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Home My WebLink About1210 STRATFORD LN; ; CB013735; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-04-2001 Miscellaneous Permit Permit No:CB013735 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1210 STRATFORD LN CBAD MISC Subtype: 1561644400 Lot#: $0.00 BLASA RES-REPLACE 11 WINDOWS OTHER 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/04/2001 RMA 12/04/2001 12/04/2001 '5799 12/04/01 0002 01 Applicant: SEARS HOME IMPROVEMENT 10415 SLUSHER DR SANTA FE SPRINGS CA 90670 800 807-9889 Total Fees: $90.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: BLASA FAMILY TRUST 01-05-01 CGP 742 FARBEN DR DIAMOND BAR CA 91765 -Sl99 12104;01 WR 01 Total Payments To Date: $0.00 PERMIT FEE FINAL t,,RZAL Date:D. 2-Cl ·L Balance Due: Clearance: $90.00 $0.00 $0.00 $90.00 $90.00 that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction .~ You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES lT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired . . ·------··•-~--- 02 90.00 02 90.00=- PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. c!b; .?7 ?s·- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ ~:~=•ted B;·/ __ 4_7_, ..... f_,/--+-~~,fM~c.4~<....:...- 1, .PRQJECT INFORMATION !1-10 '=>T/ZAIFD~)> 1.-N . Address (include Bldg/Suite #) Business Name (at this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # f?l.f'c.-AU II S4Me,. Existing Use 21-i.e.. · Proposed Use 1: Description of Work SO. FT. #of Stories # of Bedrooms II of Bathrooms :2;; C.ONTACT PERSON;Uf.<41~f-1'8nt'.:t,om'itPPUcantl Name Address State/Zip Telephone# Fax# '3. APPLICANT O ·-c.oi,.ti-aqtgr !]; Agent· f.Qr :·CbntractOr -10$€. E-,0~1~ A 4-0,13 w. City O,o.wmiir □ Ag·enuQr'Qwnei A✓E 4'2.. 1...A. CA G!roY5 'S'-2 •714·6S4() Name Address City State/Zip Telephone# 4. PROPERTY OWNER >f'Ae>t.D oLASA Name Address City S.tate/Zip Telephone # 5. CONTRACTOR ' CO)'ll~ANY NAM~ (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant tp a civil penalty of not more than five hundred dollars 1$5001). ~iz.,;. -HOMe: .:IMP. IC'-fts SL.V~J!!. ~-S"-'Ji'A.f'e:..s.petlli>'i,S ~-jM,"7b "ISDC•<isO•·C\~e.ci Name Address T:IL City State/Zip Telephone # 7 -i. 1 '2 7'7' .,__, 4 r : 11 Ill! I State License#-~---"'-----License Class__________ City Business license# -• 1 1 ' -( 'l.D "8, °) ( (.c, Designer Name Address City State/Zip Telephone State License # _________ _ f'. WOR~ERS' COllll~tNSATIQN Workers' Compensation Declaration: l hereby affirm under penalty of perjury one of the following declarations: O 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. gj 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 l,.(PJS-ft-.1"'1 1'A.VT\JA-t-Policy No.JrJA'144:t)OC>4'./Z.'j'fOZ.J Expiration Date ~-• 02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 laws of California. WARNING: Failu e to sec workers' compensation coverage la unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars ( ,00 ), i addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attomey"s teas. SIGNATURE O¼.. DATE I'?-. 4. 0 I 7. pt f om the Contractor's License law for the following reason: D t, as ow r o the prope y 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). D 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). 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. 0 YES ONO 2. I (have/ 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 number / 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 / address / phone number/ contractors license number): ________________________________________________ _ 6. 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 number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLi;rs:rHIS SECTION.'FOR NON41ESIDENTIA, BUILOING'PERII/IITS O.NLY 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. :a,. CONSTRUCTION:•LENDING'AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(0 Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS. __________________________ _ 9. APPUCANT CERJlflCATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY 'IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is co ence r a period of 180 days (Section 106.4.4 Uniform Building Code). DATE _c!_'L_·_4.,__·_;l):___:.( ___ _ WHITE: File YELLOW: Applicant PINK: Finance CBOJ0/3,b 1/21/0 2- -/)/fe,/oL City of Carlsbad Bldg Inspection Request fd ~ For: 05/22/2002 Permit# CB013735 Title: BLASA RES-REPLACE 11 WINDOWS Description: Type:MISC Sub Type: OTHER Job Address: 1210 STRATFORD LN Suite: Lot 0 Location: APPLICANT SEARS HOME IMPROVEMENT Owner: BLASA FAMILY TRUST 01-05-01 Remarks: Total Time: Act Comments Inspector Assignment: RCB Phone: 7607300443 Requested By: PABLO BLASA Entered By: CHRISTINE CD Description 19 Final Structural ~ F,wlfL,, Associated PCRs Inspection History Date Description Act lnsp Comments