code, Interest and attorney's fees. I hereby afflrm that I am exempt from Conlractor's Ucense Law for the following reason: O 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 ow11 employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold withio 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) lir.ensed pursuant to the Contractor's License Law). □ I am exempt under Sec~on _____ Business and Professions Code for this reason: 1. I personally plan to provide the major tabor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (!inn) 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 !he following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' lir.ense number)· 5. I will provide some of the 'Mlrk, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ,I$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RE$1QENTIAL BJ.IILQING PERMITS ONLY Is the applicant or future buHding 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 Acr? □ 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 O No Is the mlity 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending arJency for the performance of the work this permit 1s issued (Sec 3097 (i) Civil Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the appllcatlon and state that the above infonnation Is comlCf.and that the lnfonnatlon on the plans Is accura1B. I agree to comptyv.ffll all City ordinances and Stats lav.s relating to building construction. I hereby aulhorize represen-oflhe City of Carlsbad i> enler upon ~e aix>I, mentioned l'OP'r\y for mspection p.irposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LVIBIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: AA OSHA i;ermlt is requi'ed t:ir excavations over 5'0' deep and demolltkJn or constructbn of structures over 3 stories fl height EXPIRATION: Every pennlt issued by the &lilding Official under the provisOOs of this Code shall expire by lfT\itation and berome nu~ and vcm if the building or 'Mlfk authorized by such i;ermit is not commenced wthin 100 days from the date of such it or if the bu' orv.orl< authorized by su It is suspended or aband:med at any time after the Yo()f1( is rommenced bra perkxl of 180 days (Secoon 100.4.4 Uniklrm &lildi1g Code) . APPLICANT'S SIGN TURE DATE . /C,· ':5 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.building@carl5badca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR {On Pg. 1) □ MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL/ FAX TO OTHER: _______________ _ .IS APPLICANT'S SIGNATURE □ ASSOCIATED CB#·------------- o NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB131000 Date Inspection Item 04/25/2013 19 Final Structural Tuesday, April 30, 2013 Type: MISC OTHER Inspector Act RI LTD PROPERTIES -CLOSE OFF REAR DOOR/ELIMINATE REAR DOOR OF STRU Comments Page 1 of 1 _____ , _________ _ I _C,\) Y(cz.~ 1 ( ..,-z-I:• /oc1 ~~~ ~f<d~ Ce:H,S'fR.cJG-Tior--f Gttt eB 4, 'j~G,o -Al.Ley' . . :~wt~ . . • City of Carl bad ~ ... -Building Di ision N _________ __ APR 1 6 2 1 RECEIV.ED APR 1 6 ZOl3 CtTY OF CARLSBAD BUILDING mVfSSON .• .• :zo . .... ·. ::_ . . ~,,, ,· ~ .• -"" C(3 {31000 I 2s' G'X-IST[J-.l6i ~ 6E A~ Ji...l.