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HomeMy WebLinkAbout2014 SUBIDA TER; ; CB070807; PermitCity of Carlsbad • I 1635 Faraday Av Carlsbad, CA 92008 03-26-2007 Miscellaneous Permit Permit No: CB070807 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2014 SUBIDA TERRACE CBAD MISC Subtype: 216481 0900 Lot #: $0.00 GHER RES-RESTUCCO FRONT OF HOUSE REPAIR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: GHER FAMILY TRUST 03-26-98 GHER FAMILY TRUST 03-26-98 2014 SUBIDA TER CARLSBAD CA 92009 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $120.00 Inspector: 2014 SUBIDA TER CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $120.00 FINAL Date: L Balance Due: Clearance: ISSUED 03/26/2007 LSM 03/26/2007 03/26/2007 $120.00 $0.00 $0.00 $120.00 $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. lf 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.~? C) 8"0') EST. VAL. _________ _ Plan Ck. Deposit--~~------+---- Validated By ___ ~=,.......::;:;.......J\..-/~---- Date. ___ _,s;;,a;;z;,/~oJ=-==(o::::.,1-ft=O:.....:?:c....__ I I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use V Description of Work n r--..s. ru(2e...o o M r~o n '1- @NTACT PERSQtil l!f different from applicant) SO. FT. o-11 #of Stories /2o~se # of Bedrooms Name Address City State/Zip fY ,3. APPLICANT O Contractor □-Agent for Contractor ~ Owner O Agent for Owner v, ...5 l-t-4 ll I/ v 9 /2 er .:w I'/ $4.'11ciA 7.M.-t.. UJ/LLf.i&D Name Address City State/Zip -=--=cOPElllY.,OWNlR .$11/.Mdll) 6; her Address ~ONTM_CTOR • COMPANY NAMJ! CA£ LS 6 "1-D City CR 9 Z..tJl) '7 State/Zip # of Bathrooms Telephone # Fax # qz..,{J 9 ~:~8' Telephone# 7t,o 9'1Z--~3sr Telephone# (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 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. 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 for 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 workert' 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 for In Section 3706 of tha Labor code, interest and attorney's fees. SIGNATURE DATE 7 OWNER-BUILDER DEC ;;-:--====:::::::;:;:=:==:::::;;;;:_ _____ ~-. I hereby affirm that I am exempt from the Contractor's License 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 w ho 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). kJ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The lSntractor'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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 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 (firm) to provide the proposed construction (include name / address / 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):. ______________________________________________ _ N 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type v"-!3f work):. _____________ ....,.,,_.-=--------,-~-.---+------------------------------ PROPERTY OWNER SIGNATURE =::::==2~':::/f~~~=J;-....... ~~~~~~---;;----DATE ,3-LI, -0 7 CQ~ '.!:f!U_ICTIOI!f.QB NJ)N;[IE. 'IJMNTJ.AL Bl,!jLDING4 RMITS 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 26534 of 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? 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, 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(il Civil Code). 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\i 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 ANO 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 commenced for riod of 180 days (Sec ·o 1 6.4.4 Un orm Building Code). ~PPLICANT'S SIGNATURE ___ ...,c..=.L....!::::.ia..c..1.AC..=:;,_---<.-"""::....,::.==.=---------- WHITE: FIie YELLOW: Applicant PINK: Finance DATE 2-~. uo7 / City of Carlsbad Bldg Inspection Request For: 06/06/2007 Permit# CB070807 Title: GHER RES-RESTUCCO FRONT OF Description: HOUSE Type:MISC Sub Type: REPAIR Job Address: 2014 SUBIDA TERRACE Suite: Lot: 0 Location: APPLICANT GHER FAMILY TRUST 03-26-98 Owner: GHER FAMILY TRUST 03-26-98 Remarks: card out front door Total Time: CD Description Act Comments Inspector Assignment: JM --- Phone: 7609426358 Inspector: ----- Requested By: SHARON Entered By: CHRISTINE 19 Final Structural &,_ ______ _ ------------------------------------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 04/10/2007 18 Exterior Lath/Drywall AP JM FRONT OF HOUSE AND GARAGE