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HomeMy WebLinkAbout2010 SUBIDA TER; ; CB063220; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-18-2008 Miscellaneous Permit Permit No: CB063220 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2010 SUBIDA TERRACE CBAD MISC Subtype: OTHER 2164810700 Lot#: 0 $0.00 FEENEY:REPLACE FRONT DOOR/ Status: /\pplied: Entered By: Plan Aporoved: i"ssued: Inspect Area: WINDOW IN SHOWER & MASTER BED/ WINDOW TO DOOR IN Applicant: FEENEY SEAN M 2010 SUBIDA TER CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $180.00 Inspector: PERMIT FEE Owner: FEENEY SEAN M 2010 SUBIDA TER CARLSBAD CA 92009 Total Payments To Date: $180.00 FINAL APPROVAL Date: 2,,... I P -t? 5J' Balance Due: Clearance: ISSUED 11/08/2006 JMA 11/08/2006 07/18/2008 $120.00 $60.00 $0.00 $180.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, rese,vations, 01 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 wate!· ~nd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this projer.,i. NOR DOES IT APPLY to any f . n f hi n iv n N Tl E imil r whi h h f 'mi I PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONr'ti I) PLAN CHECK NO. L1J{)6195J EST. VAL. _________ _ Plan Ck. Deposit ------,-t-:,---- Validate!? ~~ 0 a Date ;_Cl(/2/t)(; ....._ r.1_. -P~R=-Q=j:..EC!:.T.=IN_F_O_R_M_A...:T:..IO!!:N~:a!<:.:~-L..::.::..:....:~..i..::::....:::=----------::--:---:-:---:-:--:-:-:---;--;---;---------------7' _ ?_o l O <s;; v fstd..A. 7??1-rAce_.. Business Name (at this address) )( 2..ou q Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Des~tion °L~o~e., w,~· Jo vJ s / 3 rl/l~, i. C;;;{;ACT PERSON (If different from applicant) # of Bedrooms ~ 6 ;Jtthw~~J ~ Name Address City State/Zip 3. APPLICANT O Contractor O Agent for Cor)tractor O Owner O Agent for Owner Name Address City State/Zip Telephone# e,JJe- Name City S.tate/Zip Telephone# 5. 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, p(ior 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 to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ Designer 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: 0 I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 _______ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,000), in addition to the cost of compensation, damages as provided tor in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ___ -:---:-:-----------------,-----,--------:-.:::::,-- 7._ OWNER-BUILDER.DECLARATION I hereby affirm that I am exempt from the Contractor's License 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 tor 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. l~e anally plan to provide the major labor and materials for construction of the proposed property improvement. ~YES ONO 2. (have/ have not) signed an application for a building permit for the proposed work. 3. I ave contracted with the following person (firm) to provide the proposed construction {include name / address / phone number / contractors license number): 4. I plan to provide portions of the work ut I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):_+-+----------------------------------------------- 5. I will provide some of the work, bu ing persons to provide the work indicated (include name / address / phone number / type of work): ___________ -ir-f---,"'t---::----:::,-'--------------+----------------------~ PROPERTY OWNER SIGNATURE -+-f--.,,_fr-----"'----o"'9--------------"""!--DATE / 0 • / l_ -C) Ce 1 COMPl,ETE THIS SECTIO~OR NQ Is the applicant or future buildin o submit a business plan, acutely hazardous materials registration form or risk management and prevention f the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 AND THE AIR POLLUTION CONTROL DISTRICT. ,8, CONSTRUCTIOl'-4 LENDING AGENC'( .. I hereby affirm that t here is a construction lending agency tor the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ s; . APPl,ICANT CEIJIIFICATION LENDER'S ADDRESS ________________________ _ 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 Cit\' 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 f r excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued y t e building Official under t ovisions ol this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co me ced within 180 day 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 comm n · d o O days (Section 106.4.4 Uniform Building Code). I /'PPLICANT'S SIGNATURE . 7 DATE /0 -/ 2,-0(_p , WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/19/2009 Permit# CB063220 Inspector Assignment: RB --- Title: FEENEY:REPLACE FRONT DOOR/ Description: WINDOW IN SHOWER & MASTER BED/ WINDOW TO DOOR IN 1ST FLR BEDROOM: MUST COMPLY CA 2001 Type:MISC Sub Type: OTHER Phone: 7608016912 Job Address: 2010 SUBIDA TERRACE Suite: Lot: 0 Location: Inspector: ---- OWNER FEENEY SEAN M Owner: FEENEY SEAN M Remarks: a m please Total Time: CD Description 19 Final Structural Act Comments Requested By: SHAWN FEENEY Entered By: CW 1tf2------- Comments/Notices/Holds Date 02/13/2009 02/05/2009 02/05/2009 01/21/2009 Associated PCRs/CVs Original PC# lns12ection Histo[Y Description 19 Final Structural 14 Frame/Steel/Bolting/Welding 19 Final Structural 19 Final Structural Act co AP co co lnsp Comments RB NO ACCESS LEFT NOTE TO RECALL WHEN READY RB VERIFIED EXISTING CONDITIONS RB MISSING SMOKE DETECTORS RB NOACCESS .. t • I -~ . --J7,z 111 '-I xr fl-UtJ ~ /J)~uu1 ~ ~.; • , ◄ •